Who do you support for U.S. Senate in...
Ben

Lenoir, NC

#43903 Oct 30, 2013
TSF wrote:
The high cost of medical care is because of health care providers, doctors and hospitals having free reign on billing. The only way to get control of this run away train is having a single payer system. Then we could replace the $100 dollar aspirin ,$10,000 cat scans , and $5000 consultation and reading fees with more reasonable fees based on actual cost and profits. I too admire talented and dedicated doctors, but they are not royalty and I see no reason to treat them as such. While we and our political parties fight, our wallets are being stolen by doctors, hospitals, insurance companies and drug companies..
<quoted text>
"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."
Ben

Lenoir, NC

#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."
Ben

Lenoir, NC

#43905 Oct 30, 2013
Optional Benefits: Prescription Drugs
Clinic services
Physical therapy
Occupational therapy
Speech, hearing and language disorder services
Respiratory care services
Other diagnostic, screening, preventive and rehabilitative services
Podiatry services
Optometry services
Dental Services
Dentures
Prosthetics
Eyeglasses
Chiropractic services
Other practitioner services
Private duty nursing services
Personal Care
Hospice
Case management
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*
Ben

Lenoir, NC

#43906 Oct 30, 2013
Over the next 10 years, expenditures are projected to
increase
at an average
annual rate of 6.4
percent and to reach $
795.0
billion by 20
21
.

Average enrollment is projected to increase at an average annual rate of
3.4
percent over the next 10 years and to reach 77.9 million in 2021.

Both averages reflect t
he
anticipated
significant increase in Medicaid
enrollment that will
begin
in 2014 as a result of the expansion of Medicaid
eligibility under the Affordable Care Act. The
estimates
of the eligibility
expansion
in this report
are
lower
than
those
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"
.
Ben

Lenoir, NC

#43907 Oct 30, 2013
Now, my question is how and who gets to pay for it all?
Ben

Lenoir, NC

#43908 Oct 30, 2013
One notable exception to this requirement is for newly eligible
adults added by the Affordable Care
Act.
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
(2012).
4
In general,
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
o,
Title
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.
Additionally, the
Affordable Care Act
specifies different FMAP for certain sections of
the Act. Most significantly,
expenditures for
newly eligible beneficiaries are covered at a greater
FMAP than are
those for
cu
rrently eligible beneficiaries starting in 2014; States that already covered
adults up to 100 percent of the FPL are eligible for
some
FMAP
increases
; and the temporary
increase in primary care physician payments in
calendar years
2013 and 2014
is
paid for
entirely by
the Federal government.

“Seek Light”

Since: May 12

Location hidden

#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....

“Seek Light”

Since: May 12

Location hidden

#43910 Oct 30, 2013
State of Florida wrote:
<quoted text>
I am glad the word of an Iraqi general is something you consider to be high credibility. I don't buy it.
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.
TSF

Greenville, NC

#43911 Oct 30, 2013
Sound as if you have first hand knowledge. I believe you. Thanks.
Makin bacon wrote:
<quoted text>
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???
colony

Murfreesboro, TN

#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..
TSF

Greenville, NC

#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?
Taxpayer wrote:
<quoted text>
You want them to vote more communist minded people in like you? Ones that would keep us state property.
TSF

Greenville, NC

#43914 Oct 30, 2013
If I accept the eventual $795 billion dollar annual cost figures,(and I have no present information to dispute this claim)., then that's a lot of money. We just do not have that kind of money--- unless--- we do something completely outrageous -- like end welfare to the rich. Then we would still have $405 billion dollars left over to pay down the national debt.
Ben wrote:
Now, my question is how and who gets to pay for it all?
colony

Murfreesboro, TN

#43917 Oct 30, 2013
Could be the problem is as simple as this.One half of the country doesn't want to live like the other half. Period. Which tends to make rational discussion moot. No one's listening to anyone else.Look at Topix. Churchill said that"jaw jaw"was better than"war war". But maybe that doesn't apply when no one is listening.
State of Florida

Huntersville, NC

#43918 Oct 30, 2013
TSF wrote:
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?
<quoted text>
You really don't expect Taxpayer to answer a valid question, do you? Good luck!
Ben

Lenoir, NC

#43919 Oct 31, 2013
"Congress or any state legislature may prescribe the death penalty, also known as capital punishment, for murder and other capital crimes. The Supreme Court has ruled that the death penalty is not a per se violation of the Eighth Amendment's ban on cruel and unusual punishment, but the Eighth Amendment does shape certain procedural aspects regarding when a jury may use the death penalty and how it must be carried out. Because of the Fourteenth Amendment's Due Process Clause, the Eighth Amendment applies against the states, as well as the federal government.

Eighth Amendment analysis requires that courts consider the evolving standards of decency to determine if a particular punishment constitutes a cruel or unusual punishment. When considering evolving standards of decency, courts both look for objective factors to show a change in community standards and also make independent evaluations about whether the statute in question is reasonable. The U.S. Supreme Court has determined that a penalty must be proportional to the crime; otherwise, the punishment violates the Eighth Amendment's prohibition against cruel and unusual punishments. In performing its proportionality analysis, the Supreme Court looks to the following three factors: a consideration of the offense's gravity and the stringency of the penalty; a consideration of how the jurisdiction punishes its other criminals; and a consideration of how other jurisdictions punish the same crime.

