MADDOG
Frequent Contributor (1K+ posts)
Member # 18
posted
Hi Gang The part of the law requiring the states to cover people 100 percent with medicaid who live at poverty levil was gutted out of the law.
I will never get my shoulder fixed now!!
The rich ,(not supreme) filthy rich court,ruled the heart of the health care act OUT!!!
So they up held the law requiring everyone to buy health care.so how can people at poverty levil buy health care,they cant!!! they needed the states to be required to provide medicare for these people. BUT THAT WAS STRUCK DOWN!! by the filthy rich not really supreme court!!!!!
So the congress will have to repeal the law and the rich win!! the poor have no health care.
annxyzz
Frequent Contributor (1K+ posts)
Member # 20404
posted
As I understand it , people with low incomes will receive a subsidy toward their policy , which sounds like a discount .
I also believe that the law is still being fleshed out in practicality to be employed. As a former GOP person I campaigned for this law and for reform and feel optimistic it will eventually be altered so we can all participate in healthcare . The systems in VT and Massare working fairly well , and this will probably be similar in practice . You might check out the provisions for those in poverty in those states .
I am optimistic that the first African American president is supremely concious of his mark on history and wants the implementation of the act to WORK well . Our system of government is slow to change , but we have often corrected our course and improved our laws and life for Americans .
I look forward to having a policy I can afford , to seeing limits on insurer profits (we had this until the nineties ) and to a system that does not cap benefits . If I had the ability I would move to VT now, where the state policy is reasonable with a reasonable deductible . I think healthcare will likely return to a system similar to what existed up until the nineties when HMO's bought out the BCBS , who were NOT FOR PROFIT . Once shareholders and profits ( wall street ) began calling the shots , Main Street took a back seat . Profits were the priority , and defended in laissez faire capitalism while "recissions " , deductibles, and preexisting condtion clauses were simply tools to maximize profit for shareholders.
-------------------- annxyzz Posts: 1178 | From East Texas | Registered: May 2009
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MADDOG
Frequent Contributor (1K+ posts)
Member # 18
posted
Yes it is now up to each state to decide if they want federal medicaid money to put in effect the afordable health care act.
So if your governor has sworn to make the federal government smaller he or she will not except the federal funds and just let people suffer and die.
All to impress what ever political partie they belong to.
I will now loose my help with drugs that made it possible to get the Lyme antibiotics I need .
I will now have a dunut hole again and it will cost me 25 more bucks a month for the useless drug plan.
The filthy rich can Dance on their gold plated streets,use their slaves and not give them health care.
just don
Frequent Contributor (1K+ posts)
Member # 1129
posted
maddog,
heard someplace close to your area there were 91mph straight winds.
near you,,,did you blow away???
-------------------- just don Posts: 4548 | From Middle of midwest | Registered: May 2001
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
Um some of the 26 States that won on the issue of whether the Fed could DROP their Medicare payments are "eating crow" right now, because the Feds would cover their expanded coverage 100% for the first few years, then 90% after that!
Usual federal reimbursement to the States for Medicare/Medicaid is 57%! So if you don't "join up" on the expanded coverage you're a dumbass.
There was a great article in the NYTimes on this yesterday. So they're thinking that some of those "protest" states are actually gonna cave and join up!
Posts: 1432 | From New Jersey | Registered: Jan 2012
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lpkayak
Honored Contributor (10K+ posts)
Member # 5230
posted
im confused about what you are saying maddog-but i am pretty stupid about politics
i keep hearing today that seniors will not have to deal with the donut hole...are they lying about that?
-------------------- Lyme? Its complicated. Educate yourself. Posts: 13712 | From new england | Registered: Feb 2004
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Rivendell
Frequent Contributor (1K+ posts)
Member # 19922
posted
MADDOG,
I heard an interview with a democrat who said they will have to find a way around the problem you mentioned. They intend to make sure eveyone is covered.
Don't give up.
I think that corporations and state governments will see that the advantages of people having health care outweigh the disadvantages.
I believe you will be okay.
Posts: 1358 | From Midwest | Registered: Apr 2009
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lpkayak
Honored Contributor (10K+ posts)
Member # 5230
posted
i was a teacher and retired with good insurance
now i hear that isgoing to bechanged. now im scared.
