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The Affordable Care Act II - Because Mr. Obama Loves You All


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That tells me little as 42 states have a population less than Los Angeles County. What's more interesting to me is what states rely the most on federal government assistance by their population %. The best study I could find methodology wise was from Wallethub (using data from 2014 and 2015) which showed 8 of the top 10 states who rely on federal assistance were traditionally red states (Maine and New Mexico were the exception). Kentucky and Mississippi took the top two spots. California was 46th and New York was 34th. The methodology appears pretty sound, but no study is perfect.

 

https://wallethub.com/edu/states-most-least-dependent-on-the-federal-government/2700/#dependency-and-state-taxes

 

The federal funding myth has already been debunked numerous times. (blue states subsidizing red states lie).

 

These studies use the metric of % of federal funds that constitute a state's budget. This means that red states (low state taxes) have a higher proportion of their budget tied to federal funds than blue states (high state taxes) along with large disparities in population density that leads to higher infrastructure costs (roads) per capita.

 

Like the wage gap myth, it's about looking into how the numbers were gathered.

 

The best way to see who are the freeloaders is looking at welfare costs per capita, and 9/10 states are all blue, with NY and California leading the way (because cost of living is so high). Which makes sense.

 

-when something looks wrong, you should always ask yourself why.

Edited by unbillievable
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This was published as a Wall Street Journal Think Tank column on April 16, 2015.

 

 

No single fact can settle the long-running debate of whether public or private health insurance is preferable. But by one basic metric, the rate of increase in per capita spending, public insurance has an edge.

 

The Federal Office of the Actuary in the Centers for Medicare and Medicaid Services has charted the annual rate of increase in spending for Medicare, Medicaid, and private health insurance. As the chart above shows, by cumulative growth in per capita spending, Medicare and Medicaid have generally grown more slowly than private insurance and are projected to continue doing so through 2023. Per capita spending is an especially useful measure for comparing public and private health insurance spending because it shows how much Medicare, Medicaid, and private insurers spend on each person irrespective of the number of people covered.

 

Advocates of public coverage tend to like its relative simplicity, uniform guaranteed benefits, and lower overhead costs, as well as the ability of large public insurance programs to use their purchasing power to leverage changes in the health-care system. Advocates of private coverage favor the greater choice it can offer consumers and the competition that can foster in the marketplace. For some people, preferences for public or private coverage are largely ideological.

 

When it comes to analyzing health spending, there are always multiple factors at play. Sometimes changing demographics can have a role. As younger baby boomers join Medicare, the average amount that the program spends per beneficiary will be slightly reduced over the next decade. Overall, however, it appears that public programs control per capita spending somewhat more effectively than private coverage does. That may be just the opposite of what many would presume in a country where the private market is generally expected to outperform the public sector.

*****

 

Private vs public insurance costs

 

http://www.kff.org/health-costs/perspective/public-vs-private-health-insurance-on-controlling-spending/

The federal funding myth has already been debunked numerous times. (blue states subsidizing red states lie).

 

These studies use the metric of % of federal funds that constitute a state's budget. This means that red states (low state taxes) have a higher proportion of their budget tied to federal funds than blue states (high state taxes) along with large disparities in population density that leads to higher infrastructure costs (roads) per capita.

 

Like the wage gap myth, it's about looking into how the numbers were gathered.

 

The best way to see who are the freeloaders is looking at welfare costs per capita, and 9/10 states are all blue, with NY and California leading the way (because cost of living is so high). Which makes sense.

 

-when something looks wrong, you should always ask yourself why.

 

Link to back this up? Those red state politicians like bringing home the pork as much as anyone but also complain about it out of the other side of their mouths

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Don't just read the headline.............

 

 

 

JOHN DANIEL DAVIDSON: Let’s Stop Pretending Medicaid Saves Lives.

 

Remember Deamonte Driver? He was the 12-year-old who died of a toothache in 2007. The boy lived in Maryland and was enrolled in that state’s Medicaid program, which covers dental care for children, as all Medicaid programs are required to do.

