Medicaid

[FarscapeGirl]

This annoys me too. We can't judge everyone on Medicaid and paint everyone as a self entitled moocher off the system, but it annoys me when people pick up their mass quantities of Soma and Oxycodone while pulling up in a drive through in an SUV on an iPhone. One of the saddest things I ever encountered was a lady who pitched a fit because I couldn't bill her beer on an EBT card. When I told her I could't do it and nothing was going to change her comeback was "well I guess my baby is just going to have to go without formula this month" and then paid with cash.

Did you report this woman to CPS?

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[killingbill]

Because it's a quality of life issue.

I will say that I'm glad the taxpayers don't pay for ED meds, for men OR women, unless they're being used for non-sexual purposes. The youngest patient I dispensed it for was 3 years old.

BS

Actually the tax paper is paying for their ED meds. They don't have the money to pay for aspirin or ibuprofen but those 10 viagras, yeah they got the cash for that.

Call it what you want, it's shifting your money around. Had they had to pay for their prescriptions, they wouldn't think about getting the Viagra. So the taxpayer indirectly pays for it.

When will society wake up?

 

[owlegrad]

BS

Actually the tax paper is paying for their ED meds. They don't have the money to pay for aspirin or ibuprofen but those 10 viagras, yeah they got the cash for that.

Call it what you want, it's shifting your money around. Had they had to pay for their prescriptions, they wouldn't think about getting the Viagra. So the taxpayer indirectly pays for it.

When will society wake up?

How many people do you think would buy aspirin before they buy Viagra?

 

[gtpederson]

BS

Actually the tax paper is paying for their ED meds. They don't have the money to pay for aspirin or ibuprofen but those 10 viagras, yeah they got the cash for that.

Call it what you want, it's shifting your money around. Had they had to pay for their prescriptions, they wouldn't think about getting the Viagra. So the taxpayer indirectly pays for it.

When will society wake up?

I see this a lot. My favorite was the woman who picked up her dollar co-pay medications, then paid cash for $1,300 worth of fertility meds.

 

[zelman]

I see this a lot. My favorite was the woman who picked up her dollar co-pay medications, then paid cash for $1,300 worth of fertility meds.

I'd assume she is selling her eggs. Good money there.

 

[genesis09]

I'd assume she is selling her eggs. Good money there.

The amount of money depends on your background. Apparently, women of East Indian, Asian, and Jewish background get paid the most. You can make $5-$10k per removal.

 

[xiphoid2010]

The amount of money depends on your background. Apparently, women of East Indian, Asian, and Jewish background get paid the most. You can make $5-$10k per removal.

Asian eggs? LOL, might I ask why? Too much eggs is why there's a population problem there. With the excess supply, those should be a dollar a dozen. I'm tongue in cheek of course, but is curious about why.

 

[lorain]

these threads never end well

 

[genesis09]

Asian eggs? LOL, might I ask why? Too much eggs is why there's a population problem there. With the excess supply, those should be a dollar a dozen. I'm tongue in cheek of course, but is curious about why.

This is for people in the United States.

 

[xiphoid2010]

This is for people in the United States.

Import/export opportunity!

P.S why a bunch of white people want with asian eggs anyway? If I was sterile and wanted a baby, I would want one of my own people. LOL.

 

[rxlea]

Import/export opportunity!

P.S why a bunch of white people want with asian eggs anyway? If I was sterile and wanted a baby, I would want one of my own people. LOL.

Not everyone is ethnocentric

 

[rxlea]

BS

Actually the tax paper is paying for their ED meds. They don't have the money to pay for aspirin or ibuprofen but those 10 viagras, yeah they got the cash for that.

Call it what you want, it's shifting your money around. Had they had to pay for their prescriptions, they wouldn't think about getting the Viagra. So the taxpayer indirectly pays for it.

When will society wake up?

What do you know about quality of life?

 

[xiphoid2010]

Not everyone is ethnocentric

But most are due to human nature. Or you could further identify it by natural selection favoring genes related to your own, if you want scientific explanations.

 

[radio frequency]

Why the hell does medicaid pay for acne medications. Tell me why tbe tax payer is responsible for that? Commie.

I've asked a similar question about why some HMOs cover acne medications but not systemic antifungals for toenails. I'm sure it's partially about cost, but I was told it was because theoretically you could get an infection and die from acne :cough:: unlikely! ::cough:: ). How P&T committees make these decisions definitely eludes me, but I think it's pretty much a straight cost vs benefit analysis.

