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

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What are these MAGA supporters going to do when they cannot obtain Medicaid for their parents' LTC? This is no longer a hypothetical with plans to gut Medicaid and similar programs in order to pay for the imminent Trump tax cut. And there will not be the same number of folks out there to provide care for seniors if many of the people holding these jobs are deported, including people who may be denaturalized.

The kinds of Medicaid cuts the Republicans have talked about — repealing or cutting funding for the ACA Medicaid expansion and/or funding Medicaid with a block grant to each state — are also going to weaken the finances of rural hospitals, many of which already are on the brink of closing. MAGA gonna have to drive to the big city for ER and other hospital care.

This is spot on.
Lots of Medicaid monies were block grants to states, eligible for federal match, etc. etc, and that's why there's such a difference in what resources you can get by state. If MAGA follows their wishes, it won't matter. The states still need that fed money. Reimbursement rates (which are dismal) will be worse, and hospitals will close.

And forget about the OB/GYNs pulling out of states where they will go to prison for honoring their Hippocratic oath.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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?

It works in a state where anyone income eligible can get the state Medicaid. Even before the expansion to illegal immigrants (which my father isn’t) green card holders were eligible (my father is one). Now, anyone can get it if they are poor, and it made the wait times extremely long.

There are about a half dozen states that provide Medicaid to at least some people regardless of immigration status, so long as they are eligible by income. But these states can only use state funds for any coverage of undocumented immigrants in these cases — it’s illegal to use federal Medicaid funds for this purpose— and usually the populations covered are kids and/or adults younger than 50, not people who would get nursing home care.

Here is a KFF Health News story about this state-funded coverage:

States Expand Health Coverage for Immigrants as GOP Hits Biden Over Border Crossings

https://kffhealthnews.org/news/article/states-health-coverage-medicaid-immigrants-expansion/#:~:text=Subscribe%20to%20KFF%20Health%20News,program%20for%20low%2Dincome%20people.

TY for clarifying. These wild claims of how this works is maddening, especially for someone who is criticizing on one hand, then taking it for themselves or their relatives on the other.

[Anonymous]

Anonymous wrote:If you’re in Maryland and under Maryland Medicaid, your elderly parents can get home care at home paid by Medicaid if they aren’t bad enough to be institutionalized but need a daily caregiver to come in and cook, clean, bathe them and go to the grocery store for them. Medicare is the one that bizarrely doesn’t have a home care option. Medicaid does

And that's what Harris proposed - Medicare would now cover some forms of home care in order that families did not have to divest all their assets in order qualify for it as they would on Medicaid.

[Anonymous]

Anonymous wrote:

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?

It works in a state where anyone income eligible can get the state Medicaid. Even before the expansion to illegal immigrants (which my father isn’t) green card holders were eligible (my father is one). Now, anyone can get it if they are poor, and it made the wait times extremely long.

That's when a state decides to expand. The feds are not on the hook. Why are you telling lies?

[Anonymous]

Anonymous wrote:

Anonymous wrote:If you’re in Maryland and under Maryland Medicaid, your elderly parents can get home care at home paid by Medicaid if they aren’t bad enough to be institutionalized but need a daily caregiver to come in and cook, clean, bathe them and go to the grocery store for them. Medicare is the one that bizarrely doesn’t have a home care option. Medicaid does

And that's what Harris proposed - Medicare would now cover some forms of home care in order that families did not have to divest all their assets in order qualify for it as they would on Medicaid.

So basically, and inheritance preserver.

[Anonymous]

^AN inheritance, not "and"

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:If you’re in Maryland and under Maryland Medicaid, your elderly parents can get home care at home paid by Medicaid if they aren’t bad enough to be institutionalized but need a daily caregiver to come in and cook, clean, bathe them and go to the grocery store for them. Medicare is the one that bizarrely doesn’t have a home care option. Medicaid does

And that's what Harris proposed - Medicare would now cover some forms of home care in order that families did not have to divest all their assets in order qualify for it as they would on Medicaid.

So basically, and inheritance preserver.

