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  • Thread starter Thread starter UNCMSinLS
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Ramrouser said:
Why shouldn’t an ABLE BODIED CHILDLESS adult work 20 hours a week in order to be covered by Medicaid? It’s good for society and good for the individual - watching reality tv and smoking pot all day is no way to go through life.
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Was that group previously running up large bills at doctors’ offices and hospitals? The young, childless, able-bodied, pot-smoking males that I’ve known weren’t high frequency consumers at medical clinics.
 
1moretimeagain said:
Was that group previously running up large bills at doctors’ offices and hospitals? The young, childless, able-bodied, pot-smoking males that I’ve known weren’t high frequency consumers at medical clinics.
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Guess the incels are now wishing they hadn't voted for trump bru like they were told.
 
Ramrouser said:
Why shouldn’t an ABLE BODIED CHILDLESS adult work 20 hours a week in order to be covered by Medicaid? It’s good for society and good for the individual - watching reality tv and smoking pot all day is no way to go through life.
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This entire post revolves around a blatant lie. The vast majority of these relate to Medicaid expansion under the ACA. You say they should work 20 hours a week and I agree...BUT...the minute they are doing that (especially if they are male), they are going to lose Medicaid eligibility through means testing. They will.make too much money to qualify for Medicaid and not enough to qualify for ACA subsidy.

This is nothing in the world but another disengenous approach to undercut the ACA so Republicans can scream it doesn't work when it actually does.
 
wmheel1287 said:
You still haven't figured out that putting a 20 in someone's pocket while removing a Benjamin is a bad trade, huh?
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Is that actually what's going to happen years from now? Do they know that?

Come on... the Big Pitiful Bill is garbage, but you can't blame Trump that they're closing over what they THINK will happen years from now.
 
ZenMode said:
Is that actually what's going to happen years from now? Do they know that?

Come on... the Big Pitiful Bill is garbage, but you can't blame Trump that they're closing over what they THINK will happen years from now.
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People make financial decisions everyday based on what they expect to happen in coming years.
 
1moretimeagain said:
People make financial decisions everyday based on what they expect to happen in coming years.
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That's their choice. They could have continued running, BAU, as they had been for years....since nothing was changing FOR years. They don't know how their customer base is going to be impacted. They may have been better off with the federal funding.

This isn't Trump's fault.
 
ZenMode said:
Is that actually what's going to happen years from now? Do they know that?

Come on... the Big Pitiful Bill is garbage, but you can't blame Trump that they're closing over what they THINK will happen years from now.
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Yes, that's actually what's going to happen and we do know that.

It's sort of like setting a building on fire with a small fire in the basement but throwing the owners a lavish party on the main floor. They may enjoy the party but we do know that the building will soon burn down. It isnt a guess.
 
ZenMode said:
That's their choice. They could have continued running, BAU, as they had been for years....since nothing was changing FOR years. They don't know how their customer base is going to be impacted. They may have been better off with the federal funding.

This isn't Trump's fault.
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18 months
 
Ramrouser said:
Why shouldn’t an ABLE BODIED CHILDLESS adult work 20 hours a week in order to be covered by Medicaid? It’s good for society and good for the individual - watching reality tv and smoking pot all day is no way to go through life.
Click to expand...
Because "Medicaid" isn't designed for that. It was expanded under Obamacare as part of the universal health plan. Now y'all are undercutting it.

The result is predictable and we know what will happen: health care will be less accessible, more expensive and worse.

Combine that with cutting funding to medical school and there is going to be a serious shortage of medical care in 5-10 years. It will be ENTIRELY the GOP's fault, though mooks like you will probably either get off on some more trans porn as you are so wont to do, or somehow blame Democrats.
 
ChileG said:
18 months
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However long... This reeks of an emotional response, akin to people claiming they're going to move out of the country the day after a specific president wins.

I suspect the decision maker will come to his or her senses and they will decide to stay open. They will present it as an act of heroism in the form of overcoming the budget bill
 
ZenMode said:
That's their choice. They could have continued running, BAU, as they had been for years....since nothing was changing FOR years. They don't know how their customer base is going to be impacted. They may have been better off with the federal funding.

This isn't Trump's fault.
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Are we talking about that rural health care clinic in Nebraska? My wife worked at a similar place in Missouri. Let me tell you about the economics:

1. These clinics are ALWAYS on the verge of closing. They work grant to grant. The place my wife worked? They missed out on a grant they thought they would have, so they couldn't afford my wife's services. There is now no psychiatrist in a four county area.

2. My wife was doing a lot of telehealth, since we do not live in Missouri. That's feasible perhaps for psych (though the feds won't pay for it as much) but not for other fields.

Let's consider how many medical schools there are in rural Nebraska. None. Zero. So in order to get any doctors, they have to recruit them. Well, it ain't exactly easy to recruit doctors to rural Nebraska. They have to pay slightly above market and offer job stability. Well, the job stability is gone.

