Ryan Medicaid Plan Would End Long Term Care For Poor Seniors. Cost Would Fall On Children.

[TheMastersNemesis]

Actually Ryan's plan for Medicaid would probably end long term care for poor seniors. In that case the cost would most likely fall on the children of these seniors. There would only be two options for these families. The children would have to pay for the care or take disabled seniors into their home and provide 24/7 care for them themselves. It is just that simple.

The "block grant" program would also cut of millions more from ANY care whatsoever. The states simply cannot afford to cover the costs of health care for seniors needing long term care.

[Raster]

1. Paul Ryan and other members of Congress should be subjected to the very same...

...DEATH PLANS AND SCHEMES THEY SEEK TO FORCE UPON EVERYONE ELSE!

MediCare/MediCaid FOR ALL!

fuck paul ryan!

[TheMastersNemesis]

4. Most Voters Do Not Understand What "Block Grants" Mean Or How They Operate.

Block grants remove important federal mandates within laws that have been enacted to make sure that there is consistency in the program. In effect the federal government is relieved responsibility and the states can go 50 different ways. Depending on the legal structure of the block grants there could be NO program at all and the money could be put into the general fund.

And most likely the block grants would be substantially lower than what was funded before.

[Raster]

12. Key words in understanding: "...the federal government is relieved responsibility..."

...meaning they can throw us to the wolves and claim it's a State's issue. FUCKERS!

[democratisphere]

2. Ryan is a corrupt piece of garbage without a soul.

Looking forward to the day is gone.

[PoindexterOglethorpe]

3. Bring back the 1950's!

Back then a lot of seniors, maybe most of them, lived with grown children because there was no where else to go. What Social Security they got was very little, few pensions, and not much in savings. Three generations under one roof was pretty common.


I think I need to write the story that's been kicking around in my head for a while, about changes in the ACA, and the cheapest available plan doesn't cover much, except if you get sick enough, you get taken out to the back 40 and shot. I'd like to make it grimly funny. Not sure if I can carry it off.

[roamer65]

7. A modern day Soylent Green.

[Eyeball_Kid]

28. Nutrition Bars! High in Protein! Buy 'em by the box! Senior Specials!

[roamer65]

5. A lot of nursing homes will go bankrupt.

We are going to end up like the days before social security when your parents lived with you till death.

[TheMastersNemesis]

8. Few People Understand How Serious An Issue This Is.

[enough]

15. That is for sure. Most people don't even know the difference between Medicare and

Medicaid before they have elderly parents needing care.

[Raster]

13. Or if you don't have children or other relatives to shoulder your burden...

...you live the remainder of your miserable life in abject poverty.

[enough]

16. Yes, that too. NT

[napi21]

6. I'm ready to fight this whack job! I think there's a third option. "Keep your damn hands off

senior programs!" I'm looking for the Dems to stop anything that reduces what few benefits we seniors have. I don't care how you do it, just find a way!

[moonscape]

9. And if a poor senior has no children or family, a wealthy Republican will be

pleased to step up to the plate and provide care.

[raging moderate]

10. And seniors who DON'T HAVE such children?

Not every senior has been a parent. And not every parent has normally-abled children. And not every normally-abled child is capable of such care. And not every child is willing to do it.

[Raster]

18. I'm sure Eddie Munster and the Rethuglicans don't care, not their problem...

...So once your productive, working days are done, and you've done your service to the 1% and their various entitites, you are simply abandoned by the side of the road to fend for yourself. You will die in abject proverty, without healthcare, without dignity, without hope. This is the Rethuglican promise to all of us. This is --if they have their way-- our future.

[PoindexterOglethorpe]

23. So very right.

I was going to try to elaborate on what you said, but you did it perfectly. Thank you.

[littlemissmartypants]

33. And this my friends...

As a single, childless person, is why I support assisted suicide.

[flamingdem]

11. If we let them do this we are collectively as a society

idiots and essentially serfs to the uber wealthy

[Demsrule86]

14. There is a third option which happened regularly before Medicaid...

Seniors are abandoned by their families who can't or won't care for them. Ryan is completely heartless. He will no doubt rot in hell.

[littlemissmartypants]

34. Granny Dumping

https://en.m.wikipedia.org/wiki/Granny_dumping

70,000 elderly Americans were estimated to have been abandoned in 1992 in a report issued by the American College of Emergency Physicians.

AKA

Ubasute (姥捨て?, literally "abandoning an old woman", also called "obasute" and sometimes "oyasute" 親捨て "abandoning a parent&quot refers to the custom allegedly performed in Japan in the distant past, whereby an infirm or elderly relative was carried to a mountain, or some other remote, desolate place, and left there to die,[1] either by dehydration, starvation, or exposure, as a form of euthanasia. The practice was allegedly most common during times of drought and famine, and was sometimes mandated by feudal officials.
https://en.m.wikipedia.org/wiki/File:Yoshitoshi_-_100_Aspects_of_the_Moon_-_97.jpg

[MFM008]

17. My mom fell

Broke her hip and shoulder....Is in a nursing home.
We will have to take her home soon.

[Ilsa]

19. We need to start demanding they give up their job, healthcare benefits.

If the US can't afford it, then we can't afford Congress' bennies.

[scarletlib]

20. The bulk of Medicaid spending goes to nursing home care.

(At least it used to & I see no reason that would change.)

I worked in the medicaid division for adults in Florida for 10+ years. I left in 2002. Back then we calculated a monthly cost of $1200 per month for care. It could be much more if depending on the medical condition of the patient. So that is $24,000 per year for care and that was in 2002.

Many families use the program. Some seniors are actually upper middle class and had substantial assets. The state of Florida was/is very generous in allowing family members to shelter these assets to make these persons medicaid eligible.

