Medicaid expansion vote
- Thread starter The Cooterpoot
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The blame (if that's the correct word to use, it probably isn't. It was a policy choice) rests with the government, they pretty much set reimbursement rates, even the private ones. I know almost nobody understands that, but it is the truth. do some digging. The structure as set stacks the deck against small systems in rural areas and has for a long time. Obamcare just hastened an already in place process. It has also forced major structural changes in delivery in non-rural areas to happen much faster. Everyone has noticed that, even if they don't know the reason. It's essentially the same argument as school consolidation. Some argue that is good, others are not so sure. Personally I like to work for my clients, and I like for my providers when I need healthcare to work for me. When we/they work for a bigger system, we/they work for the system. No matter what you prefer, it's going to the big systems.
I don't see how what I said was gaslighting. I also don't pretend to be an expert in theology but I do know that the bible and all its parables are riddled with nuance. What I also see is a Governor who constantly touts his position as a Christian and anchors most of his political agenda to that. So I challenge the hypocrisy of not doing something that could be beneficial to pregnant women, kids, the elderly, the poor, etc.. Yes, this is government... but let's not act like people don't use their government positions to influence certain things close to their beliefs. I'm not attacking or diminishing anyone's religious beliefs by saying these things.
Please show me the verse that says to give your money to the government and let them use a percentage of it to take care of the poor. Even if the government was legit and use 100% to benefit the needy, that method is not what is described in the Word.
It the church's (all Christians) responsibility to take care of those that CAN'T take care of themselves (widows and orphans in scripture).
And yes, my church routinely help people with medical bills, utility bills, transportation, food, etc. We are supposed to do it, not the government.
Just playing my advocate here, what about the people who for whatever reason can not get help from the churches?
Not a rhetorical question, but at what point has the church fulfilled this charge? Looking at it another way, when the Church does fail, is government (which in our case is simply... people) to sit by and do nothing?
Not saying I have answers to these - it's thought-provoking.
I'm not for anyone suffering unjustly. And honestly, there are far too many who are nominal Christians only (people and churches) and not practicing Christians. My point was to contradict the stance that if you don't vote for the government to take care of people, you are a bad example of Christian living.
Just for the record, the Word also says to "let those that will not work also not eat.". It is not sympathetic for slothfulness which is one of the leading causes of poverty.
A custodian at a school is in the education industry, but that doesn't mean they are an expert in school finance.
Not saying this fully applies to you, but it's something I think about when I see someone claim authority because they are 'in the industry'.
Wow, that's a short lived pop culture term I haven't heard in 9 months and have been better for it.
You got me, I sweep up at the local government clinic.
How do you square this with the Workers of the Vineyard parable? We all receive mercy and grace which we have not earned.
Please share with us what industry you work in so we can tell you that you’re not qualified to answer for it jackassAgain, not claiming that.
But if you do...
That is an awesome answer, unfortunately none of it addresses my question. I honestly could care less about who is a nominal Christian and who is not, no offense. It is great that churches and by extension Christians want to help people, but there is not nearly enough of them to help all the people that need it. I am all for churches helping people, but there is a large percentage of people out there that the churches, even if everybody in them was a good Christian, simply can not help. So what entity should help when the churches do not have the resources to?
I thought he was a girls volleyball coach from Iowa? **** Now those two things put together are likely to make one an expert in a variety of fields along with the power of cut and paste and some good old condescension.*****
So this is one of those 'dont mention me, but I can mention you' sort of situations. Good to know.
Don't go taking things literal. Before you know it you'll be saying crazy things like love your neighbor and other senseless crap that might indicated that we were called to love others and God went ahead and let himself remain judge...selfish if you ask me.***
In states that have expanded medicaid, they have seen some low wage workers get shifted from private insurance to medicaid, which reduces the amount hospitals are paid. So if you consider the private insurance rate to be 100%, the medicare 70%, medicaid 30%, and uninsured the same as non-paying, for every patient that move from private health insurance to medicaid you have to have two move from non-paying to medicaid.
I would assume for most hospitals, you'd see more than 2 medicaid patients gained for every 1 private insured moved to medicaid (or whatever the actual ratio needs to be; in reality it would depend on what services are involved, but I would guess it would range from somewhere north of 1:1 with confidence, but no clue what the high end would be; I would guess less than 4:1 but not with a ton of confidence). I think if you pressed people making this claim they would say that expanding Medicaid makes it harder to politically get a fix that "works" rather than actually claiming that the net result is negative in the short term.
Access to preventative, or regular health care, is a huge part of the issue. Even if you have a primary physician and insurance, sometimes, it's hard to get in if you are sick to get treated. NPs have eased that somewhat, but I fear that it might be at a health cost yet to be determined.
Matthew 22:25-22, Render unto Caesar (pay your taxes). Anyway, I don't think the Bible is important here because it can be used sometimes to justify and condemn the same thing depending on the interpretation (some Jews, for instance, think parts of Leviticus and Deuteronomy promote socialism (the kibbutz). I think it's for my soul and not my political ideology and I'm a big separation of church and state guy.
