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Started By
Message
Why "work requirements" for Medicaid is a meaningless change
Posted on 3/17/17 at 2:32 pm
Posted on 3/17/17 at 2:32 pm
Leftist shill Robert Rector makes some good points LINK
quote:
In reality, it is difficult to get eligible able-bodied adults without dependent children to enroll in Medicaid. After all, they do not need to enroll in the program to receive free medical care. They know that if they get sick and walk into a clinic or emergency room they will get enrolled in Medicaid prospectively or receive treatment pro bono.
A work requirement would just make it less likely for able-bodied adults without dependent children, known as ABAWDs, to register for the program. The work requirement would reduce Medicaid enrollments, but Medicaid costs might well go up because the eligible ABAWDs would go to the emergency room rather than receive routine care elsewhere.
...
The most likely outcome of an ABAWD Medicaid work program would be the following. The income eligible ABAWD would choose not to enroll in Medicaid. When he gets sick, he goes to the clinic or emergency room. The clinic or emergency room enrolls him prospectively in Medicaid and treats him. The ABAWD is then assigned to participate in workfare/job search months in the future. He never shows up. One year later he gets sick again and goes back to the clinic and the cycle starts over.
9
Posted on 3/17/17 at 2:36 pm to Iosh
quote:
The ABAWD is then assigned to participate in workfare/job search months in the future. He never shows up.
Make him ineligible for Medicaid until he does.
Posted on 3/17/17 at 2:38 pm to Iosh
quote:
ABAWD
Why aren't they paying for their own insurance?
Posted on 3/17/17 at 2:38 pm to NYNolaguy1
quote:Then he goes to the ER. I didn't think three paragraphs were that much reading!
Make him ineligible for Medicaid until he does.
Posted on 3/17/17 at 2:42 pm to Iosh
quote:
Then he goes to the ER.
Have ERs turn away the morons that go there with hangovers and shite.
Word travels fast.
Problem solved.
Posted on 3/17/17 at 2:42 pm to navy
quote:Then you agree this is a meaningless change unless the bill is further amended to repeal EMTALA.
Have ERs turn away
This post was edited on 3/17/17 at 2:43 pm
Posted on 3/17/17 at 2:43 pm to Iosh
Sounds like we should just tie in eligibility for other government welfare programs as well. If we aren't going to let hospitals refuse service to non paying customers, we need to take away all other forms of government support.
Posted on 3/17/17 at 2:45 pm to Iosh
quote:
losh
Here's why I don't take you seriously on healthcare. When did you ever criticize Obamacare? You didn't, and yet, we all know now that Obamacare is imploding.
Posted on 3/17/17 at 2:45 pm to Iosh
quote:Right.
Why "work requirements" for Medicaid is a meaningless change
However, not all medicaid should be free. With increased income some extra portion should be paid for. That is especially true of medicaid expansion.
Posted on 3/17/17 at 2:45 pm to Iosh
Yes, I agree that until we take off the kid gloves on dregs, freeloaders, and people who are too fricking lazy to get their affairs in order ... and continue to simply show up and frick UP all ERs ... then nothing the G or anyone does will amount to jack shite.
You know why all the dregs show up at any ER, anytime .. and frick it all up? Because, right now, they can ... no one stops them.
You know why all the dregs show up at any ER, anytime .. and frick it all up? Because, right now, they can ... no one stops them.
Posted on 3/17/17 at 2:47 pm to Iosh
quote:
Then he goes to the ER. I didn't think three paragraphs were that much reading!
Perhaps it's time to change that law too.
The dole has to end sometime.
Posted on 3/17/17 at 2:47 pm to NYNolaguy1
quote:
The dole has to end sometime.
How can people not realize this?
Posted on 3/17/17 at 2:49 pm to Iosh
quote:
Then he goes to the ER
True but I don't think there is any way to fix/stop this. There are people that are always going to use the ER as their primary care physician.
Well, it could be stopped but we'll never do it.
