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(National Journal)   Of course the 25 Red states that have refused to expand Medicaid are hurting their own citizens, but it's okay, because much of the pain is borne by Blacks and Latinos and they don't vote Republican anyway   (nationaljournal.com ) divider line
    More: Sad, Medicaid, latino, red states, United States, GOP, black person, pain, wage earners  
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1256 clicks; posted to Politics » on 16 Jan 2014 at 12:24 PM (2 years ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2014-01-16 12:05:43 PM  
Conservatives shafting the poor and other minorities?  Wait until the press hears about this!
 
2014-01-16 12:11:19 PM  
Yes, but this gives them a reason to vote Democrat.
 
2014-01-16 12:12:22 PM  

nmrsnr: Yes, but this gives them a reason to vote Democrat.


Now, if only the Republicans would let them vote...
 
2014-01-16 12:12:39 PM  
If the Republicans had their way, they wouldn't be able to vote at all
 
2014-01-16 12:13:04 PM  

nmrsnr: Yes, but this gives them a reason to vote Democrat.


Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.
 
2014-01-16 12:16:21 PM  
This is a feature, not a bug.
 
2014-01-16 12:17:43 PM  

MaudlinMutantMollusk: If the Republicans had their way, they wouldn't be able to vote at all


they're working pretty hard on that as we speak.
 
2014-01-16 12:22:32 PM  
I live in a green, brown, and blue state.
 
2014-01-16 12:24:52 PM  
So it's working as intended?
 
2014-01-16 12:27:10 PM  

Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.


And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.
 
2014-01-16 12:28:27 PM  
How's that minority outreach going, GOP?
 
2014-01-16 12:29:33 PM  

Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.


Close. The hours are Tuesday OR Thursday, 10am - 3pm, unless it's raining, then it's from 8am to 10am, before you know if it'll rain. Good luck, citizen.
 
2014-01-16 12:30:41 PM  

qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.


And if that poll worker actually lets you fill out a ballot, his cohorts will just shred it before they count it.
 
2014-01-16 12:30:45 PM  

qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.


Well, we wouldn't want someone pretending to be you to steal your vote, would we?  We all know how rampant crime is in that neighborhood.
 
2014-01-16 12:30:53 PM  
I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".
 
2014-01-16 12:31:02 PM  
Duty, Honor, Party.
 
2014-01-16 12:31:27 PM  
Maybe... but when they survive and succeed without any help, they will be staunchly conservative and resent any of THEIR money going to the likes of what they used to be and THAT is when the minority outreach will really start to take off.
 
2014-01-16 12:31:42 PM  
The question is not whether Republicans are going to start listening to poor minority people.  That was never in question.  The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.
 
2014-01-16 12:33:27 PM  

Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".


That would rely on people who voted Republican previously being able to reevaluate a situation, examine preconceived notions, and then vote in their best interests in a logical manner.
 
2014-01-16 12:33:41 PM  

Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".


HAHAHAHAHAHAHAHA!

You think they're going to stop voting Republican. That's hilarious.

You can't teach stupid dogs new tricks.
 
2014-01-16 12:33:47 PM  

vudutek: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

Close. The hours are Tuesday OR Thursday, 10am - 3pm, unless it's raining, then it's from 8am to 10am, before you know if it'll rain. Good luck, citizen.


Well, in my defense, the notices that were posted in the basement of city hall SAY Tuesday through Thursday.
 
2014-01-16 12:34:39 PM  
"They are the children of Buono Obama voters" - David Wildstein Rand Paul
 
2014-01-16 12:35:22 PM  

Relatively Obscure: vudutek: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

Close. The hours are Tuesday OR Thursday, 10am - 3pm, unless it's raining, then it's from 8am to 10am, before you know if it'll rain. Good luck, citizen.

Well, in my defense, the notices that were posted in the basement of city hall SAY Tuesday through Thursday.


How did you get past the leopard?
 
