everyone in Cuba has health care. how is that working out for them? they all seem to be dirt poor. in New Zealand everyone has health care. but the population of New Zealand is only around four million. do you understand the mathematics of that equation? my guess is if that this country didn't throw away so much money every year, everyone might be able to have health insurance. Even the interest on our debt is enormous. would you agree with that TSF?
#43894 Oct 30, 2013
Apparently, health care in Cuba is working out well enough for Cuba to treat the respiratory illness of firefighters injured in the 9.11.01 incident who could not qualify for treatment here. People in Cuba are dirt poor. Many people in the USA are dirt poor. Doctors in Cuba live comfortable lives comparable to the middle class in the USA. Doctors in the USA live lives like that of royalty
Since: May 12
#43895 Oct 30, 2013
No one defends to care about this very important issue'Confusing, isn't it??
Since: May 12
#43896 Oct 30, 2013
Since: Dec 11
#43897 Oct 30, 2013
TSF, got you on this one and you are WRONG. Doctors in Cuba live as pathetically as the rest of the population. I know for a fact. You can go to Cuba and they actually have very good doctors, but guess what, they have no drugs to treat you with once you're diagnosed. Yes, if you're wealthy and know someone in the government you can get decent health services. Doctors in Cuba are a sad group of people. Can you imagine having their knowledge to help others and then the government not allowing you to have the medicine to treat them? If you've ever seen a person who can barely walk because arthritis is killing them and you give just a simple bottle of aspirin or motrin and they come back crying the next day to thank you because they finally had a little relief, it's heartbreaking. People with small children hold onto a bottle of children's tylenol like it's gold to give to their children when they have a fever and maybe you can slip them an extra bottle of antibiotics for the next time their child is sick and they're trying to hide it, so it won't be taken from them. Now you tell me, it's this your idea of good healthcare. Oh, by the way the doctors I'm talking about drove cars that may have been a good car back in the 50's and this is living a good life? I don't think so.
They were excited to work along side of U.S. doctors to show their talent, and might I add in clinics with no A/C, people standing in long lines, crying babies and the triage was a tent outside to help the "ER" cases. I saw my family members covered literally in blood, sweat and tears trying to help these people. Send me your address and I'll send you pictures. The government wouldn't allow videos to be taken, wonder why???
#43898 Oct 30, 2013
256 Americans have died in Iraq since Jan 2009. 4500 divided by 256= 17.5 times as many . Why did we start this conflict? Answer: Fake WMDs used to bait and switch Saddam for Osama Bin Laden. Great logic for getting 4500 Americans killed and tens of thousands disabled. Cost? When the cost of diagnosing, treating and compensating disabled veterans is considered , the real cost of IRaq is well over 3 trillion dollars. That is more than our treasury takes in in a year. Then for the first time in history, a nation (USA) cut taxes as we went to war.
THE POINT? Context. Fault? CONGRESS , COST? apparently, just like Chaney said "Debt doesn't matter." We can just print more money PROBLEM WITH THAT: Because of the republican shutdown, the Chinese and other nations are working to remobve the dollar as the international monetary exchange because of "political and financial instability in the USA"
#43899 Oct 30, 2013
I am glad the word of an Iraqi general is something you consider to be high credibility. I don't buy it.
#43900 Oct 30, 2013
I care. That's one. It can still be fixed if others will pay attention instead of listing to the BS and voting for turds to run our government
#43901 Oct 30, 2013
No they did not lie. They have been trying but the legal plunder that is being exercised by this communist minded progressive liberal controlled government is killing jobs. Liberals have used the law to terrorize people in to comply with the legislation loss of freedom. They have removed the most basic freedom of choice of one’s own health and wellbeing and put it under the fascist control of the bureaucrats. They want people to believe the protection they offer is good but it is a violation perpetrated by what they call law. You are evil and the government that you support is a violation of all that America stands for.
#43902 Oct 30, 2013
You want them to vote more communist minded people in like you? Ones that would keep us state property.
#43903 Oct 30, 2013
"The Medicaid program is jointly funded by the federal government and states. The federal government pays states for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP).
FMAP varies by state based on criteria such as per capita income. The regular average state FMAP is 57%, but ranges from 50% in wealthier states up to 75% in states with lower per capita incomes (the maximum regular FMAP is 82 %).
FMAPs are adjusted for each state on a three-year cycle to account for fluctuations in the economy. The FMAP is published annually in the Federal Register.
For technical questions and answers about the increased FMAP rates available beginning in 2014 and beyond"
Non-emergency Use of the Emergency Department
States have the option to impose higher copayments when people visit a hospital emergency department for non-emergency services. This copayment is limited to non-emergency services, as emergency services are exempted from all out of pocket charges. For people with incomes above 150% FPL, such copayments may be established up to the state’s cost for the service, but certain conditions must be met.
The hospital emergency department must meet the following requirements before the non-emergency medical services are provided:
The hospital has determined, after an appropriate medical screening, that the individual does not need emergency medical services.
An alternative non-emergency services provider is actually available and accessible in a timely manner to provide the services needed by the individual with the imposition of no or a lesser copayment.
