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(Daily Kos)   We replaced these citizen's Medicaid with these private companies, let's see if they notice. Kansas' KanCare shows the future of Randian Healthcare for America   (dailykos.com) divider line 91
    More: Cool, Medicaid Services, Kansas, private company, cash assistance, Temporary Assistance for Needy Families, Poverty in the United States, kansans, Sam Brownback  
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4387 clicks; posted to Politics » on 21 Nov 2013 at 2:21 PM (44 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-11-21 10:20:05 AM
THIS THIS THIS. KanCare has been a disaster, not only have Kansans seen huge cuts in services but the new system isn't even saving any money. The only positive result of the whole thing have been huge profits for Brownback's cronies and campaign supporters from the insurance companies who were awarded the contracts.
 
2013-11-21 10:27:48 AM

Voiceofreason01: The only positive result of the whole thing have been huge profits for Brownback's cronies and campaign supporters from the insurance companies who were awarded the contracts.


To Republicans, that's flawless victory.
 
2013-11-21 11:24:40 AM
No, no, this isn't Randian healthcare. Randian healthcare is to let the parasites of the world perish.
 
2013-11-21 11:36:37 AM

Voiceofreason01: THIS THIS THIS. KanCare has been a disaster, not only have Kansans seen huge cuts in services but the new system isn't even saving any money. The only positive result of the whole thing have been huge profits for Brownback's cronies and campaign supporters from the insurance companies who were awarded the contracts.


That was the intent. It's just a kickback system - whether it actually works, delivers services or prevents waste is totally and completely irrelevant.

Maybe they can get a Ventra card to charge healthcare to.
 
2013-11-21 11:53:32 AM
Tenncare went through this "can we afford to provide 24 hour in home care" thing several years ago. The answer was no, we can't. If you need 24 hour care, and you can't afford it yourself, you're going to need to be in an assisted living facility. When we talk about single payer systems, we cannot pretend that we can provide every service a rich man can afford, to anyone who needs it. There will be rationing, and that's fine. Not ideal, but we can't afford ideal, even if we raised taxes to 100% and put yokes ion the workers to keep them from running away.
That said, Kancare is farked up. They're not even trying to provide services.
 
2013-11-21 01:13:50 PM
Privatization is just another term for letting some of your country club buddies' companies have access to the government trough.

/it means bonuses for the few
//and slop for the rest......
 
2013-11-21 01:20:58 PM
encrypted-tbn0.gstatic.com
 
2013-11-21 01:21:23 PM

basemetal: Privatization is just another term for letting some of your country club buddies' companies have access to the government trough.

/it means bonuses for the few
//and slop for the rest......


Well said.
 
2013-11-21 01:23:38 PM

Voiceofreason01: THIS THIS THIS. KanCare has been a disaster, not only have Kansans seen huge cuts in services but the new system isn't even saving any money. The only positive result of the whole thing have been huge profits for Brownback's cronies and campaign supporters from the insurance companies who were awarded the contracts.


Which was pretty much the point of the change. It's not a bug, it's a feature. It's similar to the "excellent" use of resources in mandating the MTE in Mass on top of NTE and Praxis series for teacher licensing. It's a great windfall for test companies, much like the NCLB which forced every state to fork over taxpayer cash to companies to test their kids, with questionable benefits, and exactly the opposite of the standards that the Department of Education was suggesting at the time, and the teachers unions were pushing for.

The push towards "privatization" isn't about more efficient care, it's about handing the public's dollars over to folks to skim their cut, and manage programs as cheaply as possible--if by "cheaper" you mean, "we run it on shoestring budgets so that we can pay our execs large bonuses from the public trough for no net savings." It is akin to private prisons, which means that folks are pushing for MOAR law and order, so that they have more prisoners, that he taxpayers then pour dollars into to house, again, without any real savings to the taxpayers, no one actually safer, and measures to reduce crime are seen as undercutting the profit from these folks, and thus dangerous to the public, as opposed to common sense solutions to the actual problem.
 
2013-11-21 01:31:35 PM
Why Cool tag?
 