I'm not against acne medications being covered, though. Teenagers don't choose to be born into poor families. Bad acne can leave permanent scars and reduce an individual's potential for success in life (don't pretend like we're not all judged on our looks all the time, especially in potential work situations), and wouldn't we rather the teenagers succeeded and got themselves off of Medicaid eventually?

FYI, "Commie" as a slur is pretty much laughable. You're not engaging in a real debate when you say that. It's like the kind of thing one might say to mock people who hate liberals. It's right up there with "they hate our freedom!".

 

[radio frequency]

Asian eggs? LOL, might I ask why? Too much eggs is why there's a population problem there. With the excess supply, those should be a dollar a dozen. I'm tongue in cheek of course, but is curious about why.

I've seen this advertised. It's for infertile Asian Americans usually who want babies who look like them, but demand that the eggs be from college-educated, beautiful women. And it's not just "Asian"...it's clearly Americans of Korean background who want babies with Korean background, same with Japanese background, etc (and Japan has the opposite problem you talk about. Asia does not always equal China!)

 

[genesis09]

Asian eggs are worth more because there are fewer Asian women willing to donate eggs. For Jews, you have a combination of religious and ethnic issues.

 

[297point1]

P.S why a bunch of white people want with asian eggs anyway? If I was sterile and wanted a baby, I would want one of my own people. LOL.

Says the man with Kung-Fu Panda as his avatar

 

[rph3664]

I've asked a similar question about why some HMOs cover acne medications but not systemic antifungals for toenails.

My dad had toenail fungus that defied both topical and systemic treatment, and he had to have the toenails removed. He has 2 or 3 toes on one foot that look like they had the tips amputated. Those nails were almost cubic in shape, had to be cut by a podiatrist, and were destroying his socks AND shoes.

I've always thought that commercial with Digger the Dermatophyte was hilarious, especially the scene where he kicks the toenail and it pops open like a car trunk, and then one of his buddies does something like a double axel x 1000 and drills into the nailbed.

As for Medicaid covering acne treatment, most prescription agents aren't that expensive anyway. There's also a skin disorder that's very common in black people that looks like adult acne but isn't, and can be very painful and difficult to treat. Can't recall what it's called right now. Most people never have to use Accutane or its knockoffs, and I don't recall ever seeing a Medicaid patient on it but more than one person has told me that this drug literally saved their life. I never had very bad acne, but I sure did know people who did and Accutane came out not long after I graduated from high school. You just never see people with cystic acne any more, and that's a good thing because it's absolutely horrible. These people look like they were burned, during and afterwards.

BTW, women don't always sell their eggs to fertility clinics. Some places use them for research purposes.

 

[rph3664]

Asian eggs are worth more because there are fewer Asian women willing to donate eggs. For Jews, you have a combination of religious and ethnic issues.

Some Jewish populations, in particular the Ashkenazis, have a high incidence of several genetic diseases, especially Tay-Sachs and thalassemia major, which both cause unimaginable suffering.

 

[owlegrad]

Some Jewish populations, in particular the Ashkenazis, have a high incidence of several genetic diseases, especially Tay-Sachs and thalassemia major, which both cause unimaginable suffering.

I am completely lost as to the point of this post.

 

[All4MyDaughter]

I am completely lost as to the point of this post.

I think it was related to the point about wanting Jewish egg donors.

 

[BidingMyTime]

How many people do you think would buy aspirin before they buy Viagra?

Good point, I've found sex to be a great cure for headaches. And it usually works quicker than aspirin.

But back to the op....there are a lot of problems with how Medicaid is set up in this system. However,no system operates in a vacuum. Medicaid and its problems are often directly related to economical, political, and other problems in the US. Reforming 1 system in the US, without reforming all the other related systems, just won't work. And reforming all the systems that are interrelated--well, that's next to impossible, because for a myriad of reasons, #1 being that many politicians are happy with the status quo and do not have any interest in reforming any system in the US. So my pessimistic conclusion is that thinks will just keep on, the muddling way they have been going, and nothing will change.

 

[owlegrad]

I think it was related to the point about wanting Jewish egg donors.

Yeah but why bring it up? The implication is that those eggs should be less desirable i guess? Maybe I am just over-thinking it but I don't see the point in bringing it up.

 

[All4MyDaughter]

Yeah but why bring it up? The implication is that those eggs should be less desirable i guess? Maybe I am just over-thinking it but I don't see the point in bringing it up.

y u so mad, bro?

