How will the “big bill” affect you?

Anonymous
Anonymous wrote:
Anonymous wrote:I'm a medical social worker and I welcome any of you who think medicaid should be less accessible to come meet my clients and tell them that to their face. Let's start with the mom of a 6 year old with a rare genetic disease (which requires constant care) who has gone absolutely bankrupt to qualify and is now living in absolute agony wondering if it will get ripped away and her child will suffer and with absolutely no exaggeration...die. You would like this family, hard working, middle class, good people who are suffering because as PP says...healthcare is not a human right.


Read the bill. Children with disabilities, which this situation above falls under, aren’t losing coverage under this bill.

The state they live in MAY choose to reduce their coverage in the future - and states have ALWAYS had the right to adjust how they administer Medicaid, which includes tightening restrictions or removing groups entirely.

It seems like most of the US - and this thread - wasn’t aware of that until this bill came up.


I can assure you I am aware of this. But also, it's not like most people have gotten a chance to read the final version given that this shitshow of a bill was being written until the second it passed. There were entire portions that nobody knows who added them. And I trust this administration as far as I can throw them. This familiy is in a red state and those states have been emboldened to cut their medicaid agencies to bare bones levels. If they make this family constantly reapply to maintain their coverage, who is reviewing that application? How long will it take? Who will pay for the home nursing if coverage lapses? In real life, it's not as simple as you make it out to be.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:We will get a large tax cut we don't need and didn't vote for. People will suffer because of it, and that hurts all of us.


This. I don’t care about saving on taxes. We are plenty comfortable and don’t need it.

But my heart breaks for those who are losing supports they need for their families.

+1
This. We are upper income but any savings don’t matter bc the negative in this bill is huge. The lower class is getting completely screwed. People are going to die from the consequences of this bill bc a lot of people will lose the ability to get healthcare. Anything good for the environment is being pushed out w/ the rollback of a lot of green things. Economic growth is going to be curbed. Our kids are going to pay the price for this bill.


Many of those people are Trump voters so I don’t mind.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Healthcare is not a human right, if I go to someone like a doctor to help me with something I expect to pay them for their services. Why is that so hard for people to understand.


Great, then I suspect you won’t be on Medicare when you’re older.


DP: Slight difference---medicare is something we have all paid into for decades by the time we get to use it. And if you are higher income in retirement, you will still pay $800/month+ for everything beyond Part A, so it ain't cheap.



Not everybody who gets Medicare pays into Medicare. For example, women who don’t work and stay home do not pay into Medicare, but they still get Medicare.


Yes, but they paid in before they became SAHP, and their spouse has paid in. Medicare tax has no income limits. Many SAHP have a HHI spouse who has paid in way more than 80% of families.


Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Consider that the cuts to Medicaid will lead to increased healthcare costs and/or lack of healthcare facilities for everyone. Do you want to live in a country with a class of people who don’t get healthcare? It’s disgusting.


Reverting to a work requirement of 20 hours per week for healthy non pregnamt adults is not an unreasonable burden.


Except the vast majority on Medicaid programs are kids, elderly and disabled---people who cannot work.


Also, where are these 20 hour a week jobs? They aren't in every state. I know people who have been looking for months and not found something.

Also the requirement to constantly reapply will bog everything down is massive papework.

It will be a crapshow of amazing proportions.



My kid just got a 20-hour a week job yesterday as a cashier. He applied to three places, interviewed at two, and got a job - all within biking distance of our house- with zero work experience and with a 16 year old male’s executive function capabilities.

I’m not saying that all the people who need to meet these requirements will have the same experience but it’s not an impossible thing.

I agree that the requirement to constantly reapply will be a crapshow of amazing proportions.


Most non child, non elderly people on medicaid DO ACTUALLY HAVE JOBS

https://www.kff.org/medicaid/issue-brief/understanding-the-intersection-of-medicaid-and-work-an-update/



+1000 guys most people who aren’t children and aren’t elderly and are on Medicaid already have jobs. That is what the data says!