Maybe allowing the spouse to live in dignity even though their loved one needs care.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:If you’re in Maryland and under Maryland Medicaid, your elderly parents can get home care at home paid by Medicaid if they aren’t bad enough to be institutionalized but need a daily caregiver to come in and cook, clean, bathe them and go to the grocery store for them. Medicare is the one that bizarrely doesn’t have a home care option. Medicaid does

And that's what Harris proposed - Medicare would now cover some forms of home care in order that families did not have to divest all their assets in order qualify for it as they would on Medicaid.

So basically, and inheritance preserver.

We pay a huge amount into Medicare. We pay via taxes when we are working then we are forced to take it and pay premiums and copays and supplements. Yes they should cover it.

[Anonymous]

Anonymous wrote:I am 100% worried about this. We are looking into memory care for my dad right now. They have 2-3 years savings. After that, the two options are literal abandonment vs. spending all of our kids' college savings and our own retirement savings on his care.

The silver lining is that by cutting Medicare, people will die faster and won't live long enough to need Medicaid for skilled nursing or memory care [/sarcasm].

Talk to an eldercare lawyer. We were able to keep my very difficult MIL in her very nice facility in Arlington using medicaid with his help.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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.

I think OP is suggesting that there will not be "Medicaid nursing homes," not how will they get admitted.

The hospitals aren’t going to just evict ppl into the street. Certainly not at 70+ and nursing care level

They've already been caught doing it. Once they can't bill for the room, medicare is not paying indefinitely, they are going to discharge

Well to be fair, someone has to pay the bills. Nursing homes cannot just run on thin air. So patients that don't pay their bills will be discharged to family members. The issue is that we need all of our medical care to stop being "for profit"---it's a service that everyone in society will benefit from. It should be managed much better

[Anonymous]

Anonymous wrote:

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?

It works in a state where anyone income eligible can get the state Medicaid. Even before the expansion to illegal immigrants (which my father isn’t) green card holders were eligible (my father is one). Now, anyone can get it if they are poor, and it made the wait times extremely long.

You could get MediCal (Ca version of medicaid) 30+ years ago if you were a green card holder. As it should be. My IL did, despite never having worked in the US. I Figure we paid in more than enough in our lifetime for whatever family got (they were only here for 7 years), given that we likely will never see anything as the programs are gutted

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:What are these MAGA supporters going to do when they cannot obtain Medicaid for their parents' LTC? This is no longer a hypothetical with plans to gut Medicaid and similar programs in order to pay for the imminent Trump tax cut. And there will not be the same number of folks out there to provide care for seniors if many of the people holding these jobs are deported, including people who may be denaturalized.

The kinds of Medicaid cuts the Republicans have talked about — repealing or cutting funding for the ACA Medicaid expansion and/or funding Medicaid with a block grant to each state — are also going to weaken the finances of rural hospitals, many of which already are on the brink of closing. MAGA gonna have to drive to the big city for ER and other hospital care.

They'll never put 2 and 2 together.

Obviously, given that most of them can't put 2 and 2 together to understand that the "Obamacare I hate, I don't have Obamacare" and the "ACA I love cause I finally have health insurance I can afford" are the same thing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:If you’re in Maryland and under Maryland Medicaid, your elderly parents can get home care at home paid by Medicaid if they aren’t bad enough to be institutionalized but need a daily caregiver to come in and cook, clean, bathe them and go to the grocery store for them. Medicare is the one that bizarrely doesn’t have a home care option. Medicaid does

And that's what Harris proposed - Medicare would now cover some forms of home care in order that families did not have to divest all their assets in order qualify for it as they would on Medicaid.

And many of those who would benefit most from that voted yet again against their best interests.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:If you’re in Maryland and under Maryland Medicaid, your elderly parents can get home care at home paid by Medicaid if they aren’t bad enough to be institutionalized but need a daily caregiver to come in and cook, clean, bathe them and go to the grocery store for them. Medicare is the one that bizarrely doesn’t have a home care option. Medicaid does

And that's what Harris proposed - Medicare would now cover some forms of home care in order that families did not have to divest all their assets in order qualify for it as they would on Medicaid.

So basically, and inheritance preserver.

Well it is cheaper to provide basic services at home rather than institutionalizing them. If 2 hours of care 3-4 days per week allows an elderly person to remain safely at home, that is much more cost effective than a nursing home/assited living

[Anonymous]

They have to cut to pay for some of the continued and new tax breaks. Cutting feds is a drop in the bucket. I am sorry they have to cut benefits.