The biggest lie in Trump’s State of the Union speech

Dec 2019
279
305
Utah, USA
Providers were eliminated by the advent of ACA. This did the opposite of creating competition. In cases the exchange became the only option. Healthcare has skyrocketed in cost.
You confuse "were eliminated" with "chose not to participate". And yes, as I said, costs skyrocketed. You blame that on the ACA, and I blame that on the profit motive (greed). Want to control costs? Add a public option and see what happens to those companies and providers that are in the game for the wrong reason (mo). They'll disappear, and be replaced by those that want to be doctors, nurses, hospitals, and every other associated group. And you don't have to take my word for it, there are examples all over the world that prove the point.
 
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Jul 2019
10,683
7,399
Georgia
The facts in the article I posted are facts. OK how about Forbes?

Not surprisingly, it starts with low reimbursement rates. Medicaid pays about 61% of what Medicare pays, nationally, for outpatient physician services. The payment rate varies from state to state, of course. But if 61% is average, you can imagine how terrible the situation is in some locations. Physicians interviewed in the study explained that they felt it was their duty to see some amount of Medicaid patients in their practice. They recognized the moral need to provide care for this population. But they did not want to commit career suicide – they did not want good deeds to bankrupt their clinical practices.


But reimbursement rates were not the only story. Many physicians talk about unacceptable waiting times to receive reimbursement from their state Medicaid programs. To make matters worse, these low reimbursements came on top of increasingly complex paperwork that their office staff are forced to fill out. Less money and a month late too. Not a recipe for happiness.


no matter how you slice it, M'caid is paying while uninsured people generally are not

so, staying on thread topic, do you know what trump's plan is, and can you explain how it will solve these healthcare problems?

(I can save you some time if interested)
 
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Dec 2015
20,139
20,514
Arizona
The facts in the article I posted are facts. OK how about Forbes?

Not surprisingly, it starts with low reimbursement rates. Medicaid pays about 61% of what Medicare pays, nationally, for outpatient physician services. The payment rate varies from state to state, of course. But if 61% is average, you can imagine how terrible the situation is in some locations. Physicians interviewed in the study explained that they felt it was their duty to see some amount of Medicaid patients in their practice. They recognized the moral need to provide care for this population. But they did not want to commit career suicide – they did not want good deeds to bankrupt their clinical practices.


But reimbursement rates were not the only story. Many physicians talk about unacceptable waiting times to receive reimbursement from their state Medicaid programs. To make matters worse, these low reimbursements came on top of increasingly complex paperwork that their office staff are forced to fill out. Less money and a month late too. Not a recipe for happiness.


This article is 2 yrs old. We have discussed this many times before.
First of all, Medicare is not free. WE pay monthly ( $135.50 per month in 2019) for Medicare which becomes our initial portion of our outpatient fees. We pay an additional fee for Part D--prescription drugs--thanks Dubya!
Part B covers medically necessary doctor services (including outpatient services and some doctor services you get when you’re a hospital inpatient) and covered preventive services.
Costs:
We pay 20% of the Medicare-approved amount for most services. Doctors get paid 80% from Medicare.
We pay nothing for certain preventive services if your doctor or other provider accepts the assignment.
Try reading something directly from the government Medicare site:
 
Dec 2015
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Arizona
The hospitals are going bankrupt partial because of Medicaid. Hospitals do not make money on Medicaid patients. They lose money on them. Sure its better for the hospitals to serve Medicaid patience rather than indigent patients. County hospitals struggle with not having enough privately insured patients to cover the costs of the low paying Medicaid and Medicare patients as well as the none paying patients.
You'll need to source those claims.
 
Jul 2018
2,734
801
Earth
just checked

trump still has no healthcare plan

this is straight pandering because the blue wave of 18 was driven by the healthcare issue. he's lying. he has no healthcare plan. none.
18 countries around the world have true universal health care = Australia, Canada, Finland, France, Germany, Hungary, Iceland, Ireland, Israel, the Netherlands, New Zealand, Norway, Portugal, the Slovak Republic, Slovenia, Sweden, Switzerland, and the United Kingdom.

The nations that offer free or very low cost healthcare to all of its citizens include: Albania, Algeria, Andorra, Antigua and Barbuda, Argentina, Armenia, Australia, Austria, Azerbaijan.

America is one of the few countries that does not have a free or universal health care system = List of countries with universal health care - Wikipedia

So a dummy could analyze all of the plans in the world and see what works and incorporate those things into a comprehensive plan for the US. Evidently there are no dummies in America, only lying imbeciles because no one has done such a simple thing yet. The fact that no one in Congress or in the Executive branch has done that shows that they have zero interest in implementing such a system in America so when one of them starts yakking about health care it is just a lie and the person needs to be called on it.
 
Jul 2015
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chicago
Do you know anything at all about the Medicare system?
You are quoting me talking about the changes to all health insurance plans to conform to the new restrictions imposed by Obamacare. I was not referencing anything about Medicare with that line at all.
 
Jul 2018
2,734
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You are quoting me talking about the changes to all health insurance plans to conform to the new restrictions imposed by Obamacare. I was not referencing anything about Medicare with that line at all.
Didn't you mention health care plans? If you knew something about the Medicare system then you would understand other health care plans.

For instance, under the Medicare system you can add other plans that will give you additional benefits and coverage's. These are generally referred to as Medicare Advantage plans. You can get some for zero additional monthly cost or pay a lot. The number of plans depend on where you live. You may or may not have to use doctors and hospitals in the plan's network and you generally have to pay co-payments for services. If you have an Advantage plan you can not enroll in a separate drug plan even if the health care plan does not include a drug plan.

You can enroll in a supplemental plan to cover costs that the Original Medicare plan doesn't cover. You can add a separate drug plan but you can't add an Advantage plan. There are 10 standard supplemental plans but the providers in your area may not offer all of them. They can be spendy but you generally won't have co-payments. They are offered by insurance companies and you can usually use any doctor or hospital. They do not offer any benefits that the Original Medicare does not offer. So if you have a procedure that Medicare doesn't cover you have to pay for it out of your pocket. However, if you think you will need a skilled nursing facility it is the way to go.

The hint about the drug plans is that if you are in reasonable good health and just use generics you can get them fairly cheap using coupons from one of the drug coupon sites. Just type in your zip code and the drug dosage (be very specific) and you will get a list of prices from pharmacies in your area. The prices can vary a lot so you can't be loyal to just one pharmacy. Another good alternative is to be a Plus Member at Sam's Club. It offers an extensive formulary (over 200 drugs at $4 and over 400 at $10). Other prescriptions can be expensive but they still might be cheaper than using a coupon. You have to spend some time comparing to get the best deal.

The point is that everyone's situation is different and will change from year to year. Providers come and go or merge and prices change. You need to learn the system before you need it or else you can incur a lot of unnecessary medical and drug costs.

The important thing to remember is that if you have a plan with no monthly premium you will have to pay co-payments when you use it. But even so, it can be cheaper that way than another plan. It is a gamble.