If they stop consuming it; they would be healthier
Ideas to reform medicaid
- Thread starter ClarindaA's
- Start date
As usual, you are wrong. Alcohol taxes were growing consistently through 2019 and dropped with the pandemic but are growing again. Consumption is growing as well. Cigarette tax revenues grew rapidly around 2010 and then started to drop, but are still higher than pre-2010. Less consumption for cigarettes is a worthy goal as well - especially when you can maintain or increase the tax revenue from them.
But it was nasty. If you are going to teach kids to eat healthy the food has to be appealing. It can be done but it’s not cheap and it’s not easy.
They may in SW Iowa (I tried to look them up but found few) but even at that it is inconsistent and unavailable on weekends and evenings.
We're in agreement that improvement in this area is needed.
I have a friend that does accounting at a major distributor and they sold more during the pandemic through liquor stores than they ever sold through restaurants, bars, and liquor stores combined pre-pandemic. It wasn't just an initial wave as people stocked up, it was continuous
fwiw rather than sin taxes to deter consumption, i'd like to see a prohibition on alcohol advertisements. they wouldn't be advertising if it didn't increase consumption
You're an idiot. I said tax receipts. JFC
https://www.statista.com/statistics/248952/revenues-from-alcohol-tax-and-forecast-in-the-us/
That might be because "poors" don't have a family physician......and "walk-in clinics" are not necessarily consumer friendly. Im not arguing the point....I just have had a lot of experience with this kind of stuff.....and it is important to understand, if there was a easy fix, it would have been done years ago.....Without being condescending, all is not how it appears in healthcare......Enormous amounts of money is at stake here by all involved....Now, IF you want to remove the "profit motive" from healthcare you have more options available....but them you will hear nothing but "SOCIALISM!" from those who oppose the idea....but you would get a high standard of healthcare and far more accessibility to healthcare in a differnet system.
Urgent care is open until 7!during the week and they are open from 9 to 1 on the weekends in Clarinda and Shenandoah
Where is the urgent care facility in those towns? I can't find them on Google Maps.
Thats about the hours they run here in DFSM too......;;.but folks get sick 24/7...and here transportation to and from clinics is a huge problem.....and cabs are expensive and not that reliable....
oh my god. Dude, I’m talking about people who are morons, going to the ER in non emergencies. Most sickness doesn’t require the ER, or even urgent care. Is it any cheaper to get transportation to the ER? Quit making excuses for really piss poor decision making.
In Iowa medicaid recipients are required to see their family physician annually, otherwise they can potentially be kicked off medicaid. What state are you referencing?
Ummm.... aren't you advocating for people NOT to go to the hospital for non-emergent care?
Jesus, I’m saying not go to the ER, they have a walk in or urgent care department
LOL - their urgent care department is called Emergency Medicine. The walk-in clinic is part of the hospital.
The ER issues we are talking about are not because of rural hospitals like this - it is in urban areas where there are separate urgent care and walk-in clinics that are unavailable to Medicaid patients. The ER costs for these patients, cumulatively, are enormous. As are those for patients without any healthcare coverage. But that's a separate issue.
The ER in small towns is still abused, costs are different, insurance pays more for ER visits.
Ok. That's not the issue I thought we were talking about. I think we agree overall, let's leave it at that.
Iowa....that's well and good, but in an "emergency"......and again the "rule " you cite doesn't really mean what you think it may mean.......any port in a storm. Some folks in Iowa have to travel 40 miles to "see their doctor".....You can make an appointment to do that......its those pesky "emergencies" and sudden (unscheduled) illnesses that jam things up......ISUfan....are you by chance a legislator?
If less people use cigarettes, tobacco, and shitty food, the tax revenue may decrease. But what would happen to health care costs with fewer abusers? Would that be a net positive?
Are you going to start a new human race? I'm not being obtuse as much as realistic......I wish folks could have my seat to witness a "big city" ED after 8PM....and before 7AM.........There is no way to describe what you might see on a given day. The worst part is these folks come in wearing their pajamas and carrying their "puke buckets"......I am not downplaying the problem in the least....I am just saying there is no "spitball" answer that is going to work universally.....
There were times where I would say to myself....."Am I really in DSM Ioway?"
What a wonderful ****ing idea! We can have all these old widow women who are in Nursing homes after spending their lives doing everything that was asked of them, raising their families, and spending their life savings taking care of their dying husbands pay their ****ing fair share. Why in the **** should they be able to keep that $70 a month that the State allows These old bitches shouldn't be allowed to blow it on haircare or bras. WTF, make them pay up.
No.....they have NO money! chances are they will never have money! They dont have enough money to support themselves....hence MedicAid. MedicAid you have to have a net worth of less than $2k....
Is there a definition of junk food?
define fast food while you are at it. You would have to try pretty hard to eat at McDonald’s and consume less calories than somebody enjoying an Italian restaurant meal.
why tax zero calorie soda?
is bottled tea that is sweetened taxed?
I would rather just tax fat people. And the skinny people get the money paid by the fat. Make a game out of it.
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They do, they have money for shitty tattoos, cigarettes, Amazon prime, Netflix, new cell phones. I have patients on medicaid that are living pretty comfortably
Medicare doesn't pay for long term care you dumbass. Medicaid does. Medicare only pays for 100 days of skilled care. What am I about? WTF are you about? You have no ****ing clue as to what Medicaid does or who it helps.
I’m specifically talking about the abuse or misuse of it you snowflake, no one is coming after grandma
You are so clueless, nursing homes across the country are closing because of low Medicaid reimbursements because of idiots who are going after all this misuse. Again, you have no idea where the Medicaid funds are going or who the are helping.
I’m literally trying to attack the misuse that wastes funds. Scalpel, not chainsaw. This is hitting close to home for you, maybe you are responding emotionally and not thinking about what I’m actually trying to accomplish
Biden was going to tax the rich to help a lot of programs.
he has done an excellent job of that. NOT
he has done an excellent job of that. NOT
I didn't post anything about emergencies, I was responding to your comment that "poor's might not have a family physician.
You are required to have a family/primary care physician to be enrolled in Medicaid, and you are required to visit them an annual physical.
In regards to emergency room usage I have no problem with any person using it in the event of an actual emergency. Here in Cedar Rapids area we have 10 or perhaps more urgent care centers that accept medicaid. I am not knowledgeable about other areas.
Iowa Medicaid does allow 24/7 video appointments as well.
Perhaps the easiest solution would be to get a referral to the ER from the video appointment?
No I am not a legislator
2/3rds of all Medicaid spending goes to elderly and disabled. You are worked up over a small percentage of a small percentage. With everything wrong in this country, by all means lets go after the poorest people and charge them more out of pocket for their hand up.
****ing clueless.
I can't find the requirement for an annual physical exam to receive Medicaid. Do you have a link?
You have no idea where Medicaid dollars go, but you have a plan to fix it. More co-pay for the poorest. You rock
No, I think taking money from our most vulnerable, our elderly, our disabled, our pregnant, is a brilliant ****ing plan.
