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S/O Any self-made (no college) making $250,000 plus?
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ectomorph




 
 
    
 

Post Thu, May 30 2019, 8:45 am
smileforamile wrote:
So let me hear your plan for Medicaid for all. How do you think this will solve our problems, and where will the money come from?

How will this change the prior authorization issue? In fact, in most socialized countries, care like this will be routinely denied.

Yup, in socialized countries any kind of care deemed not worth it or too expensive is denied.

And many times people die of treatable cancers because it takes so long to get a basic x ray unless you have pull.
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amother
Smokey


 

Post Thu, May 30 2019, 8:53 am
ectomorph wrote:
Yup, in socialized countries any kind of care deemed not worth it or too expensive is denied.

And many times people die of treatable cancers because it takes so long to get a basic x ray unless you have pull.


Not to mention a 6-month wait to get biopsy results.


Last edited by amother on Sun, Jul 07 2019, 10:05 am; edited 1 time in total
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amother
Maroon


 

Post Thu, May 30 2019, 8:54 am
smileforamile wrote:
And I'd be willing to bet my savings that every single one of them has done it dishonestly, or at least inherited it from someone who did it dishonestly.

The other poster was pointing out that the government's allocated money is not being used as it should if the administrators are raking it in and the residents are receiving subpar care.


I agree with what you are saying about nursing homes raking it in at residents expense.

However, some real estate owners also rake it in at owners expense. For example, some frum ppl own buildings but dont provide heat and hot water or don't take care of infestations etc.. I had problems with frum landlords who owned my building and so did my friend.

So, a lot of businesses/jobs are making profits at the customers' expense. So too, doctors, I just recently went to a "top rated doctor" who saw my son for 2 min and refused to let me ask a question. Why is a pa allowed to see the patient without the Dr there but the Dr bills as I the Dr saw the patient??? Or, the allergist who refused to do a blood test but said ill need to come in another few visits for each test. No, he obviously just wanted more money, but if he's refusing to do the test in one shot, then don't bill as an office visit. I'm not sure there are even laws about what constitutes an office visit but I know drs are dishonest when billing. I also know drs are dishonest when making three appointments in the same time slot...

Same with principals...some principals kick kids out or fire teachers only bec the board said to so they find some phony reason(and lie about it).

Yes most nursing homes are making a profit and are bec they are really not providing the best care and yet they are falsely claiming they are providing good care(which is why majority ppl dont want their parents there). But, there's dishonesty in every field, and alot of ppl
"fall prey".
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mig100




 
 
    
 

Post Thu, May 30 2019, 8:57 am
SixOfWands wrote:

You're complaining about the ACA, which helps people who can't otherwise afford health insurance obtain it. If you think that they should be thrown to the wolves, allowing doctors to cater exclusively to those who can afford, then you shouldn't care about them.


becasue before insurance became so expensive- most were able to afford it and there was no need for the aca ( which isnt very affordable btw)

I dont know why im bothering to respond- you obviously did not read one word I wrote.

if you insist on saying- I want people who are not wealthy to die- go ahead and quote me on that also if it makes you happy. go ahead and say that.


Last edited by mig100 on Thu, May 30 2019, 9:01 am; edited 1 time in total
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ectomorph




 
 
    
 

Post Thu, May 30 2019, 8:58 am
Hospitals also short staff and try to save money. That's how a business is run. That's why we have regulatory agencies.
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mig100




 
 
    
 

Post Thu, May 30 2019, 9:00 am
ectomorph wrote:
Yup, in socialized countries any kind of care deemed not worth it or too expensive is denied.

