it does seem like a good portion of people have literally no clue what medicaid expansion means, like literally i think their brain shuts off at "medicaid" and they just stop thinking at that point, assuming that there is absolutely no hope that they would understand. because otherwise you'd think there'd be riots over states choosing to let more of their own people die rather than accept federal money that was already put aside for them to expand medicaid.
― But guess what? Nobody gives a toot!😂 (Karl Malone), Tuesday, 14 January 2020 00:36 (four years ago) link
riots over states choosing to let more of their own people die rather than accept federal money
At the risk of being trenchant, I think you are underestimating how warped people's thinking becomes when it comes to money. in terms of powerfully modifying behavior, money is on a par with addictive drugs.
― A is for (Aimless), Tuesday, 14 January 2020 01:05 (four years ago) link
I wonder how many people's lives a law has to save before some people would be fine with paying more taxes because of it. 5 million? 10 million? What if a lot of them are children? 2 million sick kids' lives = what, 20 million normal adults?It just disgusts me to see people moaning about having to pay more post ACA when that money is literally going to save lives.
― A True White Kid that can Jump (Granny Dainger), Tuesday, 14 January 2020 03:24 (four years ago) link
tried to sign up for same ACA plan i had last year in December; thought i did
failed to notice "Premier" dangling from plan name as NY State phoneguy walked me thru process
new member card shows deductible $3000 higher than 2019
pray i can get this changed
― a Mets fan who gave up on everything in the mid '80s (Dr Morbius), Tuesday, 14 January 2020 16:44 (four years ago) link
(that added cost is more than a month's takehome pay)
― a Mets fan who gave up on everything in the mid '80s (Dr Morbius), Tuesday, 14 January 2020 16:45 (four years ago) link
Health insurance in this country, on balance, can die in a fire
― totally unnecessary bewbz of exploitation (DJP), Tuesday, 14 January 2020 16:48 (four years ago) link
I get that insurance co's are seen as unnecessary middlemen who live to deny claims & I'm for single payer, but hospital and pharma companies LOVE having them around as whipping boy. Insurance companies have to have their premiums approved by govt, and legally must pay out 85 cents of every dollar they receive to members' claims. Meanwhile hospitals can charge $60 for an aspirin and pharma can charge whatever they want for life-sustaining medications. Insurers respond to prices set by those 2 groups.
― A True White Kid that can Jump (Granny Dainger), Tuesday, 14 January 2020 16:55 (four years ago) link
Don't forget the massive doctor salaries propped up by absurd protectionist policies
But yeah
― Li'l Brexit (Tracer Hand), Tuesday, 14 January 2020 17:41 (four years ago) link
and that the Catholic church keeps buying up hospitals and clinics in the US to add to their portfolio.
― Yerac, Tuesday, 14 January 2020 17:54 (four years ago) link
xpost Drs often get their own absurdly high insurance to pay.
― Josh in Chicago, Tuesday, 14 January 2020 17:56 (four years ago) link
Lol first time I've seen the Catholic church blamed for insane healthcare costs in the USA
― badg, Tuesday, 14 January 2020 18:51 (four years ago) link
I mean Catholic hospitals are a menace to society regardless
― Swilling Ambergris, Esq. (silby), Tuesday, 14 January 2020 18:54 (four years ago) link
they are the largest owner of private healthcare in the US and have been heavily involved in m&a in the last decade. In some rural areas they are the only game in town and can deny you for care based on whatever their faith says. I mean this is a crude summary but there has been a lot written about this.
― Yerac, Tuesday, 14 January 2020 19:01 (four years ago) link
Fair enough, thanks for clarifying
― badg, Tuesday, 14 January 2020 19:04 (four years ago) link
they own a lot of hospitals all over the world but at least in the US their work is not "charitable". They are as capitalist as everyone else.
