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12 July 2012

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HankP

Better to not plan at all then, since no one can see the future.

jerseycityjoan

Lots of Medicaid money goes to Medicare recipients, as I am sure you know.

As for the under-65 crowd, I am not sure how many are able bodied and on Medicaid for most of their lives.

My guess is that the number of people now on Medicaid that have worked for a significant portion of their adult life has increased significantly.

Of course there are lots of kids on Medicaid but I think their cost per person in most cases is not significant, most kids are healthy, thank God.

I did see figures that births in the US had gone down since the Recession. Is that mostly due to working class and above American citizens foregoing having children because "they can't afford another child"? My guess would be yes.

The net effect is even fewer white kids being born in a country that was 85% white in 1960. How is that fair or right? My thing about immigration is not about race and ethnicity as such but about resources and unthinking change, but I will admit to considerable dismay and yes, even a touch of Tyler-like resentment about that fact.

turcopolier

jerseycityjoan

"Lots of Medicaid money goes to Medicare recipients" Explain please. pl

Mark Logan

The idea is to transition away from privatizing the profits and socializing the losses. Right now, people with existing conditions get tossed on the governments back. The expansion of Medicaid is a gap-filler to give people something now while we hopefully transition to a more rational system. Please, nobody confuse this with advocacy for the AHCA, I think it's a POS. It's just the best that we could cobble together with some people trying to make it into somebodies "Waterloo", others seeking to take all the credit for fixing a hell of a mess, the vested interests engaged in a frenzy of influence buying.

jerseycityjoan

This will be quick but low income people over age 65 and getting Social Security Disability also can receive Medicaid.

This is from 2004 but it gives you an idea about this:

"Dual eligibles are persons who qualify, in some way, for
both Medicare and Medicaid coverage. ...

Dual eligibles are more expensive for Medicare than other
beneficiaries. About 15 to 17 percent (6.2 to 7.0 million)
of Medicare beneficiaries in 2001 were dual eligible,
accounting for about 22 to 26 percent of Medicare
spending.1 Total spending—across all payers—for dual
eligibles averaged about $20,840 per person in 2001, more
than twice the amount for other Medicare beneficiaries."

http://www.medpac.gov/publications/congressional_reports/June04_ch3.pdf

USA Today said in November 2011 that there are now 9.2 million dual eligibles.

"As a group, dual eligibles cost state and federal governments a combined $300 billion annually. They comprise 16% of Medicare's enrollees but account for 27% of its spending. They make up 15% of Medicaid beneficiaries but draw 39% of its spending, according to the Centers for Medicare and Medicaid Services.

Medicare covers their basic acute-care services such as physician, hospital and prescription drug costs. Medicaid pays for most of their long-term care, whether in nursing homes or in community-based care, and it covers Medicare's deductibles, co-payments and other cost-sharing the patient otherwise would owe out of pocket.

Medicare and Medicaid were never designed to work together, so the way states and the federal government split the dual eligibles' bills leads to inefficient care, experts say."

http://www.usatoday.com/news/health/healthcare/health/healthcare/story/2011-11-17/Medicare-Medicaid-dual-eligibles-under-scrutiny/51271250/1

Tyler

I do not begrudge people who through no fault of thier own need a hand. The issue becomes when that hand up becomes dependency and then a demand. It seems more and more than people are more than willing to trade in the liberties that were hard fought for in order to have more comfort and dependency on the federal government.

This state of affairs cannot stand, if simply because it is unaffordable. We are seeing the first stirrings of it in Europe, where the riots there are barely touched on by our media. What are they rioting over? The lack of jobs? That thier benefits are being cut? Probably a mixture of both, I'd reckon.

I do not think this state of affairs is uncommon through history, where the 'elite' think money will protect them from the indignants. To an extent, when things are well, perhaps, but when you're dealing with those who have nothing to lose, it is a bit different.

That being said, things are going to continue to get worst. I hope the best for you and yours Joan, and may God carry you through the worst of this coming storm.

Babak Makkinejad

I do not know.

Some people from the Subcontinent are definitely colored.

I myself am beige.

Babak Makkinejad

Thank you for your reply.