2013-11-21 01:38:25 PM

BizarreMan: Why Cool tag?


Because some folks would like to cheer as Rome burns? Don't get me wrong, the problems with the privatization were pretty much self evident when it was proposed, and its effects were pretty much guaranteed, and easily predicted, so being right about its down side is, I suppose, by some standards, reason to cheer, but it still means millions of tax dollars wasted, and lives impacted in terrible ways, and that is less than cool. Sort of like the folks who are looking at the issues with the ACA and positively giddy with excitement, or positively gleeful when someone shoots up a joint. Better to be right, than do something right, I guess...
 
2013-11-21 01:40:45 PM

BizarreMan: Why Cool tag?


It's mission accomplished.  The poor get screwed just a little more at the expense of business interests.
 
2013-11-21 01:45:15 PM
Bullers' 24/7 care was slated to be reduced by November 1 to 40 hours per week.

Good. If you provide 24/7 care, there's no incentive to not be sick 24/7. It's basic economics, libtards.
 
2013-11-21 02:10:17 PM

impaler: Bullers' 24/7 care was slated to be reduced by November 1 to 40 hours per week.

Good. If you provide 24/7 care, there's no incentive to not be sick 24/7. It's basic economics, libtards.


I don't understand why people have a problem with this.

24/7 = 3.42 so that's .26 more than their fair share of the healthcare pie.
 
2013-11-21 02:17:35 PM
KanCare

So... it's like "I can care, but I don't"...
 
2013-11-21 02:24:42 PM

BizarreMan: Why Cool tag?


Because "Randian" sounds awesome.
 
2013-11-21 02:26:17 PM

CapeFearCadaver: KanCare

So... it's like "I can care, but I don't"...


Glad to see this covered.
 
2013-11-21 02:26:17 PM
More like Kick the KanCare, amirite???


Do private companies even want the most expensive people to insure on their risk pools or are they happy with socialism picking up the tab there?
 
2013-11-21 02:30:22 PM

Ambivalence: No, no, this isn't Randian healthcare. Randian healthcare is to let the parasites of the world perish.


Starting with Ayn Rand.
 
2013-11-21 02:32:10 PM

Headso: More like Kick the KanCare, amirite???


Do private companies even want the most expensive people to insure on their risk pools or are they happy with socialism picking up the tab there?


There is zero risk in the pool. They get reimbursed from the state fully with a nice margin for profit. They are doing the same job as the state was doing, but now with the overhead of making money on top.
 
2013-11-21 02:32:50 PM
As with all Kansas related my stories (my former home state btw)....don't care, this is what you voted for and this is what you clearly wanted. Bummer if you raised your voice and voted the other way when you could but you live in a democracy and this is what your friends, coworkers and neighbors all clearly wanted to happen.
 
2013-11-21 02:34:52 PM
inb4 "free market"
 
2013-11-21 02:36:38 PM
So as the poor Liberals die from substandard healthcare, the Tea Party is assured of victory in all future elections?
 
2013-11-21 02:40:58 PM
I want to know what the privatization proponents are smoking.

If it costs the non-profit government $x to perform a specific purpose.  How does hiring an outside company to perform an identical task result in saving money with no loss of benefit?  Other than in a situation where the outside contractor has a specialized piece of equipment that you're not having to purchase yourself.
 
d23 [TotalFark]
2013-11-21 02:41:35 PM
www.biography.com

Social Security and Medicare is fine if I benefit from it and you don't.

fark the selfish assholes this country has become.
 
2013-11-21 02:47:04 PM

BizarreMan: I want to know what the privatization proponents are smoking.

If it costs the non-profit government $x to perform a specific purpose.  How does hiring an outside company to perform an identical task result in saving money with no loss of benefit?  Other than in a situation where the outside contractor has a specialized piece of equipment that you're not having to purchase yourself.


The theory is that people work harder for profit, and that government bureaucracies are inherently and by definition inefficient. Never mind that increased profits make almost no difference to the pay of 99% of workers, or that government is apparently perfectly capable of waging high tech war half a world away, but paying for someone's doctor bill is an unimaginable feat.
 
