NC kicks more than 15,000 blind, disabled or elderly off Medicaid

[DCal430]

Wait can you explain this better to me- honestly I know nothing about Medicare? So subsidies only start at certain income levels and everyone below (i.e. poverty) are supposed to get 'free' Medicare? So why can't they get it directly from the fed government? Is it through the state who then gets funding/payment from the fed?

So the state won't let these people on poverty get Medicare coverage through them even though the Fed would pay for it?

Yes these states refuse to expand Medicaid to these people, even though the Federal Government will cover the cost. The reason they don't think the poor and less fortunate should have medical care, and they believe it would be best if the these people just died.

 

[cabri]

They are well below the federal standard. The new federal standard is everyone who is at 130% of poverty, they have refused to do this, even though it comes at no cost.

Yes these people who are unable to work are losing their health insurance. The most vulnerable are being kicked down by the republicans.

Yes these states refuse to expand Medicaid to these people, even though the Federal Government will cover the cost. The reason they don't think the poor and less fortunate should have medical care, and they believe it would be best if the these people just died.

The Federal government has a track record of making promises for funding on programs (voluntary and mandatory) and never delivering.

So what happens when the state takes on the extra costs and the Feds refuse to fund?
The state is on the hook for the additional costs which increase costs for the taxpayer at the state level.

 

[DCal430]

The Federal government has a track record of making promises for funding on programs (voluntary and mandatory) and never delivering.

So what happens when the state takes on the extra costs and the Feds refuse to fund?
The state is on the hook for the additional costs which increase costs for the taxpayer at the state level.

You don't know what you are talking about, the money is coming from new funding sources, and is mandated to go to the new medicaid program. There is ZERO risk of the federal government no paying. There is no history of the feds making promises of funding programs and not delivery. That is just FUD.

FYI, the federal government has already began funding and paying for the expansion, in states that weren't so backwards and refused the expansion. Their was no risk at all.

 

[Gonad the Barbarian]

The Federal government has a track record of making promises for funding on programs (voluntary and mandatory) and never delivering.

So what happens when the state takes on the extra costs and the Feds refuse to fund?
The state is on the hook for the additional costs which increase costs for the taxpayer at the state level.

Well apparently if states take on added Medicare recipients and the federal government doesn't live up to its end if the bargain there's nothing stopping them from kicking those people back off again. There is zero reason for states not to expand Medicare to cover these people except for spite, either towards Obama or these people themselves who have the audacity to be poor and sick in their state.

 

[DCal430]

The simple FACT is the states that didn't expand did so because they hate Obama, and they want those less fortunate to suffer. Republicans really are a sick group of people.

 

[bradley]

Let's face it, American healthcare is more fucked than ever. All they needed to do is increase health insurance competition across state lines. The only current thing that has changed is there are more middlemen.

The Federal Govt. are gutting one agency that has proven itself to *sort* of work, to one that is a complete clusterfuck and utter boondoggle... all 11k pages of it.

 

[DucatiMonster696]

Well apparently if states take on added Medicare recipients and the federal government doesn't live up to its end if the bargain there's nothing stopping them from kicking those people back off again. There is zero reason for states not to expand Medicare to cover these people except for spite, either towards Obama or these people themselves who have the audacity to be poor and sick in their state.

Then you'd be complaining about how they were kicked off and blaming those evil GOP members in NC and the circle of jerking is complete. Meanwhile the state of NC is left with a gaping budgetary shortfall in its own budget and state officials are left scrambling to cover the state's own expenses based on payment they never received from the Federal government. However lets just attribute it to them being meanies instead that makes it easier to digest for dem talking points.

 

[Fern]

They are well below the federal standard. The new federal standard is everyone who is at 130% of poverty, they have refused to do this, even though it comes at no cost.

Yes these people who are unable to work are losing their health insurance. The most vulnerable are being kicked down by the republicans.

Re: Bolded portion - the article says otherwise:

Sen. Ralph Hise, R-Madison, said North Carolina's Medicaid program has traditionally exceeded federal requirements, leading to the state spending $2 billion more than necessary since 2011. The budget only scales back the program to the minimum federal standards, he said, ...

BTW: What does "new federal standard" mean? (Your words in the post quoted above.)

Fern

 

[Slew Foot]

The blind, disabled, and elderly can qualify for MediCARE not medicaid

 

[Gonad the Barbarian]

Re: Bolded portion - the article says otherwise:



BTW: What does "new federal standard" mean? (Your words in the post quoted above.)

Fern

Sen. Hise says otherwise, and he's talking about the minimum federal standards outside of the ACA expansion.
Not adopting the new standards from the ACA expansion leaves a coverage gap.

The blind, disabled, and elderly can qualify for MediCARE not medicaid

http://answers.hhs.gov/questions/3094

 

[michal1980]

The blind, disabled, and elderly can qualify for MediCARE not medicaid

But then you cant show the evil republicans killing the old, blind, and disabled. Which is what the flamebait partisan headline and story is.

 

[DCal430]

But then you cant show the evil republicans killing the old, blind, and disabled. Which is what the flamebait partisan headline and story is.

