Nursing Homes

[Cryptoad]

Maybe its a demographic thingy, but here in the Deep Red, Deep Southern, Dumbfuckistan there are millions of people in nursing homes for long term care that their families, if any, can not provide. Most these People had some money and assets when they were admitted to the facilities, but unless u have assets that will generate at least $5-6K per month to pay for ur long term care it is not long before u are destitute and Medicaid is only thing that is keeping u in the Nursing home.

Funny u don't hear anyone talking about how these TrumpCare Bill cutting the Medicaid Funding is going to affect this Poor People.

[lindysalsagal]

1. You're right: Since they can't get out and vote, screw-em.

Trumpcare:
1. Quit your job.
2. Care for your aging parent.
3. Get sick and die, since you have no job and therefore no healthcare.


Amazingly simple.

[IADEMO2004]

3. Oh they vote. We need to know who is helping them vote.

Family? nursing home staff? local party officials?

[marybourg]

2. The Medicaid programs that pay

for long-term care pre-date the Medicaid expansion. Unless all Medicaid is being phased out and not just the expansion, there should be no effect on long term care in the immediate future.

[crazylikafox]

4. Medicaid is being block granted to the states. Over time that will kill medicaid.

Money will go to states and the amount will not be raised after that. It will strangle the entire program, not just the expansion.

[marybourg]

5. Is all of Medicaid being block granted in the

current Ryan bill or just the amount of money that is now going to the expansion?

[pnwmom]

6. Yes. It would have huge and unexpected effects.

http://thehill.com/blogs/pundits-blog/healthcare/323252-gops-medicaid-block-grant-plan-should-trump-other-concerns

Shifting from “matching rates” to a block grant for Medicaid is not a new demand from the insurgent populist Trump, but the recycling of an idea that has been proposed by small-government advocates from Newt Gingrich to George W. Bush to Paul Ryan. In January, Kellyanne Conway made it clear that they will form a centerpiece of the Trump administration’s health care policy, and they have appeared in what Trump called on Twitter “Our wonderful new Healthcare Bill.”

SNIP

First, depending on the formula used to set the size of block grants, it could force immediate cuts in the states that have cast the widest safety net already. States that expanded Medicaid under ObamaCare and in prior policies spend more per resident than other states do today, so if a block grant change tomorrow gives each state a fixed amount per capita, these states would have to eliminate health coverage for many recipients to afford the new one-size-fits-all policy.

Second, block grants would set up a vicious political fight during the next recession. States feel the pinch of recessions the most because they have balanced budget requirements. Matching rates keep the safety net going by making it a bad deal to cut in hard times — states that cut Medicaid would be leaving lots of federal money on the table. This keeps the safety net broad when it is needed most. Under block grants, however, this disincentive to cut health care goes away, ensuring deep cuts by cash-strapped states.

This wouldn’t simply affect the poor families and the aged and disabled Americans who depend on Medicaid to reimburse their doctors, dentists, hospitals and nursing homes. They would face deep cuts, to be sure, but because healthcare providers who are part of Medicaid possess considerable political clout in statehouses, they would lobby hard to keep the safety net from being completely shredded.

SNIP

[marybourg]

7. I came across this in:

http://www.democraticunderground.com/10141727592

That legislation would roll back key elements of former president Barack Obama’s health care law, including its Medicaid expansion for low-income people. More significantly, the GOP bill would limit overall federal financing for Medicaid in the future. Taken together, those changes could reverse the Obama era’s historic health insurance gains.


Which seems to say that block-granting all of Medicaid would take place "in the future' and only the hated Obama expansion is being attacked now.

I don't think this bill is going anywhere fast, but if it did, the attack on long-term care would finish it off. Long-term care is one area where people who see themselves as middle-class come in contact with Medicaid through a spouse or parent who is in a nursing home under Medicaid.

[pnwmom]

9. The health care bill is being passed in phases. The Medicaid block grants will be in a later phase.

[dembotoz]

8. Gonna make local pols real popular when they try to balance the books