That clinic probably has two doctors. Let's say one of them is retiring this year. It is literally impossible for them to recruit another doctor now, because who would move to rural Nebraska to stay for a year or two until the Medicaid cuts take effect. And they can't stay open with only one doctor, especially since I'd imagine a lot of the patients are undocumented workers who have been clearing out.

3. So I'd say the economics almost certainly REQUIRE closure now. Keep in mind also that these clinics are dependent on state funds, which are being cut right away. As I said, clinics like this work grant to grant. Even if the federal issues didn't wipe it out, the lack of availability of state grants would.

SO NO THEY COULDN'T KEEP RUNNING and unless you have some answer to these points -- which you don't -- you should STFU because people WILL die from this. I know that because there were four suicides among children the year before my wife started working at the clinic. There were no suicides when she was there (she's had one suicide in 25 years which is a remarkable record for a child psychiatrist by the way). But guess what is going to happen when there is no psychiatrist.

And that's to say nothing of other diseases like diabetes, infectious diseases, heart problems, COPD, and so on and so on.

That's what this bill is all about. People will die as a direct result. A lot of people. That is not some future projection. It is a guaranteed result and it is happening right now.
 
ZenMode said:
I suspect the decision maker will come to his or her senses and they will decide to stay open. They will present it as an act of heroism in the form of overcoming the budget bill
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Nope. That's not how this shit works. The people who run these clinics do not "lose their minds" or "become emotional." They operate on shoestring budgets 24/7/365. They are always one missed grant away from closing.

This is straight economics. Will you at least concede here at least -- here, where we are talking about people dying from lack of health care -- that you have no idea what you are talking about?
 
Ramrouser said:
Only for able bodied childless adults who are unwilling to work 20 hours a week. Currently 14 million. Get off the couch and you’ll be covered.
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Arkansas did this. It did not boost employment. It did cost a shit ton of money in paperwork. Hence Arkansas ended it. Now the GOP is telling all the states to do it. The only result is going to be loss of care, with no gains in employment and a loss of wealth.

I thought you DOGE freaks loved efficiency. You know, getting rid of red tape. Was that real, or was that just a sort of Musk-dick-sucking? Because if you hate efficiency, you should hate these work requirements. They are pure loss. They are taking good money and turning them into hundreds of thousands of pieces of paper or the digital equivalent.
 
ZenMode said:
Is that actually what's going to happen years from now? Do they know that?

Come on... the Big Pitiful Bill is garbage, but you can't blame Trump that they're closing over what they THINK will happen years from now.
Click to expand...
You're the guy with a mind that can go to places like thinking a protester handling out face mask is being secretly funded by some nefarious group but can't believe that a rural hospital knows upcoming Medicaid cuts will devastate them?

Typical nonsense from you.
 
I should add: it's not just the Medicaid cuts. Where are these places going to get doctors?

The majority of rural physicians are there for one of two reasons: they are foreign medical graduates, and working in outlying areas is part of the deal for them to practice in the US, and doctors with student debt seeking to take advantage of public service repayment plans (rural clinics count toward that goal).

The GOP has cut off both sources. The public service repayment provisions have been scaled back almost to the point of uselessness, and we're not getting foreign medical graduates any more.

So even if the Medicaid cuts didn't devastate their finances, these clinics would have no staff to spend it on. As it is, sometimes they have to offer ridiculous money to recruit. My wife got an unsolicited offer from a place in Western North Dakota offering her $500K straight up per year. That's way above market. And still the job was open for a while because she had two different recruiters contact her about it two months apart.
 
Ramrouser said:
Why shouldn’t an ABLE BODIED CHILDLESS adult work 20 hours a week in order to be covered by Medicaid? It’s good for society and good for the individual - watching reality tv and smoking pot all day is no way to go through life.
Click to expand...

wmheel1287 said:
This entire post revolves around a blatant lie. The vast majority of these relate to Medicaid expansion under the ACA. You say they should work 20 hours a week and I agree...BUT...the minute they are doing that (especially if they are male), they are going to lose Medicaid eligibility through means testing. They will.make too much money to qualify for Medicaid and not enough to qualify for ACA subsidy.

This is nothing in the world but another disengenous approach to undercut the ACA so Republicans can scream it doesn't work when it actually does.
Click to expand...
Well, that's typical MAGA for you. Not only are they horrible assholes, they're also plain stupid.
 
ZenMode said:
However long... This reeks of an emotional response, akin to people claiming they're going to move out of the country the day after a specific president wins.

I suspect the decision maker will come to his or her senses and they will decide to stay open. They will present it as an act of heroism in the form of overcoming the budget bill
Click to expand...
My experience with budgeting, funding and forecasting leads me to think that 18 months is a very short amount of time and if a major funding source is closing off and would lead to an inability to make payments (like payroll) starting Jan of 2027, then now is the time to start the wind down.
 
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