2013-11-21 02:49:07 PM

basemetal: Privatization is just another term for letting some of your country club buddies' companies have access to the government trough.

/it means bonuses for the few
//and slop for the rest......


Seconded
 
2013-11-21 02:57:12 PM

mcreadyblue: So as the poor Liberals die from substandard healthcare, the Tea Party is assured of victory in all future elections?


This is in Kansas, a state that went full Tea Tard. So it is mostly going to be poor Tea Tards dieing from substandard healthcare as a result of the policies the people that they voted in implemented. Talk about shooting yourself in the foot.

And the really farked up thing is that when the failure of this starts being really felt and people really start screaming about it, the Right will label it a failure of ACA. Mark my words on that.
 
2013-11-21 02:59:51 PM
Jeez a few cripples and oldies dying off and you LIEbtardolinis have decided its a "bad" policy. No one complained when the ACA rolled out not as advertised play fair.
 
2013-11-21 03:00:02 PM
If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.
 
2013-11-21 03:01:01 PM

BizarreMan: I want to know what the privatization proponents are smoking.


Dolla Dolla Bills Y'all
 
2013-11-21 03:05:18 PM
With this success behind them, it's now time to privatize Social Security.
 
2013-11-21 03:06:53 PM

cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.


Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.
 
2013-11-21 03:09:39 PM
I surprised the Republicans called the program KanCare. "Don'tCare" would have been more accurate.
 
2013-11-21 03:09:47 PM

ongbok: This is in Kansas, a state that went full Tea Tard. So it is mostly going to be poor Tea Tards dieing from substandard healthcare as a result of the policies the people that they voted in implemented. Talk about shooting yourself in the foot.


Fortunately, state Republicans are able to blame any shortcomings in the system on Obamacare.
 
2013-11-21 03:14:04 PM

Voiceofreason01: KanCare has been a disaster, not only have Kansans seen huge cuts in services but the new system isn't even saving any money.


What are the odds Brownback & Co blame the failure on Obamacare?
 
2013-11-21 03:20:55 PM
this is all you got?
 
2013-11-21 03:20:59 PM

mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.


Its really not very realistic to think any public healthcare system can afford visiting nurse services 24 hours a day for everyone who needs constant care.
 
2013-11-21 03:21:31 PM

mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.


Medicare does not cover 24 hour a day care at home.
 
2013-11-21 03:22:32 PM

Arkanaut: Voiceofreason01: KanCare has been a disaster, not only have Kansans seen huge cuts in services but the new system isn't even saving any money.

What are the odds Brownback & Co blame the failure on Obamacare?


They haven't yet. The official word is that the whole thing is a huge success. They might eventually tryto blame Obama but Kancare predates the ACA so it'll be a tough sell. Besides, if Brownback throws his hat into the ring for the Republican nomination for 2016 his own party will crucify him over this.
 
2013-11-21 03:24:14 PM
i512.photobucket.com
 
2013-11-21 03:26:20 PM

mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.


I call BS. You want his frail wife to get his backside out of bed and help him to the toilet or bathe or get dressed? Do you have any idea what a stress being a caregiver is on a family, or on the person getting care, as well as the person receiving it?

In an assisted living facility or a nursing home, they are there to help with those activities. 24/7 home care is great if you have the bucks to pay for it, but when you are talking about helping a vast majority of older folks who do not have a lot of income, it makes more sense to get them in a place together to manage resources.
 
2013-11-21 03:28:14 PM
This is why Republicans refuse to say what they would like to replace Obamacare with.  Because all of their ideas involve farking everyone over in order to give handouts to their campaign donors.
 
2013-11-21 03:33:25 PM

silo123j: mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.

I call BS. You want his frail wife to get his backside out of bed and help him to the toilet or bathe or get dressed? Do you have any idea what a stress being a caregiver is on a family, or on the person getting care, as well as the person receiving it?

In an assisted living facility or a nursing home, they are there to help with those activities. 24/7 home care is great if you have the bucks to pay for it, but when you are talking about helping a vast majority of older folks who do not have a lot of income, it makes more sense to get them in a place together to manage resources.