― Yerac, Tuesday, 14 January 2020 19:06 (four years ago) link
Yeah the mindset that health care should lean more towards charity than profiteering has gone out the window in last few decades. Everyone from aspiring doctors to religious orgs like Catholic "charities" view it as ticket to $$$$$$. There are obv many great, caring docs that got into the profession to help ppl, but there are also a shit ton of ppl who picked it because doctor=$$$$. Anecdote alert: my sister is office mgr for OBGYN grp, and out of 20 OBGYN docs only 1 or 2 strike her as truly caring about their patients. The rest are in it for the cash.
― A True White Kid that can Jump (Granny Dainger), Tuesday, 14 January 2020 19:14 (four years ago) link
When I was younger I ran across a couple of OBGYNs that would not prescribe birth control. It didn't even occur to me to ask before my appt because I was like "HOW IS THIS A THING???"
one of those shockingly old thing I learned today is about how Mother Theresa was kind of terrible and likely has all her hoarded billions still stored in the Vatican.
― Yerac, Tuesday, 14 January 2020 19:17 (four years ago) link
a family member worked at a USA catholic hospital where anyone who couldn’t pay had their costs paid for by the church. menace to your neoliberal society!
― juntos pedemos (Euler), Tuesday, 14 January 2020 19:22 (four years ago) link
back to obamacare, but I used it for 2 years? and I chose a empire blue cross plan because my gyno of 10 years accepted it. When I went to make an appt I learned they didn't accept the obamacare version of blue cross. No one in the office knew why. I called their billing and they were just like "it was too difficult" to deal with.
― Yerac, Tuesday, 14 January 2020 19:23 (four years ago) link
insurance is a fuckin scam
― american bradass (BradNelson), Tuesday, 14 January 2020 19:25 (four years ago) link
'tis
abolishing it (the mersh version) wd improve our moral fiber
― a Mets fan who gave up on everything in the mid '80s (Dr Morbius), Tuesday, 14 January 2020 19:26 (four years ago) link
it should be illegal to get a bill months later for services that have already been rendered because insurance whimsically chooses to later deny something.
― Yerac, Tuesday, 14 January 2020 19:28 (four years ago) link
I changed the problem described earlier by selecting the plan I originally wanted, effective Feb 1. However nothing I spend this month (and there's plenty) will count toward the new deductible. So I suspect I will lose about a grand instead of three (unless I get a goddamn benefits job by mid-year). I'd do the math but it's too depressing.
― a Mets fan who gave up on everything in the mid '80s (Dr Morbius), Tuesday, 14 January 2020 21:00 (four years ago) link
can avoid those charges by getting stuff pre-approved
― A True White Kid that can Jump (Granny Dainger), Tuesday, 14 January 2020 21:08 (four years ago) link
it could be something as dumb as your doc office coding something the wrong way causing claim to be denied, but see it's really fun to just blame insurance co's for everything wrong with our fucked up system
― A True White Kid that can Jump (Granny Dainger), Tuesday, 14 January 2020 21:10 (four years ago) link
example of backasswards way we do things:I'm advised to have colonoscopies every few years due to Crohn's. If I do, it's coded as "preventative" and isn't covered by insurance. So one might choose to forego regular screenings. Then, things that can be addressed at early stages progress, and now I'm needing to get admitted to a hospital, which will most likely order a colonoscopy anyway except now it's coded as "diagnostic" and is covered by insurance. But obv now the ins co has to pay out $$$ for my hospitalization, in addition to the diagnostic colonoscopy! And I'm in poorer health. Lose-lose situation.
― A True White Kid that can Jump (Granny Dainger), Tuesday, 14 January 2020 21:16 (four years ago) link
In a move last month that received little fanfare, the Biden administration finalized a rule that would give states the option of adding adult dental insurance coverage as part of their Affordable Care Act plans...
Under Biden's rule, states have until 2025 to decide whether to mandate that insurers cover dental benefits for adults. The dental benefits would not take effect until 2027. No states have publicly signaled yet that they intend to require ACA dental benefits in 2027, however, advocates say the new rule could represent a significant expansion of dental insurance, which gets less scrutiny than medical insurance for hospital, doctor and pharmacy bills.
― birdistheword, Tuesday, 21 May 2024 01:46 (one week ago) link