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View Diary: Red states rejecting Obamacare Medicaid expansion need it most (103 comments)

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  •  Medical business will suffer (8+ / 0-)

    People will still get sick and go to doctors and hospitals in those states.   They won't have coverage, but they will get care, and the medical industry will be left holding the bag for the costs.

    It is bad policy to block the expansion of medicaid, but I don't think it will stand for very long, especially when hospitals start to suffer, and the best doctors and nurses move to states where the have a better chance of getting paid.

    Religion gives men the strength to do what should not be done.

    by bobtmn on Sat May 25, 2013 at 12:22:51 PM PDT

    •  It has been happening for years. A Democratic (0+ / 0-)

      Governor, Phil Bredesen, threw over 300,000 of the sickest Tennesseans off the Medicaid rolls, and drastically cut benefits for almost 400,000 more Tennesseans, several years ago.

      Please see below:

      The Drive to Save Lives

      The Governor’s Plan for TennCare:  What’s Really Going to Happen?

      On February 18, 2005, Governor Phil Bredesen submitted a revised version of his TennCare plan to the federal government.

      The Governor’s new plans for TennCare will have a detrimental impact on the health care and health outcomes of 719,000 TennCare enrollees—that is more than half of the roughly 1.3 million people currently enrolled in the program.

      In fact, under the Governor’s proposal: 323,000 enrollees will be cut from the TennCare program altogether and will be at great risk for joining the ranks of the uninsured.

      396,000 enrollees
      , no matter how sick, will have drastically limited health care services and treatments.

      If you read on, you'll see how ridiculously pathetic the benefits of the TN version of Medicaid are.
      For instance:  Inpatient hospital days will be limited to 20 per year; outpatient hospital visits will be limited to 8 per year, etc.
      And, although medical services are still one of the most booming sectors in Nashville, TN, it did take a hit for some time, after all the cutbacks.

      Unfortunately, it didn't change anything.

      Mollie

      "Only he who can see the invisible, can do the impossible."-- Frank L. Gaines


      hiddennplainsight

      by musiccitymollie on Sun May 26, 2013 at 12:34:02 AM PDT

      [ Parent ]

      •  Is it the worst thing, short term? (0+ / 0-)

        Let all those hillbillies who think they are voting for the party of "personal responsibility" realize what they have actually gone and voted for.

        •  Did you read my comment closely, Faito? (0+ / 0-)
          A Democratic Governor, Phil Bredesen, threw over 300,000 of the sickest Tennesseans off the Medicaid rolls, and drastically cut benefits for almost 400,000 more Tennesseans, several years ago.
          So "where did all those hillbillies go wrong?"

          From their experience and viewpoint (folks on the Medicaid program, that is), since Democratic Governor Phil Bredesen almost destroyed the Medicaid program in 2005.

          So, is it really fair to criticize them for not voting for a Democratic President in 2008 or 2012?

          Somehow, I don't necessarily think so.

          The way to win the vote of low income Americans is to foster programs that 'help' them.

          Unfortunately, the way that the ACA is written--remember, it was written by a member of the insurance industry and Senatorial staffer--Liz Fowler--it allowed for an 'opt-out,'  

          So now, the same poor folks that suffered under TN Democrat Governor Phil Bredesen, now will not be helped by the ACA.  Or, at least not those that make 100% of FPL or lower).

          The Democratic Party must get back to being the party of FDR and LBJ, if they want to put these voters back in their column.

          Mollie

          "Only he who can see the invisible, can do the impossible."-- Frank L. Gaines


          hiddennplainsight

          by musiccitymollie on Tue May 28, 2013 at 06:44:18 PM PDT

          [ Parent ]

    •  What is the Status of Medicaid "Clawback" (0+ / 0-)

      Of costs from estates of the deceased?  You never hear it mentioned....

      •  A Collateral Loan & Death Tax on your Estate? (0+ / 0-)

        "A Collateral Loan"

        Wikipedia:

        Medicaid Estate Recovery is the process initiated by U.S. state governments for recovering payments they made under the Medicaid program to program beneficiaries. The government recovers the sum of payments from the estate at the time of death of the program beneficiary.
        The recovery is authorized and required by the Omnibus Budget Reconciliation Act of 1993.[1]
        I hope some of the health insurance jocks here can explain how this works.  It seems if you are old and poor, you get the shaft.
        •  Some States Farm Out the Recovery. (0+ / 0-)

          Estate Recovery

          The State of Michigan recently terminated the contract for Health Management Services (“HMS”).  HMS was the Texas company that was hired by the State to manage their estate recovery program.   The contract with HMS provided that they were paid on a contingency basis.

          With that relationship ended, the estate recovery program will now be managed internally, specifically through the Mass Torts and Probate Unit, a division of the Third Party Liability Division of the Medical Services Administration.

          Somehow this type of action does not support that Obama enthusiast smugness.
      •  CSM (0+ / 0-)

        Clawback!

        In the face of soaring Medicaid costs, Tennessee and every other state are required to set up a Medicaid estate-recovery program. Many have been launched only recently, and some – like Tennessee's – are becoming more aggressive. Often, they target the home because it's all that's left after beneficiaries have spent their assets to pay for nursing-home care.

        But the varied ways in which states are going after these assets have produced confusion, anger, and even lawsuits. When a loved one dies, some families are stunned to lose the home, too, advocates say.

        Yes it is true!
      •  Good question. Now that the Medicaid 'asset test' (1+ / 0-)
        Recommended by:
        splashoil

        has been eliminated, how will folks do to protect their assets, in the event that they have a period of unemployment.

        This apparently applies to only those folks over the age of 55.  

        But heck, how are folks that age supposed to build back their life's savings, if they should have a major expense (like 'open heart surgery,' or something) while they are unemployed and on Medicaid?

        This is very worrisome.

        Mollie

        "Only he who can see the invisible, can do the impossible."-- Frank L. Gaines


        hiddennplainsight

        by musiccitymollie on Tue May 28, 2013 at 02:01:23 PM PDT

        [ Parent ]

        •  You are correct. (1+ / 0-)
          Recommended by:
          musiccitymollie

          Age and Income status automatically enroll you in Medicaid.  You have no choice or access to the "exchanges."  Your assets are then up for grabs.  This is a feature, not a bug.  Mention this in one of these enthusiast diaries and there is stone silence.

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