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madfloridian (1000+ posts) Send PM | Profile | Ignore | Wed Sep-21-11 11:58 PM Original message |
Oct. 1st: 11.1% rate slash will be applied to Medicare payments to nursing home facilities. |
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leftstreet (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:03 AM Response to Original message |
1. Healthcare decisions should be made by physicians, not politicians |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:50 AM Response to Reply #1 |
56. And not by businesses, whether they call themselves faith-based not-for-profits or not . . . |
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tropicanarose (218 posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:11 PM Response to Reply #1 |
77. +1 high fives |
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Kaleko (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:07 AM Response to Original message |
2. It's all coming to a head |
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area51 (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:03 AM Response to Reply #2 |
59. +1 |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:13 AM Response to Original message |
3. A CNA at a party that a nurse friend of a friend had told me about a kind of small nursing home, |
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kelly1mm (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:51 AM Response to Reply #3 |
10. Do you think with the cuts that those salaries will decrease or that care will be cut? nt |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:25 AM Response to Reply #10 |
48. In today's economy "out of line with similar" doesn't have a high priority with at least me. |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:34 AM Response to Reply #10 |
52. Salaries should be determined by the needs of those receiving care, in order from most direct |
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jwirr (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:28 PM Response to Reply #52 |
81. And when the hierarchies do not know how to fill out the forms the |
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cutlassmama (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:14 AM Response to Original message |
4. K&R. this amounts to murder of the elderly. The number of people this |
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Brigid (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:16 AM Response to Original message |
5. And conditions in nursing homes will get worse and worse. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:47 AM Response to Reply #5 |
9. You may be right....but I fear it is just not an important topic here. |
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Tuesday Afternoon (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:20 AM Response to Original message |
6. k&r |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:24 AM Response to Original message |
7. Perhaps those nursing homes will no longer be able to employ Ri$k Manager$, instead of |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:31 AM Response to Reply #7 |
8. Please provide some sourcing for that statement. |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:30 AM Response to Reply #8 |
49. We weren't talking about direct care givers. We were talking about people who get between the direct |
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DrunkenBoat (584 posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:53 AM Response to Reply #7 |
11. You think a blanket 11% cut is going to fall just on risk managers or people making 6 figures? |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:03 AM Response to Reply #11 |
13. "no reason for a blanket 11% cut." |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:08 AM Response to Reply #11 |
46. I said I was wondering where their money comes from. My point is about how much Medicare money pays |
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jwirr (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:46 PM Response to Reply #46 |
83. Interfere with direct care - if you mean administrators then I do agree |
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TheKentuckian (1000+ posts) Send PM | Profile | Ignore | Tue Sep-27-11 12:20 PM Response to Reply #7 |
111. Right...here in our reality their use will be ramped up as low paid staff are given |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:03 AM Response to Original message |
12. This cut applies to only a small subset of nursing home beds. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:06 AM Response to Reply #12 |
14. I did not even mention "long term" care. Of course Medicare does not pay for that. |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:35 AM Response to Reply #14 |
20. It matters because many people do not understand what is being cut |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:47 AM Response to Reply #20 |
35. Your post is so very cold and sounds thoughtless. |
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Name removed (0 posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:28 PM Response to Reply #20 |
88. Deleted message |
madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:31 PM Response to Reply #88 |
89. I resent your accusation I am starting a "fear fire"... Prove I am wrong. |
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loyalsister (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:02 PM Response to Reply #20 |
100. Nursing homes are corporate welfare |
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DrunkenBoat (584 posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:26 AM Response to Reply #12 |
18. That information is in the OP already. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:28 AM Response to Reply #18 |
19. Indeed they will. |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:39 AM Response to Reply #18 |
22. Sorry, it is a small subset of the whole population of nursing home residents. |
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DrunkenBoat (584 posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:53 AM Response to Reply #22 |
24. Because if the hospital d/cs them & if they can't get nh care, they will go home. |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:00 AM Response to Reply #24 |
26. Yep. Your concern/argument is truly a specter. |
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DrunkenBoat (584 posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:01 AM Response to Reply #26 |
27. So was I. And my concerns are no spectre. It already happens; I've witnessed it |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:29 AM Response to Reply #27 |
31. I really do understand the hardships in providing total care. |
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DrunkenBoat (584 posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:42 AM Response to Reply #31 |
32. I hope you would then also understand that cutting 11% from rehabilitative |