2014-01-16 12:37:20 PM  

Lawnchair: The question is not whether Republicans are going to start listening to poor minority people.  That was never in question.  The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.


It's not going to happen. At least not everywhere. Heineman in Nebraska and Brownback in Kansas both reiterated their complete opposition to accepting the Medicaid expansion this week.
 
2014-01-16 12:42:30 PM  

Lawnchair: The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.


Why would Republicans care about the opinions of a bunch of elitist doctors?
 
2014-01-16 12:42:44 PM  
Here's the thing that kills me:

"Blacks make up 13 percent of the nation's population but will represent 27 percent of those who will lose out on Medicaid coverage..."

What this tells me is that yes, poor blacks are being hit hard by the medicaid loss but even more poor white folks are going to be hit as well. A significantly larger fraction of blacks in the US are poor when compared to the fraction of whites but in terms of total population there are a lot more poor white people so while media focuses on the minorities who are being hit hard by this a significantly larger number of white folks are getting the shaft as well.

Focusing media on the blacks who are hit hard because blacks are disproportional more likely to be poor actually obscures that these policies are hurting whites as well and makes it easier for whites to ignore the effects as something that only affects the darkies.

In short, if you want republicans to get behind helping the poor, put poor white folks in the media.
 
2014-01-16 12:44:39 PM  
I wonder how many of those minorities didn't show up to vote in 2010? I hope they now show up in 2014 and help vote out the GOP.
 
2014-01-16 12:48:38 PM  

MisterEZ: Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".

HAHAHAHAHAHAHAHA!

You think they're going to stop voting Republican. That's hilarious.

You can't teach stupid dogs new tricks.


Yep, there is a woman who sits across from me (single mom who was sending her daughter off to college as Romney was running against Obama) and she said I always vote Republican and I asked why would you vote for Romney when he is proposing to cut fed student aid and his answer is they just need to borrow it from their parents after listening to her complain for a year about the cost of sending the kid to college.
 
2014-01-16 12:51:20 PM  
Did Ohio's expansion still get through despite the gnashing of teeth the main line GOP did when the governor did an end run around them to get Medicaid expanded?
 
2014-01-16 12:52:02 PM  

nmrsnr: Yes, but this gives them a reason to vote Democrat.


If more non-old white people in those states voted in midterms they might have something to worry about.
 
2014-01-16 12:54:07 PM  

Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.



Next time a black Democrat runs for prez, it'll be Pap smears for all.
 
2014-01-16 12:56:38 PM  

Pichu0102: Did Ohio's expansion still get through despite the gnashing of teeth the main line GOP did when the governor did an end run around them to get Medicaid expanded?


Ohio's Supreme Court upheld the expansion. The only option at this point would be to appeal to the US Supreme Court, but they would be unlikely to grant cert in this case since there is almost certainly no federal jurisdiction.
 
2014-01-16 12:58:20 PM  

MisterEZ: Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".

HAHAHAHAHAHAHAHA!

You think they're going to stop voting Republican. That's hilarious.

You can't teach stupid dogs new tricks.


Actually, you can. Humans are the only ones that trip on the same stone twice.
 
2014-01-16 01:05:56 PM  
A stable health system of hospitals, doctors, clinics, labs, rehab, disease control, and therapy is really in the interest of all.

Republicans will reap the wind when they purposely unintentionally degrade health care in their state and then get so old that a "trip out of state" can't be managed the way it was for that pregnant daughter.

What new doctor is going to be attracted to a third world Tea Party state with a decided political attitude to destabilize medical institutions? After all, people in the medical professionals are in business and the GOP is out to prove it are no friend of business.
 
2014-01-16 01:08:21 PM  

Angry Drunk Bureaucrat: This is a feature, not a bug.


