Loyek. Is the fraud in medicare caused by medicare or is it caused by the service providers who are billing medicare. Medicare spends much time and money trying to catch these cheats. Would you rather get rid of medicare and depend completely on the service providers to treat you honestly and not over charge you, or would you prefer to have medicare there as a watchdog?
Overwhelming Medicaid enrollment crippling state budgets
- Thread starter Clubber Lang
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no,no, I always want to take care of the poor. That should be very simple and efficient. When you start talking about taking care of everybody it gets kind of sloppy. And that is my money they are getting sloppy with. And yes. I would rather get rid of medicare.
The poor seem to be a horrible investment. Just sayin'
OK. Fair enough.
Re: " I read on multiple sites... some of the recent new medicaid enrollees enrolled because they lost their health insurance or could no longer afford it. you are not denying that obamacare did that to some people are you? I had hoped you had those numbers. Was it a trivial amount or a large amount of people."
I have no reason to think that Obama care had anything at all to do with this, do you?. I can't give you any hard numbers, but neither have I looked for them. I would ask you to use your common sense here, knowing that the income line for a single person being able to qualify for expanded medicaid is about 16K/yr.
Realistically, how many of these people do you think lost their health insurance coverage because of Obamacare?!!! I certainly don't know, but I would be surprised to learn that any of them could afford health insurance premiums without some help. I can tell you, though, what did happen. When these folks went to the insurance exchange they could not qualify for help with their premiums because they made too little!!! You see, the insurance premium assistance was predicated on all these folks being covered under the expansion of medicaid. That's how the Republican Governors put the screws to all of these poor folks!!!
State tax revenues are supposed to grow in proportion to the amount that medicaid is expanded. If that turns out to be true, than according to the estimates the cost to the States won't increase significantly even if the number qualifying for medicaid is significantly greater than anticipated. It all depends on how accurate the revenue projections turn out to be.
One of the additional costs being incurred right now by the States that did not expand is due to closing of many small rural clinics and hospitals. This is causing layoffs, a loss of State revenues, and additional travel and medical expenses to be incurred by former patients of these hospitals. These hospitals all say they were dependent on medicaid expansion being approved to be able to keep their doors open. Not expanding is forcing many rural patients to seek care at more expensive, distant, large city hospitals.
It is too soon to tell about the revised projections just as it is too soon to tell about the original projections. In the meantime 100% of costs due to expansion will be covered by the federal government. Would the possibility that the costs to the states might be higher than anticipated by 2020 be a good reason for all these governors to deny coverage to thousands, collectively millions, and ship their constituents hard earned income off to Blue States via the federal government? Don't you think realistically that the amount of federal subsidy will be adjusted down the road according to actual experience? Don't you think that even if their were no increased revenue at all coming into State Treasuries from expansion, that providing good quality care to thousands of your your constituents at a 90% discount would be a grand bargain in any case? Wouldn't any sensible governor, or anyone with enough sense to come in out of the rain, jump at the chance to do that?
Of course, the actual cost to the States could range somewhere between a modest profit to a modest expense. Most likely it will amount to a few percentage points of the total cost of expansion once revenues are added in. Even a few percent of the total cost is a lot of money when you are talking about providing the most expensive medical care in the world for hundreds of thousands/State. This is not by any means a free program! it will be hideously expensive like all our health care. But at least with medicaid, and medicare too, there are some much needed price controls. We Federal tax payers will be paying the bill, and it will be a whopper. The States won't, however, be paying much at all for the additional cost of medicaid that is attributable to expansion. This is why this crap coming from these Republican governors is so disturbing, so deceitful, so loaded with politics, and all at the expense of we citizens.. We taxpayers have a right to complain bitterly about the way we are being treated. We are paying for medicaid expansion, but not getting it. For political gain, our Republican Governors are stealing from us, and on top of that, they are lying about it.
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See now you getting to the leftist vs real world situation.
We can't keep benefits up and still be inviting million of illegals onto our handout programs.
Choices have to be made by states and the federal govt.
At some point in time enough is enough.
we say stop feeding the beast until its starts serving the tax payers properly. GDP grew faster than expected after the sequester.
We all agree that healthcare is important. So lets start actually start budgeting responsibly, trying to lower taxes cut waste like the sequester did grow he economy stop this mindless immigration and pay for everyone's who is a citizen's healthcare. If there is money leftover then we can be more generous. Plus... if we lower taxes a lot the economy booms and we can give more to charity.
We can't keep benefits up and still be inviting million of illegals onto our handout programs.
Choices have to be made by states and the federal govt.
At some point in time enough is enough.
we say stop feeding the beast until its starts serving the tax payers properly. GDP grew faster than expected after the sequester.
We all agree that healthcare is important. So lets start actually start budgeting responsibly, trying to lower taxes cut waste like the sequester did grow he economy stop this mindless immigration and pay for everyone's who is a citizen's healthcare. If there is money leftover then we can be more generous. Plus... if we lower taxes a lot the economy booms and we can give more to charity.
Au contraire. Depends upon your point of view.
"Subsidizing the poor/lazy/parasitic/ne'er-do-wells (with taxpayer funds)... has secured their vote in perpetuity for the DemoCraps.
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Can you explain why every state that added Medicaid expansion is projecting Medicaid budget issues starting in 2017? On average the states experienced 70% greater enrollment than they expected - how can you claim this will not impact the upcoming state budgets. The states screaming the loudest about this problem are traditional blue states - which are projected to have the greatest un-budgeted additional costs due to Medicaid expansion.
Obviously all the "studies by economists have concluded that the additional revenues" covering the expanded Medicaid costs are not holding water. In fact they are complete bunk when it comes to the state budget situations.
As I said earlier you can make a case on the social benefits vs. the total cost of Obamacare, but you cannot deny that Medicaid expansion will be a wrecking ball to state budgets post-2017. All these states will be screaming for the Feds to pick up the unexpected cost, this will be occurring directly at a time where the budget constraints in Washington due to excessive debt will be the top problem.