We're doing it, POLITICS style

Re: We're doing it, POLITICS style

Postby RichmondPhilsFan » Thu Oct 11, 2012 13:42:42

Forgot to mention: you are correct that the ultimate outcome is that bills for an uninsured are higher. Most hospitals now offer an uninsured "discount" of 10-20%, but that doesn't begin to make up the difference. The lower middle class (or high lower class) gets absolutely screwed in the current environment.

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Re: We're doing it, POLITICS style

Postby pacino » Thu Oct 11, 2012 13:42:46

RichmondPhilsFan wrote:
pacino wrote:Bills for people without insurance are higher, too. Then hospitals apply for Medicaid to cover 60% of those bills, then the rest is on the uninsured person. If you are into 'fixing' Medicaid, third and nursing homes sucking off the teat of the government are issue 1 through 10.

That's pretty simplistic. Most often, Medicaid coverage creates an insurance-like situation (if not outright insurance through a private reinsurer) where the recipient merely is responsible for a co-pay. The hospital is already an approved Medicaid provider (much like they'd be an approved, e.g., Anthem provider) with specified rates for repayment, so after the claim is approved by Medicaid, the balance is adjusted based upon the coding of the charges and payment is applied. The rate of repayment can be anywhere from 15-20% or 110% (don't laugh, it actually does happen in rare occurrences).

There are some Medicaid programs with deductibles, but I can't think of any off the top of my head with a coinsurance. I'm sure there is one, but they're rare.

At least, that's how it's set up here in Virginia by our Department of Medical Assistance Services. Other states are different, I'm sure.

A provider app in pa is when the bill has been incurred and the person cannot pay. The hospital applies door retroactive coverage in a medically-needy only spend-down category. If approved, 60% is covered by pa. The rest is up to the person who incurred the bill. Some hospitals have remittance programs and payment plans that the person go into.

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Re: We're doing it, POLITICS style

Postby RichmondPhilsFan » Thu Oct 11, 2012 13:47:57

Honestly, that's a pretty damn bizzare system. It provides very little benefit to the patients, who are likely still responsible for thousands of dollars in bills that they can't afford. The only entity that benefits is the provider.

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Re: We're doing it, POLITICS style

Postby pacino » Thu Oct 11, 2012 13:51:52

RichmondPhilsFan wrote:Honestly, that's a pretty damn bizzare system. It provides very little benefit to the patients, who are likely still responsible for thousands of dollars in bills that they can't afford. The only entity that benefits is the provider.

I agree. What our legislature went after to 'reform' the welfare system this past year was to eliminate a $205/mth payment to temporarily and permanently disabled people waiting for RSDI and SSI to be approved (which gets recouped from SSA after the recipient is approved for RSDI or SSI). They don't even care about this.
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Re: We're doing it, POLITICS style

Postby RichmondPhilsFan » Thu Oct 11, 2012 14:00:30

pacino wrote:
RichmondPhilsFan wrote:Honestly, that's a pretty damn bizzare system. It provides very little benefit to the patients, who are likely still responsible for thousands of dollars in bills that they can't afford. The only entity that benefits is the provider.

I agree. What our legislature went after to 'reform' the welfare system this past year was to eliminate a $205/mth payment to temporarily and permanently disabled people waiting for RSDI and SSI to be approved (which gets recouped from SSA after the recipient is approved for RSDI or SSI). They don't even care about this.

lol, nevermind that it probably costs 2-3x more than it should.

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Re: We're doing it, POLITICS style

Postby td11 » Thu Oct 11, 2012 14:02:16

jerseyhoya wrote:
td11 wrote:Image

This is a much better graph. So we're getting back to a range where the labor market can be stable but have a bit to go before we're making a significant dent in the deep losses from the 2008-09 hole.


right, and so even if the current set of numbers are revised up or down or whatever after the missing state data is fixed, that trend still stands.
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Re: We're doing it, POLITICS style

Postby drsmooth » Thu Oct 11, 2012 14:04:31

RichmondPhilsFan wrote:nevermind that it probably costs 2-3x more than it should.


this is the part that puts the batshit crazy into Romney's clueless worldview. except it's more like 2x-3x the 2x-3x you've suggested.
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Re: We're doing it, POLITICS style

Postby Youseff » Thu Oct 11, 2012 14:28:44

Image
This is what a real tenderoni likes to do for you

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Re: We're doing it, POLITICS style

Postby Wolfgang622 » Thu Oct 11, 2012 14:30:43

jerseyhoya wrote:

My night will be made if Biden tells Ryan he has a higher IQ


I guess Biden must have gotten hair implants? BUt then why are they so crappy? Is he a Rogaine user or something?
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Re: We're doing it, POLITICS style

Postby jamiethekiller » Thu Oct 11, 2012 14:32:20

Youseff wrote:Image


nice poster

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Re: We're doing it, POLITICS style

Postby Youseff » Thu Oct 11, 2012 14:44:45

There's a lot of reasons I'm not voting for Romney but proposing a 2 trillion dollar increase in defense spending while poo-pooing a $90 billion investment in renewable energy is definitely near the top.
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Re: We're doing it, POLITICS style

Postby Soren » Thu Oct 11, 2012 14:48:59

It pisses me off how many people my age can't be fucking bothered to spend any time getting informed or even just voting. It's like 30 minutes out of your day and people are literally dying around the world to MAYBE get the chance to do it. FFS don't be such a blasé dick twaddler
Olivia Meadows, your "emotional poltergeist"

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Re: We're doing it, POLITICS style

Postby bleh » Thu Oct 11, 2012 15:03:01

mozartpc27 wrote:I guess Biden must have gotten hair implants? BUt then why are they so crappy? Is he a Rogaine user or something?


plugs. I imagine the procedure has gotten better since whenever he had them done.

