Big Beautiful Bill: Implications for Pain...

[hyperalgesia]

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i guess left leaning means empathy and kindness, and right leaning means, racist
ironically im right leaning and conservative (despite overt racism due to my skin color towards me), but believe that values like empathy and kindness transcend any political spectrum, however as recent policies have shown, our country is losing its way and treating humans like animals and the world as a whole is returning to caging people just like the good 'ol days

If you stop consuming MSM and instead go to church, the belly of the beast of conservative racists, you might be pleasantly surprised.

 

[mille125]

Again I’m not sure how enforcing work requirements for able bodied individuals is a bad thing. It’s astonishing that Medicaid pays for 40% of all births. Again the inclusion criteria are far too broad. That’s an excellent way to bankrupt a country and it seems to be working. I believe in giving a hand up, not a hand out.

Plus work is actually beneficial for those that are not truly disabled. Work provides numerous benefits, including financial stability, improved mental and physical health, a sense of purpose, and opportunities for social interaction. It also contributes to personal growth, skill development, and a stronger sense of community.

9 Benefits of Work for Teens and Young Adults - Georgia Center For Opportunity

The benefits of works for young people go beyond money. See how work impacts physical well-being, mental health, and more.

foropportunity.org

8 Surprising Benefits of Work-Life Balance You Might Not Expect - WebMD Health Services

Discover the importance of work-life balance with 8 benefits, from reducing stress and boosting productivity to improving health and relationships.

www.webmdhealthservices.com

The 6 Key Benefits of Working & Employment

Beyond financial stability, there are numerous benefits that come with working. This guide will discuss how working can improve one’s quality of life.

www.atworkaustralia.com.au

The 7 benefits of work | Aktion Club

www.aktionclub.org

The stated purpose of the big ugly bill is to get near 1 trillion out of Medicaid.

I think you know that this requires more than just work requirement. The vast majority are already working.

 

[buddababa]

If you stop consuming MSM and instead go to church, the belly of the beast of conservative racists, you might be pleasantly surprised.

your statement doesn't make sense. On one hand you admit that they are racist, whilst trying to imply they aren't. Also, i dont consume MSM, ever since they all perpetrated the lie of WMD in iraq

 

[mille125]

If you stop consuming MSM and instead go to church, the belly of the beast of conservative racists, you might be pleasantly surprised.

You cant say that you are Christian and cut 1 trillion off of Medicaid just to raise the debt ceiling 5 trillion to process a tax refund.

One of the most egregious examples of reverse Robin Hood that I have seen. They all know its wrong too...

 

[hyperalgesia]

You cant say that you are Christian and cut 1 trillion off of Medicaid just to raise the debt ceiling 5 trillion to process a tax refund.

One of the most egregious examples of reverse Robin Hood that I have seen. They all know its wrong too...

Well I'm not Christian or Republican but trust Christianity to do good 100x more than Democrat politicians, or Republican politicians for that matter. You're free to disagree and put your faith in politicians but that's not the traditional spirit of America by any stretch.

 

[mille125]

Well I'm not Christian or Republican but trust Christianity to do good 100x more than Democrat politicians, or Republican politicians for that matter. You're free to disagree and put your faith in politicians but that's not the traditional spirit of America by any stretch.

I only brought in religion in response to below.

I really do think that faith and politics should be separate but as Christians we are only asked to love Jesus with all our heart and sole and to love our neighbor. Not to judge but cutting the poor including things like SNAP and global US AID just to raise the debt ceiling is not loving our neighbors.

We are asked to help all of those in need, not just Americans.

If you stop consuming MSM and instead go to church, the belly of the beast of conservative racists, you might be pleasantly surprised.

 

[clubdeac]

The stated purpose of the big ugly bill is to get near 1 trillion out of Medicaid.

I think you know that this requires more than just work requirement. The vast majority are already working.

I had asked you in a prior post what specifically was in the bill that was negative for Medicaid patients other than the work requirements. Instead of answering the question you attached some article describing all the presumably negative effects of the coming “Medicaid cuts”

Nowhere in your response did you answer the question. From my own research I determined that there will also be more frequent eligibility checks which again shouldn’t be a problem for people that are truly eligible. But other than that, what else do you not like about the Medicaid portion of the bill? I’m honestly trying to understand your concern

 

[clubdeac]

Another nonsense straw man argument. It is a lazy tactic

You saying this is comical. He’s talking about you. Weren’t you the one screaming the sky is falling back in April when Trump started talking tariffs?

