Budget Cuts

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by StudentGirl, Apr 5, 2019.

  1. StudentGirl
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    Budget Cuts

    Health care program costs are always increasing. The federal government provides funding for the different government funded health care programs. According to the Congressional Budget Office (2016), The funding comes in three forms, “through mandatory outlays for health care programs, subsidies for health care that are conveyed through reductions in federal taxes and spending for health programs funded through annual discretionary appropriations” (pg. 215). It is important to cut spending and therefore to help to reduce the federal deficit. One way to cut spending is to impose caps on federal spending for Medicaid (Congressional Budget Office, 2016). This could affect a physician’s practice in many ways.

    The Proposed Option

    There is a proposed option to impose caps on federal spending for Medicaid (Congressional Budget Office, 2016). Medicaid is a federal health care program that helps to provide coverage for low income people and children. Currently the federal government and individual states share the costs associated with Medicare. According to the Congressional Budget Office (2016), “On average, the federal government pays about 63 percent of program costs, with a range among the states of 51 percent to the current high of 80 percent, reflecting the variation in state per capita income and in the share of enrollees (if any) in each state that became eligible for Medicaid as a result of the optional expansion of that program under the Affordable Care Act (ACA)” (pg. 222). One of the proposed ways to cap the spending is to cap per-enrollee spending. This would give each person enrolled in Medicaid a specific amount that they could spend on health care. Another option is to cap how much each state would receive for Medicaid programs.





    Affecting a Physicians Practice

    Many physicians who accept Medicaid as a form of insurance already take a hit because Medicaid can pay less than Medicare or a private health insurance policy for certain things. The option to reduce sending by imposing caps on Medicaid funding could cause states to reduce payment rates even more and it could mean less physicians will accept a Medicaid patient (Congressional Budget Office, 2016). Many managed care plans may even make their networks smaller or drop out of the program (Congressional Budget Office, 2016). Another way that states could reduce spending is to reduce the covered services leaving patients to pay out of pocket for services or to not get the service at all (Congressional Budget Office, 2016). Physicians who accept Medicaid will feel the effects of this proposed option. It will make them seriously consider whether to participate or not. This could leave many patients without a physician.

    Conclusion

    While it is true that federal spending needs to be reduced to help to fix the national deficit it is important that we remember that Medicaid patients and programs are for people who have basically nothing. They are accepted into a Medicaid program because they fall below the federal poverty guidelines and have no assets. How can taking from this program be of any benefit? Many Medicaid patients already struggle to get the health care they need and to cut the program even more could make many people lose their coverage or not get the care they need. It is also not helpful to physicians who would lose a great deal of income by accepting Medicaid patients.





    References

    Congressional Budget Office. (2016). Options for Reducing the Deficit: 2017 to 2026.






     
  2. andaronjim
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    andaronjim Gold Member

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    If you dont fucking work, then you dont get paid, or healthcoverage. Target is raising their minimum wages to $13.00 an hour, not because the federal government mandates it, but because they realize to keep their employees they have to pay them more than some other place. This is true capitalism. There is no reason why anyone should not be working, as there are more jobs out there than there are people, it is just "SOME" people are lazy fucking worthless asshole liberals. Stop paying them to sit on their asses and they will find that job....

    if this guy could make it in the United States and become a millionaire anyone can.

    [​IMG]
     
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  3. Lysistrata
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    You mean the late Stephen Hawking, theoretical physicist, director of the Centre for Theoretical Cosmology at the University of Cambridge, England?
     
  4. StudentGirl
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    Out of Pocket

    In recent years there have been many changes to our health care system. The Affordable Care Act was enacted by the federal government in 2010 (Healthcare.gov, n.d.). One of the goals was to create more affordable health insurance so that more people could be covered. With the changes some consumers costs have increased. Like with most things in life there are positive and negative effects of the changes.

    Positive Changes

    The Affordable Care Act has brought about many positive changes for consumers. It has eliminated the preexisting conditions clause, allowing for many more people to afford and have health care coverage, it covers many essential health benefits and it allows children to stay on a parent plan longer (Amadeo, 2019). Another positive effect is that it also offers tax credits for certain tax brackets helping people afford coverage (Amadeo, 2019). Now many more Americans have health care coverage.


    Negative Changes

    One way that health insurance companies have created affordable health care for individuals and families that are not covered is by creating the high deductible plan. High deductible plans charge a low monthly fee, but patients can have high deductibles up to $10,000 that they cannot afford (Evans & Kevin, 2017). It leaves many people having to decide between paying bills or going to a doctor or hospital to receive the care they need. Federal regulations can be costly for businesses to comply with which can drive up consumer costs (Chambers & Collins, 2016). According to Chambers & Collins (2016), “the effects of regulations are most harmful to the poor because regulations drive up the cost of doing business, resulting in higher prices.” Many households that qualify for the tax credits to purchase health insurance still cannot afford a decent plan and turn to the high deductible plans. This is not effective for consumers or for health care providers.

    Conclusion

    Anytime there are changes there are good and bad things that go with it. When the federal government creates new regulations, they should think about how it will affect every tax bracket. Are the changes worth the cost? Every citizen needs and deserves to be able to afford health care coverage and to not worry about paying high deductibles that they cannot afford.


    References
    Amadeo, K. (2019). 10 Obamacare Pros and Cons.

    Chambers, D., & Collins, C. (2016, February). How Do Federal Regulations Affect Consumer Prices? An Analysis of the Regressive Effects of Regulation. Mercatus Working Paper,

    Evans, M., & Kevin, F. (2017, June). What We Can All Do About Rising Healthcare Costs. Forbes, (),

    Healthcare.gov. (n.d.). Affordable Care Act (ACA).

     
  5. andaronjim
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    andaronjim Gold Member

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    When I lived in Maryland, the Prince Georges trauma center was only 5 minutes away. My younger son one day woke up and had breathing problems. So I told my wife to call an ambulance, but she insisted that she drive him over to the emergency room. After 6 hours of my son suffering, he was finally seen. Of course the problem was that most of the people there couldn't speak English so since they were there before my son, they had priority over him because they were there first. Most of those who couldn't speak English also couldn't pay for their visit because we know emergency rooms are very expensive because many of those showing up couldn't pay, so when my son was served, our insurance picked up most of the cost, not only of my son, but all those other assholes who couldn't pay. So the short story here, is fuck the illegal alien, kick their sorry asses back across the border, stop serving the diseased mother fuckers, and soon they will go back across the border because they wont get shit here. Our healthcare costs will go down, because we in the US have more working people, thus they will be able once again to afford cheap healthcare.
     

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