I wish Lindsey Graham and others would stop talking about Medicaid as if it were Social Security or Medicare. Medicaid is not funded from a trust fund.
Medicaid is a 'paid for' insurance coverage, no different than regular health care insurance, except, the provider is the USA Government.
So, up to now, the people that disdain Medicaid have lied to the public about it's cost and who pays for it.
The Medicaid program (click here) is jointly funded by the federal government and states. The federal government pays states for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP).
FMAP varies by state based on criteria such as per capita income. The regular average state FMAP is 57%, but ranges from 50% in wealthier states up to 75% in states with lower per capita incomes (the maximum regular FMAP is 82 %).
FMAPs are adjusted for each state on a three-year cycle to account for fluctuations in the economy. The FMAP is published annually in the Federal Register....
This is the bill the US House passed, now before the US Senate in committee where Americans are pleading for their own lives.
In reflection about Graham's statements, I suppose Senator Graham simply might not know the difference between Medicaid and Medicare.
Shown Here:
Passed House amended (05/04/2017) (click here)
American Health Care Act of 2017
TITLE I--ENERGY AND COMMERCE
Subtitle A--Patient Access to Public Health Programs
(Sec. 101) This bill amends the Patient Protection and Affordable Care Act (PPACA) to eliminate funding after FY2018 for the Prevention and Public Health Fund,
Shown Here:
Passed House amended (05/04/2017) (click here)
American Health Care Act of 2017
TITLE I--ENERGY AND COMMERCE
Subtitle A--Patient Access to Public Health Program
(Sec. 101) This bill amends the Patient Protection and Affordable Care Act (PPACA) to eliminate funding after FY2018 for the Prevention and Public Health Fund,
It is a little late for the defunding, isn't it?
FY 2018 is from October 1, 2017, through September 30, 2018. (click here)
Ya get the feeling this Congress doesn't know what it is doing? I hear their answer to a poorly comprised health care bill is to pay off a couple of female Senators in order to pass it. Really?
which provides for investment
I have never once thought about health care as an investment. I think of investments as options for placing money believing it will have a return of some percentage of the original money paid. But, if health care has to be an investment then it is an investment by the government for a healthy workforce, especially when it comes to Medicaid. See, without Medicaid the poor, working poor and lower middle class have a difficult reach to become healthy and a good employee. We all know poverty breeds poor health if not death.
We all do know that, don't we? We know the poor die prematurely. Right? We also know allowing that FACT to exist without recognition is immoral, right? We do know it is immoral, right? I don't care if the wealthy hate paying taxes because they believe they should not have to pay for others health or food or otherwise, like housing. I DO NOT CARE if the wealthy, boo-hoos over their tax dollars. DO NOT CARE! Why, because, the people that belly ache over their taxes don't care about this country or it's future!
I am sure the wealthy have hankies to dry their tears when they pay their taxes.
in prevention and public health programs to improve health and restrain the rate of growth in health care costs. Funds that are unobligated at the end of FY2018 are rescinded.
Rescinded?? I am confused. Block grant funding has no ability to be rescinded. Medicaid monies unspent in a fiscal year can be rescinded. So, if the Republican law wants to rescind funding unspent by the states that creates an entirely different bureaucracy. We want another bureaucracy? We are going to be auditing the states? OMG.
State and federal budget pressures, (click here) rising health care costs, and new waiver initiatives have prompted debate over restructuring Medicaid at the state and federal levels. There are many aspects to this debate -- Medicaid provides coverage and long term care services to more than 50 million people; it affects virtually every aspect of the nation’s health care system; and it is an economic engine in communities throughout the country. The consequences of a major overhaul of Medicaid are far-reaching and substantial....
...In its Fiscal Year 2004 budget, the Administration proposed replacing that system with capped allotments under what is sometimes described as a “block grant.” The proposal provoked a debate over the future of Medicaid and the differences between a block grant program in which federal funding is capped and an “entitlement” program in which federal funding is provided on an as-needed basis. Since labels can inform or obscure the discussion, it is important to be clear about the key aspects...
Has anything changed with the GOP since 2004? No? That might explain a few things. This is ideology. Ideology rarely does well in reality.
(Sec. 102) The bill amends the Medicare Access and CHIP Reauthorization Act of 2015 to increase funding for community health centers.
When Cassidy spoke about the "Jimmy Fallon Test" the day after this bill was introduced he stated CHIP (Children's Health Insurance Program) (click here) was still in force to take care of children. In this Section 102 of this bill it discusses increasing the funding for CHIP for COMMUNITY HEALTH CENTERS. That completely changes CHIP as it stands today. So, Cassidy lied. Again. It places children's health in question.
