We will not be impacted negatively. However, we now live in a terrible society that is inequitable. So, we all are impacted negatively.

Anonymous wrote:The irony of the “big bill” is I think it is morally reprehensible but I stand to benefit from it, mostly with the increase of the SALT tax (Between property tax and state tax I currently pay around $30K). I feel horrible that I’m slightly happy that my tax bill will go down as I’m facing job loss thanks to this admin knowing the how behind it and how much others stand to lose. So, how will the bill affect you?

You can assuage your guilt over your happiness at the tax cuts by knowing that your job loss is very likely part of the reduction of the DC blob and a great benefit to society.

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.

I really don’t see how you can criticize a work requirement for able bodied Americans to receive Medicaid. This doesn’t sound unreasonable and even in model liberal societies it’s a requirement to work.

The noise and hysteria over this is a problem because it causes confusion and then the legit issues and grievances by this admin are overshadowed.

The bill cuts $1trillion from Medicaid. The cuts go far, far beyond work requirements— those account for about $300 billion of the $1 trillion. Those cuts will harm not just poor people, but deeply affect doctors, hospitals, nursing homes, and every other provider who is actually taking care of patients every day.
As to work requirements, of course they seem like a good idea. In reality, most people on Medicaid already work. So why the concern, and why the projection that the law will cut $320 billion as a result of the work requirements? Because the administration of those requirements means many people who should qualify don’t. The system goes down during the one day you actually have off to put in your hours. The library is closed the day you have off, and since you are poor, you don’t have a computer, so need to use the library to do it. Your manager decides business is slow, and cuts your hours unexpectedly, and you can’t scramble fast enough to get enough hours to stay qualified that month. You get the flu and stay home from work to avoid infecting colleagues and the public, so your boss fires you, so you lose coverage. You live in a state that decides it wants to make it as hard as possible for you to meet those requirements so sets up new requirements, new forms, new websites, every few months so that you spend more time trying to keep up with the reporting requirements than you spent actually working. There are SO many ways a person working her a$d off, trying very hard to comply, will find herself without coverage. And get sick, so she can’t really work, which makes the problem worse. It’s like an actual death spiral brought about by your seemingly innocuous appeal to “reasonable”.

Anonymous wrote:

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/

True. I wonder how —or if — corporations like Walmart, that depend upon Medicaid to insure most of their employees who have insurance will handle it.

Many others have unpaid jobs that actually save the state/feds money — including providing unpaid eldercare, which will be needed even more if Medicaid cuts impact nursing home coverage.

I work in healthcare policy in a blue state and expect some sort of mandate next year requiring Amazon and Walmart to provide health insurance to employees. It’s shocking how these companies use Medicaid for employees and their dependents.

This bill is awful for healthcare as ER costs will go up dramatically as millions lose health insurance from Medicaid and federal subsidies to purchase off the ACA. A massive cost shifting will take place and those with commercial insurance should expect 15-20% annual premium increases for the foreseeable future.

Unless we make a new law that prevents people who lack health insurance to use the ER.

+1. Many of the people who would actually suffer in this scenario are Trump voters. If these people die off, I’m better off, and so are all the rest of you who are complaining/virtue signaling right now.

HHI of 400k. Worried about my patients who won’t be able to get the care they deserve. Worried that this will mean more hospital closures. I don’t need the tax cuts.

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/

True. I wonder how —or if — corporations like Walmart, that depend upon Medicaid to insure most of their employees who have insurance will handle it.

Many others have unpaid jobs that actually save the state/feds money — including providing unpaid eldercare, which will be needed even more if Medicaid cuts impact nursing home coverage.

I work in healthcare policy in a blue state and expect some sort of mandate next year requiring Amazon and Walmart to provide health insurance to employees. It’s shocking how these companies use Medicaid for employees and their dependents.

This bill is awful for healthcare as ER costs will go up dramatically as millions lose health insurance from Medicaid and federal subsidies to purchase off the ACA. A massive cost shifting will take place and those with commercial insurance should expect 15-20% annual premium increases for the foreseeable future.

Unless we make a new law that prevents people who lack health insurance to use the ER.

Anonymous wrote:

Anonymous wrote:

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.

This is a sad story, but the child will not lose Medicaid. The hysterics don’t help your argument. Also the mom should have a job assuming the six year old is in some sort of school and assistance is being provided by the state. Not really sure what the issue is here.

Difficult to have a job and keep a job when you require a high level of flexibility due to a high special needs kid/high medical needs kid. If they are ill, they cannot attend school, so someone has to be at home with them---try doing that 4-5 days per month and keeping your job.

Maybe it’s your whining and negative attitude that prevents you from keeping a job.