 

[callmeanesthesia]

I had asked you in a prior post what specifically was in the bill that was negative for Medicaid patients other than the work requirements. Instead of answering the question you attached some article describing all the presumably negative effects of the coming “Medicaid cuts”

Nowhere in your response did you answer the question. From my own research I determined that there will also be more frequent eligibility checks which again shouldn’t be a problem for people that are truly eligible. But other than that, what else do you not like about the Medicaid portion of the bill? I’m honestly trying to understand your concern

Whether frequent eligibility checks cause people to lose coverage depends on how those occur. Understaffed or unstaffed phone support, long lines at in-person centers, and long cumbersome forms built like insurance prior auth rules to trip you up absolutely will cause problems. If it’s a simple process where you can snap a picture of your paystub or something and upload it that should be fine.

 

[clubdeac]

Whether frequent eligibility checks cause people to lose coverage depends on how those occur. Understaffed or unstaffed phone support, long lines at in-person centers, and long cumbersome forms built like insurance prior auth rules to trip you up absolutely will cause problems. If it’s a simple process where you can snap a picture of your paystub or something and upload it that should be fine.

It is the government so I’m sure it’ll be run like the dmv

 

[hyperalgesia]

Whether frequent eligibility checks cause people to lose coverage depends on how those occur. Understaffed or unstaffed phone support, long lines at in-person centers, and long cumbersome forms built like insurance prior auth rules to trip you up absolutely will cause problems. If it’s a simple process where you can snap a picture of your paystub or something and upload it that should be fine.

Aside from paperwork and lines, are you worried about people being sicker and dying in your town?

 

[clubdeac]

This is exactly on point. @mille125

If $14 billion in Medicaid fraud doesn’t piss you off, you’re in on the grift.

𝐓𝐡𝐞 𝐁𝐞𝐚𝐮𝐭𝐢𝐟𝐮𝐥 𝐀𝐛𝐬𝐮𝐫𝐝𝐢𝐭𝐲 𝐨𝐟 𝐀𝐦𝐞𝐫𝐢𝐜𝐚𝐧 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐋𝐨𝐠𝐢𝐜

While Democrats perform their ritualistic theater about Republicans “kicking millions off Medicaid,” the government just casually admitted to running what amounts to a $14 billion annual ghost town:

• 2.8 million Americans are double-dipping on taxpayer-funded health plans

• $14 billion flows annually to phantom patients, people who moved to Florida, died, or exist only in the fevered dreams of hospital billing departments

• Insurers cash checks for members who haven’t seen a doctor since Obama’s first term

𝐓𝐡𝐞 𝐑𝐮𝐛𝐞 𝐆𝐨𝐥𝐝𝐛𝐞𝐫𝐠 𝐌𝐚𝐜𝐡𝐢𝐧𝐞 𝐨𝐟 𝐈𝐧𝐭𝐞𝐧𝐭𝐢𝐨𝐧𝐚𝐥 𝐈𝐧𝐜𝐨𝐦𝐩𝐞𝐭𝐞𝐧𝐜𝐞

This isn’t bureaucratic bumbling, it’s the system working exactly as designed. Like a Rory Sutherland thought experiment gone horribly wrong, we’ve created perverse incentives that reward failure:

• Biden’s team banned states from checking eligibility more than once yearly (because apparently, people’s circumstances never change)

• ObamaCare exchanges operate in blissful ignorance of Medicaid rolls, like two drunk accountants at separate bars

• “Nonprofit” hospital systems—those charitable bastions of community health—are getting rich off invisible patients

𝐓𝐡𝐞 𝐏𝐬𝐲𝐜𝐡𝐨𝐥𝐨𝐠𝐲 𝐨𝐟 𝐌𝐚𝐧𝐮𝐟𝐚𝐜𝐭𝐮𝐫𝐞𝐝 𝐎𝐮𝐭𝐫𝐚𝐠𝐞

Here’s where human psychology gets delicious: The GOP’s modest proposal to verify eligibility twice a year and use existing address data has triggered a meltdown that would make a toddler proud.

Hospital executives and insurance lobbyists are shrieking like their cocaine has been cut with actual medicine.

Why?
𝘉𝘦𝘤𝘢𝘶𝘴𝘦 𝘴𝘩𝘶𝘵𝘵𝘪𝘯𝘨 𝘥𝘰𝘸𝘯 𝘢 $14 𝘣𝘪𝘭𝘭𝘪𝘰𝘯 𝘨𝘳𝘪𝘧𝘵 𝘵𝘦𝘯𝘥𝘴 𝘵𝘰 𝘶𝘱𝘴𝘦𝘵 𝘵𝘩𝘦 𝘨𝘳𝘪𝘧𝘵𝘦𝘳𝘴.