One of the more shocking things I learned while studying US history in depth after college is that the reason the Red states have such crappy safety nets is because the leaders of those states deliberately gutted them in the early 1960's (most of them going back the Great Depression had pretty robust relief efforts and programs)  and the reason for that gutting was that they were hoping to literally starve out their poor blacks and force them to move now that efforts to halt de-segregation had failed and they were going to be forced to integrate.  The folks in charge figured that the poor whites had more charities they could rely on (because back then even charitable organizations discriminated on the basis of skin color)  and while they would get hurt, they would survive but blacks would be FORCED to move away.  This is ONE of the reasons LBJ actually launched his "War on Poverty" and made it a federal program that was out of the hands of the states to monkeywrench
 
2014-01-16 01:08:28 PM  

MFAWG: Duty, Honor, Party.


Pointing out their dereliction thereof merely ticks them off.
And ...
rindastartrekds9.files.wordpress.com
 
2014-01-16 01:11:17 PM  

demaL-demaL-yeH: MFAWG: Duty, Honor, Party.

Pointing out their dereliction thereof merely ticks them off.
And ...
[rindastartrekds9.files.wordpress.com image 534x401]


For a group that's all "Party, Party, Party", they're kinda dicks.
 
2014-01-16 01:12:31 PM  
hol.kag.org
/"There is no honor in attacking the weak."
 
2014-01-16 01:13:14 PM  

CygnusDarius: MisterEZ: Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".

HAHAHAHAHAHAHAHA!

You think they're going to stop voting Republican. That's hilarious.

You can't teach stupid dogs new tricks.

Actually, you can. Humans are the only ones that trip on the same stone twice.


Yeah, but if I keep tripping on it enough times, the other guy will be SOOOO pissed. And my sore foot will fix itself.
 
2014-01-16 01:25:19 PM  
So, maybe they'll move the the expanded states?
 
2014-01-16 01:26:00 PM  

CygnusDarius: MisterEZ: Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".

HAHAHAHAHAHAHAHA!

You think they're going to stop voting Republican. That's hilarious.

You can't teach stupid dogs new tricks.

Actually, you can. Humans are the only ones that trip on the same stone twice.


But dogs fall for that "pretend to throw the ball but don't actually throw it" trick all the damn time.
 
2014-01-16 01:26:59 PM  
I had a wonderful visit to the dentist yesterday thanks to the ACA,Medicaid and Governor Beshear not being farking stupid. Thanks Obama!
/Next week they start the actual work.
 
2014-01-16 01:27:14 PM  

LordJiro: CygnusDarius: MisterEZ: Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".

HAHAHAHAHAHAHAHA!

You think they're going to stop voting Republican. That's hilarious.

You can't teach stupid dogs new tricks.

Actually, you can. Humans are the only ones that trip on the same stone twice.

But dogs fall for that "pretend to throw the ball but don't actually throw it" trick all the damn time.


Because dogs don't really like the ball, they like the fact they're getting attention, and playtime with the fur-less two-legged dog.
 
2014-01-16 01:27:36 PM  
For some reason I'm picturing all these GOP politicians with goatees.  And then they do the "fist over heart out to a sig heil" salute.

/when one of them votes the other way the leader of his party can be heard saying "your agonizer, please"
 
2014-01-16 01:32:12 PM  

demaL-demaL-yeH: [hol.kag.org image 399x30]
/"There is no honor in attacking the weak."


Actually, that says "Bregit lung with grapok sauce: $4.99 "
 
2014-01-16 01:33:24 PM  

MFAWG: Duty, Honor, Party.


FTFY

"
In a way, the worldview of the Party was imposed most successfully on those least able to understand it.They could be made to accept the most flagrant violations of reality, because they never fully grasped the enormity of what was demanded of them, and were not sufficiently interested in public events to notice what was happening. By lack of understanding they remained sane. They simply swallowed everything, and what they swallowed did them no harm, because it left no residue behind, just as a grain of corn will pass undigested through the body of a bird."
-Shia LeBeouf
 
2014-01-16 01:42:19 PM  

Magorn: MFAWG: Duty, Honor, Party.