 

But Deamonte’s mother
couldn’t find a dentist who would take Medicaid
. At the time, only about 16 percent of Maryland dentists accepted Medicaid patients, and Deamonte was in dire need of basic dental care—as was his younger brother, DaShawn, who had six rotted teeth.

 

By the time Deamonte’s toothache got attention, bacteria from an abscessed tooth had spread to his brain. He underwent two emergency operations and six weeks of hospital care that cost more than $250,000. But it was too late, and Deamonte died. A routine, $80 tooth extraction could have saved his life.

 

Deamonte’s case prompted a national conversation about Medicaid. How had Maryland’s Medicaid program so thoroughly failed the Driver family? Why hadn’t they been able to find a dentist?

 

And what is the point of being enrolled in Medicaid if there are no doctors or dentists willing to treat you?

 

Those questions were never really answered, but they’re as pertinent today as they were a decade ago—arguably more so, since we’re once again engaged in a national debate over health care reform and the fate of Obamacare’s Medicaid expansion. Then as now, the reality is that Medicaid doesn’t save lives. In some cases, like Deamonte Driver’s, it bars access to basic life-saving treatments.

 

 

 

 

It isn’t just that Medicaid doesn’t save lives, it’s that it has put Washington on a course to bankrupt the nation.

 

But if you think of it as the world’s most expensive example of virtue signaling, it all makes sense.

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And what is the point of being enrolled in Medicaid if there are no doctors or dentists willing to treat you?

 

This happens a hell of a lot. I know of no person on Medicaid who hasn't had trouble with lack of access to care.

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Medicaid reimbursements are so low that it is not worth it for a doctor to spend the money to become a doctor. Fixed prices and market forces are not compatible.

 

American socialists are the dumbest socialists on the planet.

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Medicaid reimbursements are so low that it is not worth it for a doctor to spend the money to become a doctor. Fixed prices and market forces are not compatible.

 

Should markets determine who receives healthcare and who doesn't though? Incorporated insurance companies are required by law to make as much money as possible, and the less care they give, the bigger their profits are. That's a great system for making money, but a poor system for providing healthcare.

 

As far as doctor shortages, the answer to that is to subsidize the higher education disciplines that are in demand (and also to think twice about giving money to people getting a communications degree).

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Medicaid reimbursements are so low that it is not worth it for a doctor to spend the money to become a doctor. Fixed prices and market forces are not compatible.

Horse crap. The extra money put into health care by the government actually increases the number of medical professionals below doctors who can take care of many things with actually having to see a doctor. So it helps there, also.

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This happens a hell of a lot. I know of no person on Medicaid who hasn't had trouble with lack of access to care.

 

Welcome to socialist medicine.

 

What angers me the most about the idiots who are the biggest proponents of socialized medicine (like our buddy baskin) is that they all forget the HMO experiments 30 years ago, which were universally reviled and thankfully killed.

 

People don't appreciate that the biggest reason US healthcare costs so much is because US healthcare employs so many specialists and has many more state of the art facilities, which happen to cost a hell of a lot of money.

 

So if our resident idiot shouters are so keen on 100% coverage, they should be honest with their proposal and ask the 85% of Americans who currently have comprehensive coverage if they're willing to give that up to go to a full HMO model, with much less specialists and medical access, in exchange for providing coverage for the 15% (many of whom don't want medical insurance)

 

It's not a question of who pays for what, but a question of losing your doctor.

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That's not a health care issue. It's a legal one.

How is this not a healthcare issue? It goes straight to the heart of differences between US healthcare and socialized healthcare and why US healthcare costs so damned much.

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Hospitals determine all the time that patients are better off dying for tough matters.

 

It's no fun to tell the parents this about their child.

 

 

I've been that person many times in my career,

 

but you lay out the facts and convince them.

 

You don't take away their parental rights and make the State the ultimate power.

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