Big Beautiful Bill

[Anonymous]

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Anonymous wrote:Why will the medicaid provisions hurt rural hospitals? Is it because there are no jobs for the able-bodied to do, thus they cannot meet the work requirements? Or is it that illegal alien farm workers / factory workers are on Medicaid in these rural areas?

Because their patients will no longer have any way to pay for care.

What specific provisions of the bill would make their patients ineligible for Medicaid?

Read the bill. The GOP is installing new barriers to receive monies.

I have - able-bodied must work and no illegals. What else am I missing?

The administrative requirements are so burdensome that even people eligible for the program may not be able to enroll. That’s a feature, not a bug. Republicans don’t want people to use Medicaid or food stamps, even if they are eligible.

Yes. That's a way to trim the cost of Medicaid, SS and Medicare. Make it so difficult to use that many qualified people won't be using it.

So these beneficiaries who were competent and capable enough to enroll are not competent or capable enough to maintain enrollment? Or, maybe, the current lax standards for enrollment led to fraud?

From NYT article:

The two states that have actually put in work requirements show some of the hurdles that others could face.

When Arkansas started a work requirement in 2018, state officials worked hard to educate the public — mailing letters, sending emails, placing phone calls, briefing medical providers, posting on social media sites, distributing fliers. Still, around the time the program began, only about half of eligible people knew whether the work requirement applied to them. The website used to document work hours was not designed for smartphones and was routinely taken offline at night for maintenance.

Almost none of the people who were required to report work hours under the system did so in the first months of the program, and 17,000 people lost coverage before the program was stopped by a federal judge.

Georgia expanded Medicaid coverage in 2023 for low-income people who could prove they were working. But the state’s sign-up system is often glitchy. Documents that seem to upload sometimes don’t, or they are reviewed so late that a person trying to sign up has already missed a deadline, according to Cynthia Gibson, a managing attorney at the Georgia Legal Services Program, who has helped some Georgians appeal their denials. Only around 7,400 people have enrolled so far; the state expected around 100,000.

Or maybe they could not prove they were working. Occam’s razor.

It has repeatedly failed. It creates more bureaucracy and ends up covering fewer people - even people who would otherwise be exempt from complying. Got it - you don’t like Medicaid. Kicking legitimate people off is a feature not a bug.

The handful of states that have already attempted work requirements in Medicaid spent tens of millions of dollars. Kentucky spent $250 million in 2018 on its program, before a court stopped it. But the Senate version of the bill allots only $200 million for the entire country.

States would also need to hire more workers to check time sheets, doctors’ notes and other documents as well as make application decisions. And they would need to staff call centers with employees who could answer questions from confused beneficiaries.

That may sap resources from other parts of Medicaid and could lead to more errors and longer waits for pregnant women and people with disabilities attempting to sign up. In eight states, more than a third of applications already take more than 45 days to process.

Who are “legitimate people”? Who is entitled to government healthcare? I suspect you think healthcare is a right, so your answer is everyone.

[Anonymous]

"illegals" because they are human beings, if they show up at an emergency room, will be treated. we all pay for that.

Isn't it better to have them in a system and not using the most expensive and least resourced system within our healthcare taxonomy?

And you know what? any "illegals"who are using a fake tax id are paying into the system and no otherwise taking any benefits.

[Anonymous]

Anonymous wrote:

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Anonymous wrote:

Anonymous wrote:Why will the medicaid provisions hurt rural hospitals? Is it because there are no jobs for the able-bodied to do, thus they cannot meet the work requirements? Or is it that illegal alien farm workers / factory workers are on Medicaid in these rural areas?

Because their patients will no longer have any way to pay for care.

What specific provisions of the bill would make their patients ineligible for Medicaid?

Read the bill. The GOP is installing new barriers to receive monies.

I have - able-bodied must work and no illegals. What else am I missing?

The administrative requirements are so burdensome that even people eligible for the program may not be able to enroll. That’s a feature, not a bug. Republicans don’t want people to use Medicaid or food stamps, even if they are eligible.

Yes. That's a way to trim the cost of Medicaid, SS and Medicare. Make it so difficult to use that many qualified people won't be using it.