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Re: We're doing it, POLITICS style

Postby Doll Is Mine » Thu Oct 11, 2012 15:10:44

Soren wrote:FFS don't be such a blasé dick twaddler


Umm...

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Re: We're doing it, POLITICS style

Postby Werthless » Thu Oct 11, 2012 15:17:38

pacino wrote:We have a fundamental difference on what grows the economy, but to say it makes no sense is a bit non-sensical itself. I believe in creating demand by investing in our infrastructure and our workforce. That's a pretty mainstream idea. Cutting every program except defense does nothing towards putting people in jobs.

pacino wrote:Trying to set policies to stop the growth doesn't help.

Who is trying to set policies to stop growth?
Why does trying matter more than actually passing legislation?
You posted in response to a poster critiqing the small window of a graph showing that jobless claims have been falling, and I felt it didnt respond to it in any way.
But really, what specific pieces of legislation are "stopping growth?" Presumably, your point is that the Obama adminstration and Democrats in general should not be held responsible for legislative actions passed by the Republican House. The one action/inaction I can think of that the Republicans have their hands dirty on is the lack of action on the fiscal cliff.

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Re: We're doing it, POLITICS style

Postby Soren » Thu Oct 11, 2012 15:24:09

Doll Is Mine wrote:
Soren wrote:FFS don't be such a blasé dick twaddler


Umm...


not that there's anything wrong with that
Olivia Meadows, your "emotional poltergeist"

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Re: We're doing it, POLITICS style

Postby drsmooth » Thu Oct 11, 2012 15:25:10

Werthless wrote:Who is trying to set policies to stop growth?
Why does trying matter more than actually passing legislation?
You posted in response to a poster critiqing the small window of a graph showing that jobless claims have been falling, and I felt it didnt respond to it in any way.
But really, what specific pieces of legislation are "stopping growth?" Presumably, your point is that the Obama adminstration and Democrats in general should not be held responsible for legislative actions passed by the Republican House. The one action/inaction I can think of that the Republicans have their hands dirty on is the lack of action on the fiscal cliff.


House republicans have chosen not to participate in governing, let alone taking action to improve things, Socrates. Widespread public disapproval of Congress suggests that almost everyone but you is aware of that. This isn't that complicated
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Re: We're doing it, POLITICS style

Postby pacino » Thu Oct 11, 2012 15:25:55

No, it was trying to gut the stimulus, denying that it worked pretty well, and not even attempting to come up with anything resembling action in regards to another one or a jobs act. Then there is the Obama administration kowtowing to supposed bipartisanship because of the republicans' obfuscation.

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Re: We're doing it, POLITICS style

Postby td11 » Thu Oct 11, 2012 16:54:07

Werthless wrote:But really, what specific pieces of legislation are "stopping growth?" Presumably, your point is that the Obama adminstration and Democrats in general should not be held responsible for legislative actions passed by the Republican House. The one action/inaction I can think of that the Republicans have their hands dirty on is the lack of action on the fiscal cliff.


http://articles.cnn.com/2012-06-05/poli ... M:POLITICS

An election-year Democratic measure designed to ensure that women don't face pay discrimination was blocked Tuesday by Republicans who complained that the bill was politically inspired and would reward trial lawyers at the expense of employers.
[...]
The bill, which Democrats said would close loopholes in the 1963 Equal Pay Act, would require employers to prove that differences in pay were related to job performance, not gender; would prevent employers from forbidding employees from sharing salary information with each other; and would allow women who believe they were discriminated against to sue for damages.



http://www.huffingtonpost.com/2012/05/0 ... 99917.html

Senate Republicans on Tuesday blocked a bill that would have frozen student loan interest rates before they are set to double on July 1.
[...]
The vote wasn't much of a surprise: Republicans have been signaling they would filibuster the bill because of its cost offsets. Democrats would cover the $6 billion cost of keeping student loan interest rates at 3.4 percent for another year by raising Social Security and Medicare payroll taxes on certain high-earners. By contrast, Republicans have called for nixing a preventive health fund to pay for it.



http://www.nytimes.com/2012/05/18/world ... -vote.html

Senate Republicans blocked legislation for new economic sanctions on Iran’s oil sector on Thursday, saying they needed more time to study the bill, a surprise move that drew anger from Democrats who wanted approval ahead of nuclear talks next week.


http://www.cbsnews.com/8301-503544_162- ... 03544.html

Senate Republicans blocked President Obama's $447 billion jobs package on Tuesday, putting the brakes on a bill Mr. Obama has been vigorously promoting over the past month.
The jobs package includes $250 billion in tax cuts, including reduced payroll taxes on both workers and employers; $60 billion in extended unemployment benefits; and $140 billion in spending on education, transportation projects and public workers, including police officers.

The bill includes plans to tax corporations and the wealthiest Americans in order to pay for it.



http://www.washingtonpost.com/local/tra ... story.html

Federal transportation funding pumps about $1 billion a week into the economy, with much of it focused on the construction season that will get underway in most states next month.
[...]
“Projects that are underway might not come to a halt,” said Matthew Jeanneret of the American Road and Transportation Builders Association. “But if this drags on a long time, states are going to have a greater degree of uncertainty.”
[...]

If funding expires, however, so will the government’s authority to collect the 18.4 cent-per-gallon gasoline tax that pays, in large measure, for transportation funding.




there are others also. and i didn't even include the litany of bills that aren't related to the economy/growth but still matter to me personally a great deal (civil unions, lgbt rights, the 9/11 first responders bill, etc)
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Re: We're doing it, POLITICS style

Postby pacino » Thu Oct 11, 2012 19:32:59

debate pre-game...jacki schechner's gams on current tv. omg


also, i like saying gams
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