Home Mail Chat Wallpapers
Go Back   ChiefsPlanet > The Lounge > Washington DC and The Holy Land

Reply
 
Thread Tools Display Modes
Old 10-08-2013, 06:56 PM   Topic Starter
Direckshun Direckshun is offline
Make America Great Again
 
Direckshun's Avatar
 
Join Date: Oct 2006
Location: Springpatch
Casino cash: $33532
So what's the plan to provide health insurance to the working poor?

We're seeing it right now in Republican controlled states that are refusing to the Medicaid expansion to its working poor, which (for those of you who don't know) is provided almost entirely by Obamacare to people who are up to 133% of the poverty line -- but only if the state opts in for that expansion.

And we've heard over and over again that Obamacare -- including the Medicaid expansion, I guess -- is the demise of America, is part and parcel of the Communist Manifesto, is senseless and detestable.

Alright, then, conservatives. What's the plan then? We've got millions upon millions of the working poor in this country that, thanks to the ACA, now have a chance at Medicaid despite the fact that they work their rears off to stay above the poverty line.

What's the plan for these folks to have health insurance? What solution you would recommend for these people (a.) in the event that you were able to repeal Obamacare, or (b.) if you live in a state where the Medicaid expansion has been denied?

Here's another question if you get twitchy with those: did our pre-Obamacare health insurance system adequately provide for the working poor, in your estimation?

http://www.nytimes.com/2013/10/03/he...agewanted=all&

Millions of Poor Are Left Uncovered by Health Law
By SABRINA TAVERNISE and ROBERT GEBELOFF
Oct. 2, 2013

A sweeping national effort to extend health coverage to millions of Americans will leave out two-thirds of the poor blacks and single mothers and more than half of the low-wage workers who do not have insurance, the very kinds of people that the program was intended to help, according to an analysis of census data by The New York Times.

Because they live in states largely controlled by Republicans that have declined to participate in a vast expansion of Medicaid, the medical insurance program for the poor, they are among the eight million Americans who are impoverished, uninsured and ineligible for help. The federal government will pay for the expansion through 2016 and no less than 90 percent of costs in later years.

Those excluded will be stranded without insurance, stuck between people with slightly higher incomes who will qualify for federal subsidies on the new health exchanges that went live this week, and those who are poor enough to qualify for Medicaid in its current form, which has income ceilings as low as $11 a day in some states.

People shopping for insurance on the health exchanges are already discovering this bitter twist.

“How can somebody in poverty not be eligible for subsidies?” an unemployed health care worker in Virginia asked through tears. The woman, who identified herself only as Robin L. because she does not want potential employers to know she is down on her luck, thought she had run into a computer problem when she went online Tuesday and learned she would not qualify.

At 55, she has high blood pressure, and she had been waiting for the law to take effect so she could get coverage. Before she lost her job and her house and had to move in with her brother in Virginia, she lived in Maryland, a state that is expanding Medicaid. “Would I go back there?” she asked. “It might involve me living in my car. I don’t know. I might consider it.”

The 26 states that have rejected the Medicaid expansion are home to about half of the country’s population, but about 68 percent of poor, uninsured blacks and single mothers. About 60 percent of the country’s uninsured working poor are in those states. Among those excluded are about 435,000 cashiers, 341,000 cooks and 253,000 nurses’ aides.

“The irony is that these states that are rejecting Medicaid expansion — many of them Southern — are the very places where the concentration of poverty and lack of health insurance are the most acute,” said Dr. H. Jack Geiger, a founder of the community health center model. “It is their populations that have the highest burden of illness and costs to the entire health care system.”

The disproportionate impact on poor blacks introduces the prickly issue of race into the already politically charged atmosphere around the health care law. Race was rarely, if ever, mentioned in the state-level debates about the Medicaid expansion. But the issue courses just below the surface, civil rights leaders say, pointing to the pattern of exclusion.

Every state in the Deep South, with the exception of Arkansas, has rejected the expansion. Opponents of the expansion say they are against it on exclusively economic grounds, and that the demographics of the South — with its large share of poor blacks — make it easy to say race is an issue when it is not.

In Mississippi, Republican leaders note that a large share of people in the state are on Medicaid already, and that, with an expansion, about a third of the state would have been insured through the program. Even supporters of the health law say that eventually covering 10 percent of that cost would have been onerous for a predominantly rural state with a modest tax base.

“Any additional cost in Medicaid is going to be too much,” said State Senator Chris McDaniel, a Republican, who opposes expansion.

