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Honored Advisor

Re: Plight of Rural Hospitals on `This Week`.

Ten years ago promises were made about "paying $2500 less in premiums every year" was there crossed fingers behind backs when "if you like your doctor you can keep your doctor. if you like your policy you can keep your policy"?   Now we got the clown car with 20 candidates promising "single payah   and medicah fo all" That wasn`t supposed to happen, but if you weren`t "too stupid" and paid attention, you aren`t surprised.

 

https://www.youtube.com/watch?v=AEjr9WchNkg   

 

The good news you can keep your doctor, the bad news is your hospital is closing and your doctor is 2 hours away.

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Veteran Advisor

Re: Plight of Rural Hospitals on `This Week`.

I do know folks on Obama Care that have their same Dr.   and I know folks that have their premiums aggressively  spiral upward in the last 2 years '' not ''  on Obama Care -  -  -

Maybe  election  time  cycle will reveal  the  better,  cheaper,  everyone,   from the White House  liken  to  M F P ,   Medical - Free  - Plan  - ?

IF  you  pay ''' your  own  individual  policy ''''  -  you  know  the  premium  $$$$  inflation  of  that  road  course,  while  being  stupid  or  not     -  -  -       

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Senior Contributor

Re: Plight of Rural Hospitals on `This Week`.

Hospital closures are concentrated in red states that didn't do Medicaid expansion.

My doctor tells me that he'd be happy with 100% Medicare patients. The reimbursement rates are lower but you get paid 100%, immediately, and don't have all the extra staff wrangling with insurance companies and trying to collect bills- a fair amount of which are never collected.

Says that way he could just spend his time practicing medicine.

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Senior Contributor

Re: Plight of Rural Hospitals on `This Week`.

Medicare operating overhead is 4%, private insurance 20%.

In fairness, a lot of jobs would be lost by eliminating all the people involved in making it difficult and in doing paperwork for doctors and hospitals but that could surely be recovered by repurposing people to actually practice medicine and stuff like that.

Honored Advisor

Re: Plight of Rural Hospitals on `This Week`.

Let me guess, your doctor isn`t paying on student loans?  And is either currently on medicare himself or a year or two away from collecting?   

A well heeled 1,500 acre farmer that owns all 1,500 acres can say "Land rents too high???   I don`t know what you`re talking about??".    But yeah, I`m sure given his or her druthers, a doctor in the twilight of their career would sooner see sure thing medicare patients than illegal aliens where they won`t even get 2 chickens and a pig in payment.

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Veteran Advisor

Re: Plight of Rural Hospitals on `This Week`.

ILL egal  aliens  not  paying -  ?   I  thought  their  career , employer ,   had  a  policy  for  them -  ? 

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Honored Advisor

Re: Plight of Rural Hospitals on `This Week`.

K-289. Maybe you don`t know why employers risk the slap on the wrist of hiring undocumented workers? They`re cheap horsepower   Smiley Happy     My cheapskate boss dosen`t provide me with health insurance and I`m so documented that I even have a gold star on my drivers license.

 

http://165.206.203.6/mvd/realid/home.html   

 

REAL ID” refers to federal anti-terrorism laws and regulations that control access to:

  • Federal facilities requiring identification to enter.
  • Federally regulated commercial aircraft.
  • Nuclear power facilities.

These regulations will become effective for Iowans Oct. 1, 2020. In the meantime, you may see or hear about other REAL ID implementation dates in media or press releases. These other dates do not affect Iowans as Iowa is already a REAL ID compliant state. Rather these additional phased implementation dates target states who are currently not in compliance or in the process of achieving REAL ID compliance.

Read the following information to learn how REAL ID may affect you, why DHS is implementing air travel in stages, whether you need to get an Iowa driver’s license or nonoperator’s identification (ID) card that is marked as REAL ID-compliant, and what to do if you decide you do need a card that is marked as REAL ID-compliant.

 

Why is the REAL ID Act being implemented in stages?