The hospital has provided the individual with (a) notice that a copayment may be required before the service is provided; (b) the name and location of an alternative non-emergency services provider (as described above); and (c) a referral to coordinate scheduling of the individual’s treatment by this provider."
#43904 Oct 30, 2013
"Spousal Impoverishment: Protects the spouse still living in the community from becoming impoverished when the other spouse enters a nursing facility or other medical institution and is expected to remain there for at least 30 days.
Treatment of Trusts: When an individual, their spouse, or anyone acting on the individual’s behalf establishes a trust using at least some of the individual’s funds, that trust can be considered available to the individual for purposes of determining eligibility for Medicaid.
Transfers of Assets for Less Than Fair Market Value: This practice is prohibited for purposes of establishing Medicaid eligibility. Applies when assets are transferred, sold, or gifted for less than they are worth by individuals in long-term care facilities or receiving home and community-based waiver services, by their spouses, or by someone else acting on their behalf.
Estate Recovery: State Medicaid programs must recover from a Medicaid enrollee's estate the cost of certain benefits paid on behalf of the enrollee, including nursing facility services, home and community-based services, and related hospital and prescription drug services. State Medicaid programs may recover for other Medicaid benefits, except for Medicare cost-sharing benefits paid on behalf of Medicare Savings Program beneficiaries.
Third Party Liability: Third Party Liability (TPL) refers to third parties who have a legal obligation to pay for part or all of the cost of medical services provided to a Medicaid beneficiary. Examples are other programs such as Medicare, or other health insurance the individual may have that covers at least some of the cost of the medical service. If a third party has such an obligation, Medicaid will only pay for that portion."
#43905 Oct 30, 2013
Optional Benefits: Prescription Drugs
Speech, hearing and language disorder services
Respiratory care services
Other diagnostic, screening, preventive and rehabilitative services
Other practitioner services
Private duty nursing services
Services for Individuals Age 65 or Older in an Institution for Mental Disease (IMD)
Services in an intermediate care facility for the mentally retarded
State Plan Home and Community Based Services- 1915(i)
Self-Directed Personal Assistance Services- 1915(j)
Community First Choice Option- 1915(k)
TB Related Services
Inpatient psychiatric services for individuals under age 21
Other services approved by the Secretary*
#43906 Oct 30, 2013
Over the next 10 years, expenditures are projected to
at an average
annual rate of 6.4
percent and to reach $
billion by 20
Average enrollment is projected to increase at an average annual rate of
percent over the next 10 years and to reach 77.9 million in 2021.
Both averages reflect t
significant increase in Medicaid
enrollment that will
in 2014 as a result of the expansion of Medicaid
eligibility under the Affordable Care Act. The
of the eligibility
in this report
in prior r
eports due to the
Supreme Court ruling that
provided a state may not lose Federal funding for
its existing program when it does not implement the Medicaid eligibility
expansion under the Affordable Care Act"
#43907 Oct 30, 2013
Now, my question is how and who gets to pay for it all?
#43908 Oct 30, 2013
One notable exception to this requirement is for newly eligible
adults added by the Affordable Care
While the new
adult eligibility category is technically a mandatory population, the Supreme
Court ruled that the Federal government cannot withhold Federal funding for the rest of the
Medicaid program for States tha
t do not expand eligibility to this group. See
National Federation of
Independent Business v. Sebelius
Title XIX specifies
that the FMAP for each State cannot be lower than 50 percent and
cannot be higher than 83 percent; in FY 2011, FMAP ranged from 50 percent to 74
percent, prior to
the impact of temporary increases in FMAP prescribed by legislation, as described below. Als
XIX provides for specific FMAP levels for certain States. The American Recovery and
Reinvestment Act of 2009 (ARRA) and Public Law 111
226 (sometimes called the Education, Jobs,
and Medicaid Assistance Act of 2010) provided temporary increases to
the FMAP for 2009, 2010, and
part of 2011.
Affordable Care Act
specifies different FMAP for certain sections of
the Act. Most significantly,
newly eligible beneficiaries are covered at a greater
FMAP than are
rrently eligible beneficiaries starting in 2014; States that already covered
adults up to 100 percent of the FPL are eligible for
; and the temporary
increase in primary care physician payments in
2013 and 2014
the Federal government.
Since: May 12
#43909 Oct 30, 2013
To have cancer, and no insurance, this is a hard thing.I hope the healthcare system is a success.Doubts aside....
Since: May 12
#43910 Oct 30, 2013
Doesn't suit your views, of course you don't buy it. For the here and now though, healthcare will impact us all.I'm just wondering about things, like the forty hour work week, the enormous deficit, and the availability of doctors.One thing is for sure, if Americans are happy, or unhappy , will be realized in the 2016 elections, when the ACA will have been fully implemented.
#43911 Oct 30, 2013
Sound as if you have first hand knowledge. I believe you. Thanks.
#43912 Oct 30, 2013
Serco given Obamacare contract.....despite being under investigation in Britain.....for swindling the British govt.out of eighty million dollars....it just gets worse and worse..
#43913 Oct 30, 2013
I think you are a communist in sheep's clothing. BTW, what do you think is the legal basis for which the state(sovereignty) can execute us for certain crimes?
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