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Name removed (0 posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:54 AM Response to Reply #22 |
25. Deleted message |
Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:05 AM Response to Reply #25 |
28. I see you did not grasp that the statement that so offends you |
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Name removed (0 posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:10 AM Response to Reply #28 |
29. Deleted message |
Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:15 AM Response to Reply #29 |
30. "Lacking human empathy" isn't in there either. |
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Name removed (0 posts) Send PM | Profile | Ignore | Thu Sep-22-11 03:24 AM Response to Reply #30 |
33. Deleted message |
madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:56 AM Response to Reply #30 |
41. I read your words. They show little empathy. |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:56 PM Response to Reply #41 |
87. Does one need to always commiserate? |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:53 AM Response to Reply #28 |
39. They are cutting home health care as well. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:55 AM Response to Reply #12 |
40. "The changes only impact short-term stay residents at nursing facilities" |
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eilen (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:21 PM Response to Reply #40 |
93. Cost cutting in snfs with rehabs for subacute patients |
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Overseas (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 09:06 AM Response to Reply #12 |
44. It is a very important subset of services. Especially for seniors who live alone. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:07 AM Response to Original message |
15. There is no defense for cuts like this in a Democratic administration. |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:42 AM Response to Reply #15 |
23. Where did who defend this cut? |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:50 AM Response to Reply #23 |
36. You are defending them. |
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Sinistrous (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:53 PM Response to Reply #36 |
85. Explaining them. Not defending. |
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999998th word (555 posts) Send PM | Profile | Ignore | Thu Sep-22-11 03:25 AM Response to Reply #15 |
34. Repub's are responsible-it's indefensible, and I will still vote 4 Obama |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:51 AM Response to Reply #34 |
37. Obama is president. He is not fighting such cuts. |
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WinkyDink (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 03:03 PM Response to Reply #37 |
75. I was going to say, "Not fighting?! He's an advocate!" |
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eilen (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:22 PM Response to Reply #75 |
94. Someone break a light bulb, there's more crack to smoke |
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Fuddnik (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:14 AM Response to Original message |
16. Here, have a cup of Kool-Aid. You'll fell much better. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:24 AM Response to Reply #16 |
17. Heh heh |
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bananas (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:35 AM Response to Original message |
21. Seniors Group Launches Multi-Million "No Cuts" Campaign for Social Security, Medicare & Medicaid |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 09:03 AM Response to Reply #21 |
43. Thanks, that link needs a lot of attention. |
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William769 (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 08:51 AM Response to Original message |
38. K&R. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 09:02 AM Response to Original message |
42. General consensus here is that these cuts are fine. I am not surprised. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 09:18 AM Response to Original message |
45. By 2017 you will pay a penalty for buying a medi-gap plan? Over treatment?? |
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Hell Hath No Fury (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:13 PM Response to Reply #45 |
69. Wahhh????? |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:33 PM Response to Reply #69 |
70. Pretty weird, huh? Makes no sense. |
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Moosepoop (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:21 PM Response to Reply #45 |
80. Only the really high-dollar ones. |
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eilen (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:25 PM Response to Reply #80 |
95. That is an equivication and apologist response |
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Moosepoop (1000+ posts) Send PM | Profile | Ignore | Fri Sep-23-11 08:49 AM Response to Reply #95 |
109. I did not equivocate or apologize. |
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999998th word (555 posts) Send PM | Profile | Ignore | Fri Sep-23-11 12:24 AM Response to Reply #45 |
103. Encourage over treatment?? WTF ? Who wants to spend |
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durablend (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:14 AM Response to Original message |
47. Nothing to see here, folks... |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:32 AM Response to Reply #47 |
50. . . . or people might consider finding out a little more about the nuts-&-bolts of care giving. nt |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:37 AM Response to Reply #50 |
53. OR..some need to learn about the "nuts-&-bolts" of the elderly and disabled. |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:10 PM Response to Reply #53 |
65. Indeed caregiving costs money. But why are we assuming that everyone defines caregiving the same way |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:29 PM Response to Reply #65 |
67. Nothing you say justifies cutting payments for vital services across the board. |
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TBF (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:51 AM Response to Reply #50 |
57. Why don't you explain that to us oh wise one? |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:06 PM Response to Reply #57 |
64. No, you tell me instead why Physicians for a National Health Program SUPPORT an annual review of ALL |
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TBF (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:58 PM Response to Reply #64 |
72. You didn't answer my question. Nothing new. nt |
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Vinca (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:32 AM Response to Original message |
