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Solving the gun crisis with socialism

Winston

Advanced stage dementia patient pls support my run
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I want to establish from jump street that I think all the Republicans screaming mental health are just trying to obscure the issue: which is guns.

I’d like to take it seriously though. What does addressing the mental health crisis in this country look like?

Will Republicans actually address the mental health crisis with real solutions, one’s that their donors don’t like and ones that go against their brain dead socialism bashing.

Coverage for mental health is pretty spotty with private insurance. You’re looking at huge deductibles and paying for a therapist and drugs can get quite expensive.

Most simply can’t or won’t afford it.

So, what is the policy fix for this?

My answer is simple: support HR 676 and lower the Medicare age to 0. Are Republicans onboard with solving the gun crisis through socialism
 
I want to establish from jump street that I think all the Republicans screaming mental health are just trying to obscure the issue: which is guns.

I’d like to take it seriously though. What does addressing the mental health crisis in this country look like?

Will Republicans actually address the mental health crisis with real solutions, one’s that their donors don’t like and ones that go against their brain dead socialism bashing.

Coverage for mental health is pretty spotty with private insurance. You’re looking at huge deductibles and paying for a therapist and drugs can get quite expensive.

Most simply can’t or won’t afford it.

So, what is the policy fix for this?

My answer is simple: support HR 676 and lower the Medicare age to 0. Are Republicans onboard with solving the gun crisis through socialism
This won't work. You can't get a therapist or psychiatrist to accept Medicare now.
Medicare patents only get coverage in theory now. All you do is create a larger pool of people unable to source mental health.
 
I think we all know the answer to that, regardless how the sentence ends.

I also find them fundamentally unserious about solving this problem. Tbh, I find them fundamentally unserious about government in general.
 
This won't work. You can't get a therapist or psychiatrist to accept Medicare now.
Medicare patents only get coverage in theory now. All you do is create a larger pool of people unable to source mental health.

Ah, that’s a shame. Someone told me Medicaid covered therapy so, I assumed Medicare did too.

Alright then, well there must be some type of universal coverage program that the government can devise
 
I also find them fundamentally unserious about solving this problem. Tbh, I find them fundamentally unserious about government in general.
Probably, to some extent, but there's also the fact that 'tough on crime' strongman posturing requires an atmosphere fear and insecurity to be successful, much like fascism in general.

Thinking it mere incompetence and callousness is likely selling their strategists short.
 
Ah, that’s a shame. Someone told me Medicaid covered therapy so, I assumed Medicare did too.

Alright then, well there must be some type of universal coverage program that the government can devise
It does cover it. You are not understanding.

80-90 of therapists or psychiatrists don't accept it. It pays them too little. Plus it only pays 80 %. Medicaid pays 100%.

BTW, it only covered 50% before Obama care.
 
Ah, that’s a shame. Someone told me Medicaid covered therapy so, I assumed Medicare did too.

Alright then, well there must be some type of universal coverage program that the government can devise
It is not the difficulty in creating a universal health system that is the problem. It's how many different branches of health want or need a slice of the government pie. It is impossible to to meet everyone's need so the best they can do is try to get everyone complaining equally.
 
It does cover it. You are not understanding.

80-90 of therapists or psychiatrists don't accept it. It pays them too little. Plus it only pays 80 %. Medicaid pays 100%.

BTW, it only covered 50% before Obama care.

so, people with Medicare are forced to buy supplemental insurance or pay out of pocket if they are depressed or suffer from anxiety.

Splendid.

How about devising a government program that is specifically supplemental insurance for mental health services
 
This won't work. You can't get a therapist or psychiatrist to accept Medicare now.
Medicare patents only get coverage in theory now. All you do is create a larger pool of people unable to source mental health.
If the only way to get paid is directly from the patient's pocket or Medicare, I suspect providers would accept it.
 
I want to establish from jump street that I think all the Republicans screaming mental health are just trying to obscure the issue: which is guns.

I’d like to take it seriously though. What does addressing the mental health crisis in this country look like?

Will Republicans actually address the mental health crisis with real solutions, one’s that their donors don’t like and ones that go against their brain dead socialism bashing.

Coverage for mental health is pretty spotty with private insurance. You’re looking at huge deductibles and paying for a therapist and drugs can get quite expensive.

Most simply can’t or won’t afford it.

So, what is the policy fix for this?

My answer is simple: support HR 676 and lower the Medicare age to 0. Are Republicans onboard with solving the gun crisis through socialism

HR 676 is totally impractical and has no chance of becoming law. The ‘socialists’ in congress must think that folks are stupid.