-------------------- Lyme? Its complicated. Educate yourself. Posts: 13712 | From new england | Registered: Feb 2004
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
Sorry for the multiple posts above... every time I try to delete it, this board only DUPLICATES another copy!!! (grrr~!)
Maddog and Ipkayak ...
RELAX!!!! This law doesn't even go into full effect until some time after 2014, and the Governors who have "vowed" not to accept the "full Medicaid" benefits will be eating their words... or getting kicked out of office.
If you HAVE GREAT Insurance Now, no one will make you give it up! You hold pat. (Except your rates may drop somewhat!)
If you are WITHOUT insurance, you will be offered SOME kind of an insurance choices that are within a price range designed to be AFFORDABLE.
If you never qualified for Medicaid because you're not quite "poor enough" you likely will now - so long as your Governor doesn't plan to lose his job next election.
Please PLEASE stop listening to Fox News, Ayn Rand, or Karl Rove & company. These folks are chewing sour grapes and are desparate to put Mitt in office, by trying to scare the bejazus out of everyone. And when you stop and think about it, just WHO brought all-inclusive health care to Massachusetts?
So if you hate Obamacare and think Mitt Romney will do much to change it, think again.
Posts: 1432 | From New Jersey | Registered: Jan 2012
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
Ipayak -
No they're not lying about closing the Donut Hole. Here is a government website that explains the new provisions. The hole will be closed a little more with each successive year.
AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
Here is an easy to understand synopsis:
Prescription Drug Discounts Effective January 1, 2011
In 2011, seniors who reach the coverage gap will receive a 50 percent discount when buying Medicare Part D covered brand-name prescription drugs. Over the next ten years, seniors will receive additional savings on brand-name and generic drugs until the coverage gap is closed in 2020.
posted
The problem is also this, what I make on SSDI is what Silverwolf and I live on right now. If I have to "buy" any amount of medicaid for her something will have to go unpaid, rent, lights, heat, internet, food, something.
Also, having Medicaid is great - unless you add 20 million new patients but not enough doctors or nurses. If this program is going to be enacted in 2014, there had better be a huge increase in acceptances for folks into medical schools I mean huge. Especially in a time where doctors are refusing new Medicaid patients!
And if the gov't forbids them to refuse you'll see doctors leaving the practice w/o having a replacement only increasing overburdened doctors who will leave the practice ad infinitum.
Next, what about co-pays? Deductibles? Medications? What will I have to fore go in order to pay for that?
ACA was not well thought out (remember Speaker Pelosi saying this "We Have to Pass the Bill So That You Can Find Out What Is In It") nor was it completely vetted before its passage.
Trust me, we do not know what the effects of this will be until (God forbid) it is in place. Something needed to be done, but not this.
-------------------- I have a good time wherever I go! Posts: 665 | From Lost Wages, NV | Registered: May 2006
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posted
Please keep this thread about HEALTHCARE, not politics. If it can't be separated, we'll have to disallow it.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96222 | From Texas | Registered: Feb 2001
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
quote:Also, having Medicaid is great - unless you add 20 million new patients but not enough doctors or nurses. If this program is going to be enacted in 2014, there had better be a huge increase in acceptances for folks into medical schools I mean huge. Especially in a time where doctors are refusing new Medicaid patients!
And if the gov't forbids them to refuse you'll see doctors leaving the practice w/o having a replacement only increasing overburdened doctors who will leave the practice ad infinitum.
[/QB]
TX Cord - Please go to the Health Act TIMELINE link posted above. About 12 pages into the scroll (right arrow) you will see that THIS LAW also provides for STUDENT LOANS for NEW PRACTITIONERS ... who will get "breaks" on their loans when they go on to serve in "UNDERSERVED" Areas! I know about this program, because a friend of mine who is a Nurse Practitioner with 2 Masters Degrees from Columbia U. was looking into relocating to take advantage of this "paid loan" program.
You need to investigate the facts for yourself, instead of listening to pundits who are trying to make "political hay." The government website linked above (which was initiated as a PROVISION of the Bill so that people could understand it), seems like a good place to start!
Posts: 1432 | From New Jersey | Registered: Jan 2012
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
Maddog - If your Governor continues to act against the interests of his electorate, they will no doubt make him pay with his job.