 

[genesis09]

Some Jewish populations, in particular the Ashkenazis, have a high incidence of several genetic diseases, especially Tay-Sachs and thalassemia major, which both cause unimaginable suffering.

With regards to Tay-Sachs, there hasn't been an American Jewish child born with Tay-Sachs for many years, now. I believe there hasn't been one for over a decade. Since the 1980s, there have been widespread screening programs in the Jewish community, and they have been successful. It is understood in the community, that if you marry a fellow Ashkenazi Jew, you should be screened for several genetic diseases.

Many Jews want the eggs to come from a Jewish woman to ensure the child will be considered to be a full member of the Jewish community. Jewishness is passed through the mother, and some believe if eggs are obtain from a non-Jew, the child will not be considered Jewish.

 

[lamasacrerx]

Apparently i wouldnt need to work as hard if taxes werent so damn hard to support the freeloaders you idealist socialist.

It's called pay pay your own way. We survived for 200 years without Medicaid.

I work with people who want to work less so they don't make more to not be eligible for Medicaid. Great system buddy.

So true! One of my Patient told me the other day: Hey Doc, don't work to hard, no OT, keep your pay check at a minimum. If you make too much money before the eyes of IRS and the gov. when you retire you are going to be paying for all your medications and doctors. Look at me, I always reported little or nothing to the IRS and try to collect all my income in cash, now I am elegible for all kind of benefits, MEDICAID, Medicare, low income house renting assistant..etc..you name it ...haha

 

[wucool33]

y u so mad, bro?

He's an Ashkenazi Jew?

 

[All4MyDaughter]

He's an Ashkenazi Jew?

negatory

 

[Old Timer]

I love it when people speak out of their rectal opening:

When will people realize that Medicaid is bankrupting our country?

This is false. Sort of like me saying "You know that Killingbill guy is really smart" If you eliminated welfare you would eliminate 11% of federal spending and and 25% of our present annual deficit. So if you wiped out welfare entirely, you would still have 75% of the annual deficit you presently have. That makes you either ignorant (lacking knowledge) or someone willing to present things as facts that are proven to be false.

Your arguments lack merit, thought or understanding of humanity.

If people are on Medicaid they are always "sicker" getting 10 prescriptions at a time? Why is the taxpayer paying for your aspirin? Why is the taxpayer paying for your suboxone? It's not my problem you're addicted to drugs. Tax payer paying for your birth control? Your plan b???

So they are poor, uneducated and sick, so screw them, right. Is there a shred of humanity left inside of you. They pay OTC items because they are cheaper than prescription equivalents, so it saves the tax payer money.

And they fill crap, don't even take it, just refill it because it's free. "refill anything I can get" is the classic line. Aside from the fact how much fraud there is. Tax payer paying for that 10 percocets that they get from the ER that they sell on the streets. I know of someone who has Medicaid that sends medications to their family in another country that's paid for by Medicaid. People who get doctors to write prescriptions under another persons name who has medicaid because they have no insurance.

First, your evidence is anecdotal. Second, you think this does not happen with private insurance patients? Only poor people have a monopoly on the unethical? This happens all of the time.

most of the people on Medicaid have no jobs and have nothing to do all day but walk around and get their free stuff. When I save my money, they have money to buy iPads, iPhones, expensive clothes, $10 pack of cigarettes, but guess what? Not their $1 copay. Their lifestyle is subsidized by the taxpayer and it makes me sick. What happened to the generation that came here with nothing, expected nothing, and worked their asses off to make something of themselves? Now people just expect it free.

Again this is anecdotal right wing crap. I don't deny there are people who play the system. But these people exist at all levels. Like the guy in the Porsche with the monogrammed shirt who gets his doctor to write his med for tid while he only takes it once a day to save a couple of co-pays? Or in the days when I started when Major Medical patients would ask for receipts with prices higher than they paid to get money from their insurance companies. Sure it;s just the poor ripping off the system

This country is a true disgrace. Ready for universal healthcare? This country is in for a long, bumpy ride.

Then move the f***out. There are 194 other countries that would love to have a heartless, selfish person like you.

Just for ****'s and giggles why don't you look up how much we spend on the middle & upper classes for just five things:

• Home Mortgage Deduction 180 billion dollars per year
• State/Local Tax Deduction: 50 Billion dollars per year
• Employer paid health care: 250 billion dollars per year
• Pension Plans: 75 Billion dollars per year
• Capital Gains Tax: 100 billion dollars per year

Gee that's 655 billion dollars per year that the non poor get and you complain about welfare and food stamps.