This bill establishes the Medicare for All Program to provide all individuals residing in the United States and U.S. territories with free health care that includes all medically necessary care, such as primary care and prevention, dietary and nutritional therapies, prescription drugs, emergency care, long-term care, mental health services, dental services, and vision care.

Only public or nonprofit institutions may participate. Nonprofit health maintenance organizations (HMOs) that deliver care in their own facilities may participate.


How, exactly, are all existing for-profit providers of medical care, drugs or medical devices/supplies going to be forced to become either public (never addressed at all) or non-profit?

Here are the alleged “details” which are absolutely ridiculous. Currently for-profit entities (to get paid by M4A) must immediately become non-profit (or public), yet their costs of buying back stock (or selling their operation to the federal? government) will be reimbursed (or paid in full?) sometime within the next 15 years. Of course, that is only when (if?) a feasible way to do so can ever be figured out (sometime after the bill becomes law?) by “The Secretary”.

(1) IN GENERAL.—No institution may be a participating provider unless it is a public or not-for-profit institution. Private physicians, private clinics, and private health care providers shall continue to operate as private entities, but are prohibited from being investor owned.
(2) CONVERSION OF INVESTOR-OWNED PROVIDERS.—For-profit providers of care opting to participate shall be required to convert to not-for-profit status.
(3) PRIVATE DELIVERY OF CARE REQUIREMENT.—For-profit providers of care that convert to non-profit status shall remain privately owned and operated entities.
(4) COMPENSATION FOR CONVERSION.—The owners of such for-profit providers shall be compensated for reasonable financial losses incurred as a result of the conversion from for-profit to non-profit status.

(5) FUNDING.—There are authorized to be appropriated from the Treasury such sums as are necessary to compensate investor-owned providers as provided for under paragraph (3).
(6) REQUIREMENTS.—The payments to owners of converting for-profit providers shall occur during a 15-year period, through the sale of U.S. Treasury Bonds. Payment for conversions under paragraph (3) shall not be made for loss of business profits.
(7) MECHANISM FOR CONVERSION PROCESS.—The Secretary shall promulgate a rule to provide a mechanism to further the timely, efficient, and feasible conversion of for-profit providers of care.

 
If the only way to get paid is directly from the patient's pocket or Medicare, I suspect providers would accept it.

Either that or a start a new business where they can actually make a profit.
 
HR 676 is totally impractical and has no chance of becoming law. The ‘socialists’ in congress must think that folks are stupid.




How, exactly, are all existing for-profit providers of medical care, drugs or medical devices/supplies going to be forced to become either public (never addressed at all) or non-profit?

Here are the alleged “details” which are absolutely ridiculous. Currently for-profit entities (to get paid by M4A) must immediately become non-profit (or public), yet their costs of buying back stock (or selling their operation to the federal? government) will be reimbursed (or paid in full?) sometime within the next 15 years. Of course, that is only when (if?) a feasible way to do so can ever be figured out (sometime after the bill becomes law?) by “The Secretary”.




So, Medicare only works with non-profits, currently? Or, does HR 676 modify it?
 
Either that or a start a new business where they can actually make a profit.
And to add to that, where the job can actually be a vocation.
An older nurse/cousin who recently retired, said back 50 years ago when first donning the little white cap, that she felt her duty was to the patient, and she was free to administer proper and compassionate care without constraint or imposed structure; today, the nature of the work had become optimized profit and minimized patient contact - the paperwork/screen time taking much of the day. She said if the job had not become a painfully structured list of requirements and duties, instead of policy driven care and treatment beyond profitable administration, she would still be active. Compassionate and total care nursing has largely been replaced by nursing-for-profit.
 
So, Medicare only works with non-profits, currently? Or, does HR 676 modify it?

Medicare (for some) as it now exists is not limited to non-profits. I use my Medicare insurance to get medical care and prescription drugs at for-profit providers.

The providers simply agree to accept what Medicare pays them and bill me for the difference (typically 20% for part B coverage - after I have met my annual Medicare deductible).

I now have a (private) Medicare Advantage (part C) plan which covers (eliminates) the part B annual deductible and the difference between Medicare’s 80% payment and my 20% out-of-pocket “fair” share).
 
Probably, to some extent, but there's also the fact that 'tough on crime' strongman posturing requires an atmosphere fear and insecurity to be successful, much like fascism in general.

Thinking it mere incompetence and callousness is likely selling their strategists short.
I get a kick out of watching the GOP and their strategies. What they want in the end is an autocratic government similar to Hungary or even close to Russia. If they get their way and land some decent advantages in congress, coupled with a strong republican autocratic president, does anyone think they will let the American citizens keep and bear arms?

