I know it sounds harsh, but expanding medicaid isn't the only way to skin
this cat.No solution is going to get EVERYBODY signed up.Some people who have resources to get insurance still won't. No matter
what you do. Unless... of course... it's free...
And what I'm saying 2 bits is that there are literally tens of thousands of
Utahns who didn't qualify for Medicaid before and who will qualify for
Medicaid under Medicaid expansion. You appear to believe that all
individuals under 100% of the federal poverty line qualify for Medicaid. That is
not true. There are over 50,000 individuals who cannot get Medicaid, regardless
of how impoverished they are, because the program currently doesn't cover
certain people. Adults without dependent children, for example,
don't qualify for Medicaid in Utah. Period. It doesn't matter how
busted poor they are. They have no access to health coverage other than showing
up at the emergency room. Your response to these 50,000+ people is to shrug your
shoulders and say, "too bad, so sad, but I'm sure none of you will die
because of it." But when you say "nobody's required to
go without insurance . . . its a choice," you are simply wrong. And yes, the
decision made by the state legislature and the Governor to not expand Medicaid
expansion and provide coverage for these folks is actually killing people. For
no good reason. Do these facts matter to you?
Gandalf,What I'm saying is... if you qualified for medicaid before...
you still qualify. So how is not expanding going to kill more people than
before? I'm also saying that just because you don't
qualify for Medicaid... doesn't mean you can't have insurance. You
may have to pay a little... but you CAN get it.If you literally
can't afford ANY of the exchange options... you probably qualify for
Medicaid.If you don't qualify for medicaid... either your
income is too high.. or you have too much money in the bank.... the government
expects you to PURCHASE insurance.If you refuse to purchase
insurance... what can we do?===Bottom line...
Nobody's being thrown off medicaid. If your income really indicates you
can't afford to purchase anything... you qualify for medicaid.
Nobody's being killed. And nobody is being required to go without
insurance. It's a choice. It depends on your priorities. If you
literally have no money for insurance... you qualify for medicaid.Nobody's required to go without insurance... it's a choice.
2 bits, SB 180 did not expand Medicaid coverage in Utah at all. That was not its
purpose. It simply made the program more financially stable and aligned economic
incentives to attempt to provide better care to those who already qualified. And
your comment about nobody dying because Utah has not opted into Medicaid
expansion? A bit too flippant my friend. Everyone who has made a thorough, good
faith effort to look at the effect of expanding Medicaid (or not) has concluded
that expanding Medicaid will save lives. Do you honestly believe that no access
to medical treatment will not have an adverse impact on individuals' health
outcomes? Or that getting treatment at emergency departments only when a
condition becomes so acute that emergency treatment is necessary is the most
cost effective way to treat injury and illness? You are naive if you think that
having emergency healthcare only for people who can't afford health
coverage will not cost us lives. But you are not naive. You're
a conservative. Today's modern conservative. Proud of it too I'm sure.
If you still don't have coverage... did you shop the exchanges and TRY to
get coverage? Or did you just demand medicaid expansion?If you
shopped the exchange for affordable coverage and couldn't find anything...
there's supposed to be help for people in your situation. You would
qualify for a subsidy, or for Medicaid. They didn't cut Medicaid back...
they just didn't expand it...If you can afford insurance... but
decide it's not important enough to PAY for it... you can't really
blame the State for your decision.If you don't qualify for
medicaid... your income is too high (and it was too high before)... you're
going to have to pay a little. But it's better than going without
insurance and paying 100% of your healthcare expenses...If
you're unemployed... you qualify for medicaid already. No expansion
needed.If your working and can afford to pay a little... you're
not going to be able to get on medicaid. But you CAN get a subsidized policy
(IF you shop the exchange, call the help line, and find a policy for your
situation).People who qualified for medicaid before... still
Yeah, right.What about all those Utah families who still do not have
Obamacare also experimented with ACO's. About half saved a little money
and about half actually cost more money. The low hanging fruit has already been
ringed out of healthcare by HMO's. American's expect the best cancer
treatments, surgical care, obesity related illnesses, and end of life care etc
and we seemingly let monopolies like pharmacuticals charge what the market will
bare such as the 1000 doller per pill treatment for Hep C that just came out.
(Anticipated cost for this one treatment around 10 Billion per year) Few other
countries allow such pricing. Republicans screamed death panels when common
sense things such as doctor reimbursment for end of life counseling was
suggested with obamacare and killed it. Doctors are known to use hospice or
less intervention at higher rates than the general public. More people would
likely choose less intervention and maybe even have higher quality of life the
last few months of life if provided such counseling which would save billions.
In the meantime over 50,000 Utahn's who would qualify for
medicaid are still waiting and suffering. I wouldn't call that a quiet
success, I would call that quiet suffering.
Hmmm... day's half over and no comments... I wonder why...===I thought it was "life or death" that we expand
Medicare in Utah... did we all die? I don't think so. Did
anybody die? I don't think so.===Did people who
couldn't afford insurance before get it? Some did. Some
didn't. I know a lot of young people who didn't even call and check
prices. I don't know why. Obviously it wasn't "life or
death" to them...====I sincerely hope that everybody
who needed insurance took the time to call in and get it. I hope there's
an affordable option for everybody. But I realize that paying ANYTHING for
insurance.. is too much for some people.I really hope nobody will
literally die if we don't expand medicare in Utah and take this path
instead.===Maybe this will spur some comments....