GAinPA Posted March 12, 2025
Recent proposed US Medicaid cuts
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Has anyone been talking about this?
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The cuts we would discuss here on AC, I imagine, would involve elder care for the most part, or cuts to aid in funding for food programs and such. But there's little to be done other than speak with our own representatives and discuss our wishes for their votes. And to vote, ourselves.
I've said here that I have read two articles--now up to three (one being simply a Yahoo squiggle),, about Hedgefund managers and Corporations thinking to exit elder care. The reason mentioned is the uncertainty of plans for the future of elder care and the funds for it.
And that magic word "uncertainty" seems key to those that dabble (I all it gamble) in stocks; I don't.
Any investments are gambles. It was thought, with aging population, there would be profit to made off us oldsters. However, perhaps not?
So now a lot of facilities are being sold.
Some of this has to do not only with "uncertainty about governmental aid support for Medicaid" but to do with fewer workers. While the economy has other jobs in the offing people often choose to exit elder care which is difficult.
There are so many factors in all of this, it is nebulous. It becomes political and divisive. So that for the most part people on AC choose to leave voting to our personal decisions and our own ballot box, and here we do what we can about what we KNOW about elder care. Usually our personal experience.
Long and short? Nothing is yet changed. The world of Medicaid and elder care is the same today as it was yesterday and for more than a FEW yesterdays, except for that sale and withdrawal thingy. And my brother's own Pacifica Senior Living I hear was just sold to some entity called "Cottages". So who knows. Clutching our pearls and our prayer beads simultaneously in some instances, on we go.
US funding through Medicaid is nothing, or total subsidy. Total subsidy looks like bad news financially for future state funding. Elders with less money (eg for AL) looks like bad news financially for user-pays.. This may be a good time for investors to take the money and run.
Tony and I say 'at least we're going to be dead'.
The time is coming where Medicare original will be eliminated in favor of Medicare Advantage. The thing the latter is most famous for is denying rehab or keeping it to the minimum number of days.
The time is coming whereas entities will have to prioritize actual citizens over the panoply of ppl who are not. If moms not a green card holder at least, I suggest the families of those who aren’t will necessarily have to do with less as all grandmas needs are on them.
I give this a year before all this happens.
I am a bit middle of the road in a lot of these things. To be truthful, Medicare pays a POTLOAD of money to Hospices and the latter has responded to THAT by stripping out EVERYTHING they ever did to individualize care of the dying. Hedgefund money will be leaving HOSPICE as well if it gets cleaned up and made to function like once it did.
Again, follow the money. Follow the money. It is all about the money. And it's always the big boys that are never hurt no matter HOW MUCH money they lose.
We all have our wishes as to how the world is run. We all grit our teeth through the administrations of the ones we didn't vote for. We would all help one another if the houses were on fire (at least I hope so but I begin to wonder).
On we go.
There is a lot of fear and a lot of fear mongering and a lot of using fear, making predictions. Geaton's right. This is all a long process. At 83 almost I don't have energy to keep going ballistic at every turn. I post my memes on FB, and then have my day.
https://www.msn.com/en-us/money/other/home-care-patients-workers-fear-major-disruption-on-april-1/ar-AA1AG8nw
While there were cuts proposed, the State legislature shot down most of them when they set the State budget.
The biggest issue in the argument were the with the Fiscal Intermediaries (FI) who were responsible to essentially act as the payroll officials for those giving care. There has been rampant fraud within the system, including a Federal Indictment in the fall of 2024 charging certain FI's with fraud in the range of 68 million.
Proponents of the changes claim that as the program stands now there is very little oversight of the FI's. Fo example, anyone can go to a lawyer and for a nominal fee of a few hundred dollars set up an LLC, go to NY State and register to be a Fiscal Intermediary and then charge for hours never worked, overcharge on hours worked or some such other means of fraud, thereby stealing large amounts of money from the system.
The State is now trying to get people using this CDPAP service to register and get paid through one main FI, managed by the state, with the hopes it will save 9 million dollars in the budget. But the rollout isn't going very well, and the fear is if the state pushes this program through in the time frame they desire, there will be a large number of people who lose the benefits because they didn't register with the new FI in time. The rollback "drop dead" date is being debated, and legislators are looking to push that date back into 2026. But insofar as losing benefits, both the Governor and the State Legislator have been united in their insistence that this new program will not diminish anyone using this program's benefits. The savings will come from the administrative end of the program, not the service end.
That makes so much sense.
This was, yes--clearly--STARTED AS A political discussion.
I honestly have ZERO idea the admins rules about political discussions.
Personally I think it's just another way to engage us in anger, as politics seems now always to BE about anger--sure is for ME anyway. There won't be agreement, and may be division. But like GoodEnough's explanation about the NYState rules, it can be used to teach and inform.
I, like Lea, am self reporting and will leave it in the admins hands.
If they wish us to engage in political back and forth I am fine with that.
If they want to eliminate politics along with "is there a God or not", I am even better with that. Comfortable with their decision either way.
For myself, it's not politics that makes me angry, or even political discussions; it is the advent of not being allowed to disagree, or the attempt to shame people that do disagree; it's the advent of it doesn't matter if I "win" so long as the other side "loses". It's the continuing attitude of "the person I support might have done terrible things, but the person you support has done even worse terrible things, so my person is right!!" rather than "hey, they've BOTH done awful things, let's not only acknowledge it but let them know that we. their constituents, deserve and demand better". It's about politicians wanting to "win' in social media to the point of not caring about the job they were hired to do, and that is to govern.
I also can disagree with someone and not immediately brand them my mortal enemy for ever and ever until the end of time.
Political discussions, at least on Social Media, and to me, just tends to drive us into our corners with our fists up.
When I say I am "always angry" about politics, it kind of brands me the "current loser" and I am. And that's our tendency now.
I think there's lots both sides COULD agree on if we could talk, but we can't anymore, even within our OWN party, and when anyone TRIES that, as our Gov Newsome saying that transgender people entering girls and women's sports is "inherently unfair" (in my opinion a true statement. No woman or girl athlete can win against an athlete born male, and that's unfair) he is raked over the coals until there's virtually not an unburnt piece of skin left on his body (raked over by we, the liberals, his own party).
Division has harmed this nation horribly imho. Made us unable to talk and more and more unable to listen to both sides. Made us unable to compromise. Made us unable to ACCEPT that you vote, there is a winner and a loser, and you go on. For the good of all.
Back in the day we could disagree and still admire many--or at least SOME-- on the other side. Doesn't happen anymore.
Given that, perhaps politics best off most sites that are devoted to something else, such as this one. It can do NO GOOD. It can only do harm, imho.
This is currently a politically LOADED question.
I think denial of that fact is disingenuous.
"Only Elon Musk, tRump and their super-wealthy buddies will be able to afford it. Vulture capitalism at its glorious best!"
Why not bring up president Trump's efforts to END THE WARS going on? Oh, because that doesn't serve the Orange Man Bad narrative?
"Only voters who had half a brain and said no to the current administration will suffer with a clear conscience." This is obviously NOT a TDS driven comment, nope, not political at all. Just a discussion by folks with half a brain and the rest who voted for communism.
Want politics? Let's talk politics.
But a relief that's temporary. Kind of like letting go of gas.
I don't want our community hurt by the fact that we "see it differently".
HALF the country sees it differently from the other half.
Wish we could consider different administrations a bit more like we consider the markets. Not worth defenestration, self-inflicted or otherwise.