Those families are going to howl to holy heaven when they have to start spending those assets on Mom and Dad. Of course they will actually be able to spend the money at the Nursing Home.

Just regular families without those resources will be burdened with the care of their elderly relatives. There will be many tragedies--ordinary folks do not have the medical skills to do the job.

[hibbing]

26. this

I saw something the other day that 60% of medicaid money' goes for nursing homes. My mom's assisted living apartment is almost 5k a month, luckily she has long term care insurance, but that does not pay her full bill.


Peace

[Eyeball_Kid]

29. In Oregon, 6k/month is common for SNF care.

[pnwmom]

35. Since 2002 they have made it much harder for families to "shelter" the elders

assets, unless there is a living spouse, who is entitled to retain certain assets.

When my relative went into a nursing home, she entered as a "private pay" after years of spending her savings on aides at home and, later, assisted living. Once in the nursing home, she spent every last dollar there until she ran out and qualified for Medicaid -- but only after they had a 5 year "look-back" to make sure she hadn't "sheltered" any assets.

To put this into a larger perspective:

At the other end, the average savings of families close to retirement — ages 56 to 61 — is $163,557. The median is $17,000.

http://www.cnbc.com/2016/09/12/heres-how-much-the-average-american-family-has-saved-for-retirement.html

And what does nursing home care cost?

http://www.elderlawanswers.com/nursing-home-care-costs-are-only-slightly-higher-in-2016-15615

The median cost of a private nursing home room in the United States has increased slightly to $92,378 a year, up 1.24 percent from 2015, according to Genworth's 2016 Cost of Care survey, which the insurer conducts annually. Genworth reports that the median cost of a semi-private room in a nursing home is $82,125, up 2.27 percent from 2015. The rise in prices is modest compared to the 4.2 percent and 3.8 percent gains, respectively, in 2015.

The figures above refer to the cost for private pay patients. Nursing homes that accept Medicaid have to accept Medicaid's reimbursement as payment-in-full for their Medicaid patients. So, in effect, the private pay patients are helping to subsidize the Medicaid recipients -- till their own funds run out.

[scarletlib]

37. Are you commenting on Florida law?

I know about the 5 yr look back etc. The States have been allowed some leeway in determining Medicaid for the ICP (Institutional Care Program) eligibility within the parameters of the federal guidelines. Some take a very strict look at assets and sheltering them. In Florida, which has a large and somewhat affluent senior citizenry, the state has opted for a very generous interpretation of the laws.

We have whole law firms down here who help families who are very affluent shelter the assets of the parents and grandparents to get them into nursing homes.

[Mendocino]

21. There may come a time in this country

that when the snow melts, we will find emaciated corpses just like in old Russia.

[Eyeball_Kid]

31. GOPers' infrastructure improvement plans include

the massive expansion of carcass pickup trucks to keep the streets from being cluttered by the night's die-offs.

Why did Pence and Ryan look so much like undertakers at the SOTU speech?

[sarcasmo]

22. Mom and Dad moving in, Republican Jesus at work.

[mopinko]

24. its not just seniors. many disabled people are supported in nursing homes

by medicaid. my sister is 65, but has been in a nursing home for 10 years due to advanced ms. they had little savings, but thanks to medicaid my bil gets to stay in their paid for house for HIS retirement.
there happen to be a lot of nursing homes in my hood. on a nice day you can find several residents sitting in their wheel chairs outside. few are really elderly. i know that many who arent out there are, but yeah.

many people w serious mental illnesses end up in nursing homes, because there is no place else for them to go, and they cant live alone. the lack of appropriate places for them is a whole nother subject, but that is the hard truth.

it isnt just seniors. but it is our most vulnerable citizens. many tried their hearts out to be successful, and to win at the american dream. but the world is not made for them. so they end up in the trash heap.

THAT is who these clowns want to turn out into the streets. if they had family that could take care of them, they would.
my bil would have loved nothing better than to keep my sister at home. they only had 2 kids, who had lives and families. my bil needed to keep working as long as he could, cuz they didnt have the savings for an early retirement. and he really couldnt meet her needs anyway.

it is always a crushing blow to put a loved one in a nursing home. all these families have their backs to the wall.
and this is who they want to toss out into dog knows what.

what you do for the least of them, yada yada yada.

assholes.

[Eyeball_Kid]

32. I saw this all the time in my work. These sadists like Ryan have no idea & they don't want to know.

Ryan and the GOP are creating a Death Cult. Cull the herd.

[mopinko]

36. i m also a hospice volunteer.

many of our patients are in and out of nursing homes as they fight for their lives. i dont just see them, i see their whole families.
and i also see those who manage to keep them at home.
als, dementia, cancer.

it aint just "oh, grandma cant take the stairs anymore."
it's serious shit.

[duncang]

25. My grand Mother in law

Was at my in laws house for a long time. My father in law died and my mother in law couldn't take care of her. She had Alzheimer's and other problems. There was no way to keep a eye on her 24-7.

[dchill]

27. Ryan is the most venal, craven, cynical politician...

in "our" government right now. And that's saying something. Any acolyte of Ayn Rand should NOT be in office. He should be in therapy. Also, he needs to have that smirk surgically removed.

His poor billionaire contributors are really upset that they don't have ALL the money yet, so he can't stop now. If some of us have to die, it's not their, or Ryan's problem.

[Dem2]

30. Death panel

[crazycatlady]

38. I managed my elderly grandmother's finances

She was in a nursing home until her death in September. The nursing home took all but $40 of her SS and all of her section 8 rental income (the house had a section 8 tenant renting it). THe $40 was not enough to cover her phone bill.

My mom ended up dipping into her pocket to pay for basic necessities such as getting her hair washed.