Posted on 3/17/17 at 2:55 pm to Iosh
Well, you did. I wouldn't have expected that from you 
Posted on 3/17/17 at 2:55 pm to Iosh
EMTALA absolutely needs to be amended, as it is actually the root problem of our healthcare system because it creates a disincentive to get coverage because anyone can go to the ER at any time and get treatment, even if they can't pay. They cannot be turned away. They have to be seen and administered to. ER's are the most expensive part of a hospital, and seeing waves of poor patients who lack actual emergencies slows down the ER from handling its true purpose, helping those with serious, immediate, life threatening injuries.
EMTALA absolutely needs reform to either
A. allow hospitals to turn away non-emergencies more quickly and easily
B. create some kind of reimbursement system to pay hospitals for the care they render.
Right now, hospitals have to eat the cost of all of those indigents who waste ER resources. They then inflate the costs of procedures sold to paying customers in order to cover it. That inflates insurance rates.
Imagine if this logic applied to a restaurant:
There's a restaurant with dishes ranging from inexpensive apps and small plates, to the lobster and steak entree, with all kinds of price points in between. They are not allowed to turn away any customers no matter what their ability to pay. Every customer who comes in and cannot pay, is given the lobster and steak, even if they're not really that hungry and only eat a tiny portion of it (they're not allowed to take any home nor is the restaurant allowed to recycle served food). Because of that, the kitchen is often backed up with orders for lobster and steak, causing really hungry paying customers to have to wait well over an hour to get any food. Since 1/4 of the people coming in cannot pay, and always order the most expensive thing on the menu, the restaurant has to keep raising their prices on paying customers to cover the costs of the free meals, but the higher they raise the price, the more people cannot afford to eat there, and the more people who come in to eat for free.
Can't you see how that's not sustainable?
EMTALA absolutely needs reform to either
A. allow hospitals to turn away non-emergencies more quickly and easily
B. create some kind of reimbursement system to pay hospitals for the care they render.
Right now, hospitals have to eat the cost of all of those indigents who waste ER resources. They then inflate the costs of procedures sold to paying customers in order to cover it. That inflates insurance rates.
Imagine if this logic applied to a restaurant:
There's a restaurant with dishes ranging from inexpensive apps and small plates, to the lobster and steak entree, with all kinds of price points in between. They are not allowed to turn away any customers no matter what their ability to pay. Every customer who comes in and cannot pay, is given the lobster and steak, even if they're not really that hungry and only eat a tiny portion of it (they're not allowed to take any home nor is the restaurant allowed to recycle served food). Because of that, the kitchen is often backed up with orders for lobster and steak, causing really hungry paying customers to have to wait well over an hour to get any food. Since 1/4 of the people coming in cannot pay, and always order the most expensive thing on the menu, the restaurant has to keep raising their prices on paying customers to cover the costs of the free meals, but the higher they raise the price, the more people cannot afford to eat there, and the more people who come in to eat for free.
Can't you see how that's not sustainable?
Posted on 3/17/17 at 2:55 pm to MrLarson
quote:
True but I don't think there is any way to fix/stop this. There are people that are always going to use the ER as their primary care physician.
If words gets around that Billy Bob Metho or Tyrone Weedo or any of their kin showed up and got told to pack sand ... folks will take notice.
They won't risk the gas money to drive up there and get turned away ... when it can be better spent on swisher sweets, Black & Milds, King Cobra, or Busch Light.
Posted on 3/17/17 at 2:57 pm to kingbob
quote:You're preaching to the choir. I made an effort post a while back that I can't find basically saying that our health care system was socialized the second EMTALA passed and everything since then has been hospitals, insurers, states, and feds playing musical chairs with the cost.
Can't you see how that's not sustainable?
Posted on 3/17/17 at 2:58 pm to navy
quote:
If words gets around that Billy Bob Metho or Tyrone Weedo or any of their kin showed up and got told to pack sand ... folks will take notice.
I agree 100%
The problem is finding a politician with the balls to make it his cause
Posted on 3/17/17 at 2:58 pm to Iosh
Work requirements are red meat to the base, but I would like to see a co-pay for trips to the ER that are later deemed not be be true emergencies.
We've got to break that cycle and then some of these costs will come down. Treat at your PCP like the rest of the developed world, you fricking poors.
We've got to break that cycle and then some of these costs will come down. Treat at your PCP like the rest of the developed world, you fricking poors.
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