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Author: alan81 🐝  😊 😞
Number: of 48617 
Subject: 20M to lose health insurance
Date: 06/30/2025 2:18 PM
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No. of Recommendations: 10
According to the GOP talking points, this is eliminating waste fraud, and abuse.

Gee, if I am not going to get free health insurance I guess I'll go back to work... said nobody ever.

Alan
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Author: Dope1   😊 😞
Number: of 48617 
Subject: Re: 20M to lose health insurance
Date: 06/30/2025 4:23 PM
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No. of Recommendations: 2
According to the GOP talking points, this is eliminating waste fraud, and abuse.

Gee, if I am not going to get free health insurance I guess I'll go back to work... said nobody ever.


And who are these people losing health insurance?

Are they able-bodied and thus able to work?
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Author: commonone 🐝🐝 HONORARY
SHREWD
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Number: of 48617 
Subject: Re: 20M to lose health insurance
Date: 06/30/2025 5:12 PM
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No. of Recommendations: 14
Dope1: Are they able-bodied and thus able to work?

Most are already working.

Nearly two-thirds of adults ages 19-64 covered by Medicaid were working and nearly three in ten were not working because of caregiving responsibilities, illness or disability, or due to school attendance, reasons that counted as qualifying exemptions from the work requirements under previous policies.

Based on the data, only a small share of Medicaid adults were not meeting work requirements or would not have qualified for an exemption qualifying exemptions: however, many more Medicaid enrollees who would remain eligible would be at risk of losing coverage because of the administrative burden and red tape related to reporting requirements.

Like Luke Seaborn, a 54-year-old from rural Jefferson, Georgia. Luke became the face of Georgia's Pathways to Coverage, the state's insurance program for impoverished Georgians, calling it an innovative way to decrease the state’s high rate of uninsured adults while reining in government spending, holding the program up as an example to other Republican-led states eager to institute Medicaid work requirements.

Until... his benefits were canceled.

Seaborn said he had logged his work hours into the online system once a month as required. But his benefits were canceled after he failed to complete a new form that he said the state had added without adequate warning. Seaborn said the form asked for the same information he had been submitting every month, just in a different format.

Being the face of Georgia's Pathways to Coverage, Seaborn had a contact in an insurance executive involved in a testimonial video he starred in for the state. She said she was having lunch with the governor and presto-chango, Seaborn's benefits were restore.

And then they were cancelled again.

Even so, technical glitches and more red tape caused him to lose his coverage once more, he said. He stopped receiving texts from the Pathways program in February. When he logged in to the digital platform in early March to make sure everything was in order, a notice informed him that his benefits would be terminated on April 1. The reason: he had missed filing an annual income statement. He said the surprise requirement had popped up on the digital platform even though his coverage was not up for renewal.

“My head exploded,” he said. “I didn’t get a text or an email. I did what I was supposed to, but that wasn’t good enough.”


So the face of Georgia's Pathways to Coverage lost his benefits twice and is now complaining about leopard's eating his face but, you know, it's a simple process to maintain coverage.

Dude, you're in a cult.


https://www.propublica.org/article/georgia-medicai...

https://www.kff.org/medicaid/issue-brief/understan...
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Author: Dope1   😊 😞
Number: of 48617 
Subject: Re: 20M to lose health insurance
Date: 06/30/2025 5:40 PM
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No. of Recommendations: 3
Most are already working.

"Most" Is "Most" all of them? What percentage of the 20 million is "most"?

Nearly two-thirds of adults ages 19-64 covered by Medicaid were working and nearly three in ten were not working because of caregiving responsibilities, illness or disability, or due to school attendance, reasons that counted as qualifying exemptions from the work requirements under previous policies.

This is a nice stat but doesn't address the contention: how many of these people are a) not working b) could be working but aren't and c) losing their health insurance?

Based on the data, only a small share of Medicaid adults were not meeting work requirements or would not have qualified for an exemption qualifying exemptions: however, many more Medicaid enrollees who would remain eligible would be at risk of losing coverage because of the administrative burden and red tape related to reporting requirements.

Uh, huh. So it's not really 20M, then is it?
And it seems like an enterprising political party interested in helping people would put effort behind reducing red tape. Have the democrats initiated anything like this?

Seaborn said he had logged his work hours into the online system once a month as required. But his benefits were canceled after he failed to complete a new form that he said the state had added without adequate warning. Seaborn said the form asked for the same information he had been submitting every month, just in a different format.

So this has nothing to do with the BBB and is a state of Georgia thing. Thanks, that takes care of this anedocte.

Dude, you're in a cult

And you're losing your grasp on the details. Maybe slow down a bit.

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Author: ges   😊 😞
Number: of 48617 
Subject: Re: 20M to lose health insurance
Date: 06/30/2025 6:28 PM
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No. of Recommendations: 3
According to the GOP talking points, this is eliminating waste fraud, and abuse.

These people end up in emergency rooms and the taxpayers pick up the tab. Or else they just suffer and die, which seems to be the Republican plan for them.
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Author: alan81 🐝  😊 😞
Number: of 48617 
Subject: Re: 20M to lose health insurance
Date: 06/30/2025 9:37 PM
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No. of Recommendations: 4
Are they able-bodied and thus able to work?
(1) It doesn't matter
(2) We will never know because of HIPPA
(3) If indeed they are, the burden they would put on the Medicaid system is near zero
(4) Just because they have, or get a job doesn't mean they get other health insurance
(5) In an emergency, they will still get care in the ER, and the hospital will pass those costs onto others. This is part of what makes health care costs so opaque.
(6) if Medicaid is currently covering medications for chronic conditions, stopping those medications (even for a short time) can be catastrophic.

There are a few GOP senators fairly upset about this provision in the bill. This may be the straw that breaks the bill.
This provision has a much greater impact on red states than the blue ones. Interesting times.
Alan
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Author: Dope1   😊 😞
Number: of 48617 
Subject: Re: 20M to lose health insurance
Date: 06/30/2025 10:14 PM
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No. of Recommendations: 3
1) It doesn't matter

What do you mean? Of course it matters. Medicaid is for people who need it the most. It has limited resources.

2) We will never know because of HIPPA

I suspect we’ll know, by back checking eligibility for other programs.

3) If indeed they are, the burden they would put on the Medicaid system is near zero

I doubt that. If they cost next to nothing then that means they’re not using many services…which means they’re likely pretty healthy (and could work).

(4) Just because they have, or get a job doesn't mean they get other health insurance

Which is what the ACA exchanges are for. Why else do we have Obamacare?

5) In an emergency, they will still get care in the ER, and the hospital will pass those costs onto others.

…which is an argument to put them on their own private plan, not the public one.

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Author: alan81 🐝  😊 😞
Number: of 48617 
Subject: Re: 20M to lose health insurance
Date: 07/01/2025 10:22 AM
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No. of Recommendations: 2
Your general question seems to come down to why do we have a two tiered system with ACA and Medicaid? Your assumption that when they get a job they could afford an ACA plan is faulty.

ACA subsidies are available for families with incomes between the poverty level, and 4x the poverty level. The poverty line is currently about $15k/year for an individual and $30k for a family of 4. This population contributes toward their health care cost by paying premiums, copays, and deductibles as part of their ACA plans.

Today, in America there are about 40M people who live below the poverty line. Of those 40M about 16M work, and receive Medicaid for health care. In general Medicaid does not require any payments from the individual as what money they do earn is tied up in food and housing.
Alan
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