HHS finalizes rule guaranteeing 100 percent funding for new Medicaid beneficiaries

[truedelphi]

48. Thanks for your update.

My other real concern is that the ACA leaves almost every single American in the position of

One) having to fight for the proper treatment
Two) Having to figure out how to get re-imbursed.
Three) Then having to fight their insurers in order to get re-imbursed

Several years back, I was on Medicaid through the County. I had dental insurance through the "Anthem" Blue Cross people, as that was who handled the dental program for the State of California.

And there wasn't any apparent way to get Anthem to pay for any of my serious dental needs. I carefully found out what I needed to do to get my dental needs taken care of. I went to the proper dentist on this approved list. I had the approved dentist send me off to an approved dental surgeon. Then the nightmare about re-imbusement began.

Anthem wouldn't of course, give me the money upfront. So I had to borrow it first from family and friends. Then I had to undergo the procedure, which removed part of my jawbone. (A very very small part, but enough that the notion of talking to insurers didn't make sense for at least a week. I mean, even talking hurt.)

Then began the challenge of getting Anthem to reimburse me. They said they didn't have to talk to me at all. They needed to talk to he dental technicians or the insurance woman at the dental surgeon's office. That woman said that wasn't her job but mine. Anthem said they didn't have a way to talk to me.

And weeks went by and finally I just paid off the people I owed, but not without a whole lot of aggravation.

I think when this program gets instituted, the American people might finally wake up. They will find out what it is now and always has been like for people trying to deal with the middle men that our government often has standing between us and them,. And often when there are no middle men, it is even worse: listen and watch Jon Stewart on the Veteran's Affair situation of underwriting the needs of our disabled veterans: http://cnsnews.com/blog/stephen-gutowski/jon-stewart-blasts-government-run-health-care-veterans (Jon's show is just a tiny way of a scroll bar down, click the Big Button across the "Red Tape Diaries" video and you can hear and see that segment of his recent show.)

When Obama took office on Jan 20 2009, some 11,000 vets a year did not get their needs met for over 250 days after applying. Now that total of vets waiting for over 250 days has gone up to over 200,000! Even though the Veterans Affairs Department has been given important and needed extra monies, some 40 billion dollars worth, if Stewart can be believed on this issue.