Is Medicaid Doomed? How Ryan's Plan W...

Is Medicaid Doomed? How Ryan's Plan Would Affect America's Very Poorest

There are 30 comments on the www.theatlantic.com story from Aug 15, 2012, titled Is Medicaid Doomed? How Ryan's Plan Would Affect America's Very Poorest. In it, www.theatlantic.com reports that:

He doesn't just want to trim America's insurance program for the poor. He wants to bulldoze the whole thing and replace it with something more modest.

Democrats are giddy to attack Paul Ryan's Medicare reforms, but it's his plan for Medicaid that will have the fastest and most massive impact on the U.S. health care. How massive? Think 44 million additional Americans without health insurance, in a worst case scenario.

If that number leaves you a bit dizzy, or skeptical, it's a testament to how radically Ryan would like to reshape the federal program that's responsible for insuring low-income Americans, and which also happens to be at the heart of Obamacare's attempt to expand health coverage. In the most recent budget proposal, Ryan pledged to cut Medicaid spending by $810 billion dollars over ten years.

Join the discussion below, or Read more at www.theatlantic.com.

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Since: May 11

Location hidden

#1 Aug 15, 2012
Let some rich kid touch the money that working Americans have invested into a government system all their working lives, and I can tell you there will be riots in the streets.

Ryan has no idea the Pandora's box he's going to open. He's a young, rich punk who wants for nothing. Now he's talking about taking something away from those beneath him. Who gave him the right to take away what is MINE? I paid into it. All my working life I've been assured it would be there, waiting for me.

This spoiled rotten arrogant little brat needs to back off. He's walking in dangerous territory.
Sheik Yerbouti

Richmond, IN

#2 Aug 15, 2012
Ryan has fed at the government trough most of his sorry life. He clearly has nothing but contempt for those less fortunate! Do we really need these social Darwinists and their right wing social engineering?
Gravediggers

United States

#3 Aug 15, 2012
Needless to say: it's 'Mr Bill' and his slanted, biased articles.

Obama cut $700+ BILLION from Medicare and sent that amount over to OBAMACARE.

Obama's panel of 15 will determine what healthcare you will have. It would take over 2/3 of Congress to override the recommendations of the panel!

So, if costs are rising, testing, procedures will be limited.

DemoNcRats!

Ryan: 55+ get to keep Medicare

54 and under select Medicare or a voucher.

The voucher would give people the OPPORTUNITY to SELECT their healthcare.

Dick Morris has a good video on ObamaCare vs Medicare: succinct, to the point.

http://www.dickmorris.com/

Don't believe the goobly gook mouthed by Obamabots. slanted and biased

“It's a Brand New Day”

Since: Feb 06

New Rochelle

#4 Aug 15, 2012
Gravediggers wrote:
Needless to say: it's 'Mr Bill' and his slanted, biased articles.
Obama cut $700+ BILLION from Medicare and sent that amount over to OBAMACARE.
Obama's panel of 15 will determine what healthcare you will have. It would take over 2/3 of Congress to override the recommendations of the panel!
So, if costs are rising, testing, procedures will be limited.
DemoNcRats!
Ryan: 55+ get to keep Medicare
54 and under select Medicare or a voucher.
The voucher would give people the OPPORTUNITY to SELECT their healthcare.
Dick Morris has a good video on ObamaCare vs Medicare: succinct, to the point.
http://www.dickmorris.com/
Don't believe the goobly gook mouthed by Obamabots. slanted and biased
Dick Morris is a two-faced fool.

Ryan's plan will eliminate, not keep Medicare.
It now works as a pass-along.

I pay, and my parents collect.
When I ertire my kids pay, and I collect. hen my kids retire, my grandchildren pay, and my kids collect.

Why would my kids be forced to pay for me, and have nothing left for themselves?
Ryan is lying to fools, and you believe him.

And, President Obama did not "cut" 700 Billion; he transferred it, and the responsibility for it to the new health insurance plan. Get your lies straight.

And finally, Ryan's "voucher" is just putting you off on an ice floe to die.
Bob Burns

Kunming, China

#5 Aug 15, 2012
What part of borrowing/spending your way to oblivion don't you idiots get?
xnutmegger

Phoenix, AZ

#6 Aug 15, 2012
Obama cuts $716B from docs, nurses , lab techs ,nurses aids and general staffing by 30%via MediCare rates for service.
That's supposed to make healthcare better ?

He has also added a 2% tax for medical devices such as stethoscopes , EKG machines and blood analysers . This even applies for docs who work in MediCaid and the state pools Obama wants.