In the landmark case of Coker v. Georgia, 433 U.S. 584 (1977), the Supreme Court ruled that a state cannot apply the death penalty or the crime of raping an adult woman because it violates the proportionality requirement. The Court came to this conclusion by considering objective indicia of the nation's attitude toward the death penalty in rape cases. At the time only a few states allowed for executions of convicted rapists."
TSF

Greenville, NC

#43921 Oct 31, 2013
All true. But the historical principle is that the sovereign owns all property within the sovereignty , including us. That is the basis on which the sovereign can take your life for certain transgressions. Taxpayer is allowed to SAY that 6356he owns his house, but unless he pays rent in the form of taxes , the sovereign will place another fine fellow in that house who will pay the rent (taxes).
Ben wrote:
"Congress or any state legislature may prescribe the death penalty, also known as capital punishment, for murder and other capital crimes. The Supreme Court has ruled that the death penalty is not a per se violation of the Eighth Amendment's ban on cruel and unusual punishment, but the Eighth Amendment does shape certain procedural aspects regarding when a jury may use the death penalty and how it must be carried out. Because of the Fourteenth Amendment's Due Process Clause, the Eighth Amendment applies against the states, as well as the federal government.
Eighth Amendment analysis requires that courts consider the evolving standards of decency to determine if a particular punishment constitutes a cruel or unusual punishment. When considering evolving standards of decency, courts both look for objective factors to show a change in community standards and also make independent evaluations about whether the statute in question is reasonable. The U.S. Supreme Court has determined that a penalty must be proportional to the crime; otherwise, the punishment violates the Eighth Amendment's prohibition against cruel and unusual punishments. In performing its proportionality analysis, the Supreme Court looks to the following three factors: a consideration of the offense's gravity and the stringency of the penalty; a consideration of how the jurisdiction punishes its other criminals; and a consideration of how other jurisdictions punish the same crime.
In the landmark case of Coker v. Georgia, 433 U.S. 584 (1977), the Supreme Court ruled that a state cannot apply the death penalty or the crime of raping an adult woman because it violates the proportionality requirement. The Court came to this conclusion by considering objective indicia of the nation's attitude toward the death penalty in rape cases. At the time only a few states allowed for executions of convicted rapists."
colony

Jonesville, SC

#43922 Oct 31, 2013
I recently met a Muslim from North Africa.Hard worker, nicest person you ever want to meet.Yes, it's always confusing when expectations are skewed.The world is a hard, strange place.
Allen

Penrose, NC

#43923 Oct 31, 2013
Makin bacon wrote:
<quoted text>
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???
One would think that because of these conditions in Cuba, that Ted Cruz being half Cuban would want to present his own version of a quality, affordable health care plan here in the US. Instead he "fights" to destroy a plan that is already law. I don't here him offering any plan. He and his Cuban father continue to call Obama a dictator because of Obamas use of his executive orders. George Bush in a five year span used 197 executive orders compared to Obama in the same span using only 163. Ted Cruz himself is a dictator who is in control of the evangelical mob we call the tea party.
Futhermore, what happened to Mitt Romney's great health care plan in Massachusetts. You know the one that was supposed to be the model state with the model plan for the rest of the nation?

Since: Dec 11

Location hidden

#43924 Oct 31, 2013
Allen wrote:
<quoted text>
One would think that because of these conditions in Cuba, that Ted Cruz being half Cuban would want to present his own version of a quality, affordable health care plan here in the US. Instead he "fights" to destroy a plan that is already law. I don't here him offering any plan. He and his Cuban father continue to call Obama a dictator because of Obamas use of his executive orders. George Bush in a five year span used 197 executive orders compared to Obama in the same span using only 163. Ted Cruz himself is a dictator who is in control of the evangelical mob we call the tea party.
Futhermore, what happened to Mitt Romney's great health care plan in Massachusetts. You know the one that was supposed to be the model state with the model plan for the rest of the nation?
Allen, my post to TSF had nothing to do with Ted Cruz, George Bush, or the Tea Party. I was pointing out that his post from personal, firsthand knowledge was not correct. Why are you asking me about Ted Cruz, Mitt Romney or George Bush's thoughts and actions?

The only thing I can speak of with limited knowledge is the healthcare debacle in the U.S. Now, if that's not enough answers for you, Ted Cruz probably has a number you can call and leave a message with a staff member and as far as George Bush and Mitt Romney, call 411, I can't help you.
Taxpayer

Point Harbor, NC

#43925 Oct 31, 2013
State of Florida wrote:
<quoted text>
You really don't expect Taxpayer to answer a valid question, do you? Good luck!
tsf wrote: 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?
<quoted text>
State wrote:
You really don't expect Taxpayer to answer a valid question, do you? Good luck!

Damn, do you two not read previous posts? I explained that.
Both of you are communist minded ant-American fools. You are a threat to all people who want to live free of a fascist socialist government.

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