Details of the new Healthcare bill get better..
- Thread starter Mr Bogus
- Start date
I do not believe that good health care should be exclusive to the wealthy. Just like I don't believe the military should only fight for the wealthy. I also don't believe the police only enforce the law based upon your income. Nor do I believe that the Fire department only respond to fires based upon the annual income of the neighborhood.
I sit here at work (on my lunch break) working for a managed care company and can tell you that it is a crazy business. I am in contracting and WOW....I could go on and on. I write commercial, Medicare, and Medicaid contracts and you would not believe how much comes down to the almighty dollar.
Underwrighting for individual and group policies is an artform in itself. There are algorithims used to determine risk assesments and how much risk the company is willing to take on. This will determine the premiums, policy written, and if they will even write a policy.
That is my world.....ugh...
Underwrighting for individual and group policies is an artform in itself. There are algorithims used to determine risk assesments and how much risk the company is willing to take on. This will determine the premiums, policy written, and if they will even write a policy.
That is my world.....ugh...
I honestly do not know how you cope with it day to day... I get on the phone with some civil servant at M/care and I am literally amazed at how poor the communication tends to be.. They have little or no working knowledge of the very system they work for and the command of the english language? OMG..... I do these on the speaker phone and staff stand around and listen... it is like the "comedy channel" live..
Hats off to you... too bad the patients you are working for will never get to know the hassles...
oh canada oh canada
Those folks are insured by the gov ment already. It's because they're young and healthy and choose to spend there money on other things.
It's pretty much so a done deal folks. So while the debate here is great, it serves no purpose.
I like the part where they sold the plan to the CBO by starting to pay for it in 2010, but don't start paying out until 2014 and after some elections are gone by.
Hopefully we'll throw these clowns out on their ears and this thing can be undone.
I like the part where they sold the plan to the CBO by starting to pay for it in 2010, but don't start paying out until 2014 and after some elections are gone by.
Hopefully we'll throw these clowns out on their ears and this thing can be undone.
Am really afraid that wont be the case... to many are just listening to what they are told and sucking it down... Forget about how to pay for this stuff and where the money is actually going...
so... about that deep fried turkey... getting hungry here....
I believe in personal, religious and economic freedom all dished up with a heaping helping of personal responsibility. I believe that government is fundamentally incompetent and the only way to keep said incompetence in check is to constrain said government's growth. Those who believe that the government can effectively manage health care should consider this fundamental axiom.
I also believe that Democrats are fundamentally socialists and what they are trying to get away with now on health care should provide sufficient evidence for anyone that cares to look. Next comes "cap and trade" to suck more life out of our economy. Republicans have their issues as well, but that's another discussion.
Unfortunately, too many of my fellow Americans said "YES WE CAN" to socialism in past elections and many freedom-loving people will suffer because of it. As much as I hate to say it, as a country, I guess we deserve it. If citizens cannot appreciate the Constitution and the benefits of the limited federal government that it prescribes then our liberties are doomed to the bleak pit of an ever-expanding bureaucracy for which there will never be enough "rich" people to satiate. It's just too bad that we ALL have to suffer from their poor and often uninformed choices.
:down:
Im sorry, but if you are going to complain about food stamps and paying taxes to feed people who are less fortunate. something is wrong with you.. way to be selfish.
Let me guess, youre the guy who yells at homeless people saying "get a job you bum"
Lets flip the rolls.... You know what, I think you should be paying a ton in health care to cover your family.. cause YOU should have made better choices in life and found a good career that pays for your medical insurance. Mine does, my company pays mine 100%. I pay NOTHING....oh so sad.
Let me guess, youre the guy who yells at homeless people saying "get a job you bum"
Lets flip the rolls.... You know what, I think you should be paying a ton in health care to cover your family.. cause YOU should have made better choices in life and found a good career that pays for your medical insurance. Mine does, my company pays mine 100%. I pay NOTHING....oh so sad.
I am glad to see a civil airing of thoughts and feelings..
IMO...
A lot of "Less Fortunate" is a lot of "I would rather not work"
I did not say ALL, I said A LOT of it.. more than 10% of the US population needs food stamps? BS...... If you look at the information, most of that is their own fault..
by far the vast majority found other things to do than finish basic high school.. That shows a level of "Stick too it" that is non existent or very diminished.. they then collect free health care, free housing, and any number of other govt programs.. In return, they vote for socialist slanted politicians...
They are in fact ruining it for people that could legitimately use some real help.. If anyone should feel bad? I think it is them... My guess is they are too blind or greedy to see what they are doing to the really needy by being lazy and greedy..