FTFY

"
In a way, the worldview of the Party was imposed most successfully on those least able to understand it.They could be made to accept the most flagrant violations of reality, because they never fully grasped the enormity of what was demanded of them, and were not sufficiently interested in public events to notice what was happening. By lack of understanding they remained sane. They simply swallowed everything, and what they swallowed did them no harm, because it left no residue behind, just as a grain of corn will pass undigested through the body of a bird."
-Shia LeBeouf Rand Paul

 
2014-01-16 01:51:07 PM  

Serious Black: Lawnchair: The question is not whether Republicans are going to start listening to poor minority people.  That was never in question.  The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.

It's not going to happen. At least not everywhere. Heineman in Nebraska and Brownback in Kansas both reiterated their complete opposition to accepting the Medicaid expansion this week.


This is where this will get really interesting.  Even the Gov of NC is admitting his state is gonna have to expand Medicaid soon.  Why?  Well it seems the HHS stole a regulatory march on the obstructionist states.  They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program.  Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.  That process can take 9-12 months and if, at the end HHS says they AREN'T eligible?  Well then, HHS will not reimburse the state for the money they spent covering that person for that year.

Contrast that with their offer to pay 100% of the costs of expanding Medicaid for the first 10 years and 90% of the costs thereafter, and you start to see that it is going to be VERY expensive for states to hold out against the expansion.

It will be interesting how many states continue to do so, and how many of those use the excuse that the state "can't afford" the expansion
 
2014-01-16 01:54:24 PM  

Relatively Obscure: vudutek: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

Close. The hours are Tuesday OR Thursday, 10am - 3pm, unless it's raining, then it's from 8am to 10am, before you know if it'll rain. Good luck, citizen.

Well, in my defense, the notices that were posted in the basement of city hall SAY Tuesday through Thursday.


Just look for the "beware of leopards" sign and the double lock for the door.
 
2014-01-16 01:54:55 PM  

theknuckler_33: demaL-demaL-yeH: [hol.kag.org image 399x30]
/"There is no honor in attacking the weak."

Actually, that says "Bregit lung with grapok sauce: $4.99 "


Same thing.
 
2014-01-16 01:55:30 PM  

Magorn: Serious Black: Lawnchair: The question is not whether Republicans are going to start listening to poor minority people.  That was never in question.  The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.

It's not going to happen. At least not everywhere. Heineman in Nebraska and Brownback in Kansas both reiterated their complete opposition to accepting the Medicaid expansion this week.

This is where this will get really interesting.  Even the Gov of NC is admitting his state is gonna have to expand Medicaid soon.  Why?  Well it seems the HHS stole a regulatory march on the obstructionist states.   They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program. Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.  That process can take 9-12 months and if, at the end HHS says they AREN'T eligible?  Well then, HHS will not reimburse the state for the money they spent covering that person for that year.

Contrast that with their offer to pay 100% of the costs of expanding Medicaid for the first 10 years and 90% of the costs thereafter, and you start to see that it is going to be VERY expensive for states to hold out against the expansion.

It will be interesting how many states continue to do so, and how many of those use the excuse that the state "can't afford" the expansion


I've heard of this rule, but I haven't heard about the latter part with HHS not paying unless they are definitively determined to be eligible.
 
2014-01-16 01:57:02 PM  

pueblonative: Relatively Obscure: vudutek: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

Close. The hours are Tuesday OR Thursday, 10am - 3pm, unless it's raining, then it's from 8am to 10am, before you know if it'll rain. Good luck, citizen.

Well, in my defense, the notices that were posted in the basement of city hall SAY Tuesday through Thursday.

Just look for the "beware of leopards" sign and the double lock for the door.


The light has gone out, btw.
 