𝐓𝐡𝐞 𝐓𝐚𝐢𝐛𝐛𝐢 𝐅𝐢𝐥𝐞𝐬: 𝐅𝐨𝐥𝐥𝐨𝐰 𝐭𝐡𝐞 𝐌𝐨𝐧𝐞𝐲

This is the part nobody mentions at Georgetown dinner parties: American healthcare isn’t broken, it’s a perfectly calibrated wealth extraction machine.

Every phantom dollar flowing to ghost patients is a dollar not treating real humans with actual medical needs.

We’ve built a system where the incentive is to not verify eligibility,
not coordinate care,
and definitely not ask too many questions about where the money goes.

It’s genius, really.

Bureaucratic theater that makes everyone look compassionate while the meter keeps running.

 

[SSdoc33]

This is exactly on point. @mille125

If $14 billion in Medicaid fraud doesn’t piss you off, you’re in on the grift.

𝐓𝐡𝐞 𝐁𝐞𝐚𝐮𝐭𝐢𝐟𝐮𝐥 𝐀𝐛𝐬𝐮𝐫𝐝𝐢𝐭𝐲 𝐨𝐟 𝐀𝐦𝐞𝐫𝐢𝐜𝐚𝐧 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐋𝐨𝐠𝐢𝐜

While Democrats perform their ritualistic theater about Republicans “kicking millions off Medicaid,” the government just casually admitted to running what amounts to a $14 billion annual ghost town:

• 2.8 million Americans are double-dipping on taxpayer-funded health plans

• $14 billion flows annually to phantom patients, people who moved to Florida, died, or exist only in the fevered dreams of hospital billing departments

• Insurers cash checks for members who haven’t seen a doctor since Obama’s first term

𝐓𝐡𝐞 𝐑𝐮𝐛𝐞 𝐆𝐨𝐥𝐝𝐛𝐞𝐫𝐠 𝐌𝐚𝐜𝐡𝐢𝐧𝐞 𝐨𝐟 𝐈𝐧𝐭𝐞𝐧𝐭𝐢𝐨𝐧𝐚𝐥 𝐈𝐧𝐜𝐨𝐦𝐩𝐞𝐭𝐞𝐧𝐜𝐞

This isn’t bureaucratic bumbling, it’s the system working exactly as designed. Like a Rory Sutherland thought experiment gone horribly wrong, we’ve created perverse incentives that reward failure:

• Biden’s team banned states from checking eligibility more than once yearly (because apparently, people’s circumstances never change)

• ObamaCare exchanges operate in blissful ignorance of Medicaid rolls, like two drunk accountants at separate bars

• “Nonprofit” hospital systems—those charitable bastions of community health—are getting rich off invisible patients

𝐓𝐡𝐞 𝐏𝐬𝐲𝐜𝐡𝐨𝐥𝐨𝐠𝐲 𝐨𝐟 𝐌𝐚𝐧𝐮𝐟𝐚𝐜𝐭𝐮𝐫𝐞𝐝 𝐎𝐮𝐭𝐫𝐚𝐠𝐞

Here’s where human psychology gets delicious: The GOP’s modest proposal to verify eligibility twice a year and use existing address data has triggered a meltdown that would make a toddler proud.

Hospital executives and insurance lobbyists are shrieking like their cocaine has been cut with actual medicine.

Why?
𝘉𝘦𝘤𝘢𝘶𝘴𝘦 𝘴𝘩𝘶𝘵𝘵𝘪𝘯𝘨 𝘥𝘰𝘸𝘯 𝘢 $14 𝘣𝘪𝘭𝘭𝘪𝘰𝘯 𝘨𝘳𝘪𝘧𝘵 𝘵𝘦𝘯𝘥𝘴 𝘵𝘰 𝘶𝘱𝘴𝘦𝘵 𝘵𝘩𝘦 𝘨𝘳𝘪𝘧𝘵𝘦𝘳𝘴.

𝐓𝐡𝐞 𝐓𝐚𝐢𝐛𝐛𝐢 𝐅𝐢𝐥𝐞𝐬: 𝐅𝐨𝐥𝐥𝐨𝐰 𝐭𝐡𝐞 𝐌𝐨𝐧𝐞𝐲

This is the part nobody mentions at Georgetown dinner parties: American healthcare isn’t broken, it’s a perfectly calibrated wealth extraction machine.

Every phantom dollar flowing to ghost patients is a dollar not treating real humans with actual medical needs.

