James Cessna
Banned
- Joined
- Oct 2, 2011
- Messages
- 271
- Reaction score
- 82
- Gender
- Male
- Political Leaning
- Slightly Conservative
States can opt out of the Medicare expansion, though they would be idiotic to do so (because it costs them nothing for three years and only 10% after that). But they cannot avoid exchanges. If they fail to set up their own then state residents will be able to take advantage of a federal exchange.
No, I'm not wrong. For the first three years the federal government will finance 100% of the Medicade expansion. After that states will only pay 10% of the cost. So if a state opts out, it will be turning down tens of billions of dollars in federal aid that would go to providing health care to the working poor -- thus taking pressure off hospitals and clinics that now have to eat those costs.
Do you think the states will get a rebate check if they opt out of the expansion? They will not. They will simply lose the benefits they are entitled to. And I'm thinking they will also lose a lot of elections if they allow this partisan stupidity to trump what's best for their people.
And of course the exchange subsidies are paid for by the federal government whether the state sets up the exchange or the feds set up the exchange.
The answer to your question is very simple.
The residents of the states save money if they opt out of the Medicaid expansion.
The residents of a state that opts out will lose tens of billions of dollars and there is absolutely no way around that.
The residents of a state that opts out will lose tens of billions of dollars and there is absolutely no way around that.
MarineTpartier, do you understand what I am saying? Please explain it to AdamT so he will understand he too is being taken to the cleaners by the Obama administration.
AdamT's a good dude man. However, he's a President Obama kool-aid drinker. No matter what you say, you aren't changing his mind lol. Move along, nothing to see here.
if the states won't participate (and i expect my state will be one of these), then we'll have no choice but to do it federally. if it doesn't work, then we scrap it and move towards single payer.
the mandate is really the last chance Republicans have of keeping the failing employer-based private health insurance boondoggle. without the states, it collapses under its own weight, and we move towards something similar to what other first world countries are doing. either way, the genie is out of the lamp.
Obamacare must be repealed.
The Republicans will pass a new law to replace it that will allow people to buy health insurance across state lines. This fact will reduce the cost of the insurance policies by a significant amount. They will also allow people to purchaser a range of policies form a very basic one to one that has lots of "bells and whistles".
Obamacare does none of these things and this in one reason it is so very expensive. Are you aware Obamacare requires young healthy males to purchase a policy that covers the costs of mammograms and pap smears for women!
You are mistaken, AdamT.
The costs of Obamacare will skyrocket by at least a trillion dollars as soon as the Medicaid expansion is implemented in 2014.
Here is a crucial statistic from CNN.
The world of the U.S. health care issue – Global Public Square - CNN.com Blogs
New Jersey’s Camden Coalition of Healthcare Providers founder and family medicine practitioner, Jeffrey Brenner, used medical billing records to find that just 1% of patients accounted for 30% of health care costs in Camden. And that's not all he discovered in the city's three hospitals. He says: "We learned that someone went 113 times in one year. Someone went 324 times in five years. In similar workup in Trenton, they found someone who went 450 times in one year." These were people with complicated medical histories and chronic illnesses. One patient alone racked up $3.5 million in medical bills over a five year period. As Brenner says, :"They're the difficult patients to treat, and no one is being paid and incentivized to pay attention to them."
What's more, Camden's problem is America's problem. Just 5% of Americans accounted for half of our nation's health care costs in 2009. This is perhaps the crucial statistic to understand about America's health care problem.
Obamacare does absolutely nothing to resolve this problem. In fact, it makes the problem worse by adding millions of indigent people to the Medicaid rolls who will abuse and overuse the heath care system like many of them do now.
Abuse and overuse of the health care system will produce much higher costs ($ trillions) to the U.S. taxpayers.
No states are seriously going to hold out and NOT agree to the Medicaid expansion. Remember that the Supreme Court made its ruling less than a week ago; the threats to not participate were most likely just some pissed off Republican governors blowing off steam. Any governor would have to be an idiot to not participate in the expansion; they get free federal money for the first couple years, and the federal government still picks up 90% of the tab after the first few years. That's an insanely good deal for the states...and the governors can't really afford NOT to take it. It's an even better deal for the states that already have stingy Medicaid programs (i.e. the red states), because the federal government pays the total cost of bringing them up from wherever they are now, to the new federal level.
Sure, there might be a couple governors in states that really hate Obama who will resist for a couple years. But that won't last long. The voters will force them to participate, and/or the health care providers will lobby them to participate.
Obamacare must be repealed.
The Republicans will pass a new law to replace it that will allow people to buy health insurance across state lines. This fact will reduce the cost of the insurance policies by a significant amount. They will also allow people to purchaser a range of policies form a very basic one to one that has lots of "bells and whistles".
Obamacare does none of these things and this in one reason it is so very expensive. Are you aware Obamacare requires young healthy males to purchase a policy that covers the costs of mammograms and pap smears for women!
And we need tort reform to make it illegal to sue a hospital or a doctor or any other medical professional.
Can you point out where people will be charged higher HC costs AND be taxed on top of that?Obamatax is going to raise taxes on the poor and middle class, while at the same time increase their costs of HC
We are not allowed to judge liberals on the results of their policies though, only their "good intentions" right?
You are indeed correct JR.
The good thing about tort reform is it will bring down the cost of malpractice insurance our doctors have to pay. Our doctors will never be sued, but nevertheless they are required to carry this expensive insurance. The premiums can run as high as $100,000 a year for doctors who deliver babies (pediatricians).
These costs are passed on to our insurance providers by our doctors and cause our premiums to be much higher than they should be.
Seriously? What do you propose we do for the nurse or doctor that kills someone or cuts off the wrong leg by their own mistake? Do you suggest medical professionals be allowed X number of negligent deaths before negative consequences? How does the family get retribution? Just a friendly "we are sorry your sister died but you made the choice coming here".And we need tort reform to make it illegal to sue a hospital or a doctor or any other medical professional.
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