And for those who cannot afford or won't buy long-term insurance; what is your suggestion?

The poor and the indigent?

The drug-addicted babies?

The people with low IQ that can only work as ditch-diggers?

I also find it unacceptable that the state is "Nany" to the criminal class.

HankP

Col. Lang -

See my comment about end of life care. If you're unfortunate enough to suffer severe medical issues for months or years (like Alzheimer's for example) the costs become astronomical. Unless you have excellent pension benefits or several millions in assets, you will most likely spend down all your savings and go on Medicaid to pay for nursing home care. I believe the VA has a similar parallel system, but I don't know much about it.

turcopolier

HankP

Like the vast majority of Americans you know nothing of the military. The VA medical system exists primarliy for the treatment of FORMER soldiers who have service connected disabilities. I am not a FORMER soldier. I am on the retired list of the Army and am still a member of the Army. As such, although I could use the VA system if I wished, I do not need to do so. I can use military medical facilities if I wish or rely on Medicare and Tricare for Life, a government health system for retired military personnel. The government's liabilities with regard to me and my wife are unlimited under this system. This system also has a pharmacy benefit. Unless Congress chooses to change this system for people as old as we, the health care debate is an abstraction for me. The BHO Administration tried to do something in the way of reductions of benefits this year but the Republicans easily blocked it. It would not have applied to me anyway. It seems the Republicans are more responsive to our lobbies than the Democrats. So, your implication that I do not know the perils of long term illness is misplaced but typical of you. If you think the benefits of RETIRED military people are too generous, well, you could have served. pl

turcopolier

Babak

One of the things I find surprising about the English is that they call people like you "colored." pl

turcopolier

Hank P

You post too much here. This is not a bulletin board for you. Limit yourself to many fewer comments. pl

HankP

Not sure why you seem to be angry at me, I was just pointing out that the VA system is different from the standard Medicare/Medicaid system that civilians use. I also stated that I don't know much about it, thanks for filling me in.

No, I have no desire to cut your benefits or those of any other military or veterans.

HankP

It's you place, your rules. No problem.

Babak Makkinejad

Well, compared to the people from the British isle, I am "off White".

Fred

HankP, I had a parent who had Alzheimer's. It is expensive, but not millions. The cost of Alzheimer's care depends upon the physical deterioration of the patient and just how must medical care one is willing to provide at the very end when the body itself is falling apart.

turcopolier

Hank P

I am tired of people who think retired soldiers are gin soaked bums or who wish to think of us as either "the phony tough or the crazy brave." I may have mistaken your attitude. I need a drink. BTW, I really like "Full Metal Jacket." pl

SteveB

Honestly, I don't know. But I'll just offer up that I see the three branches of government (and most of the fourth estate) as being dominated by people who are part and parcel of the 1%. And so policies, whether emanating from Democrats or Republicans, seem to reinforce this dynamic. And the ACA is further evidence of that. The whole reason for the mandate/tax is to preserve the role of insurance companies as middle-men in delivering care...it's a Solomonic policy rather than one built on ethical and moral constructs.

Sigh...time for another IPA.

optimax

Col

Good one. What do you think about "Paths of Glory?" One of my favorites.

Tyler

Speaking of handouts, Obama's Administration today decided to waiver the work requirement for Temporary Assistance for Needy Families. That would be the newspeak name for welfare.

Wonderful.

optimax

I meant good one as good joke,

Tyler

Two notes:

1) Tribal loyalties are an important factor, but for some groups they are not the only factor.

2) Apparently everyone is allowed to have tribal loyalties except for whites, who are Evil and Bad when they decide they have interests as well that need looking after.

Tyler

When you import the third world, the third world brings its ills with it.

Tyler

There's driving with a map and then driving with your eyes closed and 'hoping' for the best. Then there's giving someone else bad directions over the phone, and when things go to shit telling them 'oh, my bad' before hanging up.

Tyler

They are "importing a new populace", like they did in the UK with the unchecked third world immigration there voting themselves more benefits.

However I do not think this state of affairs will last forever, even though there will be tribulations ahead. Eventually you run out of other people's money, and the day the food stamp cards stop working is the beginning of the end.

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