Please know all of this is to make you continue on with the narrative that people are somehow abusing this system (when the data doesn’t support that) so we need to make it harder on them when really, it just makes it harder on them (when they were already working in the first place) so they lose coverage which then makes them less healthy and guess what everyone - WE ALL PAY. Which by the way, isn’t the most important part but if that is what you care about I will say it again, we all end up paying way more for then just actually making sure people can access some basic dang healthcare while getting paid minimum wage and not making them jump through 1500 hoops every 3 months to do it.

Ideally you would also care that the person not lose their healthcare not just because you might ultimately pay for it but because it means others suffer. Children, humans, your neighbors. People who serve you, clean you cars, wipe down your tables and clean the bits of foods your kids drop after you eat at restaurants, wash your dishes at those restaurants. Check you out at CVS. Then go home and make their kid dinner. They are people just like you.


Yup! Most don't seem to understand that we all pay if people don't have decent, affordable healthcare. If it's $200 to go to Urgent care, they don't. they wait until extremely sick and go to the ER and what could have been an UC visit and an antibiotic prescription is now 3-4 days in the hospital with pneumonia or worse. And they still cannot pay for that $30K+ hospital bill, so now who pays? We all do over time as prices are increased to cover those who cannot pay. It's been that way for decades.
We need Universal Healthcare for everyone, with the options to purchase more care if you desire.


Need to amend the bill to keep people without insurance out of the ER.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Healthcare is not a human right, if I go to someone like a doctor to help me with something I expect to pay them for their services. Why is that so hard for people to understand.


Great, then I suspect you won’t be on Medicare when you’re older.


DP: Slight difference---medicare is something we have all paid into for decades by the time we get to use it. And if you are higher income in retirement, you will still pay $800/month+ for everything beyond Part A, so it ain't cheap.



Not everybody who gets Medicare pays into Medicare. For example, women who don’t work and stay home do not pay into Medicare, but they still get Medicare.


If that’s based on their husband’s work history, that only applies to certain women in certain circumstances.

I’m grateful that when I ended up responsible for eldercare — I had the option of getting coverage through the ACA.
Now I had worked and qualified for Medicare on my own, but eldercare and childcare are going to put a lot of women in dire straits. This change also might increase spousal abuse if women have to stay in abusive situations in order to maintain healthcare in the future (Medicare based on a spouse’s work history) as well as in the present.
Anonymous
Anonymous wrote:Healthcare is not a human right, if I go to someone like a doctor to help me with something I expect to pay them for their services. Why is that so hard for people to understand.


Most normal people do consider it a human right, and also want to make sure doctors get paid for their work.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Consider that the cuts to Medicaid will lead to increased healthcare costs and/or lack of healthcare facilities for everyone. Do you want to live in a country with a class of people who don’t get healthcare? It’s disgusting.


Reverting to a work requirement of 20 hours per week for healthy non pregnamt adults is not an unreasonable burden.


Except the vast majority on Medicaid programs are kids, elderly and disabled---people who cannot work.


And, the way this it will be implemented is to ACTUALLY make the paperwork so difficult that people who DO QUALIFY are not able to get through the red tape and are kicked off. Someone who is working multiple minimum wage jobs or is elderly or impaired in some way and may not have easy access to the internet, the hours required to complete the paperwork, or the days to wait on hold to get help doing the paperwork EVERY MONTH in order to continue to qualify even though they do.

Link to LAST WEEK TONIGHT that helps explain the problem with the requirements.


Doesn't every working adult with health insurance, as well as every senior, have to do a bunch of paperwork every year? The USA sets aside an entire month for it.


No, they don’t. WTF are you talking about? If it’s taxes, most people file an EZ form that’s one page and takes 10 min.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Consider that the cuts to Medicaid will lead to increased healthcare costs and/or lack of healthcare facilities for everyone. Do you want to live in a country with a class of people who don’t get healthcare? It’s disgusting.