In all seriousness. I suggest you make the attempt to live on what a welfare person lives on and see how much you like it. But what you should do is get a copy of the book The Insecurity of Freedom by Rabbi Abraham Joshua Heschel. There is a chapter that contains a speech he delivered to The American Medical Association entitled "The Patient as a Person". You can read it on line and I recommend all of my students read this.

 

[ancienbon]

I love it when people speak out of their rectal opening:


This is false. Sort of like me saying "You know that Killingbill guy is really smart" If you eliminated welfare you would eliminate 11% of federal spending and and 25% of our present annual deficit. So if you wiped out welfare entirely, you would still have 75% of the annual deficit you presently have. That makes you either ignorant (lacking knowledge) or someone willing to present things as facts that are proven to be false.

Your arguments lack merit, thought or understanding of humanity.



So they are poor, uneducated and sick, so screw them, right. Is there a shred of humanity left inside of you. They pay OTC items because they are cheaper than prescription equivalents, so it saves the tax payer money.



First, your evidence is anecdotal. Second, you think this does not happen with private insurance patients? Only poor people have a monopoly on the unethical? This happens all of the time.




Again this is anecdotal right wing crap. I don't deny there are people who play the system. But these people exist at all levels. Like the guy in the Porsche with the monogrammed shirt who gets his doctor to write his med for tid while he only takes it once a day to save a couple of co-pays? Or in the days when I started when Major Medical patients would ask for receipts with prices higher than they paid to get money from their insurance companies. Sure it;s just the poor ripping off the system



Then move the f***out. There are 194 other countries that would love to have a heartless, selfish person like you.

Just for ****'s and giggles why don't you look up how much we spend on the middle & upper classes for just five things:

• Home Mortgage Deduction 180 billion dollars per year
• State/Local Tax Deduction: 50 Billion dollars per year
• Employer paid health care: 250 billion dollars per year
• Pension Plans: 75 Billion dollars per year
• Capital Gains Tax: 100 billion dollars per year

Gee that's 655 billion dollars per year that the non poor get and you complain about welfare and food stamps.

In all seriousness. I suggest you make the attempt to live on what a welfare person lives on and see how much you like it. But what you should do is get a copy of the book The Insecurity of Freedom by Rabbi Abraham Joshua Heschel. There is a chapter that contains a speech he delivered to The American Medical Association entitled "The Patient as a Person". You can read it on line and I recommend all of my students read this.

Very well written and persuasive

 

[killingbill]

You are an old timer with his head up his ass. Youre a red commie go live in russia.

 

[killingbill]

I love it when people speak out of their rectal opening:


This is false. Sort of like me saying "You know that Killingbill guy is really smart" If you eliminated welfare you would eliminate 11% of federal spending and and 25% of our present annual deficit. So if you wiped out welfare entirely, you would still have 75% of the annual deficit you presently have. That makes you either ignorant (lacking knowledge) or someone willing to present things as facts that are proven to be false.

Your arguments lack merit, thought or understanding of humanity.



So they are poor, uneducated and sick, so screw them, right. Is there a shred of humanity left inside of you. They pay OTC items because they are cheaper than prescription equivalents, so it saves the tax payer money.



First, your evidence is anecdotal. Second, you think this does not happen with private insurance patients? Only poor people have a monopoly on the unethical? This happens all of the time.




Again this is anecdotal right wing crap. I don't deny there are people who play the system. But these people exist at all levels. Like the guy in the Porsche with the monogrammed shirt who gets his doctor to write his med for tid while he only takes it once a day to save a couple of co-pays? Or in the days when I started when Major Medical patients would ask for receipts with prices higher than they paid to get money from their insurance companies. Sure it;s just the poor ripping off the system



Then move the f***out. There are 194 other countries that would love to have a heartless, selfish person like you.

Just for ****'s and giggles why don't you look up how much we spend on the middle & upper classes for just five things:

• Home Mortgage Deduction 180 billion dollars per year
• State/Local Tax Deduction: 50 Billion dollars per year
• Employer paid health care: 250 billion dollars per year
• Pension Plans: 75 Billion dollars per year
• Capital Gains Tax: 100 billion dollars per year

Gee that's 655 billion dollars per year that the non poor get and you complain about welfare and food stamps.

In all seriousness. I suggest you make the attempt to live on what a welfare person lives on and see how much you like it. But what you should do is get a copy of the book The Insecurity of Freedom by Rabbi Abraham Joshua Heschel. There is a chapter that contains a speech he delivered to The American Medical Association entitled "The Patient as a Person". You can read it on line and I recommend all of my students read this.

