cyrena—I think I know Ohio Medicaid law

It is no longer just “medicaid”. It is “CareSource”—a med. HMO. And, it is in their contract , that they can deny any services that THEY deem unnecessary. And, it is amazing what they define as unnecessary.

Even non-Med. HMOs do this all the time. (didnt you see “Sicko”?)

In Ohio, you have a choice of several HMOs. They are all about the same. but , to keep my primary dr.(and not my surgeon or specialist) I had to choose the one I did. Sure, I’ve had a dr. go ahead and do what needed to be done.. (I’m not going to provide names or details here, I have no idea whether Strickland’s AG would enforce—esp. since we have no permanenet sitting AG—Dann was caught with his hand in the cookie jar and inside some prostitute) But, my one dr’s secreatary said he coudl lose his licesne, and the HMO contract says that too.

I dont know of any instances where they have lost licenses, personally. Drs. break the Hippocratic Oath all the time in the uS.(And many go out on a limb) I’m sure youve heard the HMO horror stories. (Thyroid med? Chemotherapy? Radiation? a shoe orthotic and lift? reusable ostomy supplies and catheters? These are al “unnecessary”—not all personal exp., but al by “HMOs”—and not al in Ohio)

I have a hearing next month on a bunch of these. But, alot of people either cannot go or cannot get online to do the papaer work and print it out.

Anyone ever trapped in an HMO knows this stuff. With Medicaid, it is just worse. Plus, “caresource” is a privately funded entity, making a profit. Off of Ohio taxpayers money. If ever there was a situaiton where there should be no profit incentive, it should be in non-chosen, taxpayer funded HMOs.

They also keep switching “ownership”. So, a treatment of med. covered one month, may neot be covered the next. When it is something you need to survive, you have to just out it on a card (if you have one—and it look like rates will go up)It is a shock dcotrine.
http://www.medpagetoday.com/PublicHealthPolicy/Me

dicaidMedicare/tb/6925
http://newsroom.ucla.edu/portal/ucla/older-medicare-and-medicaid-patients-39728.aspx

http://ohanet.org/advocacy/state/issues/testimony/medicaidlisteningburke.pdf

http://www.pbs.org/newshour/bb/health/jan-june03/medicaid_2-25.html

http://www.osma.org/i4a/pages/headlinedetails.cfm?id=85&archive=1

http://www.post-gazette.com/pg/06319/738515-114.stm

http://www.nls.org/conf2000/nidrgrie.htm

http://abclocal.go.com/wtvg/story?section=news/local&id=6348079

http://www.commonwealthfund.org/healthpolicyweek/healthpolicyweek_show.htm?doc_id=699442#doc699444

http://query.nytimes.com/gst/fullpage.html?res=9C0CE3DB113AF931A25755C0A962958260&sec=health&spon;=&pagewanted=all

KDelphi…

This is a serious error….