It would go totally against what they want. All you gun worshipers better be careful what you wish for. Remember, you're only useful to the GOP while we still have free and fair elections. Those will go away too. Then your votes will be useless.

And all your complaints about freedom of speech, gone.
 
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Medicare (for some) as it now exists is not limited to non-profits. I use my Medicare insurance to get medical care and prescription drugs at for-profit providers.

The providers simply agree to accept what Medicare pays them and bill me for the difference (typically 20% for part B coverage - after I have met my annual Medicare deductible).

I now have a (private) Medicare Advantage (part C) plan which covers (eliminates) the part B annual deductible and the difference between Medicare’s 80% payment and my 20% out-of-pocket “fair” share).
If you don't mind me asking, as I'm going thru the process right now, what does that Advantage plan cost you if anything in addition to Medicare?
 
so, people with Medicare are forced to buy supplemental insurance or pay out of pocket if they are depressed or suffer from anxiety.

Splendid.

How about devising a government program that is specifically supplemental insurance for mental health services
Who would pay?
But its not just the 20% in cost.

Medicare pays the doctors so low, doctors do not accept it. Doctors are under no obligation to accept any insurance. The demand for services in mental health is so high that doctors don't need to accept Medicare patents to fill their schedules.
And they don't.
You call a therapist/doctor. They ask what insurance you have. You say Medicare. They say, sorry we don't accept that.


So, as you can see we have a serious shortage of therapists/doctors in the field
Two, Medicare does not pay enough to the doctors .
Three to few people have Medicare or another mental health insurance that is both affordable to them and pays the doctors enough to accept it.
 
It's over you said the S word. 2/3rds of the country's brains just turned off.
 
If the only way to get paid is directly from the patient's pocket or Medicare, I suspect providers would accept it.
They accept private insurance in many cases.
Right now demand for services completely outstrips care availability so few are accepting Medicare. They tend to be what I call "corporate psychiatry." They are the McDonald's of mental health. They work on volume.
 
If you don't mind me asking, as I'm going thru the process right now, what does that Advantage plan cost you if anything in addition to Medicare?

My Medicare Advantage plan (from WellCare) pays me $95/month. My girlfriend has the same plan so our monthly household income increased by $190/month.

These ‘give back’ plans are not available in all zip codes or counties and are either HMO or PPO based, thus limiting the available ‘in network’ providers.

I recommend checking online for any ‘give back’ Medicare Advantage plans available in your zip code or county. Many Medicare Advantage plans are available with no premiums and will at least save you the Medicare part B annual deductible and the 20% part B copay charges as well as making prescription drugs either free or at a smaller copay. Some even include gym and/or pool membership benefits.
 
It's over you said the S word. 2/3rds of the country's brains just turned off.

There is no denying that HR 676 is socialist since it specifically excludes for-profit (aka capitalist) care providers from selling ‘competing’ insurance.
 
My Medicare Advantage plan (from WellCare) pays me $95/month. My girlfriend has the same plan so our monthly household income increased by $190/month.

These ‘give back’ plans are not available in all zip codes or counties and are either HMO or PPO based, thus limiting the available ‘in network’ providers.

I recommend checking online for any ‘give back’ Medicare Advantage plans available in your zip code or county. Many Medicare Advantage plans are available with no premiums and will at least save you the Medicare part B annual deductible and the 20% part B copay charges as well as making prescription drugs either free or at a smaller copay. Some even include gym and/or pool membership benefits.
Thank you. Appreciate the response.
 
There is no denying that HR 676 is socialist since it specifically excludes for-profit (aka capitalist) care providers from selling ‘competing’ insurance.
Good.
 
I want to establish from jump street that I think all the Republicans screaming mental health are just trying to obscure the issue: which is guns.

I’d like to take it seriously though. What does addressing the mental health crisis in this country look like?

Will Republicans actually address the mental health crisis with real solutions, one’s that their donors don’t like and ones that go against their brain dead socialism bashing.

Coverage for mental health is pretty spotty with private insurance. You’re looking at huge deductibles and paying for a therapist and drugs can get quite expensive.

Most simply can’t or won’t afford it.

So, what is the policy fix for this?

My answer is simple: support HR 676 and lower the Medicare age to 0. Are Republicans onboard with solving the gun crisis through socialism
The cat is out of the bag, the animals have left the stable, we’re not getting the toothpaste back in the tube. Our nation is flooded with guns. It’s way too late for gun control. Guns are (illegally) readily available to anyone that wants to acquire one. The Republicans motivation for increasing mental health to prevent mass shootings may be misguided, but the approach is way more likely to be effective than gun control.
 
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