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Medicare is the “Oxygen” that Keeps Rural Hospitals In Operation
Posted on 10/22/26 at 1:16 pm
Posted on 10/22/26 at 1:16 pm
I am always surprised when so many in Louisiana are against Medicare/medicaid (according to polls). They are a rural state with an aging poor population.
Rural hospitals derive between 1/3 and 2/3 of their revenue from Medicare. Reducing Medicare will gut these hospitals which means elderly and infirm will have to drive father, endure longer wait times, and overall see reduced care.
This also happens at a time when there is an increase in cancers in states with petrochemical economies.
While I don’t think doctors need to be paid more, the physician fee schedule is about to automatically reduce, which will have a domino effect on the overall quality of care.
Those with elderly loved ones (or those who will be elderly themselves within 20 years) should caution not to vote away their rights.
Rural hospitals derive between 1/3 and 2/3 of their revenue from Medicare. Reducing Medicare will gut these hospitals which means elderly and infirm will have to drive father, endure longer wait times, and overall see reduced care.
This also happens at a time when there is an increase in cancers in states with petrochemical economies.
While I don’t think doctors need to be paid more, the physician fee schedule is about to automatically reduce, which will have a domino effect on the overall quality of care.
Those with elderly loved ones (or those who will be elderly themselves within 20 years) should caution not to vote away their rights.
Posted on 10/22/26 at 1:17 pm to RFK
quote:
I am always surprised when so many in Louisiana are against Medicare/medicaid (according to polls). They are a rural state with an aging poor population.
They are unconstitutional.
Period.
Posted on 10/22/26 at 1:20 pm to RFK
Would you go for making sure Medicare is only available for citizens and scrubbing out all fraud and waste out of it?
Posted on 10/22/26 at 1:21 pm to RFK
Louisiana once had a charity hospital system that was sort of actually a model of rather efficient progressive government services.
Posted on 10/22/26 at 1:22 pm to RFK
quote:
I am always surprised when so many in Louisiana are against Medicare/medicaid (according to polls). They are a rural state with an aging poor population.
That's why we had a Charity Hospital system. I'm sure Blanco and Nagin pocked the rebuild money after Katrina.
Looks like the system other than the big hospital in NO is still around. Poor people already get free health care.
This post was edited on 10/22/26 at 1:26 pm
Posted on 10/22/26 at 1:22 pm to RFK
Rural America would die overnight without federal programs
Posted on 10/22/26 at 1:27 pm to RFK
You answered your own question. They’re overly subsidized. Nobody using those rural hospitals will pay paying for the services they use.
Posted on 10/22/26 at 1:30 pm to RFK
quote:
Rural hospitals derive between 1/3 and 2/3 of their revenue from Medicare. Reducing Medicare will gut these hospitals which means elderly and infirm will have to drive father, endure longer wait times, and overall see reduced care.
Medicare and the AMA's dickery with medical school enrollment to limit seats (in order to make sure there's not a glut of doctors) in the 80s and into the mid-2000s have combined to skew medical costs. Medicare and Medicaid fund demand of medical services while the AMA fricked over supply of medical professionals.
Just like with mortgage rates, the debt and deficits, there is no "easy" and "quick" answer and any worthwhile answer is going to come with a lot of pain before there is relief.
Posted on 10/22/26 at 1:47 pm to RFK
quote:
not to vote away their rights.
Healthcare is not a right. Living in the remotes is not a right.
Rural health care especially the CAH system needs a complete overhaul. Instead of 40-50 bed hospitals with a daily census below 5 they should become “stabilize and ship” ERs.
Posted on 10/22/26 at 1:49 pm to TrueTiger
quote:
Would you go for making sure Medicare is only available for citizens and scrubbing out all fraud and waste out of it?
I'd go for if you didn't save your shite during life, you are on your own.
Posted on 10/22/26 at 1:52 pm to Mid Iowa Tiger
Yea, if we stopped funding these impoverished areas, the people would move away and disperse across the country. Instead, they group together in the rural south and make the area undesirable to anyone else.
Posted on 10/22/26 at 1:58 pm to GreatLakesTiger24
Hospitals are not much different than say student loans or government backed loans. They all get money to easily thus driving up future costs. There is very little reason to be competitive when easy money comes along
Posted on 10/22/26 at 1:59 pm to RFK
quote:
While I don’t think doctors need to be paid more, the physician fee schedule is about to automatically reduce,
our fees have been coming down for years. Doctor's fees are not what has driven healthcare costs constantly higher.
Posted on 10/22/26 at 1:59 pm to Rebel
quote:
That's why we had a Charity Hospital system
We still have a charity system. It’s just run by public/private entities.
Posted on 10/22/26 at 2:02 pm to RFK
Big difference between Medicare and Medicaid. Medicaid is eaten up with fraud and has been a disaster for most of the states that expanded it.
Posted on 10/22/26 at 2:45 pm to RFK
50 years ago Medicaid accounted for 10% of total U.S. healthcare costs. Today it accounts for over 18%.
50 years ago Medicare accounted for 10% of total U.S. healthcare costs. Today it accounts for 22%.
How can you say people are against it? People have voted for doubling both.
50 years ago Medicare accounted for 10% of total U.S. healthcare costs. Today it accounts for 22%.
How can you say people are against it? People have voted for doubling both.
Posted on 10/22/26 at 2:51 pm to theliontamer
quote:
Yea, if we stopped funding these impoverished areas, the people would move away and disperse across the country. Instead, they group together in the rural south and make the area undesirable to anyone else.
Poor elderly people with no resources would move from the cheapest place in the country, the rural South, to somewhere that is more expensive?
Is that really what you think will happen?
Posted on 10/22/26 at 2:54 pm to RFK
Nice timing
Rampant Medicare fraud
"Medicare is a beautiful thing" rfk
Rampant Medicare fraud
"Medicare is a beautiful thing" rfk
Posted on 10/22/26 at 2:55 pm to The_Duke
The elderly would likely stay, but the young would be forced to leave.
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