I'm helping my mother with this with my grandmother right now. Grams is 93 and just had hernia surgery. She's been deteriorating for about 2 years now since a fall that broke her arm over 2 years ago. She's extremely weak and has been living at my mom's since the fall. My brother and I both live an hour away and have families and jobs. My mom is almost 70 and my dad is 76. They are certainly not in any kind of position to be caring for her.  Getting her out of bed to go to the bathroom, or worse, cleaning up after the mess. We really WANT her in a permanent facility. She needs professional care and no one expect Medicare to pay for 24-7 care at home... and of course they don't. Why should medicaid have better benefits than Medicare?
 
2013-11-21 03:34:45 PM

silo123j: mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.

I call BS. You want his frail wife to get his backside out of bed and help him to the toilet or bathe or get dressed? Do you have any idea what a stress being a caregiver is on a family, or on the person getting care, as well as the person receiving it?

In an assisted living facility or a nursing home, they are there to help with those activities. 24/7 home care is great if you have the bucks to pay for it, but when you are talking about helping a vast majority of older folks who do not have a lot of income, it makes more sense to get them in a place together to manage resources.


Avoid nursing homes with more than 50% Medicaid residents. They are not nice. Really it nice.
 
2013-11-21 03:35:56 PM

Voiceofreason01: Arkanaut: Voiceofreason01: KanCare has been a disaster, not only have Kansans seen huge cuts in services but the new system isn't even saving any money.

What are the odds Brownback & Co blame the failure on Obamacare?

They haven't yet. The official word is that the whole thing is a huge success. They might eventually tryto blame Obama but Kancare predates the ACA so it'll be a tough sell. Besides, if Brownback throws his hat into the ring for the Republican nomination for 2016 his own party will crucify him over this.


Wouldn't be the first time a Republican governor tried to blame Obama for something that he's trying to claim credit for at the same time.  IIRC Rick Scott, Scott Walker, and probably a few others tried to claim credit for recoveries in their states while stumping for Romney, while at the same time blaming Obama for how much people in their states are suffering..
 
2013-11-21 03:36:40 PM

silo123j: mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.

I call BS. You want his frail wife to get his backside out of bed and help him to the toilet or bathe or get dressed? Do you have any idea what a stress being a caregiver is on a family, or on the person getting care, as well as the person receiving it?


I also just wanted to point how how difficult it is to do just that... get a person barely able to move on their own from bed to wheel chair or wheel chair to toilet?  I was at the hospital with my mother visiting my grandmother when her lunch came. We couldn't get the tray close enough to her while she was sitting in the wheel chair, so we wanted to move her to sit on the bed. No walking involved at all. Get her up from the chair which was right next to the bed, turn side-ways, and sit down. That was one small move and it was me AND my mother and it scared the shiat out of both of us. We should have called the nurse.
 
2013-11-21 03:38:08 PM

mcreadyblue: silo123j: mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.

I call BS. You want his frail wife to get his backside out of bed and help him to the toilet or bathe or get dressed? Do you have any idea what a stress being a caregiver is on a family, or on the person getting care, as well as the person receiving it?

In an assisted living facility or a nursing home, they are there to help with those activities. 24/7 home care is great if you have the bucks to pay for it, but when you are talking about helping a vast majority of older folks who do not have a lot of income, it makes more sense to get them in a place together to manage resources.

Avoid nursing homes with more than 50% Medicaid residents. They are not nice. Really it nice.


Is that kind of thing public knowledge?
 
2013-11-21 03:38:26 PM

colon_pow: this is all you got?


In the article about this subject, yeah, pretty much. That's kind of how this works. If you'd like to read about other subjects, you're welcome to check other articles. Let me or your 2nd grade teacher know if you need any help.
 
2013-11-21 03:40:56 PM

cchris_39: mediablitz: cchris_39: If you need 24/7 care with ADL's you really need to be in assisted living or a nursing home.

Good call. They die quicker that way. As long as you are saving money, right? Never mind he has a family.

Medicare does not cover 24 hour a day care at home.


This is about Medicaid.
 
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