And many times people die of treatable cancers because it takes so long to get a basic x ray unless you have pull.


yes exactly.

unfortantely that now describes medical care in america too. insurances deny right and left to not have to pay. its no wonder so many doctors are refusing to accept insurance.

at least you have an insurance card in your wallet - hope that keeps you healthy when you cant find a doctor who will accept if for payment.

yep -thats where we are heading- people dying while waiting for medical care thats not available

to think america- used to be the place where people came from all over the world for the best medical care.

thank you obama
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amother
Smokey


 

Post Thu, May 30 2019, 9:17 am
amother [ Maroon ] wrote:
I agree with what you are saying about nursing homes raking it in at residents expense.

However, some real estate owners also rake it in at owners expense. For example, some frum ppl own buildings but dont provide heat and hot water or don't take care of infestations etc.. I had problems with frum landlords who owned my building and so did my friend.

So, a lot of businesses/jobs are making profits at the customers' expense. So too, doctors, I just recently went to a "top rated doctor" who saw my son for 2 min and refused to let me ask a question. Why is a pa allowed to see the patient without the Dr there but the Dr bills as I the Dr saw the patient??? Or, the allergist who refused to do a blood test but said ill need to come in another few visits for each test. No, he obviously just wanted more money, but if he's refusing to do the test in one shot, then don't bill as an office visit. I'm not sure there are even laws about what constitutes an office visit but I know drs are dishonest when billing. I also know drs are dishonest when making three appointments in the same time slot...

Same with principals...some principals kick kids out or fire teachers only bec the board said to so they find some phony reason(and lie about it).

Yes most nursing homes are making a profit and are bec they are really not providing the best care and yet they are falsely claiming they are providing good care(which is why majority ppl dont want their parents there). But, there's dishonesty in every field, and alot of ppl
"fall prey".


I didn't say that nursing home owners and administrators are the exclusive owners of dishonesty. I think that the rate of dishonest NH owners/administrators is almost as high as the rate of dishonest lawyers.

(Before you throw the rotten tomatoes, my father is a lawyer, and an honest one at that. But I don't know how he does it, and he isn't raking it in. People literally stop using him because he's too honest for the shenanigans they're trying to pull.)


Last edited by amother on Sun, Jul 07 2019, 10:05 am; edited 1 time in total
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amother
Blonde


 

Post Thu, May 30 2019, 9:45 am
amother [ Puce ] wrote:
I'm having a hard time believing that someone without an 8th grade education has developed the skills to do what you say he has done.


What can I say? It’s true. He’s a smart person with people skills and was able to do it. No diplomas from elementary school or high school and no GRE.
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amother
Maroon


 

Post Thu, May 30 2019, 12:44 pm
amother [ Blonde ] wrote:
What can I say? It’s true. He’s a smart person with people skills and was able to do it. No diplomas from elementary school or high school and no GRE.


I do believe it because I have met kids who are not doing well in school bec they dont apply themselves but they are smart and do have skills. BUT THIS IS THE EXCEPTION, NOT THE NORM.
Usually, these kids are not going on to make a lot of money.

But, its up to hashem such that after hishtadlus, hashem decides who will "strike it rich", so this boy did his hishtadlus and hashem decided he will be successful/rich.
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amother
Maroon


 

Post Thu, May 30 2019, 12:47 pm
smileforamile wrote:
I didn't say that nursing home owners and administrators are the exclusive owners of dishonesty. I think that the rate of dishonest NH owners/administrators is almost as high as the rate of dishonest lawyers.

(Before you throw the rotten tomatoes, my father is a lawyer, and an honest one at that. But I don't know how he does it, and he isn't raking it in. People literally stop using him because he's too honest for the shenanigans they're trying to pull.)


Yes, you are correct. I forgot about lawyers.
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amother
Amber


 

Post Thu, May 30 2019, 1:38 pm
Very interesting thread.

The lawyers I know (I am thinking right know of 5 whom I know well, as well as 3 judges who used to be lawyers) are extremely honest and straightforward. They would never pull shtick. I had not idea lawyers had a bad rap!
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amother
Pewter


 

Post Thu, May 30 2019, 1:49 pm
amother [ Maroon ] wrote:
I agree with what you are saying about nursing homes raking it in at residents expense.

