The Austerity Thread - page 39
I thought I would create a thread about all things related to budget cuts. It's going to be a huge issue this next year, indeed the next several years, and perhaps an ongoing thread with various... Read More
Quote from TweetyI think you will still be paying premiums, which even though you've earned this stellar care by being a productive part of society, it isn't really free to you. But it certainly is free to many who don't have to take even a dime away from their smokes budget, and I doubt seriously if they care about how their "free" healthcare costs the rest of us.So when I retire at age 70 and am old and poor, and go on the "free" healthcare system that I've made payments to my entire life, and someone commits fraud, and I don't notice because I don't even look at the bills because I presume professionals are going to be professional and do the right thing, and I'm ripped off it's my fault, or at least I'm part of the problem, because I don't have co-pays and pay for it myself and take it for granted. Or am I spinning what you're saying?
Aky: The forms you mention are a mess for HCP as well. That cannot be blamed on the physicians. Most clinics, even small ones, employ a person whose sole job it is to wade through insurance paperwork requirements, government and otherwise. I continue to think that it is a giant waste of taxpayer money to require people to go on medicarenat 65, if they have coverage they are happy with. Didn't the Prez we could stay with our insurance if we like it? That is not the truth. And since we have all paid into SS and Medicare during our working lives, taking the one away to pay for the other is not right, either.
Feb 28, '12 by Tweety, BSNQuote from tntrnI've been talking about medicare which funs a significant portion of these doctor's hospitals. You're making old people souond like a bunch of entitled ingrates.But it certainly is free to many who don't have to take even a dime away from their smokes budget, and I doubt seriously if they care about how their "free" healthcare costs the rest of us.
Agree that nothing is for free. Society (middle class) foots the bill, which is why I'd love to see universal health care for all since we're paying for it anyway. Not in my lifetime I guess.
Feb 28, '12 by herring_RN GuideBecause I'm still working at age 67 and haven't begun collecting Social Security i could continue paying my $500.00 a month and my employer could pay $700.00 for my former plan. But with Medicare and supplement I don't need benefits.
Plus it is good practice for retirement because I live on when I would get from Social Security and save the rest.
With the supplement I pay no co pays. With the $1,200.00 a month policy I had co-pays and a deductable.
I am paying COBRA for our dental insurance.
Feb 28, '12 by heron ProMy rant:
What confuses me is how we talk about over-regulation ... which happens and we all know it ... without ever examining the industries' behavior that led to regulation to begin with.
Unless, of course, we're talking about people caught in the social "safety net" ... perfectly reasonable to regulate them. After all, they buy artificial nails, cell phones, cigarettes and cars on the public dime, so let's make them jump through endless hoops to collect it, including drug tests and restrictions on what they can eat.
But we should trust professionals to do the ethical thing:
We should trust commercial labs to never bundle tests, running two or more unnecessary tests along with the one that was actually ordered ... and taking the public dime for all of them.
We should trust doctors to never do unnecessary procedures because the public dime's reimbursement is higher.
We should trust providers, both individual and corporate to never bill for services never rendered or actually unnecessary.
We should never suspect that maybe, just maybe, the maximization of profit which is the First Commandment of capitalism might lead a person or business to game the system - ie use any strategy that's not specifically prohibited by law (aka regulations).
We should trust businesses and their owners to never use unethical tactics to enhance revenue. Until, of course, they do. Then, it's the regulators' fault for not paying attention and losing all those public dimes.
Or better yet, the fault of the people receiving the fraudulent care ... they didn't take "personal responsibility" for policing the behavior of their providers.
HMPH!Last edit by heron on Feb 28, '12
Quote from TweetyI am not talking about old people at all. I am talking about young people who get free care. Perhaps that is a hijack, but lots of young people, we see them daiy in any OB department, don't pay a dime for care. It isn't fair. I think old people are getting totally ripped off, and I am very soon to be forced to go on Medicare, I will be joining the ranks. I am not happy that it is a forced thing. Over and out now.I've been talking about medicare which funs a significant portion of these doctor's hospitals. You're making old people souond like a bunch of entitled ingrates. Agree that nothing is for free. Society (middle class) foots the bill, which is why I'd love to see universal health care for all since we're paying for it anyway. Not in my lifetime I guess.