51. It really shows what kind of society we've become when the most vulnerable |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:39 AM Response to Reply #51 |
54. It is infuriating to see these cuts defended at a Democratic forum. |
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999998th word (555 posts) Send PM | Profile | Ignore | Fri Sep-23-11 12:38 AM Response to Reply #54 |
104. Makes me sick too-and who, other than a RW olltray would |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:41 AM Response to Original message |
55. BTW, All, I have also seen my Mother and my MIL off into the hereafter, in timeframes that |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:58 AM Response to Reply #55 |
58. So you are saying you are okay with the Medicare payment cuts? |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:57 AM Response to Reply #58 |
63. I'm saying I have seen "health" "care" resources paid for lousy "care". I am saying it's a VERY |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 01:11 PM Response to Reply #63 |
68. I hope you do NOT include me in this group of "relatively un-informed" |
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patrice (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 12:20 PM Response to Reply #55 |
66. on edit: "Health" "care" in this country is a MONEY machine. nt |
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TBF (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:59 PM Original message |
Well that's true - but the answer is not to make wild cuts. |
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999998th word (555 posts) Send PM | Profile | Ignore | Fri Sep-23-11 12:42 AM Response to Original message |
105. Single payer.P.E.R.I.O.D.. |
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TBF (1000+ posts) Send PM | Profile | Ignore | Fri Sep-23-11 06:42 AM Response to Reply #105 |
107. Yup, that's what I'm saying. nt |
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Bandit (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:19 AM Response to Original message |
60. Is this a part of the five hundred billion in cuts to Medicare in the Health Care Bill? |
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dgibby (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:19 AM Response to Original message |
61. As a retired RN, |
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Carolina (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:27 AM Response to Original message |
62. K&R!!! |
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Maraya1969 (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:46 PM Response to Original message |
71. I really am shocked. I never thought it was actually going to happen. |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 03:07 PM Response to Reply #71 |
76. I gather it is the CMS doing it all by their lonesome. Quicker that way. |
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WinkyDink (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 02:59 PM Response to Original message |
73. Yep. And a $100 fee on Home Visits is apparently being considered. Get yer ice floe heah! |
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bobthedrummer (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 03:00 PM Response to Original message |
74. K&R n/t |
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jwirr (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:12 PM Response to Original message |
78. There is no savings here. The patients will just be kept in the hospital |
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louslobbs (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:20 PM Response to Original message |
79. Kicked and Rec'd |
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KT2000 (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:42 PM Response to Original message |
82. This is a death panel |
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Capitalocracy (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:48 PM Response to Original message |
84. But don't worry! That's not a cut to "Medicare recipients" |
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Hoyt (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 06:54 PM Response to Original message |
86. Appears vested nursing home industry is whining about something that is not as bad as they make it. |
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man4allcats (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 09:17 PM Response to Original message |
90. This STINKS! |
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Admiral Loinpresser (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 09:21 PM Response to Original message |
91. How's that 3D chess workin' out for ya? n/t |
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Jakes Progress (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 09:41 PM Response to Original message |
92. Why should the administration worry about this? |
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secondwind (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:29 PM Response to Original message |
96. Nursing homes abuse the system. Medicare is fraught with waste and abuse. It's about time |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:38 PM Response to Reply #96 |
99. That remark... |
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TBF (1000+ posts) Send PM | Profile | Ignore | Fri Sep-23-11 06:44 AM Response to Reply #96 |
108. Any evidence on that or just repeating FAUX talking points? nt |
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KamaAina (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:33 PM Response to Original message |
97. Could be a blessing in disguise, if the Administration would embrace home- and community-based care |
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madfloridian (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 10:37 PM Response to Reply #97 |
98. There are planned deep cuts there as well, unfortunately. |
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loyalsister (1000+ posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:18 PM Response to Reply #97 |
101. + 1 |
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DollyM (837 posts) Send PM | Profile | Ignore | Thu Sep-22-11 11:22 PM Response to Original message |
102. I got my hours cut simply because the state was so far behind on payments to the NH |
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999998th word (555 posts) Send PM | Profile | Ignore | Fri Sep-23-11 01:13 AM Response to Reply #102 |
106. Sorry to hear that, I was a CNA for years and |
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ellisonz (1000+ posts) Send PM | Profile | Ignore | Tue Sep-27-11 04:50 AM Response to Original message |
110. This is an incomplete analysis of the nursing home aspect and I suspect the home care too: |
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avaistheone1 (1000+ posts) Send PM | Profile | Ignore | Tue Sep-27-11 12:23 PM Response to Original message |
112. This truly sucks big-time. |
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