I have a job and am UHNW, but I have empathy and ability to understand that not everyone is that lucky. Some are dealt a family with major medical issues and it's challenging to manage that.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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.

This is a sad story, but the child will not lose Medicaid. The hysterics don’t help your argument. Also the mom should have a job assuming the six year old is in some sort of school and assistance is being provided by the state. Not really sure what the issue is here.

Difficult to have a job and keep a job when you require a high level of flexibility due to a high special needs kid/high medical needs kid. If they are ill, they cannot attend school, so someone has to be at home with them---try doing that 4-5 days per month and keeping your job.

Maybe it’s your whining and negative attitude that prevents you from keeping a job.

Wow. You are certainly clueless and heartless.

A co-worker has a daughter with severe special needs. She has 8 specialists. It's a constant battle to keep her safe and alive.

If it’s a constant battle, is keeping her alive doing more harm than good?

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/

True. I wonder how —or if — corporations like Walmart, that depend upon Medicaid to insure most of their employees who have insurance will handle it.

Many others have unpaid jobs that actually save the state/feds money — including providing unpaid eldercare, which will be needed even more if Medicaid cuts impact nursing home coverage.

I work in healthcare policy in a blue state and expect some sort of mandate next year requiring Amazon and Walmart to provide health insurance to employees. It’s shocking how these companies use Medicaid for employees and their dependents.

This bill is awful for healthcare as ER costs will go up dramatically as millions lose health insurance from Medicaid and federal subsidies to purchase off the ACA. A massive cost shifting will take place and those with commercial insurance should expect 15-20% annual premium increases for the foreseeable future.

The no tax on tips or overtime are both capped and end after 2028. The extra deduction for seniors above the one in 2017 ends around then. The infant accounts require you to pay in after the 1k freebie. So MC and LMC bennies are temporary while billionaire cuts are permanent.

Anonymous wrote:

Anonymous wrote:

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.

This is a sad story, but the child will not lose Medicaid. The hysterics don’t help your argument. Also the mom should have a job assuming the six year old is in some sort of school and assistance is being provided by the state. Not really sure what the issue is here.

Difficult to have a job and keep a job when you require a high level of flexibility due to a high special needs kid/high medical needs kid. If they are ill, they cannot attend school, so someone has to be at home with them---try doing that 4-5 days per month and keeping your job.

Maybe it’s your whining and negative attitude that prevents you from keeping a job.

Wow. You are certainly clueless and heartless.

A co-worker has a daughter with severe special needs. She has 8 specialists. It's a constant battle to keep her safe and alive.

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.

Feel free to send a check to Uncle Sam to assuage your guilt. It's an unconditional gift.

There are two ways for you to make a contribution to reduce the debt:


At Pay.gov, you can contribute online by credit card, debit card, PayPal, checking account, or savings account.
You can write a check payable to the Bureau of the Fiscal Service, and, in the memo section, notate that it's a gift to reduce the debt held by the public. Mail your check to:
Attn Dept G
Bureau of the Fiscal Service
P. O. Box 2188
Parkersburg, WV 26106-2188

dp.. if everyone did that, it would work. But, if only a handful do that, it doesn't work. That's why we have required taxes and not just "pay if you want" policies.

Anonymous wrote:

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.

This is a sad story, but the child will not lose Medicaid. The hysterics don’t help your argument. Also the mom should have a job assuming the six year old is in some sort of school and assistance is being provided by the state. Not really sure what the issue is here.

Difficult to have a job and keep a job when you require a high level of flexibility due to a high special needs kid/high medical needs kid. If they are ill, they cannot attend school, so someone has to be at home with them---try doing that 4-5 days per month and keeping your job.

Maybe it’s your whining and negative attitude that prevents you from keeping a job.

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.

Feel free to send a check to Uncle Sam to assuage your guilt. It's an unconditional gift.

There are two ways for you to make a contribution to reduce the debt:


At Pay.gov, you can contribute online by credit card, debit card, PayPal, checking account, or savings account.
You can write a check payable to the Bureau of the Fiscal Service, and, in the memo section, notate that it's a gift to reduce the debt held by the public. Mail your check to:
Attn Dept G
Bureau of the Fiscal Service
P. O. Box 2188
Parkersburg, WV 26106-2188

Anonymous wrote:

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.

This is a sad story, but the child will not lose Medicaid. The hysterics don’t help your argument. Also the mom should have a job assuming the six year old is in some sort of school and assistance is being provided by the state. Not really sure what the issue is here.

Good god the ignorance.

Seriously. So ignorant. PP—don’t comment on my story if you don’t know the facts. The mom is the primary caregiver. And the dad’s employment couldn’t cover the medical costs in this universe or any other. Hope you never face this type of situation but if you did, you’d realize you were a self righteous, ignorant person.