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Old 03-23-2014, 06:30 AM
 
73 posts, read 78,093 times
Reputation: 42

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What Obama should do is make the states an offer: If you will expand Medicaid at a 90%/10% split, we will put nursing home care in your state under Medicare instead of Medicaid. If Obama did this most, if not all, states would take that offer. It is not expanding Medicaid for working poor families and the unemployed that states are afraid of. It is the liability of nursing home care for an older population. It is already hitting the budgets of some states hard without expanding Medicaid. And most of these people are over 60 and should be covered by Medicare anyway. Obama should be able to make a rule change by executive order to accomplish this I would think.
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Old 03-23-2014, 08:08 AM
 
3,599 posts, read 6,782,668 times
Reputation: 1461
Quote:
Originally Posted by detwahDJ View Post
Another conservative lie among all the others and, just like Fox, you even waste people's time by expanding on it.
Yeah, Medicare and the VA system are both single-payer systems. Gawd, unbelievable! Must be a wire loose in the conservative brain. Try reading something for a change and don't insult us with these Fox scripts.
What is Single Payer? | Physicians for a National Health Program

Tell me what I am lying about?

HIPAA "pre existing medical condition laws" were already in place with the portality act.

http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html

A simple search will reveal that at most 15% of Americans have pre exisiting conditions. It's not that hard to find. Also remember even if you had a pre exisiting condition, it's not like you are automatically excluded from obtaining insurance. Private insurance on the individual market still take those with hypertension, diabetes, asthma prio to the ACA. Of course those with bigger pre exisiting conditions like history of cancer or history of heart disease will probably find it more difficult and more expensive to obtain insurance.

So once again do the math. 15 million people get their insurance on the individual market. What's 15% of 15 million....1-2 million.

That's what the ACA is all about when Obama, your lord says you won't get discriminated by with a pre existing conditions.

If the VA system were so great, why does everyone I know (and I am physician). Everyone who has both carries both tricare and private insurance. They all opt to use the private insurance first before using the VA system....wonder why. Let's see. Much longer wait times in the VA. It's also a running joke in the medical profession that you will get "adequate" care at the VA. You may not get the same type of care as you do in the private world.

Look, I am not against single payer per se. It's that the public needs to be inform of benefits and drawbacks of single payer. It's highly regressive. How can Pelosi and Harry go to their voting base and tell those making 20-40K a year they will end up paying more in taxes? How? They will have to lie to their voting base. Look at the tax rates in Germany, Switzerland to fund their health system. Like 7-8% health taxes plus co pays.

It would be political suicide to ask the Democratic voting base they will have to pay MORE for their care than they currently do under either the employer model or with subsidies under the ACA.
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Old 03-23-2014, 09:37 AM
 
56,988 posts, read 35,189,362 times
Reputation: 18824
Quote:
Originally Posted by detwahDJ View Post
I'm continually amazed at the people content to exist in the smug, snug, cozy, lazy Fox cocoon.
Yes, the RW Heritage Foundation invented the mandate as a gift to its corporate conservative base, and held it in abeyance as a hedge against the threat of a single-payer or public option. The ACA saved them from pushing it further.
Of course Foxbots couldn't care less about the truth, and naturally the fascist media doesn't want them to know about it either. Ignorance is bliss, and as any dittohead knows, knowledge is dangerous to authority.
All true...every damn thing you said.
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Old 03-23-2014, 03:34 PM
 
1,199 posts, read 734,485 times
Reputation: 609
Quote:
Originally Posted by aneftp View Post
Why do people keep on blaming republicans for non expansion of Medicaid.


The Supreme Court ruled the Feds cannot coerce States into Medicaid expansion. It's not a free giveaway by the govt.

Eventually the states will be on the hook and there is no guarantee the Feds will even continue a 90/10 ratio of funding. It's simple bait the Dems threw in for the next 3 years with 100% funding. You get people addicted to free stuff than states are in a bind which funding once it's slowly stripped away. Medicaid is very expensive for states budgets.
Please correct me if I am wrong, but many red states are more rural in nature. They don't have nearly the same amount of urban cities or the same density of population that many blue states have. Many red states only have a limited amount of medical centers/hospitals with in a certain radius, and definitely not as many per square mile as a densely populated blue state.

High stakes for hospitals in Medicaid fight - NewsAdvance.com : News - Local Lynchburg, Va. Area
State Rep.: Do not expand Medicaid, some rural hospitals should close - Atlanta Business Chronicle

So....good luck keeping those rural hospitals open since the uninsured will continue to flow into the ER. At least medicaid would cover some of the costs instead of none. As the uninsured keep going to the ER, more and more hospitals in rural areas will close down. Only other way is for the states to repeal EMTALA, and good luck with that.