The law was written to require all Americans to have health coverage. For lower and middle-income earners, there are subsidies on the new health exchanges to help them afford insurance. An expanded Medicaid program was intended to cover the poorest. In all, about 30 million uninsured Americans were to have become eligible for financial help.

But the Supreme Court’s ruling on the health care law last year, while upholding it, allowed states to choose whether to expand Medicaid. Those that opted not to leave about eight million uninsured people who live in poverty ($19,530 for a family of three) without any assistance at all.

Poor people excluded from the Medicaid expansion will not be subject to fines for lacking coverage. In all, about 14 million eligible Americans are uninsured and living in poverty, the Times analysis found.

The federal government provided the tally of how many states were not expanding Medicaid for the first time on Tuesday. It included states like New Hampshire, Ohio, Pennsylvania and Tennessee that might still decide to expand Medicaid before coverage takes effect in January. If those states go forward, the number would change, but the trends that emerged in the analysis would be similar.

Mississippi has the largest percentage of poor and uninsured people in the country — 13 percent. Willie Charles Carter, an unemployed 53-year-old whose most recent job was as a maintenance worker at a public school, has had problems with his leg since surgery last year.

His income is below Mississippi’s ceiling for Medicaid — which is about $3,000 a year — but he has no dependent children, so he does not qualify. And his income is too low to make him eligible for subsidies on the federal health exchange.

“You got to be almost dead before you can get Medicaid in Mississippi,” he said.

He does not know what he will do when the clinic where he goes for medical care, the Good Samaritan Health Center in Greenville, closes next month because of lack of funding.

“I’m scared all the time,” he said. “I just walk around here with faith in God to take care of me.”

The states that did not expand Medicaid have less generous safety nets: For adults with children, the median income limit for Medicaid is just under half of the federal poverty level — or about $5,600 a year for an individual — while in states that are expanding, it is above the poverty line, or about $12,200, according to the Kaiser Family Foundation. There is little or no coverage of childless adults in the states not expanding, Kaiser said.

The New York Times analysis excluded immigrants in the country illegally and those foreign-born residents who would not be eligible for benefits under Medicaid expansion. It included people who are uninsured even though they qualify for Medicaid in its current form.

Blacks are disproportionately affected, largely because more of them are poor and living in Southern states. In all, 6 out of 10 blacks live in the states not expanding Medicaid. In Mississippi, 56 percent of all poor and uninsured adults are black, though they account for just 38 percent of the population.

Dr. Aaron Shirley, a physician who has worked for better health care for blacks in Mississippi, said that the history of segregation and violence against blacks still informs the way people see one another, particularly in the South, making some whites reluctant to support programs that they believe benefit blacks.

That is compounded by the country’s rapidly changing demographics, Dr. Geiger said, in which minorities will eventually become a majority, a pattern that has produced a profound cultural unease, particularly when it has collided with economic insecurity.

Dr. Shirley said: “If you look at the history of Mississippi, politicians have used race to oppose minimum wage, Head Start, all these social programs. It’s a tactic that appeals to people who would rather suffer themselves than see a black person benefit.”

Opponents of the expansion bristled at the suggestion that race had anything to do with their position. State Senator Giles Ward of Mississippi, a Republican, called the idea that race was a factor “preposterous,” and said that with the demographics of the South — large shares of poor people and, in particular, poor blacks — “you can argue pretty much any way you want.”

The decision not to expand Medicaid will also hit the working poor. Claretha Briscoe earns just under $11,000 a year making fried chicken and other fast food at a convenience store in Hollandale, Miss., too much to qualify for Medicaid but not enough to get subsidies on the new health exchange. She had a heart attack in 2002 that a local hospital treated as part of its charity care program.

“I skip months on my blood pressure pills,” said Ms. Briscoe, 48, who visited the Good Samaritan Health Center last week because she was having chest pains. “I buy them when I can afford them.”

About half of poor and uninsured Hispanics live in states that are expanding Medicaid. But Texas, which has a large Hispanic population, rejected the expansion. Gladys Arbila, a housekeeper in Houston who earns $17,000 a year and supports two children, is under the poverty line and therefore not eligible for new subsidies. But she makes too much to qualify for Medicaid under the state’s rules. She recently spent 36 hours waiting in the emergency room for a searing pain in her back.