If that's the case let us cut all pols and Fed bueaucrats pay by 30%.
Makes sense

Dearborn, MI

#7 Aug 15, 2012
The problem with Dummycrats is that they don't think people should suffer. They want to steal from the rich to help the poor. That's not American.

“your life is great”

Since: Aug 09

you poop in clean water

#8 Aug 15, 2012
it's ironic that Ryans plan cuts pretty much the same amount from Medicare that "Obamacare" does, but everyone chooses to ignore that.
.
doesn't really matter though, the GOP plan is to lose this election cycle.
xnutmegger

Phoenix, AZ

#9 Aug 15, 2012
anneutral wrote:
it's ironic that Ryans plan cuts pretty much the same amount from Medicare that "Obamacare" does, but everyone chooses to ignore that.
.
doesn't really matter though, the GOP plan is to lose this election cycle.
Obama cuts the quality of service by cutting docs , nurses , lab techs pay while not reducing the monthly premium of the plan users.

The plan users monthly premiums will still go up yearly but the medical provider workers take a hit in their middle-class paychecks.

Ryan doesn't cut the lab techs paycheck.

Since: May 11

Location hidden

#10 Aug 15, 2012
Bob Burns wrote:
What part of borrowing/spending your way to oblivion don't you idiots get?
Here's an idea....Let's stop spending money in the Middle East. Maybe we could start spending American tax dollars on AMERICANS, rather than everyone else.

Since: May 11

Location hidden

#11 Aug 15, 2012
xnutmegger wrote:
<quoted text>
Obama cuts the quality of service by cutting docs , nurses , lab techs pay while not reducing the monthly premium of the plan users.
The plan users monthly premiums will still go up yearly but the medical provider workers take a hit in their middle-class paychecks.
Ryan doesn't cut the lab techs paycheck.
I work in a group of physicians in a hospital setting; I would like to give everyone a clear picture. NO ONE's pay has been cut. Not mine, not the nurses, not even the lab techs. Not even the housekeeping staff. Our residents come in earning more each year. Everyone across the board got a raise last year.

Stop spreading crap.

Since: Jul 07

Newport News, VA

#12 Aug 15, 2012
at least ryan is attempting a conversation on how to KEEP medicare, in some form, in place. obama and the dems would prefer to bury heads in the sand, win votes, and let the whole thing go bankrupt. by the way, even if you tax the wealthy at 100%, it will not pay for the upcoming shortfall. also, it is quite clear that obama care is going to cost MORE not less, so that is of no help...
xnutmegger

Phoenix, AZ

#13 Aug 15, 2012
PayThat CEO wrote:
<quoted text>
I work in a group of physicians in a hospital setting; I would like to give everyone a clear picture. NO ONE's pay has been cut. Not mine, not the nurses, not even the lab techs. Not even the housekeeping staff. Our residents come in earning more each year. Everyone across the board got a raise last year.
Stop spreading crap.
Hey CEO , the cuts haven't gone into affect yet. So you are probably correct.

But my relatives in the health industry say future staff additions and hiring policies are being closely watched pending the 30% cuts.

My GP had a staff of 3 , he now has 2 plus his wife part-time when kids in school.

Do you deny MediCare proceedure price list to be cut 30%?
Far Away

Anchorage, AK

#14 Aug 15, 2012
What I find dizzying is any article from 'theatlantic'.

“It's a Brand New Day”

Since: Feb 06

New Rochelle

#15 Aug 15, 2012
Far Away wrote:
What I find dizzying is any article from 'theatlantic'.
Could be. Would you feel happier if it were instead titled "The Gulf of Alaska?"

Since: Mar 09

The Left Coast

#16 Aug 15, 2012
PayThat CEO wrote:
<quoted text>
I work in a group of physicians in a hospital setting; I would like to give everyone a clear picture. NO ONE's pay has been cut. Not mine, not the nurses, not even the lab techs. Not even the housekeeping staff. Our residents come in earning more each year. Everyone across the board got a raise last year.
Stop spreading crap.
We pay more for health insurance every year and you get a raise every year. Interesting.

“Shoot for the stars”

Since: Dec 10

Planet Earth

#17 Aug 16, 2012
RustyS wrote:
<quoted text>
We pay more for health insurance every year and you get a raise every year. Interesting.
Exactly!

Since: May 11

Location hidden

#18 Aug 16, 2012
xnutmegger wrote:
<quoted text>
Hey CEO , the cuts haven't gone into affect yet. So you are probably correct.
But my relatives in the health industry say future staff additions and hiring policies are being closely watched pending the 30% cuts.
My GP had a staff of 3 , he now has 2 plus his wife part-time when kids in school.
Do you deny MediCare proceedure price list to be cut 30%?
Healthcare reimbursement is a complex system...on purpose. It allows revenue to be altered in many different ways.