Posts: 1432 | From New Jersey | Registered: Jan 2012
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posted
I am still concerned about the cost to Silver and I.
-------------------- I have a good time wherever I go! Posts: 665 | From Lost Wages, NV | Registered: May 2006
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
TXCoord
Who on earth ever heard of PAYING for Medicaid??
Medicaid is free to those who are so impoverished they cannot possibly afford coverage. Please explain how you got this idea.
Posts: 1432 | From New Jersey | Registered: Jan 2012
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Right now in Idaho being a family of 2 our total income per month cannot exceed $251 in order for Silver to qualify for Medicaid.
If you have a link that demonstrates that we will not pay for Medicaid or deductibles or co-pay or medicine would be greatly appreciated. Remember to check for Idaho.
-------------------- I have a good time wherever I go! Posts: 665 | From Lost Wages, NV | Registered: May 2006
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
TXCoord - This page is pretty complicated, but it generally outlines the changes to eligibility requirements for Medicaid. These changes were up for public comment and they note some of the suggestions that they received from professionals in the field. (Comments are now closed.)
Although they mention that your State's "translation" of the new Act will still come into play, the law, in general, seeks to broaden eligibility. Hope this helps.
Posts: 1432 | From New Jersey | Registered: Jan 2012
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posted
This was a law that shouldn't have been passed in the first place. Trouble from the very beginning.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96222 | From Texas | Registered: Feb 2001
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lymednva
Frequent Contributor (1K+ posts)
Member # 9098
posted
Lymetoo, respectfully, how can you ask people to keep politics out of this discussion and then insert your own political views?
The new law states that Medicaid will cover those making up to 133% of the poverty level. So you will not be kick off for your SSDI, unless you are getting an insanely large amount of money, which I don't think any of us is.
-------------------- Lymednva Posts: 2407 | From over the river and through the woods | Registered: Apr 2006
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posted
I tried reading through that stuff (why can't they edit and speak English?) and it was difficult. The main point was an individual can qualify for Medicaid if they make less than 133% of federal poverty level.
But . . . .Then they throw in the individual must also be declared disabled by Social Security if they are between 19 and 65.
Social Security refuses to make the "disability" determination if you don't meet the individual states' income guidelines!
As I said in other posts we spent almost 5 days compiling the medical information for Silver, spanning over 40 years of doctors, hospitals, treatments, medications. Then entered the info onto the site for SSI determination.
Only to be told that because I make more than $1100 per month THEY WERE NOT EVEN GOING TO READ ANY OF THE REPORTING! I wish they would have done the calculating before we started the process!
This whole situation is filled with Catch 22's. So if she doesn't qualify for Medicaid, I will be required by the Feds to purchase insurance for her. WITH WHAT? My good looks and great sense of humor?
If she does qualify for Medicaid but Idaho refuses fed money, then what? Move? Again, WITH WHAT?
If Idaho says yes she qualifies for Medicaid and they do accept the fed money, where are the doctors coming from to handle the increased load? Programs are nice, but there is nothing in place RIGHT NOW to address that increase in patients.
How much will her meds cost? Are there going to be co-pays? No one knows for sure. So it is dang if you do and dang if you don't.
-------------------- I have a good time wherever I go! Posts: 665 | From Lost Wages, NV | Registered: May 2006
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posted
True, lymednva... I don't receive SSDI. I will be screwed because I have private insurance.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96222 | From Texas | Registered: Feb 2001
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
quote:Originally posted by Lymetoo: This was a law that shouldn't have been passed in the first place. Trouble from the very beginning.
I AGREE LymeToo! If it were not for the Insurance Companies and their LOBBYISTS, and their huge political campaign contributions, we might have the same kind of SINGLE PAYER plan that works so well in Canada, Scandanavia, France, Great Britain, South Korea and etc.! And those who are not satisfied with the plan care who have extraordinary means, can still seek superior access.
In a moral society, no one should be denied access to medical care when they need it! Our Congressmembers have one of the BEST Health Insurance policies in the country - why are the rest of us considered to be "2nd class citizens?"
All I know is that it was the INTENTION of this Bill to give everyone access to health care. If you are already on a private plan, no one will force you off of it - this I KNOW to be True!