“We came to this country, and we are legal and we work really hard,” said Ms. Arbila, 45, who immigrated to the United States 12 years ago, and whose son is a soldier in Afghanistan. “Why we don’t have the same opportunities as the others?”
Posts: 53,287
Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.
  Reply With Quote
Old 10-08-2013, 06:59 PM   #2
BigRedChief BigRedChief is offline
Has a particular set of skills
 
BigRedChief's Avatar
 

Join Date: Dec 2003
Location: On the water
Casino cash: $39727
VARSITY
__________________
Fear is the path to the Dark Side. Fear leads to anger, anger leads to hate, hate leads to suffering.
Posts: 58,278
BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.BigRedChief is obviously part of the inner Circle.
  Reply With Quote
Old 10-09-2013, 02:28 PM   #3
Ace Gunner Ace Gunner is offline
First Overall
 
Ace Gunner's Avatar
 

Join Date: Jan 2011
Location: kcmo
Casino cash: $7371
Quote:
Originally Posted by BigRedChief View Post
whoa, three? that's pretty sophisticated for us
__________________
The Greatest
Posts: 10,580
Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.Ace Gunner is too fat/Omaha.
  Reply With Quote
Old 10-08-2013, 07:03 PM   #4
ClevelandBronco ClevelandBronco is offline
Banned
 
ClevelandBronco's Avatar
 

Join Date: Sep 2006
Casino cash: $19055
Quote:
Originally Posted by Direckshun View Post
Alright, then, conservatives. What's the plan then?
Repeal Obamacare and start over.
Posts: 23,932
ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.
  Reply With Quote
Old 10-08-2013, 07:07 PM   #5
Direckshun Direckshun is offline
Make America Great Again
 
Direckshun's Avatar
 

Join Date: Oct 2006
Location: Springpatch
Casino cash: $33532
Quote:
Originally Posted by ClevelandBronco View Post
Repeal Obamacare and start over.
That's not the question.

What do you do for the working poor, CB, when you repeal Obamacare.

That's the question.

What's your answer.
__________________
Posts: 53,287
Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.
  Reply With Quote
Old 10-08-2013, 07:11 PM   #6
ClevelandBronco ClevelandBronco is offline
Banned
 
ClevelandBronco's Avatar
 

Join Date: Sep 2006
Casino cash: $19055
Quote:
Originally Posted by Direckshun View Post
That's not the question.

What do you do for the working poor, CB, when you repeal Obamacare.

That's the question.

What's your answer.
Single payer with the Republicans at the table. Why deny the inevitable?
Posts: 23,932
ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.
  Reply With Quote
Old 10-08-2013, 07:14 PM   #7
Direckshun Direckshun is offline
Make America Great Again
 
Direckshun's Avatar
 

Join Date: Oct 2006
Location: Springpatch
Casino cash: $33532
Quote:
Originally Posted by ClevelandBronco View Post
Single payer with the Republicans at the table. Why deny the inevitable?
What do you mean "Republicans at the table"?

I'm seriously asking, because I wasn't expecting you to advocate for the liberal endgame on healthcare.

I just want to make sure you're arguing for single payer.
__________________
Posts: 53,287
Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.
  Reply With Quote
Old 10-08-2013, 07:27 PM   #8
ClevelandBronco ClevelandBronco is offline
Banned
 
ClevelandBronco's Avatar
 

Join Date: Sep 2006
Casino cash: $19055
Quote:
Originally Posted by Direckshun View Post
What do you mean "Republicans at the table"?

I'm seriously asking, because I wasn't expecting you to advocate for the liberal endgame on healthcare.

I just want to make sure you're arguing for single payer.
I wouldn't say that I'm arguing for it necessarily, but I will say that I'm resigned to it. The current system is broken, unsustainable and in a lot of ways it's just needlessly cruel to a great many people for the unseemly benefit of a small class of corporate vultures. There are plenty of ways to make enormous profits in the U.S without preying on ill people.
Posts: 23,932
ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.ClevelandBronco is obviously part of the inner Circle.
  Reply With Quote
Old 10-08-2013, 11:40 PM   #9
Garcia Bronco Garcia Bronco is offline
No Keys, No Problem
 

Join Date: Sep 2000
Location: Denver
Casino cash: $13236
Quote:
Originally Posted by Direckshun View Post
What do you mean "Republicans at the table"?

I'm seriously asking, because I wasn't expecting you to advocate for the liberal endgame on healthcare.