Here's the thing. A private practice physician doesn't have to accept Medicare or Medicaid. It's not mandatory that they do so. In fact, a good many of them don't for the simple fact that it is not, and never has been, worth their while. Both policies pay pennies on the dollar.

The expense of healthcare is a vicious cycle. The price is high because you have too many people on discounted insurance plans or with no way to pay their medical bills at all. But the high price guarantees that we will always have too many people on discounted plans or unable to pay. We're damned if we do and damned if we don't.

The first thing we need to do is plug the hole created by non-pay patients. These are people without insurance and have no intention of paying their medical bills. They are driving the cost of healthcare out of sight.

Using the same method, we need to make Medicaid patients more responsible. Because their healthcare is free, they don't think twice about abusing the privilege. They should be required to pay something - even $10.00 - per visit.

Medicare, however, is not free. Though it is a discounted plan, patients have paid into this account all their working lives. They continue to pay for it even after they retire. Their healthcare is not free, nor is it especially cheap to a senior on a limited income. And the idea of handing someone a voucher set for a certain amount of money and saying "here, this is all you get" is unreasonable. We're talking older people here. Can we all say cancer, diabetes, arthritis, heart attacks, strokes?

These things, in and of themselves, should show us that our healthcare system is a screwed up mess and it's only going to get worse if we don't, at least, try to change something overall. Dumping the blame on Medicare...or any of the other systems we have...is just wrong. It's not going to work. We need an OVERALL healthcare plan that covers everyone equally (politicians and voters alike) and helps keep costs under control. Right now, if you're insured, what you pay for your premiums, as well as your actual healthcare, is controlled by a company. That company can charge or pay out whatever it wants.

We could have an incredible healthcare system in this country, but instead we choose to spend our tax dollars on wars. We take our tax dollars and spend them in other countries rather than on Americans. We could have the best of everything if we only used OUR money to make OUR lives better.

Since: May 11

Location hidden

#19 Aug 16, 2012
RustyS wrote:
<quoted text>
We pay more for health insurance every year and you get a raise every year. Interesting.
Don't blame healthcare professionals if you're paying more. Take that up with the people who don't pay their own way and YOU have to make up the difference.

Let's say you went shopping at, for lack of a better place, Wal-Mart. You bought some socks. Those socks cost $5.00. Twenty people came in behind you and shoplifted twenty pairs of those socks. In time, how much do you think Wal-Mart would have to charge YOU to cover their losses?

Healthcare is no different. There are millions of people in this country who shoplift it every day. They have no insurance and refuse to get any. And yes, I realize it's expensive, especially when you're a single payer. My own son is not insured. His employer doesn't offer insurance, and my son can't afford what the insurance companies want to insure him (with a pre-existing condition).

So what happens when my son, or anyone else goes to a hospital for treatment and doesn't pay? We'll say the bill comes to $2,000 (a cheap treatment). That 2k is spread around and a little bit is added to each paying patient's bill. It has to be recovered or the provider would go out of business. It's a revenue dance that is played out in every facility and provider's office around the country.

So in order to recoup those losses, facilities and doctors have to essentially overcharge your insurance company, if you are insured, then your insurance company, in turn, raises premiums and costs on YOU. Sh*t flows downhill.

This is one of the reasons insurance companies hate Obama's healthcare plan. They would no longer have reason to jack up prices whenever the urge struck them.

The entire system is flawed and needs to be overhauled. Everyone needs to be paying for medical coverage, and it needs to be priced accordingly to each person. We're, the insured, are currently picking up the costs for Medicaid patients, Medicare patients, non-pay patients, as well as ourselves. That's a mighty big burden. If we just got the non-pay patients to pitch in that would be a tremendous help.

Since: May 11

Location hidden

#20 Aug 16, 2012
GoodNewz wrote:
at least ryan is attempting a conversation on how to KEEP medicare, in some form, in place. obama and the dems would prefer to bury heads in the sand, win votes, and let the whole thing go bankrupt. by the way, even if you tax the wealthy at 100%, it will not pay for the upcoming shortfall. also, it is quite clear that obama care is going to cost MORE not less, so that is of no help...
Why do we say things like "how to keep Medicare" when we have tossed trillions of dollars in the direction of the Middle East over the last 10 years?

I'm curious about this. What is more important? American tax payers' money being used for the betterment of American tax payers OR American tax payers' money being used to support another region of the world?

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