The act also prevents insurers from placing annual or lifetime caps on coverage, or from denying insurance to those with pre-existing conditions (which is in effect for children already); and requires insurers to PAY for PREVENTATIVE medicine, such as breast and colon cancer screenings, and smoking cessation drugs (which are costly!), all of which ethical insurers once offered before some lobbyists got our congress to allow the "HMO" business platform! This Act attempts to reverse some of those unethical restrictions.
In fact, anyone who was worried about a single pay system denying superior care should be RELIEVED with this compromise! It doesn't do away with access to specialists, or to "privatized" upper tier coverage. (And God Bless you, if you have it!)
So why on earth would anyone think that they will be "screwed" if they have private coverage?
In fact, when everyone is required to be insured, the rates for your "private" coverage are expected to DROP! Because the "risk" will be spread across a wider, healthier, population!
Posts: 1432 | From New Jersey | Registered: Jan 2012
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MADDOG
Frequent Contributor (1K+ posts)
Member # 18
posted
Wow I havent loged on and seen this for awhile.
In my case I live in Ohio,and am on SS disability.
I live below poverty levil,but make more than 595 bucks a month,which is the ohio levil to get medicaid. WHY the $595 I do not know. If you get more than 595 a month does that mean you can aford a home, a car to go get food ,insurance ,property taxes,car repairs,water bill,electric bill,home insurance,drugs ,doctor bills,ect all for one dolar more than 595 ,so you dont need health care???
This is the insanity of thesystem before the afordable health care act.The reason for it!!
But certain people are so rich they cant even know that there are people out here who could not just choose a health care plan and go buy it.
Lymetoo,you can keep your insurance the law does not stop your insurance.Just says you should have insurance if you dont.but since you do have insurance you ar good to go.
MADDOG
MADDOG
Posts: 3996 | From Ohio | Registered: Oct 2000
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randibear
Honored Contributor (10K+ posts)
Member # 11290
posted
I ain't saying nothing y'all. I have two years of bc/bs Left then I go on Medicare and i'll use TricAre as backup. i don't support this mess
-------------------- do not look back when the only course is forward Posts: 12262 | From texas | Registered: Mar 2007
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poppy
Frequent Contributor (1K+ posts)
Member # 5355
posted
Members of Congress have the same health care plan as federal employees. And those federal employees are having the same problem getting lyme disease treatment paid for as everyone else. So, is this a good health plan?
Posts: 2888 | From USA | Registered: Mar 2004
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
Hmmmm I was led to believe that Congress has the best healthcare insurance in the Country - I never heard that it was offered to ALL federal workers.
The issue about insurance coverage for Lyme care is an entirely different issue, IMHO. NO ONE will pay for what the IDSA doesn't approve.
I think we should launch a class action suit and sue the b*st*rds for "professional negligence" - as they refuse to acknowledge the large body of scientific evidence.
Posts: 1432 | From New Jersey | Registered: Jan 2012
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AuntyLynn
Frequent Contributor (1K+ posts)
Member # 35938
posted
Oh except there's this... a couple of years ago the State of Rhode Island passed a law that said no insurer can refuse to pay for treatment that a doctor deems is necessary for a patient.
Lyme sufferers are covered by insurance in Rhode Island - So let's all move to the "Ocean State!"
Posts: 1432 | From New Jersey | Registered: Jan 2012
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Rivendell
Frequent Contributor (1K+ posts)
Member # 19922
posted
TXCooord,
My state provided expanded Medicaid, which I qualified for, before getting Medicare.
Under the expanded Medicaid, everything was covered. I paid a tiny, tiny premium each month, that was all. No co-pays, no deductibles.
When the expanded Medicaid first began, there weren't that many doctor's, but after a year, every doctor I had seen previously was on the plan, and now most doctor's in my area take this expanded Medicaid.
I can't say enough good things about it.
My only concern is our medical records going online. But I'm sure this is coming anyway.
I am a private person. I don't even use Facebook.
Posts: 1358 | From Midwest | Registered: Apr 2009
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randibear
Honored Contributor (10K+ posts)
Member # 11290
posted
my sister had federal insurance, geico i believe. she went on medicare and had to have a supplement.
she now pays more for medicare and supplement than she did for her private insurance. and she's been informed that her medicare and copays will be going up.
she looses...
-------------------- do not look back when the only course is forward Posts: 12262 | From texas | Registered: Mar 2007
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