It makes me mad to see a my grandparent not want to spend money on prilosec otc because its a rip off, someone born and worked their whole life in this country , while some border jumper who cant speak any english gets it free!!! Wtf. This country is ass backwards. This is the country where if you do less you get more!!

Thats why this country is going down the tubes. We used to be a a country of innovators where you had to work hard to make it or else you wont eat. Now this country is full of lazy ass mofos.

 

[npage148]

This country is ass backwards. This is the country where if you do less you get more!!

Thats why this country is going down the tubes. We used to be a a country of innovators where you had to work hard to make it or else you wont eat. Now this country is full of lazy ass mofos.

Quit your job and collect gov't assistance if it's so attractive. I mean you talk like these people are living the high life while getting enough EBT to buy lobster and steak. Only an idiot would continue to slave away while the chance to feel a welfare queen is right in front of them.

I expect some canned answer about how "you were not raised that way" or something equally dismissive because you don't have a good response.

 

[fauxden]

Quit your job and collect gov't assistance if it's so attractive. I mean you talk like these people are living the high life while getting enough EBT to buy lobster and steak. Only an idiot would continue to slave away while the chance to feel a welfare queen is right in front of them.

I expect some canned answer about how "you were not raised that way" or something equally dismissive because you don't have a good response.

Ironically, I have had people in my class get on food stamps....and that is about exactly what they buy. They get a free 200 bucks a month to blow on whatever they want. One guy has 5 kids, so he gets 1700 a month... think thats enough ?

 

[spacecowgirl]

$8 pp/day doesn't seem that crazy. That's <$3/meal.

 

[Old Timer]

You are an old timer with his head up his ass. Youre a red commie go live in russia.

First, I am not a communist. I'm a proud capitalist. I love my country and I wear my American Flag pin on my lab jacket every day. Second of all. Russia is no longer communist. Hasn't been communist since 1991.

Second, you obviously live in a fact free zone. That's why you don't answer an argument with facts. You call me names and then change the subject to illegal immigration.

It makes me mad to see a my grandparent not want to spend money on prilosec otc because its a rip off, someone born and worked their whole life in this country , while some border jumper who cant speak any english gets it free!!! Wtf. This country is ass backwards. This is the country where if you do less you get more!!

Thats why this country is going down the tubes. We used to be a a country of innovators where you had to work hard to make it or else you wont eat. Now this country is full of lazy ass mofos.

Unfortunately, the country is made of people like you who live in a fact exempt world. Where whatever **** your believe you think is true despise evidence to the contrary. Everybody who came here didn't speak much English. My great grandfather came from Russia in 1913 and spoke no English. He was an architect, but they wouldn't let him work in that field. Three generations later I'm making six figures. Immigration is what made this country great. Unless your skin is red, you're an immigrant too.

It's obvious you didn't read the material I suggested or checked the bio on the author. Your problem is you don't really see these people as human. They are worthless to you. That's the sad part. Your utter lack of humanity. Please read the article.

So unless you have some facts or some evidence to back up your claims and you want to have a debate about the issues, do what the recon squad said to Sergeant Webster:

Don't go away mad, just go away.....

[YOUTUBE]http://www.youtube.com/watch?v=UWJIGq2x7gQ[/YOUTUBE]

 

[rph3664]

Starting this month, Illinois Medicaid will pay for FOUR prescriptions per person per month. That's it. If you have more, too bad so sad, because there are no exceptions.

This is being touted as a cost-cutting measure but we all know it will be the opposite in the long run. Doesn't Tennessee do the same thing, or did?

 

[TonyRx]

You are an old timer with his head up his ass. Youre a red commie go live in russia.

Such an insightful and eloquent rebuttal. Sounds like someone is getting their talking points from Rush Limbaugh, Sean Hannity and company. .

 

[BidingMyTime]

Starting this month, Illinois Medicaid will pay for FOUR prescriptions per person per month. That's it. If you have more, too bad so sad, because there are no exceptions.

This is being touted as a cost-cutting measure but we all know it will be the opposite in the long run. Doesn't Tennessee do the same thing, or did?

??? This started in Illinois last July. And yes, there are exceptions--doctors have to put in for them, and its pretty haphazard on whether or not they are approved, but there are exceptions (my rough estimate is about 50% of the exceptions doctors put in for are approved--and I have seen medicines approved for the over 4 RX limit, even though they weren't on the official list of medicines that doctors could put in an exception for.)