We’ve built a system where the incentive is to not verify eligibility,
not coordinate care,
and definitely not ask too many questions about where the money goes.

It’s genius, really.

Bureaucratic theater that makes everyone look compassionate while the meter keeps running.

again, please cite the reference. looks like it is from matt taibbi, who has been drifting towards conspiracy theorist for upwards of a decade now.

 

[clubdeac]

again, please cite the reference. looks like it is from matt taibbi, who has been drifting towards conspiracy theorist for upwards of a decade now.

You do realize it’s impossible to have an intelligent discussion with anyone who consistently cite their left leaning sources as dogma but discredit all opposing sources as right wing conspiracy theories. I enjoy lively educated debate but you sir are an intellectual sloth

 

[SSdoc33]

You do realize it’s impossible to have an intelligent discussion with anyone who consistently cite their left leaning sources as dogma but discredit all opposing sources as right wing conspiracy theories. I enjoy lively educated debate but you sir are an intellectual sloth

the difference is that I ALWAYS include the reference (some of which may be left-leaning), i dont just copy and paste text or spam memes.

if i am an intellectual sloth, and im not really sure what that means, then you are an intellectual dung beetle

 

[clubdeac]

the difference is that I ALWAYS include the reference (some of which may be left-leaning), i dont just copy and paste text or spam memes.

if i am an intellectual sloth, and im not really sure what that means, then you are an intellectual dung beetle

Now that’s what I’m talking about

 

[hyperalgesia]

the difference is that I ALWAYS include the reference (some of which may be left-leaning), i dont just copy and paste text or spam memes.

if i am an intellectual sloth, and im not really sure what that means, then you are an intellectual dung beetle

Do you want a cookie?

One original thoughtful idea from you would be worth more than every reference you have ever cut/pasted.

 

[clubdeac]

i guess left leaning means empathy and kindness, and right leaning means, racist
ironically im right leaning and conservative (despite overt racism due to my skin color towards me), but believe that values like empathy and kindness transcend any political spectrum, however as recent policies have shown, our country is losing its way and treating humans like animals and the world as a whole is returning to caging people just like the good 'ol days

Cmon now let’s be honest @Chrish and [USER=1184016]@bubaghanush. The references are for you sloth @SSdoc33. PBS dug their own grave. They slowly moved from those ideals to becoming a far left propaganda arm.

It was inevitable that Congress would defund NPR and PBS when the best argument their supporters could come up with was that all us poor folk in flyover country wouldn't have tornado warnings without taxpayer-funded media.

A Harris Poll study in 2024 found that “3-in-10 audience members familiar with NPR said they associate NPR with the characteristic ‘trustworthy.’" 3-in-10!

Uri Berliner, a veteran at the public radio institution, says the network lost its way when it started telling listeners how to think.
NPR suspended him for writing about his experience in 2024.

I’ve Been at NPR for 25 Years. Here’s How We Lost America’s Trust.

Uri Berliner, a veteran at the public radio institution, says the network lost its way when it started telling listeners how to think.

app.thefp.com

"It’s a self-inflicted wound, a product of how NPR embraced a fringe progressivism that cost it any legitimate claim to stand as an impartial provider of news, much less one deserving of government support," says Uri Berliner, who worked at NPR for 25 years.

Happy Independence Day, NPR

The Senate just voted to cut federal funding for the news organization Uri Berliner worked at for 25 years. It only has itself to blame, he writes.

www.thefp.com

But if you like NPR and PBS, look up Nobel-prize winning economist Milton Friedman's 10-part 1980 PBS series "Free to Choose" on YouTube and try the first episode. It will blow your mind. And if you can't get enough of British drama on PBS, you can subscribe to BritBox for $8.99/month.

 

[Ducttape]

I don't think anyone has issues with safety nets for the needy. The problem is that our federal gov't has shown that they cannot efficiently and effectively be good stewards of our money. The waste, fraud and abuse of so many bloated programs within our government is jaw dropping and should make every tax paying citizen furious.

We should demand change and that is somewhat what happened with Trump winning the election. I agree though, unfortunately the BBB did not do enough to reign in costs but I guarantee expenditures would've increased more under Kamala. These potentially would have been offset by certain increased taxes. When Musk started to uncover the egregious amounts of waste w/in the government, the violent and lunatic far left started burning Tesla dealerships and keying privately own cars across our nation. It's mind boggling how dumb and depraved some people are

so how much waste has DOGE actually found? the most i have ever heard was $160 billion. thats a whopping 1.8%. fwiw, one organization found that those DOGE cuts actually cost the fed govt $135 billion.