“People with chronic diseawes will be rellocated to Medicaid (many are now) and it is VERY poor care.
“They cover almost nothing, and the person is not even allowed to accept free care from a doctor—if he gets caught doing it, he loses his license.”

~~~~~

Please, just a reminder that you are posting on the WWW. If something like this (which is unbelievable even for Ohio) is actually happening in your area, that is to say that there actually are doctors losing their licenses for treating patients without charge, then you should be reporting it to the Feds.

Because, that is totally unbelieveable. Doctors have a professional oath not to deny care. I’m not saying they all keep it, but what you are suggesting here is totally preposterous.

Additionally, medicade and medicare ‘services’ are of no different ‘quality’ than any other services, unless one is just situated in an environment where the care is *universally* BAD. Medicade is just a form of payment for the services, just like Medicare is a form of payment for the services. It’s TRUE that the payment from medicade or medicare is flimsy, and doesn’t begin to cover the cost of providing the services, so if you wanted to, you could say that any physician who only accepts what medicare or medicade is paying them, is almost treating the person ‘for free’, but to say that a physician will lose his/her license for treating anyone and *not* collecting payment for it is absurd.

They either don’t provide the services because the patient can’t pay, (which is a violation of their professional oath, as well as illegal in the state of California at least) or they simply provide the services, (as they are expected to do) and THEY absorb the cost!!

They may hound the person for the rest of their natural lives for the money, but they sure don’t lose their licenses for PROVING FREE MEDICAL CARE!!

Is that REALLY happening in Dayton, Ohio????

This is the same man who supported Bush in 2004 and refused to support his fellow vet Kerry, even though he himself had been thoroughly smeared and slimed by the RSM. Kerry could have taken the election and changed history with this backing.
MCcain knew Kerry was a man of courage and honor, and he knew bush was the opposite.
So why did he support Bush anyway, enabling this horrific idiot?
His character is defective, is what.

Bad timing John. Really, really bad timing.

this country runs this way: “masking” itself as a 2 party who in actually are totally agreed on an agenda & have been for years: the Corps run the Gov folks: the same wealthy who owned the plantations, and our nation was set up for the profits from big business to pay for all taxes; instead, we are paying theirs as Ronald Reagan said. We are LIED to re foods: refined iodized salt is set up to HARM folks: turns to poison in your system 15 min after being ingested; fructose (sugar) is 52% in infants formulas & in every single thing you ingest: to create diabetes; formaldehyde one of the most toxic chemicals on the planet is in asparteme, FDA put thru as they are BOUGHT & PAID for by these Corps; it has increased as it causes the greatest harm to humans to be included in paint, carpeting, clothing, shampoos including baby shampoo, soaps, dryer sheet fragrances, etc; WHY? for the Pharma’s to get $, 600,000 xs the cost; drs offices are paid to meet prescription quotas; & Corp lawyers are there to keep over 2/3’s of any settlements including balance not given out to citizens; Congress writes laws protecting them at all levels; $5b settlement is not even a BLINK; they have DENIED cancer saving treatments as it generates to much $ to them; if you HAVE health coverage: & it LISTS what coverage you have: Congress has writted FED LAW stating they (insurance companies) do NOT have to cover you; their coverage STOPS when you get sick. Even your laundry soaps, dishwashing soaps, every single cleaning item including Swiffer: is ALL laden to HARM you to the nth degree: and YOU are agressively TAUGHT to “trust” them: they are the experts; at DECEIVING the citizens only; everyone else in the world knows this EXCEPT the American public. It will not matter WHO is in the White House or Congress: THIS is the way our nation is SET UP to work & it is all against the people for the profits of the few.

inheritthewind—You’re correct, of course. Although I dont believe that there will be any money “around” for Obama to implement even his free mkt based health insurance purchase plan, McCain’s “plan” will , indeed , kill lots of people. (We lose an est. 20,000 a year now, to poor , or no,  health care)

If you have cancer , in remission, or, almost any chronic disease you now pay, for a single plan, about $12,500 for a year (This does NOT cover Chemotherapy, mammograms done with PT scan—{you dont need <MORE radiation} not any cancer prevention drugs). These would come to about $8000 a year. (Of course, your original surgery, or treatment probably cost 100s of 1000s of dollars already, so you would have no savings left)

$5000 to “take off on your taxes” will not help most of these people buying privately, because they are mostly low to upper middle class income, and deductions dont help that much, or, simply cant be used.