So by then, it wont even matter if your insured or not, because when you have a heart attack and the nearest hospital is 100 miles away, you might as well not even bother calling in EMS.
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Old 03-23-2014, 07:29 PM
 
18,802 posts, read 8,467,936 times
Reputation: 4130
Quote:
Originally Posted by cxr89 View Post
Please correct me if I am wrong, but many red states are more rural in nature. They don't have nearly the same amount of urban cities or the same density of population that many blue states have. Many red states only have a limited amount of medical centers/hospitals with in a certain radius, and definitely not as many per square mile as a densely populated blue state.

High stakes for hospitals in Medicaid fight - NewsAdvance.com : News - Local Lynchburg, Va. Area
State Rep.: Do not expand Medicaid, some rural hospitals should close - Atlanta Business Chronicle

So....good luck keeping those rural hospitals open since the uninsured will continue to flow into the ER. At least medicaid would cover some of the costs instead of none. As the uninsured keep going to the ER, more and more hospitals in rural areas will close down. Only other way is for the states to repeal EMTALA, and good luck with that.

So by then, it wont even matter if your insured or not, because when you have a heart attack and the nearest hospital is 100 miles away, you might as well not even bother calling in EMS.
Our Red State AZ surprisingly went with Medicaid expansion. Our rural hospital anticipates a 3-5% bump in revenues the next 3 or so years as a result.
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Old 03-23-2014, 07:49 PM
 
3,599 posts, read 6,782,668 times
Reputation: 1461
Quote:
Originally Posted by cxr89 View Post
Please correct me if I am wrong, but many red states are more rural in nature. They don't have nearly the same amount of urban cities or the same density of population that many blue states have. Many red states only have a limited amount of medical centers/hospitals with in a certain radius, and definitely not as many per square mile as a densely populated blue state.

High stakes for hospitals in Medicaid fight - NewsAdvance.com : News - Local Lynchburg, Va. Area
State Rep.: Do not expand Medicaid, some rural hospitals should close - Atlanta Business Chronicle

So....good luck keeping those rural hospitals open since the uninsured will continue to flow into the ER. At least medicaid would cover some of the costs instead of none. As the uninsured keep going to the ER, more and more hospitals in rural areas will close down. Only other way is for the states to repeal EMTALA, and good luck with that.

So by then, it wont even matter if your insured or not, because when you have a heart attack and the nearest hospital is 100 miles away, you might as well not even bother calling in EMS.
That's all on the ACA if they force the rural hospitals to close down. The Dems wrote the poison pill to try to "coerce" states into the medicaid expansion.

The states that have opted out at within their constitutional rights to do so. So don't go around blaming states and their governor by "upholding the law of the land."

Blame the Democratic party especially Obama. He can make another one of his "executive orders" since he's so above the ACA law anyways by "exempting" these rural hospital so they can continue to receive funding.

Am I right or not that Obama can make an executive order? And am I right to say the Dems wrote this poison into the law to force states to accept medicaid expansion?
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Old 03-24-2014, 09:35 AM
 
3,537 posts, read 2,735,079 times
Reputation: 1034
Quote:
Originally Posted by SourD View Post
This was the plan from the beginning and they continually lied about it.
I think we will all like HillaryCare alot better.
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Old 03-24-2014, 09:46 AM
 
720 posts, read 705,425 times
Reputation: 1213
Quote:
Originally Posted by OICU812 View Post
Even though the health law’s “employer mandate” requires that companies with 50 or more workers pay a penalty of $2,000 per employee if they do not provide health care, many large companies now spend far more than that to offer coverage. As a result, Mr. Emanuel says they will be able to pay the penalty, give workers a raise and shed the burden of providing coverage by sending workers to the public exchanges.

However, we will keep punishing employers with a $2,000 fine for not giving employees insurance, instead of just giving that money to the employees. What a messed up law, and it's no wonder when you look at the architects of it.
This is what happens when the citizens of a country becomes ignorant of its history and the policies that made America great, abandoning them for the radical agenda of a "Community Organizer" The freedoms these people will lose is well deserved, if it was not a bitter cup for all.
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Old 03-24-2014, 09:54 AM
 
Location: Central Ohio
10,834 posts, read 14,932,942 times
Reputation: 16587
Quote:
Originally Posted by detwahDJ View Post
So you are happy with your previously unregulated corporate system?
But it was regulated and I did like it.
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Old 03-24-2014, 03:09 PM
 
Location: Tampa Florida
22,229 posts, read 17,851,724 times
Reputation: 4585
One more week ... so what's your guess? 6 million signups .... I'd say closer to 6.5 million. But, it matters not, everybody knows the ACA is marching on.
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