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Stephen Brady's avatar

Where have I seen this attitude of the 'conservatives' regarding the poor, before? 'Are there no prisons? The Union Workhouses are they still in operation? The treadmill...' Punishing the poor for being poor has ever been a goal of the well-off. What is destroying our society is the wealth gap. The poor can never get ahead and the wealthy can never have enough wealth - and are willing to bankrupt the Country so they can have ever more wealth. They don't need this money. They have more than they can ever spend. But taking it away from the poor gives them some perverse pleasure.. Is it any wonder why the French Revolution went in the direction it did? (Disclaimer: I am only a slightly reworked Eisenhower Republican.)

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Mickie Morganfield's avatar

Medicare Advantage has always been a system where a deep layer of multi-million-dollar executives gamed the system. They send out 'health techs' or LPNs with minimal credentials to do a 10 minute in-home assessment of wellness, bill Medicare for a complete annual wellness exam on the 'covered lives' in their area, collect the one time big (for Medicare) fee, and physicians who've spent years caring for those patients will see denials when they perform a complete home or office evaluation, assessment of need, plan and coordination of care. *We have a growing shortage ! of physicians and general surgeons. When Grandma does a spend down to qualify for Medicaid, or signs herself into a SNF using savings accumulated over a lifetime of work to cover the first three months of care, there will continue to be fewer physicians available for care home visits due to attrition. No Party in Power has ever worried or understood the negative impact of corporate medicine. Teddy Kennedy believed commercial insurers would bring business acumen and hold cost down. Hillary did too. Donald really doesn't care.

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