The blind who have never worked, don't qualify for anything. Medicare requires 2 years waiting period for after you stop working. The people on medicaid don't qualify for medicare.

Get your facts before you post more stupid shit.

 

[WackyDan]

Yes these states refuse to expand Medicaid to these people, even though the Federal Government will cover the cost. The reason they don't think the poor and less fortunate should have medical care, and they believe it would be best if the these people just died.

It is well established that the federal gov't would fund the initial uptick in enrollments as part of the ACA... and then gradually give the state more of that financial burden... Seems like a smart move on the part of the state to not cash checks they'll be called to cover later.

 

[Gonad the Barbarian]

Smart. Sure.

The Congressional Budget Office (CBO) estimates that the Medicaid expansion will add very little to what states would have spent on Medicaid without health reform, while providing health coverage to 17 million more low-income adults and children. In addition, the Medicaid expansion will reduce state and local government costs for uncompensated care and other services they provide to the uninsured, which will offset at least some — and in a number of states, possibly all or more than all — of the modest increase in state Medicaid costs. Expanding Medicaid is thus a very favorable financial deal for states.

http://www.cbpp.org/cms/?fa=view&id=3801

 

[JEDIYoda]

The Federal government has a track record of making promises for funding on programs (voluntary and mandatory) and never delivering.

OMG what rock do these people crawl out from under..............

 

[Gonad the Barbarian]

Don't know but it must be fucking crowded under there.

 

[Exterous]

Yes these states refuse to expand Medicaid to these people, even though the Federal Government will cover the cost.

You should more be accurate in your statements. The federal government will cover 100% of newly eligible people for 3 years. After that it will drop to 90% by 2020. They will only cover 57% for those currently eligable under state rules for coverage

My understanding of this situation is as follows:
Since NC had higher standards than the Federal minimum they had a much higher number of people currently eligible for Medicaid. Due to the wording of the ACA|Medicare expansion rules this means that those numbers were not subject to the 100\90% federal funding but instead the 57% federal funding.

I remember reading the lawyers were arguing about this but can't find anything online about if there was a final determination as to who would be paying for enrolles that were covered under state standards above and beyond the federal requirements

 

[nehalem256]

If only there was some medical program specifically for the elderly :\

 

[Subyman]

The article doesn't state specifically why these people do not qualify for the minimum federal standards as opposed to the previous NC standards.

 

[rudder]

You don't know what you are talking about, the money is coming from new funding sources, and is mandated to go to the new medicaid program. There is ZERO risk of the federal government no paying. There is no history of the feds making promises of funding programs and not delivery. That is just FUD.

FYI, the federal government has already began funding and paying for the expansion, in states that weren't so backwards and refused the expansion. Their was no risk at all.

Money from new funding sources means money taken from the economy in the form of taxes.

 

[dank69]

Let's face it, American healthcare is more fucked than ever. All they needed to do is increase health insurance competition across state lines. The only current thing that has changed is there are more middlemen.

The Federal Govt. are gutting one agency that has proven itself to *sort* of work, to one that is a complete clusterfuck and utter boondoggle... all 11k pages of it.

Way to avoid admitting that the GOP are scumbags.

 

[Fern]

You should more be accurate in your statements. The federal government will cover 100% of newly eligible people for 3 years. After that it will drop to 90% by 2020.
-snip-

More to the point, there is nothing this Congress can do to bind future Congresses to the promise to pay. Additional, I think Congress only passes such fiscal bills out to ten yrs. I could be wrong (Eski or someone will know for sure), but if not that means there are no real assurances beyond the 10 yr point.

Problem is, if the fed govt cuts its percentage much the state politicians are going to have a huge fiscal problem dumped in their lap. Medicaid/care are already run-away programs causing big fiscal problems. Expanding them likely insures reform comes sooner than later. If and when reform occurs I'd say all bets are off as far as guaranteed federal support.

Fern

 

[dali71]

Get your facts before you post more stupid shit.

Coming from you, that is absolutely hilarious.

 

[Jhhnn]

Money from new funding sources means money taken from the economy in the form of taxes.

Gawd. It means more money actually circulating in the economy rather than diverted to asset inflation by the investor class. It's not like the govt burns the money collected as taxes.

 

[Jhhnn]

More to the point, there is nothing this Congress can do to bind future Congresses to the promise to pay. Additional, I think Congress only passes such fiscal bills out to ten yrs. I could be wrong (Eski or someone will know for sure), but if not that means there are no real assurances beyond the 10 yr point.

Problem is, if the fed govt cuts its percentage much the state politicians are going to have a huge fiscal problem dumped in their lap. Medicaid/care are already run-away programs causing big fiscal problems. Expanding them likely insures reform comes sooner than later. If and when reform occurs I'd say all bets are off as far as guaranteed federal support.

Fern

Excellent FUD. Like SS, medicare & medicaid aren't programs that will ever be unfunded... well, unless the lackeys of the Uber Rich take over the govt.

NC Repubs merely project their own desires & goals onto the rest of us, use that to perpetuate belief in a self reinforcing way.

"If we ever get our way completely, why, there'll be a huge funding gap!"

No shit, Sherlock.