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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Well, all those rural and small town voters in Texas, Missouri, Indiana and elsewhere will be reaping the whirlwind in the years ahead. 17 million of them are about to lose their health insurance. Rural hospitals will be closing. Their monthly energy bills will be skyrocketing. Alternative energy jobs are gone. I have no idea how small town America is going to make it through. Plus, while markets may be up, the value of the dollar has declined by 15 percent since Trump took office, which is far more impactful to rural America than those with a 401k account. For the farmers, their source of labor is gone. They are either getting deported or they're not crossing the border to begin with. Plus Republicans have wrecked their ag markets with their dumb trade wars. And obviously any rural voter that voted over the deficit has clearly been hoodwinked. Republicans just added another $3.3 trillion of debt.

These voters will be very reachable in 2028. We are here today because Democrats anointed a deeply unpopular 83 year old geriatric as their candidate. And followed up at the last minute with a deeply unpopular VP who couldn't even make it to the Iowa caucuses when she ran, much less win Iowa. This would be a very different America if Democrats actually had an open primary. We'll see what Democrats do this time. The path is cleared for them. But if they continue to roll with their corrupt and cynical old guard - like Pelosi, Schumer, the Clintons - or embrace the wealthy dilettante progressives like Mamdani in NYC - they will still lose even in the face of idiocy of the GOP. This is the moment for Democrats. And I am not optimistic.

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It all depends how you look at it.

Millions will lose Medicaid.  Do the people that pay the bills for it via federal taxes and matching state taxes want to pay for health insurance for complete strangers?  You seem to think they are OK with getting less in their pay check for one of your dreams, hopes and aspirations.

I'm not so sure.  All you seem to care about is shifting burdens of others to the middle class for health care, education, climate initiatives to make you feel better and you basically have a robin hood view of the world.  That's ALL that seems to drive you. Hint: your view isn't everyone's view.[/quote]

So we back to everyone getting basic care at the emergency room covered by tox dollars by the taxpayers.   That was so great and now it's great again![/quote]

100% and everyone who works in healthcare knows it. Most of us have been sounding the alarms about this and I know at least in my case, emailing my reps about it.

Medicaid for millions will go away and your private insurance costs WILL go up. Those with private insurance will pay more for their services to account for the services those without insurance will get.

Those who had Medicaid will still get free medical care. As long as they don't go to a private hospital, we have to treat them regardless of insurance status or ability to pay. Your insurance and procedure costs will go up slightly to account for the influx of uninsured patients we'll see.

And instead of those on Medicaid seeing their PCPs for ongoing health management, they'll ignore minor issues and let them build up until they are emergent issues that bring them to the ER. We'll start seeing an influx of people with minor ailments like strep, toothaches, and sprains that they would have gone to their PCP or Urgent Care for when they had Medicaid.

I would not be shocked to see 30-40% added to all medical procedure costs over the next few years once these people are kicked off Medicaid. Because if there's one thing that healthcare systems will NOT do is lose money.

Here's a simple example: A box of band-aids costs $1 for 10 band-aids. That's $0.10 each. But hospitals need to make a profit, duh! 
You come into the ER with private insurance, so we charge you $0.50 to account for the 'work' of applying it for you and to account for the others who will come in without the ability to pay for that item or who come in with Medicaid, which has strict rules on how much we can charge for everything. 
Like Medicaid Mary. Mary comes into the ER for a band-aid and her Medicaid specifies that we can only charge $0.12 for that band-aid. $0.02 is not a great profit for Big Healthcare, but because we already up charged the private insurance person by 400%, we're still making a nice profit for the day.

Now do that with every procedure, medicine, and item in the hospital and that's how they stay profitable. Your costs cover your service + the service of a few others that they know will not be able to pay or who they can't overcharge. [/quote]

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