This is a public policy issue. Where has Medicare expansion screwed up a state, its people and state budgets? I suspect it's not as great as advertised but merely bringing up the word "Obamacare" doesn't reflexively make me oppose it. There always seems to be a knee-jerk reaction to not helping the poor, especially if they're Dems, using taxpayer money by Republicans, something that doesn't sit well with the national electorate. In the scheme of things, it doesn't cost states much. And if it doesn't work out well, just repeal it.
You can challenge the hypocrisy of many Christians all you want to. That's fine, and I would agree with you.
But don't come at me trying to tell me I'm supposed to support government-funded welfare because Jesus told us to. Get out of here with that. Whether you intended to or not, that was absolutely an attack on a Christian's religious beliefs.
Just to be clear, I'm 100% for the expansion of Medicaid.
For the record I was not responding to one of your posts, also I asked you not to mention me that was never reciprocated by you so in my mind I am free to mention you all I want. If you would like me to exclude you from any of my future posts I will be glad to do so.
So this is one of those 'dont mention me, but I can mention you' sort of situations. Good to know.
I suspect no one actually thinks government is going to help them "100% of the time" unless they're incredibly ignorant. But it can help and it has programs for specific constituencies. I'm well off, I won't be helped directly by Medicaid expansion but that's fine with me. I'm wealthy. And in comparison to the rest of the world, America is a pretty awesome place to live and, although I love going to Europe (can't wait for summer to happen), I prefer America even with our big government. There are things about government that are frustrating but I don't let those things make me especially angry or unhappy.
Also, maybe increase the budget and hire more fraud investigators so we can cut down on it.
When some far lefty libz find out I'm religious and conservative, they pull the religion card even though they don't know much about Christianity at all. They just think do. One I know has a sign on his car that says Jesus was a liberal. He no longer speaks to me because I told him that wasn't true because Jesus hung out with, lived with and personally helped the poor, including non-whites, something few well-off white liberals do.
Thread Ruination = Engaged
So this is one of those 'dont mention me, but I can mention you' sort of situations. Good to know.
Bud, I have no idea what you are talking about.
- A month ago you said we had run-ins in the past. I dont know what your name was before Lucifer, I guess Samael, but it was news to me that we had run-ins in the past.
- You said you didnt want me to mention you in any of my posts. Since you said that, I havent mentioned you or responded to your posts...until just now in this thread. It sure seems like I accepted and implemented your request.
- You posted a joking comment about me. So I pointed out, in what I thought was a humorous way, that you can apparently comment about me but I cant comment about you('keep from mentioning me in any of your posts').
I will go back to not mentioning you or replying to you, as you requested a month ago. Sucks that a funny Office reference was wasted.
Please don't bring the Bible into this unless it contains the constitution, the bill of rights and a catchy Lee Greenwood tune, just like God would have written it the first time if America had been around. Surely Isaiah 58 was just written to fill space between 57 and 59...***
Well, we don't trust these modern healthcare shysters. I'll just focus on my medical leech farm where I prep them for use on Ivermectin injected horses, and leave you progressive rubes to subject yourselves to stupid things like measles vaccinations, anitbiotics and such.
I would prefer not to be called your bud. I was just pointing out you never requested that I leave you out of any of my posts so in my mind I was free to mention you. I wanted to be left out of your posts because they are usually so poorly received that I did not want to be associated with them. This was after you had mentioned me in some kind of post that I do not remember off the top of my head as many people do on here when they bring up something revolving around the Devil. Usually I am more than fine with being mentioned in random posts by anybody on here just not by you.
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That was such a weird choice for the Obamacare architects. I get that the people designing it didn't really understand markets or believe in competition and thought that fewer, bigger organizations would be more efficient than more smaller organizations, but surely somebody at some point tried to point out that pushing providers to consolidate would just mean it's harder for the insurers to negotiate rates down, which would also put upward pressure on medicare and medicaid rates. I guess they thought it would help them move to single payer more quickly, especially if there had been a "public option" like originally contemplated, but still just a terrible choice.
Semi-OT, that comment reminded me of a a legislative update for a trade group I went to not too long after Obamacare was passed and it was pretty jarring to hear the person, who I think was from HHS (but can't remember; could have been CMS or whatever), talk about rural areas needing to accept that they were going to have triage centers rather than hospitals going forward. Not that she was that open about it, but just the disdain she had for the questions when people expressed concerns over that. Just like she thought living in a rural area was a moral failing and it was crazy for someone in a county with 40,000 people to want a hospital that could treat a heart attack or stroke beyond stabilizing them and putting them in an ambulance for a 60 or 90 mile ride. Which the way they have designed the system, it's probably not easy for a county with 40k people to have an independent hospital, but outside of regulations and limiting the number of doctors, I'm not sure why that'd be the case.
People running for fun is proof that the Devil is real. Nobody else would me so mean as to trick poor saps into thinking running is fun.
@Lucifer Morningstar - I am on to you!
Above would be the post in question where you mentioned me. I am sorry it took me a minute to find it.
Just not related at all in this context. I'm not a biblical scholar, but I feel like if there were a "robinhood parable" in the bible where it directed you to satisfy your obligations to extend charity or grace by using the threat of force to take from others, surely somebody on the left would have pointed it out by now.
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