However, some real estate owners also rake it in at owners expense. For example, some frum ppl own buildings but dont provide heat and hot water or don't take care of infestations etc.. I had problems with frum landlords who owned my building and so did my friend.

So, a lot of businesses/jobs are making profits at the customers' expense. So too, doctors, I just recently went to a "top rated doctor" who saw my son for 2 min and refused to let me ask a question. Why is a pa allowed to see the patient without the Dr there but the Dr bills as I the Dr saw the patient??? Or, the allergist who refused to do a blood test but said ill need to come in another few visits for each test. No, he obviously just wanted more money, but if he's refusing to do the test in one shot, then don't bill as an office visit. I'm not sure there are even laws about what constitutes an office visit but I know drs are dishonest when billing. I also know drs are dishonest when making three appointments in the same time slot...

Same with principals...some principals kick kids out or fire teachers only bec the board said to so they find some phony reason(and lie about it).

Yes most nursing homes are making a profit and are bec they are really not providing the best care and yet they are falsely claiming they are providing good care(which is why majority ppl dont want their parents there). But, there's dishonesty in every field, and alot of ppl
"fall prey".


To me, the difference between nursing homes and other businesses is that with nursing homes, the overwhelming majority of all profit comes from government funds. The cost of nursing home care is exorbitant. Patients either deplete their life savings until Medicaid picks up the tab, or plan ahead so that Medicaid picks up the tab.

So, it's not like nursing homes make their money through clever investing.

Worth noting that, while there are unscrupulous landlords, very often these situations happen when they're renting out to tenants in rent stabilized apartments.

And doctors, wrong also when they play games, but billing and dealing with insurance companies is already a game, they're just taking it farther.

For both, you see less of this in free market situations.
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amother
Pewter


 

Post Thu, May 30 2019, 1:58 pm
SixOfWands wrote:
Why do you care about those people?

You're complaining about the ACA, which helps people who can't otherwise afford health insurance obtain it. If you think that they should be thrown to the wolves, allowing doctors to cater exclusively to those who can afford, then you shouldn't care about them.


But when looking at cause and effect, where does the "cause" begin?

The problem, or effect, is the high cost of health care. What caused that? Some things: tying health care to employment (a relic of WWII), suppressing competition by restricting the ability to buy insurance across state lines, overwhelming government bureaucracy and involvement, etc. So if we want to solve the problem, we want to look to do less of what's causing the problem to begin with, or the problem will only be compounded as per Mig100's excellent post that you quoted.
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amother
Pearl


 

Post Thu, May 30 2019, 2:01 pm
I work in a hospital and make decent money. I can barely afford it medical costs. Not huge just having a baby (3k) my son I needs to see a specialist (1.5k) every visit I'm afraid to go in because I'm not sure how much it will cost 275$ for the visit? Insurance companies are not transparent about costs and if you try to call up to get price t he ey say "we can't guarantee, it's hard to know how much it will cost ...." Otoh patients who have Medicaid go to the doctor for free! Er for free! They don't second and third guess symptoms before seeing a doctor! No need to think about cost before becoming pregnant! Medicaid is the best insurance if you are middle class such as ourselves (making 125k/yr family of four) I long for the day's I was still on it. I don't care that my BCBS insurance is more widely accepted. I can't afford the co-pays deductible and premiums for those doctors anyway!

I have lived in countries with socialized medicine and if you haven't you can't understand the security of knowing a doctor can always treat you. You can take your kid to the er if you are worried and don't have to pay 1k as a penalty for using the er.
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amother
Pewter


 

Post Thu, May 30 2019, 2:03 pm
SixOfWands wrote:
(2) It is completely untrue that you can be admitted through the ER and not pay. Hospitals are only required to treat EMERGENCIES and to STABILIZE. Not to treat. So if you come in bleeding profusely, they have to stop the bleeding. You come in with a tumor, no money, no insurance -- best of luck to you.


