More terrible tax news

[boxcar]

Originally Posted by Clocker

The government knows why so many doctors are "anti-Medicaid". It's because Medicaid payments are much lower than Medicare or any insurance, and don't cover the cost of care. Doctors have this irrational opposition to losing money on patients.

The fix is easy. The feds and the states need to spend a lot more money propping up Medicaid.

And they also need to get as many people paying into it as possible. People need to be a big part of the solution and not just stand on the sidelines as spectators of the problem.

So...how many millions of medicaid recipients have died because doctors and/or hospitals won't treat them? Got any hard cold numbers?

[elysiantraveller]

Originally Posted by boxcar

And the Demwits don't want to fix what they created. I can only hope and pray that ObamaCare suffers an agonizing death and fades rapidly into the category of a bad nightmare of one broken promise after another.

This is false. There have been several attempts to fix the system (how successful they would be is very much up to debate) that were DOA in Congress. Republicans wanted a repeal and replace so that's why they died.

[elysiantraveller]

Originally Posted by boxcar

Shirley, you don't want to axe medicaid when millions upon millions upon millions of poor people's lives depend on that system of quality health care, do you?

Of course not.

That same reason is why I don't want to gut the ACA without a replacement... You know the same thing you all are claiming is a great victory.

[elysiantraveller]

Originally Posted by Clocker

In a high-risk pool, the subsidy comes from general tax revenues. Under ObamaCare, the subsidy comes from the young and healthy who are forced to pay for more coverage than they want or need.

We don't need to get into intergenerational politics and how younger ones are getting shafted by their elders. I know all too well.

[Clocker]

Originally Posted by boxcar

And they also need to get as many people paying into it as possible.

No one pays into Medicaid. It is a means-tested government funded program for low income people that can't afford insurance.

[boxcar]

Originally Posted by Clocker

No one pays into Medicaid. It is a means-tested government funded program for low income people that can't afford insurance.

Wrong. Kentucky just passed a law mandating "means-tested" contributions. I started a thread on this yesterday.

[boxcar]

Originally Posted by elysiantraveller

Of course not.

That same reason is why I don't want to gut the ACA without a replacement... You know the same thing you all are claiming is a great victory.

First off, I never made such a claim. But I will say that it effectively guts ObamaCare.

I believe for many people an overhauled Medicaid system would do fine, most especially for those with preexisting conditions. For the rest of the population, regular health care insurance would do fine for those who want to be covered in some way.

And if Medicaid is in such dire financial straits, then just tax the rich accordingly for their fair share of the contributions to the fund. I just know our beloved Auntie Nancy wouldn't mind that one bit...

[chadk66]

Originally Posted by elysiantraveller

That is definitely part of the solution but there are a lot of entrepreneurs and self employed people out there with pre-existing conditions.

that's the easiest fix there is. don't allow them to sell policies with a pre-existing condition limitation. wouldn't take a 2200 page albatross to do that.

[Clocker]

Originally Posted by chadk66

that's the easiest fix there is. don't allow them to sell policies with a pre-existing condition limitation. wouldn't take a 2200 page albatross to do that.

Can you buy car insurance that covers pre-existing damage? Can you buy home insurance after the tornado goes through?

[Clocker]

Originally Posted by boxcar

Wrong. Kentucky just passed a law mandating "means-tested" contributions. I started a thread on this yesterday.

You really think that is going to help? Out of a given number of people on Medicaid, how many are going to be making enough income to pay in enough money to make a dent on the cost? How many of those people will pay in, or will they just not sign up and use the ER for medical problems?

[boxcar]

Originally Posted by chadk66

that's the easiest fix there is. don't allow them to sell policies with a pre-existing condition limitation. wouldn't take a 2200 page albatross to do that.

Covering preexisting conditions is not insurance. It's welfare. Plain and simple.
If someone needs welfare assistance, they should not be talking to an insurance salesman about any policy. They should be talking to a government administrator or counselor in the Medicaid program.

[davew]

ACA was a big jobs creator for dimocrats and 0bama. It added thousands to the insurance industry and IRS agents. It is too bad they were so dimwitted about how many millions of jobs it would destroy and what it would do to the cost of 'insurance'.

That pretty well summarizes the dimocrats, they do not see the big picture, just what they want to see.

[boxcar]

Originally Posted by Clocker

You really think that is going to help? Out of a given number of people on Medicaid, how many are going to be making enough income to pay in enough money to make a dent on the cost? How many of those people will pay in, or will they just not sign up and use the ER for medical problems?

Well...isn't that what means-tests are for -- to determine that? The VA has a sliding scale means test and it works fine. Those who can't afford to pay, pay nothing. Those who can pay something -- pay according to their means.

Kentucky is taking a huge step in the right direction. People need to understand there is no such thing as a free lunch in this world. Someone pays. And the very first one that should pay something, if able, is the recipient of the care.

And ER care should only be for emergency care. If someone has a preexisting condition, then that person is going to need more than emergency, band-aid care. They will need ongoing care. They would have to get Medicaid. We're not talking about someone who gets hit by a car. We're talking about covering preexisting conditions.

[elysiantraveller]

Originally Posted by chadk66

that's the easiest fix there is. don't allow them to sell policies with a pre-existing condition limitation. wouldn't take a 2200 page albatross to do that.

They did that.

That's why they had a mandate to force younger healthier people to buy insurance to offset the cost.

Problem now is insurers can't prevent coverage due to preexisting conditions. That's why removing the mandate that forced people to buy it was a bad move. At some point these carriers will fail and the taxpayer will have to bail them out. They were failing already.

Hence while everyone was super happy about Trump gutting the ACA I thought it a bad idea.

[boxcar]

Originally Posted by elysiantraveller

They did that.

That's why they had a mandate to force younger healthier people to buy insurance to offset the cost.

Problem now is insurers can't prevent coverage due to preexisting conditions. That's why removing the mandate that forced people to buy it was a bad move. At some point these carriers will fail and the taxpayer will have to bail them out. They were failing already.

Hence while everyone was super happy about Trump gutting the ACA I thought it a bad idea.

No, it was a good idea. ObamaCare will die soon, and it can't come fast enough. And the insurance companies will just up their premiums a wee bit -- maybe 20 - 40 - 60% or whatever to sell welfare, which means no one will be able to afford it.