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Message
re: JBE's Medicaid Expansion is going to rape Louisiana's budget situation
Posted on 2/20/17 at 10:00 pm to Sentrius
Posted on 2/20/17 at 10:00 pm to Sentrius
State will be screwed either way, because if you dump people off Medicaid, then uncompensated care costs go up.
The reason the expansion was supposed to save money, was because the Federal share for Medicaid was way higher than for uncompensated care and expansion moved people off uncompensated care to medicaid. There are a ton of issues with both Federal programs and changes need to happen regardless of the State's current fiscal woes.
The reason the expansion was supposed to save money, was because the Federal share for Medicaid was way higher than for uncompensated care and expansion moved people off uncompensated care to medicaid. There are a ton of issues with both Federal programs and changes need to happen regardless of the State's current fiscal woes.
2
Posted on 2/20/17 at 10:01 pm to Sentrius
My guess is that costs are driven by Medicaid patients showing up at the emergency room en masse, contrary to what Hussein and his cock suckers said would happen, in order to sell Obamacare.
Posted on 2/20/17 at 10:04 pm to Lakeboy7
quote:
And can raise another 3 in a heart beat
Jeff Landry, Garret Graves and other players are already raising money and will have a lot of outside help.
Keep thinking he's a shoe in when he'll be forced to defend his record in a red state against a great GOP candidate with the possibility of President Trump campaigning for him.
Deep down you know the odds are stacked against him as it took a perfect storm of a lot of different factors for him to win in 2015.
Posted on 2/20/17 at 10:10 pm to CommoDawg
quote:
Yeah! Frick poor people! They don't deserve affordable healthcare!
Look!
another a-hole who is very generous with other people's money
so noble
Posted on 2/20/17 at 10:16 pm to Sentrius
quote:
can only cut healthcare and education per the state constitution
The proverbial anchor around Louisiana's neck.
Posted on 2/20/17 at 10:19 pm to CorporateTiger
quote:
The proverbial anchor around Louisiana's neck.
We will never truly fix the budget until someone displays his big hairy balls and rips that up and rewrites the damn thing itself.
The line item veto power the governor has also needs to disappear as that it is way too much power over the legislature.
Posted on 2/20/17 at 10:22 pm to Sentrius
If Medicaid was eliminated entirely, as some of you would like, it would result in these former Medicaid patients going to emergency rooms for every ache and pain. It would result in a lot of hospitals going bankrupt because every ER has signs all over the place saying you WILL BE TREATED REGARDLESS OF YOUR ABILITY TO PAY. And who do you think will eventually have to foot the bill?
Medicaid has its faults but some form of it is necessary because (1) a compassionate society has an obligation to care for truly indigent people and(2) we are going to end up paying for them anyway.
Medicaid has its faults but some form of it is necessary because (1) a compassionate society has an obligation to care for truly indigent people and(2) we are going to end up paying for them anyway.
Posted on 2/20/17 at 10:38 pm to homesick1934
quote:
(1) a compassionate society has an obligation to care for truly indigent people and(2) we are going to end up paying for them anyway.
All that right there.....F that...That line of thinking is how this welfare state got started.
Posted on 2/20/17 at 10:43 pm to homesick1934
Don't forget nursing homes.
Posted on 2/20/17 at 10:48 pm to LSULaw2009
quote:
State will be screwed either way, because if you dump people off Medicaid, then uncompensated care costs go up.
Know what remains roughly the same with Medicaid expansion? Uncompensated care.
Posted on 2/20/17 at 10:56 pm to CommoDawg
quote:
Yeah! Frick poor people! They don't deserve affordable healthcare!
First of all, Medicaid is not only affordable...it is free. And it gets abused. Have a common cold, call the ambulance! Doctor offices who accept a lot of Medicare and Medicaid patients go broke and leave the state to surrounding states without the expanded Medicaid. The taxpayers pay more taxes and get shittier healthcare in return.
Posted on 2/20/17 at 10:58 pm to homesick1934
quote:
, it would result in these former Medicaid patients going to emergency rooms for every ache and pain.
Or they could just go to urgent care and the regular physician like a smart person?
quote:
every ER has signs all over the place saying you WILL BE TREATED REGARDLESS OF YOUR ABILITY TO PAY.
Actually this is one reason why healthcare is so expensive in this country as healthcare is a commodity and a scarce good and when you force it to be sold to anyone and everyone, you create a more expensive market.
quote:
Medicaid has its faults but some form of it is necessary because
It's not necessary.
quote:
a compassionate society has an obligation to care for truly indigent people and(2) we are going to end up paying for them anyway.
shite like this is why entitlements are eating up the federal budget and ballooning our debt past 20 trillion.
Posted on 2/20/17 at 10:59 pm to CommoDawg
quote:
They don't deserve affordable healthcare
Where have you been? None of us get affordable heath care.
Posted on 2/20/17 at 11:20 pm to Sentrius
The governor of LA is powerful. He as gotten a lot of contributions from business groups that just want to have his ear.
Do not rule him out for reelection!
Do not rule him out for reelection!
Posted on 2/21/17 at 12:22 am to LSULaw2009
quote:
State will be screwed either way, because if you dump people off Medicaid, then uncompensated care costs go up.
The reason the expansion was supposed to save money, was because the Federal share for Medicaid was way higher than for uncompensated care and expansion moved people off uncompensated care to medicaid.
I've made this same argument for months on this board. But this board has a lot of posters who don't understand basic math concepts.
Now, if Congress dramatically cuts the funding, then the situation changes, and we act accordingly.
But 90-100 percent of cost reimbursement by the government is a lot better than 63 percent cost reimbursement by the federal government.
All of the other problems stated in this thread - the welfare mentality, the going to an ER for a cold, etc - those won't change no matter if we have expanded medicaid or not... those will require a culture change.
Posted on 2/21/17 at 12:26 am to Sentrius
quote:
Republicans that voted for JBE, I hope it was worth it.
Idiots
Posted on 2/21/17 at 12:34 am to CommoDawg
quote:
Yeah! Frick poor people! They don't deserve affordable healthcare!
You nitwit, Medicaid isn't "affordable healthcare," it's FREE.
Oh, and by the way, NOBODY has ever been denied health care. Go to any Emergency Room and see for yourself.
Posted on 2/21/17 at 12:40 am to Sentrius
Did we not know this the second he was elected and accepted the expansion?
Isn't this a water is wet kinda deal?
Isn't this a water is wet kinda deal?
Posted on 2/21/17 at 6:49 am to LSUFanHouston
quote:
I've made this same argument for months on this board. But this board has a lot of posters who don't understand basic math concepts.
Get the frick out of here with common sense. This is a political board.
Culture change...that is the correct response. It would have to be "encouraged " by tough laws though (you pay for your ambulance for example).
Just my .02.
Posted on 2/21/17 at 7:15 am to LSUFanHouston
Percentages don't give you the bottom line cost to the state.
If you add a substantial number of participants and you add bureaucracy then you add to the bottom line. I'm not saying that's happening yet, but when the Feds start easing out and reducing support to La. we will be left holding a very large bag.
If you add a substantial number of participants and you add bureaucracy then you add to the bottom line. I'm not saying that's happening yet, but when the Feds start easing out and reducing support to La. we will be left holding a very large bag.
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