This is misrepresentative. Hospitals are not permitted to discharge people into unsafe situations. If someone is bleeding profusely and physically frail and also homeless, a hospital cannot discharge him into the street.
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amother
Pewter


 

Post Thu, May 30 2019, 2:05 pm
amother [ Pearl ] wrote:
I work in a hospital and make decent money. I can barely afford it medical costs. Not huge just having a baby (3k) my son I needs to see a specialist (1.5k) every visit I'm afraid to go in because I'm not sure how much it will cost 275$ for the visit? Insurance companies are not transparent about costs and if you try to call up to get price t he ey say "we can't guarantee, it's hard to know how much it will cost ...." Otoh patients who have Medicaid go to the doctor for free! Er for free! They don't second and third guess symptoms before seeing a doctor! No need to think about cost before becoming pregnant! Medicaid is the best insurance if you are middle class such as ourselves (making 125k/yr family of four) I long for the day's I was still on it. I don't care that my BCBS insurance is more widely accepted. I can't afford the co-pays deductible and premiums for those doctors anyway!

I have lived in countries with socialized medicine and if you haven't you can't understand the security of knowing a doctor can always treat you. You can take your kid to the er if you are worried and don't have to pay 1k as a penalty for using the er.


I think pretty much everyone agrees that the cost of healthcare in the US is a huge problem. The question is whether we can solve the problem by handing it over to the government, or by going the other way, where the free market rewards quality and low cost, but with a safety net for people who need.
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amother
Ruby


 

Post Thu, May 30 2019, 2:08 pm
SixOfWands wrote:
Why do you care about those people?

You're complaining about the ACA, which helps people who can't otherwise afford health insurance obtain it. If you think that they should be thrown to the wolves, allowing doctors to cater exclusively to those who can afford, then you shouldn't care about them.


When I first got married (pre-Obamacare), we bought private insurance. After a few years, the rates went up and the care available on the plans went down. We applied through the marketplace and got barely any discount. It was still more than we used to pay, for substandard plans. We didn’t qualify for Medicaid and couldn’t really afford private insurance. And we were a family of 5 with a very low income.

If it didn’t help us, who did it help? The truly poor already qualified for Medicaid. And the marketplace “reduces” the cost of plans whose rates have skyrocketed from what they were previously.
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mig100




 
 
    
 

Post Thu, May 30 2019, 2:16 pm
amother [ Ruby ] wrote:
When I first got married (pre-Obamacare), we bought private insurance. After a few years, the rates went up and the care available on the plans went down. We applied through the marketplace and got barely any discount. It was still more than we used to pay, for substandard plans. We didn’t qualify for Medicaid and couldn’t really afford private insurance. And we were a family of 5 with a very low income.

If it didn’t help us, who did it help? The truly poor already qualified for Medicaid. And the marketplace “reduces” the cost of plans whose rates have skyrocketed from what they have previously.


I care about people like u- who thanks to Obama can't afford medical care.

Six of wands feel free to quote me on that and every other similar post.
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amother
Azure


 

Post Thu, May 30 2019, 2:20 pm
the marketplace insurance is a failure. We tried to not go on medicaid because we felt bad having other people pay for our insurance while my dh tried to start a business. Well we quickly found out that our marketplace insurance wasn't accepted by local hospitals or my primary cared doctor. No point in insurance if it's not going to actually cover any of your bills so we gave in and went on medicaid. That's not an option for people who are earning too much for medicaid and stuck with crummy insurance.
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amother
Ecru


 

Post Thu, May 30 2019, 2:47 pm
My friend was on marketplace insurance. Paying a fortune every month. She gave birth prematurely and guess what? Her insurance company paid a fraction of the cost. She now has a few hundred thousand dollars in medical bills outstanding. If she would have had Medicaid she would have been fully covered.
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