2014-01-16 01:58:17 PM  

A Terrible Human: I had a wonderful visit to the dentist yesterday thanks to the ACA,Medicaid and Governor Beshear not being farking stupid. Thanks Obama!
/Next week they start the actual work.


Yeah, and because of you, someone more deserving of being healthy had to wait 15 minutes. You should be ashamed.
 
2014-01-16 02:02:37 PM  

Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.


Unless you're trustworthy, of course.  We can usually tell by looking.
 
2014-01-16 02:07:04 PM  

Magorn: Well it seems the HHS stole a regulatory march on the obstructionist states.  They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program.  Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.


Interesting.  Where are you getting that from?  I've not heard it.
 
2014-01-16 02:13:30 PM  

Soup4Bonnie: Magorn: Well it seems the HHS stole a regulatory march on the obstructionist states.  They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program.  Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.

Interesting.  Where are you getting that from?  I've not heard it.


Section 2202 of the law permitted this. I'm looking for a regulation that empowers specifically the payment prior to eligibility determination thing since that isn't a part of the section.
 
2014-01-16 02:22:27 PM  

Serious Black: Magorn: Serious Black: Lawnchair: The question is not whether Republicans are going to start listening to poor minority people.  That was never in question.  The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.

It's not going to happen. At least not everywhere. Heineman in Nebraska and Brownback in Kansas both reiterated their complete opposition to accepting the Medicaid expansion this week.

This is where this will get really interesting.  Even the Gov of NC is admitting his state is gonna have to expand Medicaid soon.  Why?  Well it seems the HHS stole a regulatory march on the obstructionist states.   They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program.  Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.  That process can take 9-12 months and if, at the end HHS says they AREN'T eligible?  Well then, HHS will not reimburse the state for the money they spent covering that person for that year.

Contrast that with their offer to pay 100% of the costs of expanding Medicaid for the first 10 years and 90% of the costs thereafter, and you start to see that it is going to be VERY expensive for states to hold out against the expansion.

It will be interesting how many states continue to do so, and how many of those use the excuse that the state "can't afford" the expansion

I've heard of this rule, but I haven't heard about the latter part with HHS not paying unless they are definitively determined to be eligible.


Admittedly I have read the reg in full myself (a shame for someone in my profession to admit) but the North Carolina governor certainly thinks it works that way, though I did get one detail wrong...its TWO months for the process not 12....but still given that it is hospitals signing these people up, that would include the very expensive stay in the hospital that the patient first turned up for.
 
2014-01-16 02:23:38 PM  
Have these GOP states put forward a single defensible reason for not expanding Medicaid coverage? Just one? The federal govt covers the entire cost for the first three years and 90% of the cost after that. Have these states shown that the 10% of expansion costs they'll be required to cover in a few years is just too damn much? That's what they're claiming. Is there any evidence whatsoever that it's true?

As far as I can tell, dozens of GOP controlled states, including my own, are blocking Medicaid expansion solely out of spite. They don't like Obama, so fark poor people.
 
2014-01-16 02:23:41 PM  

Soup4Bonnie: Magorn: Well it seems the HHS stole a regulatory march on the obstructionist states.  They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program.  Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.

Interesting.  Where are you getting that from?  I've not heard it.


here's the NC governor complaining about the law
 
2014-01-16 02:24:44 PM  

qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.


Ahem. Some of us aren't old.
 
2014-01-16 02:26:47 PM  

Magorn: Serious Black: Magorn: Serious Black: Lawnchair: The question is not whether Republicans are going to start listening to poor minority people.  That was never in question.  The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.

It's not going to happen. At least not everywhere. Heineman in Nebraska and Brownback in Kansas both reiterated their complete opposition to accepting the Medicaid expansion this week.

This is where this will get really interesting.  Even the Gov of NC is admitting his state is gonna have to expand Medicaid soon.  Why?  Well it seems the HHS stole a regulatory march on the obstructionist states.   They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program.  Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.  That process can take 9-12 months and if, at the end HHS says they AREN'T eligible?  Well then, HHS will not reimburse the state for the money they spent covering that person for that year.