IF I had it my way... no high school? no govt help... And when you get govt help? you can go put in 20 hours a week at least doing work for the community... Why should you get benefits for no effort? I would BET many of the freeloaders would get real jobs or not take the handout...
The numbers are sad and it is ruining this country... but then again, that is just my own feelings...
IMO...
A lot of "Less Fortunate" is a lot of "I would rather not work"
I did not say ALL, I said A LOT of it.. more than 10% of the US population needs food stamps? BS...... If you look at the information, most of that is their own fault..
by far the vast majority found other things to do than finish basic high school.. That shows a level of "Stick too it" that is non existent or very diminished.. they then collect free health care, free housing, and any number of other govt programs.. In return, they vote for socialist slanted politicians...
They are in fact ruining it for people that could legitimately use some real help.. If anyone should feel bad? I think it is them... My guess is they are too blind or greedy to see what they are doing to the really needy by being lazy and greedy..
IF I had it my way... no high school? no govt help... And when you get govt help? you can go put in 20 hours a week at least doing work for the community... Why should you get benefits for no effort? I would BET many of the freeloaders would get real jobs or not take the handout...
The numbers are sad and it is ruining this country... but then again, that is just my own feelings...
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THANKS FOR THE KIND WORDS RANDY!! My job has gotten more and more stressful; to the point of dropping weight (not such a bad side effect), hair falling out, all our basic major stress symptoms.
I absolutely HATE working with anything having to do with CMS. A freaking squirrel or trained monkey can almost do the job that I call and ask them to do.
The way I cope is to laugh hysterically like a lunatic so that I do not cry. Today, I had to lock my computer down and "take a walk".
And you are correct, the healthplan members, or MCAID/MCARE receipients will never know what goes on behind the scenes to make sure that all of the correct paperwork is in place and runs smoothly and underwriting is methodically completed down to the decimal point.
Sorry that Thank you for the kind words kind of turned into a rant....
I will PM you my office contact info, if you ever have any questions that you think I might be able to help answer feel free to drop me an email or give me a call. Maybe I can save you a call to CMS.
Not to stir the pot here, but again in writing language for Medicaid Health Care contracts (state specific), most Medicaid Agreements pay for "court ordered" mental health, detox & rehab stays. Most all commericial insurance plans (group & individual policies) specifically EXCLUDE paying for any court ordered services.
My question is why should my tax dollars that fund MCAID pay for those court ordered services?
I don't know how you can do it. I work for the governmet and I wonder how the system doesn't implode under it's own weight. Keep plugging away, you might find a way to do some good. That is all you can really hope for.
I find your comment amusing. Don't get me wrong, I am not saying you are mistaken. I am just saying the way they can manipulate the system to get the "free benefits" is just amazing. It seems like a full time job just to get these bennefits. So they are doing work just not what we would call productive.
I do work with only 1% of the population so it is hard not to be come jaded, but I do think some can get off the system and help to contribute to it. The ugly truth is they don't realize there is nothing for free and you have people waitting for the "Obama Money" to fall in their laps.
I am (was) self-employed, and have/had been for the last seventeen years. (Going back to school during recovery time from a m/c accident, oddly enough!) The dynamics of health care appear to have dramatically shifted from humane service provider to a prioritized, profit motivated industry, meaning we focus attention on where we can make the most money regardless of long-term (if any) social benefits (and then use every excuse of/to/for increasing expenditures to claim such benefit). The complexities and monstrosity of the insurance/health care system became so overwhelming several years ago, I chose to stay out of it.
My idea for health care does include personal accountability for leading as healthy a lifestyle as I can and raising my family the same way. When medical/dental/optometrist expenses come up, we offer to pay cash (usually provider discounted because of that) or make payments. At times, payments have put us in situations where we have taken several months to pay off these expenses, but so far, haven't come close to paying what others have to pay monthly just for insurance. (How interesting some would think $3600 annually for just health insurance is a good deal, not counting what out of pocket would be for this type of coverage when an expense does comes up.)
I remeber not too long ago most people would brag about the amount of health care coverage they could get for just a hundred dollars a month (and this while running to the doctor for every runny nose, bump or bruise just to take advantage of the coverage.) We all jumped on the band wagon because we thought it was so great and this is where this has brought us.
No sir, folks. We can point our finger at everyone else but it comes down to us. We allowed it because we let someone else do our thinking for us and stop telling them how we thought (sensibly and reasonably with proper application of intelligent, critical thinking.)
