Are your parents in a nursing home paid by Medicaid? Are you concerned the program will get cut?

[Anonymous]

No, not at all. I've already seen bad facilities for both short-term disability and long-term care for social security recipients all while under this administration right now, a new one is not going to be different. This country has an inherently bad social system for its elderly citizens who rely on social security.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

But you make make reimbursement rates so low that care is so minimal to be dangerous.

The rate isn't all that low when you look at the fact they are 2-4 to a room, minimal care and basic food and little simulation.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

But you make make reimbursement rates so low that care is so minimal to be dangerous.

This.

[Anonymous]

Anonymous wrote:No, not at all. I've already seen bad facilities for both short-term disability and long-term care for social security recipients all while under this administration right now, a new one is not going to be different. This country has an inherently bad social system for its elderly citizens who rely on social security.

guessing you are not originally from here

[Anonymous]

Anonymous wrote:It’s a separate program and long term care Medicaid and not regular Medicaid. Doubt they coul cut it as where would people go?

Women will be expected to stay home.

[Anonymous]

Anonymous wrote:

Anonymous wrote:It’s a separate program and long term care Medicaid and not regular Medicaid. Doubt they coul cut it as where would people go?

Women will be expected to stay home.

As a woman I did this but at some point it is not manageable without help. Long term Medicaid was our only option. Most people cannot do it especially with young kids.

[Anonymous]

Anonymous wrote:

Anonymous wrote:No, not at all. I've already seen bad facilities for both short-term disability and long-term care for social security recipients all while under this administration right now, a new one is not going to be different. This country has an inherently bad social system for its elderly citizens who rely on social security.

guessing you are not originally from here

Cannot be as social security does not pay. Long term Medicaid does. Different programs.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

Are you aware of how difficult it is to obtain Medicaid? If it is put into a block grant, there is going to be no way that there will be enough money for all those in need.

Dp. Not it’s not. I just got my state’s version of Medicaid for my newly arrived father. It was a 3 month wait but it wasn’t hard.

He's not a citizen but gets medicaid? How does that work?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:No, not at all. I've already seen bad facilities for both short-term disability and long-term care for social security recipients all while under this administration right now, a new one is not going to be different. This country has an inherently bad social system for its elderly citizens who rely on social security.

guessing you are not originally from here

Cannot be as social security does not pay. Long term Medicaid does. Different programs.

That's my point - the poster clearly doesn't understand how Medicare, Medicaid, and Social Security work.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The government is never going to toss people with Alzheimer's and no money onto the street to die so this is all just fear mongering.

Are you aware of how difficult it is to obtain Medicaid? If it is put into a block grant, there is going to be no way that there will be enough money for all those in need.

Dp. Not it’s not. I just got my state’s version of Medicaid for my newly arrived father. It was a 3 month wait but it wasn’t hard.

He's not a citizen but gets medicaid? How does that work?

He could be a LPR who has returned to the States or may qualify under these categories:

https://www.healthcare.gov/immigrants/lawfully-present-immigrants/

I think this may vary state by state.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It’s a separate program and long term care Medicaid and not regular Medicaid. Doubt they coul cut it as where would people go?

Women will be expected to stay home.

As a woman I did this but at some point it is not manageable without help. Long term Medicaid was our only option. Most people cannot do it especially with young kids.

The current system already penalizes adult children, often single women, who quit jobs in the prime earning years and move back home to take care of their parents. The kicker is that the parents' issues are so complicated that they may must move into a LTC facility. The house must be sold before the parent can receive Medicaid, so women in their 50s, 60s, 70s find themselves on the street without a home or a job.

[Anonymous]

Anonymous wrote:
I work in health policy.

The Paragon Health Institute is a conservative health care think tank that will have a lot more sway over policy in the Trump administration.

Here is a recent white paper of theirs about how to reform long-term care in the U.S. They think Medicaid is the reason long term care is so expensive and that the country would be better off if all but the poorest families were required to pay for it on their own (without Medicaid’s help) or through new long-term care insurance arrangements. Better buckle up kids, this ride won’t be for the feint of heart.

Long-Term Care: The Solution

https://paragoninstitute.org/medicaid/long-term-care-solution/

“Congress should remove Medicaid as an end-of-life, wealth-preserving, fail-safe for the middle class and affluent. Medicaid should not reward people who neglect to plan responsibly for LTC by both paying for services and providing asset protection. New public policy should incentivize early planning for LTC that employs private wealth, including savings, home equity, life insurance, and a revitalized private LTC insurance market. Recent research documents lower risk of severe LTC expenses and indicates that consumers have more funds available to pay privately for LTC than previously believed. These facts suggest a way to revitalize the senior living market financially to the benefit of LTC consumers and providers alike. With more private LTC financing, fewer people will become dependent on Medicaid. Medicaid can then become a better payer of last resort than it is now. This paper explains how and why this new approach is plausible, practical, and preferable given current demographic and financial conditions.”

This paragraph is written by someone who is either completely ignorant of the retirement situation for a huge number of Americans (no more pensions, gutted 401(k) employer contributions, always scheduled to work under FT hours to be denied benefits, etc) or simply doesn't care that corporations feel NO compunction in helping their employees with LTC.

It's frankly appalling that this is the playbook of the incoming admin. "...[W]hy this new approach is plausible, practical, and preferable." Nearly 40% of Americans make under $100,000, 25% of them make under $75,000. Many of these people live paycheck to paycheck due to high housing cost and medical expenses. What is plausible or practical here for them to save at the rate needed to cover LTC???

[Anonymous]

Anonymous wrote:I mean if you don’t pick her up from the hospital or wherever she is before she goes to a Medicaid nursing home, what are they gonna do? You just have to be cold hearted enough to wait them out.

It depends on the state. Some states say that adult children have a financial obligation to help support elderly indigent parents.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It’s a separate program and long term care Medicaid and not regular Medicaid. Doubt they coul cut it as where would people go?

Women will be expected to stay home.

As a woman I did this but at some point it is not manageable without help. Long term Medicaid was our only option. Most people cannot do it especially with young kids.

The current system already penalizes adult children, often single women, who quit jobs in the prime earning years and move back home to take care of their parents. The kicker is that the parents' issues are so complicated that they may must move into a LTC facility. The house must be sold before the parent can receive Medicaid, so women in their 50s, 60s, 70s find themselves on the street without a home or a job.

Be real. No one is quitting without long term income. Stop making up stuff. I could do as someone married.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:It’s a separate program and long term care Medicaid and not regular Medicaid. Doubt they coul cut it as where would people go?

Women will be expected to stay home.

As a woman I did this but at some point it is not manageable without help. Long term Medicaid was our only option. Most people cannot do it especially with young kids.

The current system already penalizes adult children, often single women, who quit jobs in the prime earning years and move back home to take care of their parents. The kicker is that the parents' issues are so complicated that they may must move into a LTC facility. The house must be sold before the parent can receive Medicaid, so women in their 50s, 60s, 70s find themselves on the street without a home or a job.

Be real. No one is quitting without long term income. Stop making up stuff. I could do as someone married.

And this shows your ignorance as one can keep the house.