Again I’m not sure how enforcing work requirements for able bodied individuals is a bad thing. It’s astonishing that Medicaid pays for 40% of all births. Again the inclusion criteria are far too broad. That’s an excellent way to bankrupt a country and it seems to be working. I believe in giving a hand up, not a hand out.

Plus work is actually beneficial for those that are not truly disabled. Work provides numerous benefits, including financial stability, improved mental and physical health, a sense of purpose, and opportunities for social interaction. It also contributes to personal growth, skill development, and a stronger sense of community.

good faith statistics show that the number of able bodied people who are not working and getting medicaid number approximately 4 million, or 5% of the people on medicaid. it is understood that a sizeable portion of these are women who have left the workforce to care for sick family members.

i posted before:

Is There Really an Epidemic of Workless Medicaid Recipients?

A deep dive into the Survey of Income and Program Participation.

www.peoplespolicyproject.org

==
this is not the flex you think it will give.


you do know that Arkansas did institute work requirements for Medicaid in 2019, right? there was in increase in uninsured (which could impact how much the average Arkansan paid for insurance) and there was no increase in work percentage.

https://www.nejm.org/doi/full/10.1056/NEJMsr1901772

In conclusion, in its first 6 months, work requirements in Arkansas were associated with a significant loss of Medicaid coverage and rise in the percentage of uninsured persons. We found no significant changes in employment associated with the policy, and more than 95% of persons who were targeted by the policy already met the requirement or should have been exempt.

 

[mille125]

so how much waste has DOGE actually found? the most i have ever heard was $160 billion. thats a whopping 1.8%. fwiw, one organization found that those DOGE cuts actually cost the fed govt $135 billion.


good faith statistics show that the number of able bodied people who are not working and getting medicaid number approximately 4 million, or 5% of the people on medicaid. it is understood that a sizeable portion of these are women who have left the workforce to care for sick family members.

i posted before:

Is There Really an Epidemic of Workless Medicaid Recipients?

A deep dive into the Survey of Income and Program Participation.

www.peoplespolicyproject.org

==
this is not the flex you think it will give.


you do know that Arkansas did institute work requirements for Medicaid in 2019, right? there was in increase in uninsured (which could impact how much the average Arkansan paid for insurance) and there was no increase in work percentage.

https://www.nejm.org/doi/full/10.1056/NEJMsr1901772

Arkansas is a model of what will happen elsewhere

 

[clubdeac]

so how much waste has DOGE actually found? the most i have ever heard was $160 billion. thats a whopping 1.8%. fwiw, one organization found that those DOGE cuts actually cost the fed govt $135 billion.


good faith statistics show that the number of able bodied people who are not working and getting medicaid number approximately 4 million, or 5% of the people on medicaid. it is understood that a sizeable portion of these are women who have left the workforce to care for sick family members.

i posted before:

Is There Really an Epidemic of Workless Medicaid Recipients?

A deep dive into the Survey of Income and Program Participation.

www.peoplespolicyproject.org

==
this is not the flex you think it will give.


you do know that Arkansas did institute work requirements for Medicaid in 2019, right? there was in increase in uninsured (which could impact how much the average Arkansan paid for insurance) and there was no increase in work percentage.

https://www.nejm.org/doi/full/10.1056/NEJMsr1901772

Any waste should be exposed and corrected. The fact that you scoff at $160 billion is evidence that our deficit and spending is out of control and that you don’t really care

And if the number of able bodied people not working who are on Medicaid is only 5%, that should make us all very happy as the new requirements will have little negative impact. Thank you for proving my point

 

[Ducttape]

that amount has not been verified by anyone else, btw. and $160 billion out of a federal budget of $7000 billion is a drop in the bucket. lose sight of the forest for staring at a tree much?



the medicaid restrictions did have a significant impact in arkansas - there was an increase in uninsured population.

meaning that ultimately people who are insured would end up paying more for their health insurance. and every organization that has looked at medicaid restrictions has noted that premiums of the average american is expected to go up.

so in your attempt to essentially penalize a very small percent of the people, you are willing to harm a large group of people.


talk about blinders.

congrats. you use them well.




and you do know that 43% of americans want to continue funding PBS and NPR, while 24% want it cut?

again, the wishes of majority is out the window. hurt the majority for the less than 1 in 4 americans.

cool.

 

[hyperalgesia]

I wonder if the Harvard NEJM researchers who put together the waste of paper that ducttape posted had their funding rescinded by the US government?

There is so much good they could do that doesn't involve figuring out if people in Arkansas should work.