Petty bureaucrats running their little state Medicaid programs.
What the hell do they know about maximizing tax cuts for the filthy rich?
The National Association of Medicaid Directors on Monday criticized the deep cuts to Medicaid proposed in the Senateâs draft legislation to repeal and replace Obamacare as âunworkable.â
They make this pronouncement as if it's some sort of "problem".Well said, sir.
You get sick, you die. You get rich, you get tax cuts. It is, apparently, the new American way.
But⌠but⌠the free market! The private sector can fix anything!
What are they talking about??!! There ARE no cuts to Medicaid!!! Donât these people listen to the White House people?? No cuts to Medicaid!!!
" It would be a transfer of risk, responsibility, and cost to the states of historic proportions.â
McConnell: Yes. Whatâs your point?
The tragedy here is the people who are going to be hammered are the folks in Red State America. I would imagine New York, California and the other Blue States will have the ability to increase medicaid to cover the loss of federal funds, but think about a state like Alabama where the local politicians are forever embroiled in scandal but have only one unifying feature, a hatred of helping poor or middle class people. I suspect Red State America will rapidly become second world without a unified Federal requirement.
That is the real problem with the current Republican approach to government. It is based on the notion that America shouldnât be a unified country. Instead it should break down into 50 or so individual states. .
Budgets in most states are too tight to make up the difference. CA and MD could cushion the blow for a while, but thatâs it.
âState Medicaid Directors: Senate Billâs Cuts To Program Are âUnworkable.â
Of course theyâre unworkable. That is a key feature of the bill. Sheesh, keep up.
Affluent Blue States would probably have an easier time increasing taxes than most Red States which are wholly owned fiefdoms of individual billionaires who truly hate the little people they rule. Believe me the Koch brothers have more in common with Auric Goldfinger than Bruce Wayne. 
âI suspect Red State America will rapidly become second world without a unified Federal requirement.â Become? It is a third world already for much of the population!
The GOP wants to destroy this country. They want to return âpowerâ to the states, states which cannot run up deficits like the federal government, and thus cannot afford to take care of their people. And then they want to turn around and enact a balanced budget constitutional amendment for the whole country. We could then become Greece, just like they fear, but stupidly donât know why.
Do you have evidence to support that?
I canât imagine the citizens of New York letting grandma die but you are probably right.
Even the red states that could afford to pay more in Medicaid and other state aid to the poor (TX, OK â as long as they have oil) wonât do it because the Rs in charge are philosophically opposed to the state helping the poor, sick, and disadvantaged. Itâs the same Randian philosophy that drives Ryan.
âHowever, no amount of administrative or regulatory flexibility can compensate for the federal spending reductions that would occur as a result of this bill,â the group said in a statement. âChanges in the federal responsibility for financing the program must be accompanied by clearly articulated statutory changes to Medicaid to enable states to operate effectively under a cap. The Senate bill does not accomplish that. It would be a transfer of risk, responsibility, and cost to the states of historic proportions.â
This is the entire point of their action. They do not believe that health insurance should be treated in any way like a regulated utility like water, electricity or gas. Health insurance should be provided by big industry for the sole purpose of making a profit off the backs of people who do not file claims under their insurance policies. If the costs of an insuredâs claim exceed the premiums paid for that policy, then the profit-directive requires that the insuredâs policy be canceled to ensure a profit to the insurance provider. This is the clear directive or Republicans with small minds.
My daydream pondering would be to some how get some press credentials and start interviewing GOP Senators and Congressmen how their role on committee A is comparable to what position in a business or family economy? Arenât we suppose to run the US of A like a family or a business?
The cuts are unworkable? Who told you they were supposed to work?
Absolutely not! A business can cater their services to certain demographics while ignoring others completely. A business choose can sell boats and other aquatic paraphernalia while ignoring the demand for airplanes. A clothing store can choose to sell only menâs clothing and not womenâs. Government cannot choose which citizens it wants to serve. Government is obligated BY THE PEOPLE, FOR THE PEOPLE, AND OF THE PEOPLE to serve ALL OF THE PEOPLE. Furthermore, government is not motivated by profit.
The GOP do not care. They think and have trained their Fox âNewsâ base that this is a corrupt welfare program.