You may have seen media or press releases discussing REAL ID Implementation and compliance dates. To ease the transition that states face (e.g., law changes) to become REAL ID compliant, the U.S. Department of Homeland Security has implemented “phases” for air travel compliance.

On or after January 2018, The Transportation Security Administration will only accept licenses or IDs issued by states that are compliant with the REAL ID Act (or issued by states that have been granted an extension by the U.S. Department of Homeland Security.

  • Travelers presenting a license or ID issued by states that are not compliant or do not have an extension granted by the U.S. DHS will have to use another acceptable form of identification.
  • Since Iowa is compliant, anyone with an Iowa driver’s license or ID will still be able to present it to board an airplane, even if their particular license or ID is not a Real ID license or ID with the gold star.

The final stage will take place Oct. 1, 2020, and at that time travelers will have to have a REAL ID license or ID, or another acceptable form of identification for domestic air travel. The following map shows which states are in compliance (green), granted an extension (yellow), or not in compliance (red) as of January 2017. Get the latest information about which states are compliant or have an extension. 

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Honored Advisor

Re: Plight of Rural Hospitals on `This Week`.

man this discussion was a dance around ..........the issues.... but good issues.

Just a few notes......

1 in reverse order.....BA ---real id........   a clever entry that I didn't get but seems like an comment that means "Here is what you get when government administers something......."Why did we let congress take over health care and expect it to be good?"

2  for humorous affect.... illegal aliens.....  I think it was made clear that illegal aliens are free to practice medicine in the US.

And why should illegals be expected to pay when insurance companies and Workman's comp aren't required to(takes three girls over at the hospital here to handle the insurance claims denied as a bargaining tool.

3.   worried about job loss created by a more effecient and liked process in healthcare    ....... really??  Now that where the problem " lies"

4,  289  I am sure there are folks who like the obama care outcome......... its irrelevant ...... question is we promoted obamacare based on the 16 million americans without health insurance (less than 4.6% of the public) and it was signed into law in 2010,  by mid 2013 that number had risen to 18 million and as mentioned only hiding large numbers of these in Medicaid in 31 states lowered that number at all and it struggled to ever get under 11 million without healthcare after the hidden "Medicaid" trick.  -- ( I know putting a kansan in charge of it was a fatal blow... but for a plan without a backbone or even a form on paper, did it have a chance to work??)

Meantime we should compare the number of citizens happy with healthcare before obamacare passed with the number of citizens unhappy with health care now.    -----  But 289, why do you look to a motley crew in an election for health care answers?  I don't want a bureaucrat in the exam room with me.  If there was no health care insurance of any form-- wipe it all out and let those medical records gals go home and keep their kids off drugs---- I would still know my doctor by his name and do what I could to keep him comfortable in my community, and accept my medical issues without demons to blame or sue.

If we weren't bowing to DC every day at the same time, maybe BA wouldn't be counting lies and my father-in-law, and my golfing partner, who both loved their patients and professions, but hated the "business" of medicine after it became politicized by nanny congresswomen of both sexes........  maybe they would feel like they did a lot of good in their years, instead of remembering what a hastle it was with everyone other than the patient.

Congress where every whining lawyer and every $100 bill can buy a favor---.

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Veteran Advisor

Re: Plight of Rural Hospitals on `This Week`.

And  we  see  no  one  in  any  age  group  or  political  side  stating  we  should  '' abolish  Medicare '' ,  although  ordering  prescriptions  from  a  so-called  socialist  country  being  a  interesting  new  gasp  - ?    

Honored Advisor

Re: Plight of Rural Hospitals on `This Week`.

Well, pharmaceuticals charge in countries "their ability to pay" and unfortunately for the United States, they think we`re all the Ewing and Carrington families from Dallas and Dynasty tv shows. The US has been the place they`d soak to recoup their development costs. 

We can get pills from socialist countries like Canada, but we`re 10 times their population, how long will that last?  It`s one thing if a few old goats get on a bus in Minneapolis and go up to Canada to buy their pills, but if the whole US population thinks they`re going to use Canada as a "outlet" drugstore, it probably won`t work long and Canadian prices will go up and they`ll be ticked off with us too. 

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