I just want to make sure you're arguing for single payer.
Its actually the best fiscal way to do it and still have government involved in health care.
Posts: 25,730
Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.Garcia Bronco is too fat/Omaha.
  Reply With Quote
Old 10-09-2013, 05:24 PM   #10
King_Chief_Fan King_Chief_Fan is offline
Praise Him
 
King_Chief_Fan's Avatar
 

Join Date: Aug 2000
Location: none ya
Casino cash: $15586
Quote:
Originally Posted by ClevelandBronco View Post
Repeal Obamacare and start over.
ding ding....we have a winner
__________________
No Jesus
No Peace
Know Jesus
Know Peace

Ephesians 2:8-10

English Standard Version (ESV)

8 For by grace you have been saved through faith. And this is not your own doing; it is the gift of God, 9 not a result of works, so that no one may boast. 10 For we are his workmanship, created in Christ Jesus for good works, which God prepared beforehand, that we should walk in them.
Posts: 9,797
King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.King_Chief_Fan is blessed with 50/50 Hindsight.
  Reply With Quote
Old 10-10-2013, 06:24 PM   #11
Gravedigger Gravedigger is offline
Plays to win the game!
 
Gravedigger's Avatar
 

Join Date: Mar 2005
Location: Lenexa KS
Casino cash: $13201
Quote:
Originally Posted by ClevelandBronco View Post
Repeal Obamacare and start over.
Don't you mean hold the country hostage and be the catalyst for America defaulting on its debts and then blaming Obamacare and the Democrats for the whole thing?
__________________
The OFFICIAL Chiefs slogan, "Oh well, there's always next year."
Posts: 3,599
Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.
  Reply With Quote
Old 10-10-2013, 06:31 PM   #12
patteeu patteeu is offline
The 23rd Pillar
 
patteeu's Avatar
 

Join Date: Sep 2002
Casino cash: $19337
Quote:
Originally Posted by Gravedigger View Post
Don't you mean hold the country hostage and be the catalyst for America defaulting on its debts and then blaming Obamacare and the Democrats for the whole thing?
No one is holding a gun to the democrats' heads and forcing them not to reopen the government or increase the debt ceiling.
__________________


“The American people are tired of liars and people who pretend to be something they’re not.” - Hillary Clinton
Posts: 90,283
patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.
  Reply With Quote
Old 10-10-2013, 11:45 PM   #13
Gravedigger Gravedigger is offline
Plays to win the game!
 
Gravedigger's Avatar
 

Join Date: Mar 2005
Location: Lenexa KS
Casino cash: $13201
Quote:
Originally Posted by patteeu View Post
No one is holding a gun to the democrats' heads and forcing them not to reopen the government or increase the debt ceiling.
We are at the whim of the House Republicans was my point. They could reopen the Government tomorrow if they wanted to, they'd just rather get something out of it. They're playing with us as their chips in an unnecessary gamble that is paying off for nobody, especially themselves if they hope to win the White House back from the Democrats. I personally don't care who is in charge, but this whole fiasco is the most pointless ego inducing cock measuring bullshit I've seen in a long time. They're still cashing their checks though, how nice for them. We can't pay Veterans Benefits, International Debt, Employees to open our State Parks and Monuments, but we can pay their salaries in this whole crisis. Gotta love it all.
__________________
The OFFICIAL Chiefs slogan, "Oh well, there's always next year."
Posts: 3,599
Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.Gravedigger would the whole thing.
  Reply With Quote
Old 10-11-2013, 07:11 AM   #14
patteeu patteeu is offline
The 23rd Pillar
 
patteeu's Avatar
 

Join Date: Sep 2002
Casino cash: $19337
Quote:
Originally Posted by Gravedigger View Post
We are at the whim of the House Republicans was my point. They could reopen the Government tomorrow if they wanted to, they'd just rather get something out of it.
We can say the same thing about the President and his democrats. They could reopen Government tomorrow if they wanted to, they'd just rather get everything they want out of it.
__________________


“The American people are tired of liars and people who pretend to be something they’re not.” - Hillary Clinton
Posts: 90,283
patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.patteeu is obviously part of the inner Circle.
  Reply With Quote
Old 10-08-2013, 07:16 PM   #15
Direckshun Direckshun is offline
Make America Great Again
 
Direckshun's Avatar
 

Join Date: Oct 2006
Location: Springpatch
Casino cash: $33532
For the conservatives on this forum who are arguing against Obamacare from the right:

What's your bright ideas for working poor's lack of health insurance, when you repeal Obamacare?
__________________
Posts: 53,287
Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.Direckshun is obviously part of the inner Circle.
  Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is On

Forum Jump




All times are GMT -6. The time now is 07:31 AM.


This is a test for a client's site.
Fort Worth Texas Process Servers
Covering Arlington, Fort Worth, Grand Prairie and surrounding communities.
Tarrant County, Texas and Johnson County, Texas.
Powered by vBulletin® Version 3.8.8
Copyright ©2000 - 2017, vBulletin Solutions, Inc.