This is what Florida did with unemployment benefits.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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Anonymous wrote:

Anonymous wrote:Why will the medicaid provisions hurt rural hospitals? Is it because there are no jobs for the able-bodied to do, thus they cannot meet the work requirements? Or is it that illegal alien farm workers / factory workers are on Medicaid in these rural areas?

Because their patients will no longer have any way to pay for care.

What specific provisions of the bill would make their patients ineligible for Medicaid?

Read the bill. The GOP is installing new barriers to receive monies.

I have - able-bodied must work and no illegals. What else am I missing?

The administrative requirements are so burdensome that even people eligible for the program may not be able to enroll. That’s a feature, not a bug. Republicans don’t want people to use Medicaid or food stamps, even if they are eligible.

Yes. That's a way to trim the cost of Medicaid, SS and Medicare. Make it so difficult to use that many qualified people won't be using it.

This is what Florida did with unemployment benefits.

And people still move to Florida in droves.

[Anonymous]

Anonymous wrote:"illegals" because they are human beings, if they show up at an emergency room, will be treated. we all pay for that.

Isn't it better to have them in a system and not using the most expensive and least resourced system within our healthcare taxonomy?

And you know what? any "illegals"who are using a fake tax id are paying into the system and no otherwise taking any benefits.

Actually, illegals should be paying for their health care. If they are defrauding the system, then there's another reason for them to be deported.

[Anonymous]

Anonymous wrote:So the Republicans are ignoring the parliamentarian and the debt scoring, pretending that their bill is allowable.

As Durbin says, they are making the filibuster a Democrat-only hurdle. Iow, the filibuster is gone. Republicans have gotten rid of it. Majority votes for everything.

This process is incredible. I am stunned that the senators will go so far as to use fake rules.

By this plan, you claim every provision in every budget expires in a year or two, and then just extend it at no cost forever.

So much BS. How do these people live with themselves?!

[Anonymous]

Anonymous wrote:

Anonymous wrote:"illegals" because they are human beings, if they show up at an emergency room, will be treated. we all pay for that.

Isn't it better to have them in a system and not using the most expensive and least resourced system within our healthcare taxonomy?

And you know what? any "illegals"who are using a fake tax id are paying into the system and no otherwise taking any benefits.

Actually, illegals should be paying for their health care. If they are defrauding the system, then there's another reason for them to be deported.

Poor people use emergency rooms for routine services too...what do you want er doctors and nurses to do, turn them away?

[Anonymous]

House Freedom Caucus seems to not be happy with the senate bill.

[Anonymous]

Anonymous wrote:House Freedom Caucus seems to not be happy with the senate bill.

They've become a paper tiger. I'm more interested in the House moderate Rs. And the upcoming Senate vote, which is not yet foregone.

[Anonymous]

I worked in a cancer center billing department and every client I dealt with on Medicaid was either elderly, mentally ill, or barely surviving.

It’s appalling that anyone would want to make their lives more difficult than they already are.

[Anonymous]

Anonymous wrote:I worked in a cancer center billing department and every client I dealt with on Medicaid was either elderly, mentally ill, or barely surviving.

It’s appalling that anyone would want to make their lives more difficult than they already are.

+1 and that is exactly what will happen. These aren’t “work requirements”. They’re paperwork requirements

[Anonymous]

Anonymous wrote:House Freedom Caucus seems to not be happy with the senate bill.

Oh sure. If they were unhappy they would vote against it.

[Anonymous]

Anonymous wrote:I worked in a cancer center billing department and every client I dealt with on Medicaid was either elderly, mentally ill, or barely surviving.

It’s appalling that anyone would want to make their lives more difficult than they already are.

The problem is we need politicians who work and can come up with solutions to real problems Americans face (like healthcare) but they’re self-serving instead. It’s easier to give tax cuts to donors than to come up with real solutions.

[Anonymous]

Statement from North America’s Building Trades Unions on Trump’s “Big Billionaire Bill”:

“If enacted, this stands to be the biggest job-killing bill in the history of this country. Simply put, it is the equivalent of terminating more than 1,000 Keystone XL pipeline projects”

[Anonymous]

This bill is going to hurt a lot of people in order to help the rich. Shame on anyone voting for it.