Medicaid, and they think this is going to work.

Discussion in 'Current Events' started by Navy1960, Dec 20, 2009.

  1. Navy1960
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    Navy1960 Senior Member

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    As the state seeks ways to trim Medicaid, an increasing number of doctors frustrated with reimbursements are opting not to see new Medicaid patients. As a result, Medicaid patients often grow sicker while hunting for a doctor.

    "The inability to find a Medicaid doctor drives up the cost for everyone because they then frequent the emergency room," Lewis said.

    Dallas ranks last among 15 major cities in the percentage of physicians accepting Medicaid, according to a study by Merritt Hawkins & Associates, an Irving-based health care consulting and recruiting company.

    In that study, 1,162 medical offices were surveyed between September 2008 and March. Dallas had a Medicaid acceptance rate of 38.6 percent, compared with the national average of 55 percent

    Medicaid patients have trouble finding doctors in Dallas area | News for Dallas, Texas | Dallas Morning News | Dallas Business News

    Giving someone an insurance card and telling them they are insured is one thing, having a place to use it is another. The current bill set to pass in the Senate aims to use Medicaid as the primary instrument to achieve it's goal of insuring many of those so called 47 million uninsured. When those uninsured get those Medicaid cards, I highly doubt that they will consider it reform by any stretch of the imagination.

    In Oregon , 14 hospitals, four clinics and two health departments in rural areas are short a total of 70 physicians, according to the Office of Rural Health at Oregon Health & Science University.

    Throughout the country, at least 1,500 positions for rural doctors are vacant, according to the Madison, Wis.-based Rural Recruitment and Retention Network.

    “The people that have insurance live in cities,” said Roger Piepenbrink, a Navy-trained internist at Pioneer Memorial, who now is the town’s only such doctor.

    “It’s hard to make a living off subsidized medicine,” he said. “You can make your overhead, but you can’t pay yourself.”
    Doctor shortage takes toll in rural areas

    If you have ever been to a DMV office on a busy day in a large metro area then you will get some idea of the Senate's vision of healthcare reform using the Medicaid model.
     
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  2. WillowTree
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    WillowTree Diamond Member

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    you can't tell a demoncwat a damned thing. They know it all. And, they know it better than anybody else does. Sit down and shut up. You are irrelevant.
     
  3. AVG-JOE
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    AVG-JOE American Mutt Staff Member Gold Supporting Member

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    What if the states open up Medicaid as a public option? Let folks buy in...

    :eusa_think:

    If nothing else, our children will have 50 programs to look at the success / failure statistics on...
     
    Last edited: Dec 20, 2009
  4. uscitizen
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    uscitizen Senior Member

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    Dallas ranks last? In this subject? Is this supposed to be suprising for a conservative city?
     
  5. Navy1960
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    Navy1960 Senior Member

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    Willow, I'm very much involved in the campaign for the Arizona Healthcare Freedom Act. which will strip out the mandate portion of the bill currently being passed by congress here in my state. What it will do is launch a court battle that will settle this matter once and for all. The bill being considered will eventually lead to cuts in Doctors payments by up to 21% according to the CBO, so do you think, that with those cuts and with the current number and dropping of Doctors that are NOT accepting Medicaid that this bill is healthcare reform? Frankly, there are going to be many very disappointed people and many angry people here very soon, especially when the tax increase starts in a couple of weeks, I wonder what all those Union members are going to think about that so called Obama tax pledge when their taxes go up in two weeks because they are paying a tax on their healthcare plans.
     
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  6. Political Junky
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    Political Junky Gold Member

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    Texas has more uninsured than most states.
     
  7. Navy1960
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    Navy1960 Senior Member

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    Joe, no offense but Medicaid is a terrible program and if any program should be opened up for people to buy into and I've long advocated this thats Medicare. Personally, what I believe is that people should be allowed to buy into Medicare as a catastrophic option and anyone that wishes to have converage for Doctors visits and on-going care can seek that in a market based, regulated private insurance market. If for example that market insurance that offered a plan just for Docotrs visit and sold like any person can buy a TV or washer from any state then in my opinion you actually have something. You want to make it stronger, that easy too, seed Medicare with whats left over in TARP and the Stimulus at the very least that money will actually go to help Americans for a change rather than people it's not.
     
  8. WillowTree
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    WillowTree Diamond Member

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    Navy,, I happen to be in total agreement with you on this. I was being sarcastic. However, it looks to me like the democrats are gonna do what they are gonna do and they don't give a shit what the Republicans or a 57% majority of the American people think. (polls). There are two words in the democrats vocabulary regarding this matter and they are "Fuck You" So, yes, I do know. I just don't know what can be done about it.
     
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  9. WillowTree
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    WillowTree Diamond Member

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    because second to California they have the most illegals..
     
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  10. Navy1960
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    Navy1960 Senior Member

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    The growing number of physicians who do not accept new Medicaid beneficiaries because of costs "is a large, little-discussed hurdle to some ambitious efforts to broaden health care coverage," the Wall Street Journal reports. According to the Journal, many state Medicaid programs, "straining under surging costs, are balancing their budgets by freezing or reducing payments to doctors," resulting in physicians -- particularly specialists -
    Growing Number Of Physicians Not Accepting New Medicaid Beneficiaries Amid Federal Payment Cuts, Rising Health Costs

    Medicaid is NOT the method by wich anyone should ever try reform healthcare, and to think that by giving people a Medicaid card they are suddenly going to have access to quality healthcare they are in for a very big surprise.
     

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