Medicaid expansion states when Obamacare went into effect changed that. If your household income is below 133% of the federal poverty level, you qualify.
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Trump: Healthcare bill will be revised to gain GOP support for Thursday vote
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Medicaid expansion states when Obamacare went into effect changed that. If your household income is below 133% of the federal poverty level, you qualify.
Lord Frieza
Member
Uh, they are the government now?
Sectorseven
Member
What does "block grant Medicaid" mean?
Capped Medicaid spending.
The way it works currently, everyone who qualifies is guaranteed coverage and states and the federal government combine funds to cover the costs. When they turn it into a block grant, they basically say "Ok we're giving you X amount per capita to spend as you wish." The increase of the block grant each year is also tied to something with slower growth than costs will actually be. Since it's not open ended anymore, states wouldn't necessarily get more money to compensate if, say, more people qualified for Medicaid because of an economic downturn. Also, if an expensive new drug entered the market, or a costly new disease emerged, the Medicaid budgets still wouldn't change to reflect that.
Chaos2Frozen
Member
Did you tell him the truth?
Oh I did. The conversation didn't go on much longer than that, and he didn't really argue the point much. It just kind of shocked me in the moment how someone could come to that conclusion lol
CarpeDeezNutz
Member
Haha wow he missed the memo.
DeaconKnowledge
Member
Endorsing this bill is political suicide. It's going to take more than a few fringe changes to get this bill passed.
Evil Monkey DTT
Banned
Can I just wake up one day in a Trump presidency and not start screaming the moment I see the news.
iRAWRasaurus
Banned
Only if you wake up in 4 or 8 years.
Fenderputty
Banned
Unless he openly comes out against the bill, it's his.
Mr. Giggles
Member
alrighty then
RPGCrazied
Member
https://www.youtube.com/watch?v=uFl0K0DxZFU
Just watch this. I'd be playing this over and over again on the air waves. This just shows you he is a flaming liar.
Just watch this. I'd be playing this over and over again on the air waves. This just shows you he is a flaming liar.
He ran as a populist but doesn't care about anything he said.
So, even if he did actually convince members of the House to support it... That would mean he probably made it more extreme (i.e. cut off Medicaid by next year). Moderates won't be too happy about that
He's kinda fucked, because if he did make any changes like that the Senate Republicans will just shoot it down as it screws over their constituency.
YOU SAMURAI, SHUT UP!
plagiarize
Banned
Countless things prove he's a liar. People will just go 'but all politicians lie' and continue to tie themselves into pretzels not to criticize Trump until they or their family are hurt by something he does.
RPGCrazied
Member
Then make it stick. 2020 will be hard for him. Have no doubt. His core supporters isn't enough and with Hillary out of the picture I don't see him getting reelected.
And remember a huge chunk of the people losing coverage happens in one year. Right in th Middle of midterm elections. The growing number of people getting kicked off health insurance would be a live tally right as everyone is campaigning.
The way it works currently, everyone who qualifies is guaranteed coverage and states and the federal government combine funds to cover the costs. When they turn it into a block grant, they basically say "Ok we're giving you X amount per capita to spend as you wish." The increase of the block grant each year is also tied to something with slower growth than costs will actually be. Since it's not open ended anymore, states wouldnt necessarily get more money to compensate if, say, more people qualified for Medicaid because of an economic downturn. Also, if an expensive new drug entered the market, or a costly new disease emerged, the Medicaid budgets still wouldnt change to reflect that.
To correct this, there are two approaches.
- A true block grant - you spent 1 billion total on Medicaid in 2016, from now on you get 1 billion forever (plus inflation or soemthing along those lines).
- A capitated grant - you spent 1000 per member in 2016, from now on you get 1000 per member plus inflation.
So either way you create a baseline and set it in stone. Of note, the first true block gives you a hard money cap. The second gives you a cap per person, so in some variations, if you sign up healthy people you can increase your overall grant and then use some of it to help sick people.
Right, so in reality they're damned if they do and damned if they don't.
I don't want to Trump administration to score a victory here... To have this defeated in the House would make him look nothing short of completely incompetent.
But, if this bill does somehow pass- there are going to be a lot of angry, newly uninsured Americans, who may finally be motivated to get off their ass and vote.
aspiegamer
Member
It's Medicare that you're thinking of, btw, which is on the list of what's often called "entitlement programs" along with Social Security. Note that Americans pay into the system continuously their whole lives (it's automatically deducted from our paychecks) so it's not like we're getting a free ride. God I hate it when people forget that part. You can call it a future investment into your own health care for after you retire, if you'd like. Don't feel bad when I'm sure most Americans wouldn't know how to explain the difference. It's almost as though just offering health care to everyone would be simpler or something. Go figure.
Beer Monkey
Member
I actually don't think they can in a week.
It's not really an investment scheme, it's purely a redistribution scheme at this point. Granted you expect to be redistributed to when you are that age.
kame-sennin
Member
How could I not be benefited by someone voting a Klansman into the AG spot?
"Black people ain't shit".
Yup, people seem to want a 50 state strategy, yet don't understand what a 50 state strategy entails (hint: in red states you run people to win, meaning they're going to be more conservative)
Do you live in West Virginia?
kame-sennin
Member
You could always be super smart and vote republican instead
this makes me happy, because at least they won't get away with a simple rebrand to steal all the credit.
Would you rather have a republican senator? Because I can guarantee he could fuck you over way harder than Manchin did.
Fenderputty
Banned
This bill isn't a simple rebrand
Tranqueris
Banned
Screw that, these moderates and red state Democrats need to bow before the overwhelming progressive majority (that didn't turn any of these states blue last November). But still!
While Bernie's message does have wide support among a lot of people, I think that people wrongly assume that there's enough support for a full on progressive 50 state strategy. What they think is a 50 state strategy is probably a 20 state strategy.
ShironRedshift
Member
Pretty much. The only way white supremacy is going to go anywhere is if we actively fight against it wherever and whenever it pops up. If we accept it as a given that it will always be a choice between one white supremacist and another in certain states, then it's no surprise that such points of view will go nowhere and stay in fashion since Boone's even trying to challenge them! That's a pretty good reason for someone to in fact step up to the plate and do something about that!
Of course, victory may be unlikely but it's impossible if people choose to do nothing and accept it as a given fact that it's impossible. Another very good reason to actively fight it, in order to actually start sowing seeds for the future at the very, very least and sticking up for principles like white supremacy being a no good, very bad, terrible thing.
Sorry/not sorry but at some point a line needs to be drawn. Racism is that line. Manchin deserves his ass canned for voting for a klansman. For decades older generations of minorities have been giving democrats a pass because of laws they passed decades ago. Younger generations aren't. We are undermining our base if we show that we won't stand firm in support of them.
Sessions was through regardless of what Manchin did. You can hold it against him I guess but he didn't actually have an effect there.
I can imagine a republican from WV going a lot farther than Manchin in a ton of respects, from race relations, to education, and more. I'd rather have a red democrat than an very red republican any day of the week. Luckily I don't live in WV so I don't have to make that choice. If I did though, there would be no question.
kame-sennin
Member
Host Samurai
Member
It's unbelievable how many tax breaks the upper class is already getting that the GOP feel the need to give them a very minor health care tax break on top of everything else. Something that poor people NEED. This is terrorism for poor people.
Dead Prince
Banned
when you mix apprentice with politics.
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