Contrast that with their offer to pay 100% of the costs of expanding Medicaid for the first 10 years and 90% of the costs thereafter, and you start to see that it is going to be VERY expensive for states to hold out against the expansion.

It will be interesting how many states continue to do so, and how many of those use the excuse that the state "can't afford" the expansion

I've heard of this rule, but I haven't heard about the latter part with HHS not paying unless they are definitively determined to be eligible.

Admittedly I have read the reg in full myself (a shame for someone in my profession to admit) but the North Caro ...


I just found this brief from Health Affairs that discusses the regulation. Money quote from about two-thirds of the way down: "Will a state be responsible for 100 percent of the cost of services for someone enrolled presumptively but determined ineligible when they apply for ongoing coverage? All covered services provided during the presumptive eligibility period receive federal matching funds, even if the person is later determined ineligible."
 
2014-01-16 02:27:04 PM  

what_now: qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.

Ahem. Some of us aren't old.


Since you've described yourself as a "desperate spinster", that would make you all of twenty-four.
 
2014-01-16 02:33:17 PM  

demaL-demaL-yeH: what_now: qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.

Ahem. Some of us aren't old.

Since you've described yourself as a "desperate spinster", that would make you all of twenty-four.


35, actually.
 
2014-01-16 02:34:26 PM  

what_now: demaL-demaL-yeH: what_now: qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.

Ahem. Some of us aren't old.

Since you've described yourself as a "desperate spinster", that would make you all of twenty-four.

35, actually.


Twenty-six, tops.
/You write young.
 
2014-01-16 02:36:00 PM  

patrick767: Have these GOP states put forward a single defensible reason for not expanding Medicaid coverage? Just one? The federal govt covers the entire cost for the first three years and 90% of the cost after that. Have these states shown that the 10% of expansion costs they'll be required to cover in a few years is just too damn much? That's what they're claiming. Is there any evidence whatsoever that it's true?

As far as I can tell, dozens of GOP controlled states, including my own, are blocking Medicaid expansion solely out of spite. They don't like Obama, so fark poor people.


My state has indicated that they aren't expanding because "they're unsure of the federal governments commitment to meet the financial obligations" and "we've asked specific questions of the HHS secretary and have not received satisfactory answers to those questions."

Now, the questions should be answered if they're legitimate, but given the state'a political leadership it is far more likely they were along the lines of "when did you quit beating your wife." As to the question of federal commitment to meet financial obligations, this state's deflation is firmly in the defund-the-whole-government camp and, more specifically, supportive of default as an option to deal a blow to Obamacare. Basically, we're not certain the federal govt will meet financial obligations because were actively trying to NOT meet those obligations. The whole goddamn thing is absurd theater.
 
2014-01-16 02:36:03 PM  

TheBeastOfYuccaFlats: Conservatives shafting the poor and other minorities?  Wait until the press hears about this!


I think they are ramping shiat up though.  I've been on Fark for several years and have seen so many examples of hateful, bigoted, anti-poor, anti-gay, misogynistic rhetoric from the right and that includes 2008, 2010 and 2012 election cycles.
 
2014-01-16 02:40:49 PM  

Serious Black: Magorn: Serious Black: Magorn: Serious Black: Lawnchair: The question is not whether Republicans are going to start listening to poor minority people.  That was never in question.  The question is whether they will listen to hospital administrators and doctors who are, almost uniformly, furious that the Repub statehouses aren't expanding Medicaid.  This is even all the more true among small rural hospitals, who treat overwhelmingly poor patients, and need all the insured patients they can find.

It's not going to happen. At least not everywhere. Heineman in Nebraska and Brownback in Kansas both reiterated their complete opposition to accepting the Medicaid expansion this week.