Insurance is a funny thing. It gives people the idea that "Now I can afford to fix my car, house, body because I've got other people paying for it with their premiums." (Whether we think this or not, this is what it comes down to.) This means we pay for someone elses problems, which I can accept until someone elses problems become bigger and bigger because "I can get insurance to pay for fixing my car, house, body." It seems that what we thought was going to make life easier, happier, and better to enjoy is going to rob us of all that because we counted on somebody/something else to take the responsibility for our own actions.
I know, I know. This is way too oversimplified and there are way too many other details to consider and "it appears way too late to do anything about it" (at least, that's what some would want us to believe.) But it is desperate times for some people and becoming desperate for more and more as we continue reaping what we've sown.
What if everyone in the country opted out of health care and developed their own "pay as you go" plan? Consider the families who suffer major, catastrophic medical expenses from any number of maladies, who even end up losing a loved one (or their own life, for that matter) because they just couldn't afford to pay for medical care? Or how about the guy who needs life support during the first part of his accident recovery because he didn't wear a helmet in his motorcycle accident and his family has to chose to just "let him go?"
Yea, it can get pretty complex, but what if? We have become much too soft a people through all our "gotta haves to be happy now" to let life exist in some far less comfortable state to endure such hardships.
And so we will pay....and pay... and pay...until the value of life becomes defined by what it will cost to lose it for someone else and not what it costs just for us to hang on to it.
My idea for health care does include personal accountability for leading as healthy a lifestyle as I can and raising my family the same way. When medical/dental/optometrist expenses come up, we offer to pay cash (usually provider discounted because of that) or make payments. At times, payments have put us in situations where we have taken several months to pay off these expenses, but so far, haven't come close to paying what others have to pay monthly just for insurance. (How interesting some would think $3600 annually for just health insurance is a good deal, not counting what out of pocket would be for this type of coverage when an expense does comes up.)
I remeber not too long ago most people would brag about the amount of health care coverage they could get for just a hundred dollars a month (and this while running to the doctor for every runny nose, bump or bruise just to take advantage of the coverage.) We all jumped on the band wagon because we thought it was so great and this is where this has brought us.
No sir, folks. We can point our finger at everyone else but it comes down to us. We allowed it because we let someone else do our thinking for us and stop telling them how we thought (sensibly and reasonably with proper application of intelligent, critical thinking.)
Insurance is a funny thing. It gives people the idea that "Now I can afford to fix my car, house, body because I've got other people paying for it with their premiums." (Whether we think this or not, this is what it comes down to.) This means we pay for someone elses problems, which I can accept until someone elses problems become bigger and bigger because "I can get insurance to pay for fixing my car, house, body." It seems that what we thought was going to make life easier, happier, and better to enjoy is going to rob us of all that because we counted on somebody/something else to take the responsibility for our own actions.
I know, I know. This is way too oversimplified and there are way too many other details to consider and "it appears way too late to do anything about it" (at least, that's what some would want us to believe.) But it is desperate times for some people and becoming desperate for more and more as we continue reaping what we've sown.
What if everyone in the country opted out of health care and developed their own "pay as you go" plan? Consider the families who suffer major, catastrophic medical expenses from any number of maladies, who even end up losing a loved one (or their own life, for that matter) because they just couldn't afford to pay for medical care? Or how about the guy who needs life support during the first part of his accident recovery because he didn't wear a helmet in his motorcycle accident and his family has to chose to just "let him go?"
Yea, it can get pretty complex, but what if? We have become much too soft a people through all our "gotta haves to be happy now" to let life exist in some far less comfortable state to endure such hardships.
And so we will pay....and pay... and pay...until the value of life becomes defined by what it will cost to lose it for someone else and not what it costs just for us to hang on to it.
oreo
Registered
i dont have the pages to show you the exact facts but this is some BULL if you can find the bill you see were we will be taxed for botox there's a tax for pets health care plans theres so much BULL in this plan that its rediculus it just about will say who will die and live cause if there to old to work and bring in ennough taxs for enough years then they dont need them let em die and as far as the advances on cures that will be gone cause there will be no more private corporations trying find cures and if you know somebody thats a doctor or going to be a doctor their screwed cause what their making or going to be making is way less wow im sorry didnt mean to go into all that especially without showing where i get my info anyways i dont agree with the plan
Oreo.. there is another section that might make you blow a gasket..
Coverage will not extend to Illegal Aliens..
HOWEVER.. it is not required (nor provisioned) to check for any recipients legal status in the country..
figure that one out....
Coverage will not extend to Illegal Aliens..
HOWEVER.. it is not required (nor provisioned) to check for any recipients legal status in the country..
figure that one out....
More money in treatment than cure. Look at all the hoopla over the flu vaccine to make you afraid to get it. Why? If we cure everyone then money is lost in treating the outbreaks.
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