If “everyone is on their own”, employer based care will disappear, and rates for single plans will soar. People with chronic diseawes will be rellocated to Medicaid (many are now) and it is VERY poor care. They cover almost nothing, and the person is not even allowed to accept free care from a doctor—if he gets caught doing it, he loses his license.

Single-payer is still the only way to go. It would actauly be cheaper (everyone knows the stats), but, with this deregulation imposed economic meltdowm (although i see MORE reason to have it!) most will be against it.

I apologize to people who have read this before, but , I dont think it really hits home with most people unless they can put an “individual person” on it. This may become more widespread as more people have family and friends who are bankrupted. Between health care costs, and , the mortgage rip-off (I saw some of the contracts), it is the Shock Doctrine dismanteling of hte middle class.

As bad as Obama’s plan is, McCain’s is designed to DESTROY employer-provided health care.

How? By removing the tax incentives given to employers to provide health care.  Since it will now cost them much more, many will opt not to pay it at all.  Employees won’t get a compensatory pay increase, instead they will now be forced into the market to purchase health care as individuals.

Of course, that means without the market power that companies have.  20 years ago I asked the Aetna rep why small companies like the one I worked for couldn’t form consortiums to get better pricing in health care.  I was told it couldn’t work (of course it could, many did that).  But if individuals all go into the market as individuals, the pricing they face will be much worse and will be much more tailored to their health status.

So someone who had cancer that’s in remission can expect to be charged premiums only a millionaire could afford.  Consequently either of 2 things will happen:
1) Charity will have to pick up their care
2) Under Republican “on your own” they will simply die.

Health insurance will continue the trend of only being available to the health, only accelerated.

Under McCain’s plan, sick people will simply not be insured and will be left to die.  Of course, the horrific injuries McCain suffered in service to his country were completely covered by the US Government, which still honored our veterans and still kept Lincoln’s pledge to them.

But John McCain voted AGAINST protecting the current veterans who suffered and still suffer as a result of their service to our country.  Even if they serve in Bush’s illegal war in Iraq, they are still entitled to Lincoln’s pledge.  It’s the not Democrats who betrayed that pledge: It’s the Republicans, the Bush White House, and…John McCain, who knows better.

Interestingly, the health insurance providers HATE McCain’s plan as much as individuals do.

“[He] was endowed with a stupidity which by the least little stretch would go around the globe four times and tie.” [Mark Twain]

Apologies for double dipping, but i actually read the essay and simply must comment.

First, whoever writes this drivel for him sucks for actually writing, “My friends.”

Second, I propose to spread the tax subsidy for health insurance more equitably. I would change it to a refundable credit amounting to $5,000 for all families and $2,500 for individuals purchasing health
insurance—regardless of the source of that coverage, regardless of how one purchases it, and regardless of one’s income.  It’s equal see, the rich get as much as the poor.

The banking analogy is really just a couple of sentences, but ends with this whopper: Nationwide insurance markets that ensure broad and vigorous
competition will wring out excess costs, overhead, and bloated executive compensation. Just like in the financial sector…

The final important principle of reform is to rediscover our sense of personal responsibility to take better care of ourselves and our children. Yeah, right…President McCain tells us to straighten up and fly right, so we will.

And in conclusion, “one size fits all big-government” “my friends” “greatness of the American people” “secure prosperity” “freedom” “ingenuity and industry”

Seriously, if he wrote that himself then he sucks.  If someone wrote that for him then he/she sucks…and so does the Sen for putting his name on it. And i don’t mean that the ideas are bad (though they mostly are); i mean that the writing sucks.

One would think (i know, that’s the trouble) that a long-sitting US Senator would be pretty plugged in to that which moves and those who shake.  Said US Senator would probably be one of the first to hear that the financial sector was near boiling over.

Why, then, would the Senator then allow a tract like this to be published?  Granted, the copy for a Sept/Oct publication would have been readied some time ago…but refer to moving and shaking (above). 

I like to imagine a frantic McCain aide calling the American Academy of Actuaries and screaming, “Stop the presses, stop the fucking presses!”  Only to be told that Contingencies was already on the newsstands.  “Well then stop the damned newsstands!”

Or maybe they just wrote of the actuary demographic and hoped that would be the end of it.

Yep and let’s put Social Security out there too.  I’m so glad the dem’s fought that tooth and nail! We have learned over the years we can’t count on the free market doing the right thing…..