Feb 28, '12 by herring_RN Guidetexas medical group owner among 7 indicted in alleged $375 million health care fraud scheme
dallas-the owner of a texas medical service provider was among seven people indicted in a massive health care fraud scheme that allegedly bilked medicare and medicaid of nearly $375 million, authorities announced tuesday.
the federal indictment accused jacques roy, a doctor who owned medistat group associates in desoto, texas, of leading a scheme that billed medicare for home health services that were not medically necessary or were not done....
... the indictment alleged that from january 2006 through november 2011, roy or others certified 11,000 medicare beneficiaries for more than 500 home health services-more patients than any other medical practice in the u.s.
investigators for the u.s. health and human services department noticed irregularities with roy's practice about one year ago, officials said.
roy had "recruiters" finding people to bill for home health services, said u.s. attorney sarah saldana, the top federal prosecutor in dallas. some of those alleged patients, when approached by investigators, were found working on their cars and clearly not in need of home healthcare, she said....
... health care fraud is estimated to cost the government at least $60 billion a year, mainly in losses to medicare and medicaid. officials say the fraud involves everything from sophisticated marketing schemes by major pharmaceuticals encouraging doctors to prescribe drugs for unauthorized uses to selling motorized wheelchairs to people who don't need them....
texas medical group owner among 7 indicted in alleged $375 million health care fraud scheme - the washington post
Feb 28, '12 by Tweety, BSNQuote from tntrnSorry, I was misunderstanding that you meant deadbeat medicaide recipients when I thought were we talking Medicare. But that doesn't make up the bulk of the patients in the Doctor's hospitals that were talking about...other than perhaps OB.I am not talking about old people at all. I am talking about young people who get free care. Perhaps that is a hijack, but lots of young people, we see them daiy in any OB department, don't pay a dime for care. It isn't fair. I think old people are getting totally ripped off, and I am very soon to be forced to go on Medicare, I will be joining the ranks. I am not happy that it is a forced thing. Over and out now.
Feb 29, '12 by FranEMTnurse, LPN, EMT-I ProNo wonder Medicaid and Medicare costs so much. And to think the legitimate people who need these services get reduced food stamps and other program cuts due to this unabashed fraud. It's enough to make one chew nails.
Mar 16, '12 by Tweety, BSNI think Paul Ryan's trailer shows he's a good dramatic actor. It will be interesting to see his budget. I think he does have the core message correct that we need to get our heads out of the sand and address the problem. I don't support how he's going to do it....lower taxes and cut benefits, but it's a conversation we need to have. During this time of delicate economic recovery and high unemployment I think we have to be prudent with cuts.
Paul Ryan's new budget -- the trailer | Campaign 2012 | Washington Examiner
Mar 17, '12 by Tweety, BSNThe world’s superpower is about to lead the way in yet another realm. Next month, America is set to bear the distinction of having the highest corporate tax rate in the industrialized world.
Mar 20, '12 by Tweety, BSNAgain, I can say I admire Ryan and his commitment to the budget process...he brags he's done more than the democrats, but being chairman of the House budget committee he shouldn't brag about doing his job, but he does have a point...no budget in over 3 years from congress. Obama has a budget but well you know how that's working out.
I saw him on MSNBC this AM and it's the usual "we must cut the deficit because...."...and I'm not thinking we need any more convincing of that, but good point nonetheless. He said he would cut 5 point something trillion, but when asked where he refused to answer. Finally he admitted. "there will be debt and deficit" acknowledging that the boomers raising the number of retirees from the current to 40 million to 80 million will have an impact.
As always, being on the tail end of the boomers I'm nervious about medicare...he's going to let the generations below us...the young and healthy one's opt out......so who is going to pay for us when we've paid in our whole lives? Many questions but at least we're asking. We'll see if it can be discussed.
The unrealistic assumptions behind Paul Ryan’s budget numbers - The Washington Post
Mar 20, '12 by Tweety, BSN