This is where this will get really interesting.  Even the Gov of NC is admitting his state is gonna have to expand Medicaid soon.  Why?  Well it seems the HHS stole a regulatory march on the obstructionist states.   They've passed a new rule giving HOSPITALS the authority to enroll anyone THEY THINK MIGHT be eligible for Medicaid program.  Once enrolled, the state will have to pay ALL that person's medical bills until HHS makes an official final determination of the person's eligibility.  That process can take 9-12 months and if, at the end HHS says they AREN'T eligible?  Well then, HHS will not reimburse the state for the money they spent covering that person for that year.

Contrast that with their offer to pay 100% of the costs of expanding Medicaid for the first 10 years and 90% of the costs thereafter, and you start to see that it is going to be VERY expensive for states to hold out against the expansion.

It will be interesting how many states continue to do so, and how many of those use the excuse that the state "can't afford" the expansion

I've heard of this rule, but I haven't heard about the latter part with HHS not paying unless they are definitively determined to be eligible.

Admittedly I have read the reg in full myself (a shame for someone in my profession to admit) but the No ...


Interesting.  Thanks for correcting that.  WHich leads to the interesting question then why the NC governor would say otherwise and claim the state will be FORCED to expand the program.  Is is possible we have a GOP gov who wants to do the right thing but needs cover from the far right before he can act?
 
2014-01-16 02:43:39 PM  

Delta1212: A Terrible Human: I had a wonderful visit to the dentist yesterday thanks to the ACA,Medicaid and Governor Beshear not being farking stupid. Thanks Obama!
/Next week they start the actual work.

Yeah, and because of you, someone more deserving of being healthy had to wait 15 minutes. You should be ashamed.


Lol don't know if you're serious or not. No actually they use a sheet the patients sign and then appointment time,there were maybe 5 people all together in the waiting room,four of them waiting for people being seen.
 
2014-01-16 02:56:48 PM  

demaL-demaL-yeH: what_now: demaL-demaL-yeH: what_now: qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.

Ahem. Some of us aren't old.

Since you've described yourself as a "desperate spinster", that would make you all of twenty-four.

35, actually.

Twenty-six, tops.
/You write young.


Like, OMG, totes amazeballs
 
2014-01-16 03:02:55 PM  

what_now: demaL-demaL-yeH: what_now: demaL-demaL-yeH: what_now: qorkfiend: Relatively Obscure: nmrsnr: Yes, but this gives them a reason to vote Democrat.

Okay, but you'll need to present three forms of ID, a drug test and a DNA sample at the verification center just 70 miles away between the hours of 10am-3pm, Tuesday through Thursday.

And should you accomplish that, you have to get your ID verified at the polls by the old, white, poorly-trained volunteer poll worker.

Ahem. Some of us aren't old.

Since you've described yourself as a "desperate spinster", that would make you all of twenty-four.

35, actually.

Twenty-six, tops.
/You write young.

Like, OMG, totes amazeballs


In my family, we stop at 27 so our kids can catch up.
/You have a year left before your age becomes permanent. Use the time foolishly.
 
2014-01-16 03:12:31 PM  

Magorn: WHich leads to the interesting question then why the NC governor would say otherwise and claim the state will be FORCED to expand the program. Is is possible we have a GOP gov who wants to do the right thing but needs cover from the far right before he can act?


It's possible, but I'd argue unlikely.
 
2014-01-16 03:12:37 PM  

what_now: Like, OMG, totes amazeballs


Maybe it's the Nyquil working through me, but I made a snork-y sound when I read that.
 
2014-01-16 03:48:34 PM  

Princess Ryans Knickers: I thought it was amusing seeing a bunch of companies now laying off folks in Tennessee. I kept thinking to myself, "that's a lot of soon to be former Republican voters".


So long as there's a Democrat in the White House, they will never blame the Republicans (even at the state level) for a single one of their problems.
 