(Sec. 103) For one year, certain federal funds may not be made available to states for payments to certain family planning providers (e.g., Planned Parenthood Federation of America).
I have visited this before. The funding to family planning providers save womens' lives. It is just that simple. The idea of removing that funding equates into deaths. That is a fact and the digital age has not changed that fact.
I am finished for today. I'll take this up tomorrow. Probably tomorrow evening. This is the worst piece of legislation regarding the health of Americans ever written. BUT, if Republican Senators aren't really interested in American health care this is going to be the result.
Later.
Oh, yeah, whatever happened to "Trump Bad Lip Reading?" Is it proving impossible?
(Sec. 101) This bill amends the Patient Protection and Affordable Care Act (PPACA) to eliminate funding after FY2018 for the Prevention and Public Health Fund,
It is a little late for the defunding, isn't it?
FY 2018 is from October 1, 2017, through September 30, 2018. (click here)
Ya get the feeling this Congress doesn't know what it is doing? I hear their answer to a poorly comprised health care bill is to pay off a couple of female Senators in order to pass it. Really?
which provides for investment
I have never once thought about health care as an investment. I think of investments as options for placing money believing it will have a return of some percentage of the original money paid. But, if health care has to be an investment then it is an investment by the government for a healthy workforce, especially when it comes to Medicaid. See, without Medicaid the poor, working poor and lower middle class have a difficult reach to become healthy and a good employee. We all know poverty breeds poor health if not death.
We all do know that, don't we? We know the poor die prematurely. Right? We also know allowing that FACT to exist without recognition is immoral, right? We do know it is immoral, right? I don't care if the wealthy hate paying taxes because they believe they should not have to pay for others health or food or otherwise, like housing. I DO NOT CARE if the wealthy, boo-hoos over their tax dollars. DO NOT CARE! Why, because, the people that belly ache over their taxes don't care about this country or it's future!
I am sure the wealthy have hankies to dry their tears when they pay their taxes.
in prevention and public health programs to improve health and restrain the rate of growth in health care costs. Funds that are unobligated at the end of FY2018 are rescinded.
Rescinded?? I am confused. Block grant funding has no ability to be rescinded. Medicaid monies unspent in a fiscal year can be rescinded. So, if the Republican law wants to rescind funding unspent by the states that creates an entirely different bureaucracy. We want another bureaucracy? We are going to be auditing the states? OMG.
State and federal budget pressures, (click here) rising health care costs, and new waiver initiatives have prompted debate over restructuring Medicaid at the state and federal levels. There are many aspects to this debate -- Medicaid provides coverage and long term care services to more than 50 million people; it affects virtually every aspect of the nation’s health care system; and it is an economic engine in communities throughout the country. The consequences of a major overhaul of Medicaid are far-reaching and substantial....
...In its Fiscal Year 2004 budget, the Administration proposed replacing that system with capped allotments under what is sometimes described as a “block grant.” The proposal provoked a debate over the future of Medicaid and the differences between a block grant program in which federal funding is capped and an “entitlement” program in which federal funding is provided on an as-needed basis. Since labels can inform or obscure the discussion, it is important to be clear about the key aspects...
Has anything changed with the GOP since 2004? No? That might explain a few things. This is ideology. Ideology rarely does well in reality.
(Sec. 102) The bill amends the Medicare Access and CHIP Reauthorization Act of 2015 to increase funding for community health centers.
When Cassidy spoke about the "Jimmy Fallon Test" the day after this bill was introduced he stated CHIP (Children's Health Insurance Program) (click here) was still in force to take care of children. In this Section 102 of this bill it discusses increasing the funding for CHIP for COMMUNITY HEALTH CENTERS. That completely changes CHIP as it stands today. So, Cassidy lied. Again. It places children's health in question.
(Sec. 103) For one year, certain federal funds may not be made available to states for payments to certain family planning providers (e.g., Planned Parenthood Federation of America).
I have visited this before. The funding to family planning providers save womens' lives. It is just that simple. The idea of removing that funding equates into deaths. That is a fact and the digital age has not changed that fact.
I am finished for today. I'll take this up tomorrow. Probably tomorrow evening. This is the worst piece of legislation regarding the health of Americans ever written. BUT, if Republican Senators aren't really interested in American health care this is going to be the result.
Later.
Oh, yeah, whatever happened to "Trump Bad Lip Reading?" Is it proving impossible?