Reverting to a work requirement of 20 hours per week for healthy non pregnamt adults is not an unreasonable burden.


Except the vast majority on Medicaid programs are kids, elderly and disabled---people who cannot work.


Also, where are these 20 hour a week jobs? They aren't in every state. I know people who have been looking for months and not found something.

Also the requirement to constantly reapply will bog everything down is massive papework.

It will be a crapshow of amazing proportions.



My kid just got a 20-hour a week job yesterday as a cashier. He applied to three places, interviewed at two, and got a job - all within biking distance of our house- with zero work experience and with a 16 year old male’s executive function capabilities.

I’m not saying that all the people who need to meet these requirements will have the same experience but it’s not an impossible thing.

I agree that the requirement to constantly reapply will be a crapshow of amazing proportions.


It’s hilarious that you think you’re child and somebody on Medicaid is going to be treated the same way by a hiring official.

Did his mommy drive him to his interview


Mommy has been a SAHM all her life so doesn’t understand the working world at all. Cut her a break.
Anonymous
Anonymous wrote:
Anonymous wrote:Healthcare is not a human right, if I go to someone like a doctor to help me with something I expect to pay them for their services. Why is that so hard for people to understand.


Well it should be a human right, and we should get rid of the for profit system we have and follow all the other civilized nations in this world. It may not be perfect, but it's 1000x better for most people.



It actually helps all of us. We want healthy productive working people. If a dad gets sick and can no longer work, his whole family now needs support. The mom may be able to work either because Dad needs care. Now teen is dropping out of school to earn money for the family. If Dad had access to good healthcare the whole issue might have been a small one rather than life altering.
Anonymous
Well, the $40k state tax deduction likely means I’m getting a refund for the first time in years.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Healthcare is not a human right, if I go to someone like a doctor to help me with something I expect to pay them for their services. Why is that so hard for people to understand.


Well it should be a human right, and we should get rid of the for profit system we have and follow all the other civilized nations in this world. It may not be perfect, but it's 1000x better for most people.



It actually helps all of us. We want healthy productive working people. If a dad gets sick and can no longer work, his whole family now needs support. The mom may be able to work either because Dad needs care. Now teen is dropping out of school to earn money for the family. If Dad had access to good healthcare the whole issue might have been a small one rather than life altering.


Not to mention allowing diseases to spread among the poor and uninsured doesn't stay with the poor and uninsured. Look at TB, for instance.
Anonymous
I actually have no idea. Probably not at all. Maybe someone can tell me. Divorced with 3 kids (2 are over 18 and in college). Generally good health for everyone knock on wood!! NW in the millions and HHI around 1mm.

I would definitely rather have had a big tax increase to widen and support the social safety net, but I will do what I can with my own money locally.
Anonymous
I actually could not care less if people on medicaid work or not.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Healthcare is not a human right, if I go to someone like a doctor to help me with something I expect to pay them for their services. Why is that so hard for people to understand.


Well it should be a human right, and we should get rid of the for profit system we have and follow all the other civilized nations in this world. It may not be perfect, but it's 1000x better for most people.



It actually helps all of us. We want healthy productive working people. If a dad gets sick and can no longer work, his whole family now needs support. The mom may be able to work either because Dad needs care. Now teen is dropping out of school to earn money for the family. If Dad had access to good healthcare the whole issue might have been a small one rather than life altering.


+1

And the cycle continues in your scenario (which is very real). Versus if they had help, the teen didn't have to work to help pay the family bills, they might be on track to attend college/technical training for HVAC/Plumbing/Trades instead of being stuck in a "must work minimum wage job to keep family afloat". So many people dont' see how investing a little saves a ton later in many situations.

Anonymous
If all the people without insurance get sick and die, isn’t that a good way to ensure that only people with health insurance remain in the country?
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