2014-01-16 04:06:19 PM  
I'm surprised more red states haven't done as Arkansas did. It's the best of both worlds (or worst, depending on your perspective [or perhaps your party affiliation]). Arkansas took option 3 when the rollout started. Instead of setting up their own exchange they have it hosted with healthcare.gov and instead of refusing the expansion, they took the option of using the expansion funds to provide Medicaid eligible citizens private insurance.
It's not exactly a voucher program, but could be presented as one to appease those on the right that like vouchers. It doesn't refuse the expansion, which can be presented to those on the left that support it as proof that AR cares about it's residents. It puts taxpayer money into private enterprise, which should appeal to those on the right who prefer market solutions to government ones. So, they've got a website they don't have to pay for, all the expansion money combined with the ability to spend it on private insurance and enough spin capacity to appease voters on both sides of the issue, all while making it so their citizens can get health coverage.

/Not endorsing the idea, just find it interesting how they worked it out. Time will tell whether or not it's a good idea.
 
2014-01-16 04:18:44 PM  

geek_mars: I'm surprised more red states haven't done as Arkansas did. It's the best of both worlds (or worst, depending on your perspective [or perhaps your party affiliation]). Arkansas took option 3 when the rollout started. Instead of setting up their own exchange they have it hosted with healthcare.gov and instead of refusing the expansion, they took the option of using the expansion funds to provide Medicaid eligible citizens private insurance.
It's not exactly a voucher program, but could be presented as one to appease those on the right that like vouchers. It doesn't refuse the expansion, which can be presented to those on the left that support it as proof that AR cares about it's residents. It puts taxpayer money into private enterprise, which should appeal to those on the right who prefer market solutions to government ones. So, they've got a website they don't have to pay for, all the expansion money combined with the ability to spend it on private insurance and enough spin capacity to appease voters on both sides of the issue, all while making it so their citizens can get health coverage.

/Not endorsing the idea, just find it interesting how they worked it out. Time will tell whether or not it's a good idea.


Yeah, but taking the Arkansas option means embracing the crown policy jewel of the black guy in the White House. What Republican would want to do that when they think Obama is basically the bastard child of Satan and Hitler?
 
2014-01-16 05:51:41 PM  

Serious Black: geek_mars: I'm surprised more red states haven't done as Arkansas did. It's the best of both worlds (or worst, depending on your perspective [or perhaps your party affiliation]). Arkansas took option 3 when the rollout started. Instead of setting up their own exchange they have it hosted with healthcare.gov and instead of refusing the expansion, they took the option of using the expansion funds to provide Medicaid eligible citizens private insurance.
It's not exactly a voucher program, but could be presented as one to appease those on the right that like vouchers. It doesn't refuse the expansion, which can be presented to those on the left that support it as proof that AR cares about it's residents. It puts taxpayer money into private enterprise, which should appeal to those on the right who prefer market solutions to government ones. So, they've got a website they don't have to pay for, all the expansion money combined with the ability to spend it on private insurance and enough spin capacity to appease voters on both sides of the issue, all while making it so their citizens can get health coverage.

/Not endorsing the idea, just find it interesting how they worked it out. Time will tell whether or not it's a good idea.

Yeah, but taking the Arkansas option means embracing the crown policy jewel of the black guy in the White House. What Republican would want to do that when they think Obama is basically the bastard child of Satan and Hitler?


Hopefully one's who don't want to appear as stupid as the Governor of N.C. is making himself appear. AR gets to, more or less, "have their cake and eat it" in that they get all the funding and haven't had to deal with any serious public outcry about cooperating with the White House (none I've heard/read of anyway).

I keep hoping that some of the red states that are being less obstructionist will serve as examples to more recalcitrant states, but so far not much progress is being made. OK did just take some steps in favor of gay equality, though, and I'd rather be optimistic than pessimistic, so I'm staying hopeful.

/and yes, staying hopeful = trying to ignore reality
 
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