The Original Gay Porn Community - Free Gay Movies and Photos, Gay Porn Site Reviews and Adult Gay Forums

  • Welcome To Just Us Boys - The World's Largest Gay Message Board Community

    In order to comply with recent US Supreme Court rulings regarding adult content, we will be making changes in the future to require that you log into your account to view adult content on the site.
    If you do not have an account, please register.
    REGISTER HERE - 100% FREE / We Will Never Sell Your Info

    To register, turn off your VPN; you can re-enable the VPN after registration. You must maintain an active email address on your account: disposable email addresses cannot be used to register.

Healthcare going forward

The words "evil incarnate" come to mind. This is nothing but these fascists taking out their hate for Obama on helpless patients. People will die if this stands.

Um, what? It was a ruling by a judge, not any "fascists", and it was based on the fact that the committee has enough power that it's in the realm where people are often appointed by the president and confirmed by Congress, right up there with heads of all sorts of agencies and frequently not just the heads, either.

Biden can solve the problem in half an hour: ask a staffer for an acceptable list for a reconstituted committee (could even be the same ones, really), name them as his appointees, and ask the Senate to approve them.
Now that's where your little rant might rear its head; I don't know if such appointments require a mere majority and can't be filibustered or if Republicans can play games so that sixty votes are needed -- though one would think that given all the retired people this will have a serious impact on who are independent voters getting sixty votes shouldn't be a problem.
 
Um, what? It was a ruling by a judge, not any "fascists", and it was based on the fact that the committee has enough power that it's in the realm where people are often appointed by the president and confirmed by Congress, right up there with heads of all sorts of agencies and frequently not just the heads, either.

Biden can solve the problem in half an hour: ask a staffer for an acceptable list for a reconstituted committee (could even be the same ones, really), name them as his appointees, and ask the Senate to approve them.
Now that's where your little rant might rear its head; I don't know if such appointments require a mere majority and can't be filibustered or if Republicans can play games so that sixty votes are needed -- though one would think that given all the retired people this will have a serious impact on who are independent voters getting sixty votes shouldn't be a problem.
It was a ruling by a Christofascist Texas judge getting revenge on Obama. Don't you care about lives this could impact? No...it's all about the rules.... F who it hurts.
 
Last edited:
It was a ruling by a Christofascist Texas judge getting revenge on Obama. Don't you care about lives this could impact? No...it's all about the rules.... F who it hurts.
It has to be about the rules, or we have an emperor and not a president and all law is subject to the whim of whomever is in charge.

Instead of just throwing out feelings, I prefer to look at what can be done, and since I last wrote another approach is being pursued: the possibility of legislation that would cover the results if this stands, namely federal funding for all preventative health care. Obviously even if such a thing ends up passing it isn't going to happen fast, so I still think President Biden should do what I already said: acknowledge the court's position and issue official nominations to the committee and ask the Senate to confirm them; he could also ask Congress to define membership on this committee as subject to appointment by the president without the need for Senate confirmation -- not unreasonable since these aren't positions heading an agency.

So if Biden gets in gear and the Congress gets busy, this ruling could be moot on a practical level before summer officially starts, not two or three years from now when it finally gets to the Supreme Court -- and that's what I care about.
 
It has to be about the rules, or we have an emperor and not a president and all law is subject to the whim of whomever is in charge.

Instead of just throwing out feelings, I prefer to look at what can be done, and since I last wrote another approach is being pursued: the possibility of legislation that would cover the results if this stands, namely federal funding for all preventative health care. Obviously even if such a thing ends up passing it isn't going to happen fast, so I still think President Biden should do what I already said: acknowledge the court's position and issue official nominations to the committee and ask the Senate to confirm them; he could also ask Congress to define membership on this committee as subject to appointment by the president without the need for Senate confirmation -- not unreasonable since these aren't positions heading an agency.

So if Biden gets in gear and the Congress gets busy, this ruling could be moot on a practical level before summer officially starts, not two or three years from now when it finally gets to the Supreme Court -- and that's what I care about.

What legal precedent says the members of this volunteer task force must be appointed by the President and confirmed by the Senate? They are not Cabinet members. They don't lead an agency. What other similar task force required that level of action?

The motivation for this ruling is retribution against Obama and to further cripple the ACA. The ruling targets women, gays, blacks, vulnerable minorities, vaccines, and government support of health care. It is another far right Christofascist ruling to achieve some sort of win by religious fanatics. The motive for the ruling itself is rooted in hate, not health. The task force not being appointed and confirmed, is a red herring justification for their hate in furtherance of their agenda.

None of what you said will happen, and you know it. Hopefully, the ruling will be overturned. If this ruling stands, people will die. A lot of people will die due to lack of preventive care. But as usual, you mention nothing about the impact and damage and death this ruling has the potential to inflict on millions of people. But yeah, let's all play legal gamesmanship for years while people die because they don't have the resources to get screened. The ruling is just another attempt to confuse, obstruct, and tear apart the ACA and the public safety net at the expense of lives... all to "own the libs".
 
Last edited:
What legal precedent says the members of this volunteer task force must be appointed by the President and confirmed by the Senate? They are not Cabinet members. They don't lead an agency. What other similar task force required that level of action?

The motivation for this ruling is retribution against Obama and to further cripple the ACA. The ruling targets women, gays, blacks, vulnerable minorities, vaccines, and government support of health care. It is another far right Christofascist ruling to achieve some sort of win by religious fanatics. The motive for the ruling itself is rooted in hate, not health. The task force not being appointed and confirmed, is a red herring justification for their hate in furtherance of their agenda.

None of what you said will happen, and you know it. Hopefully, the ruling will be overturned. If this ruling stands, people will die. A lot of people will die due to lack of preventive care. But as usual, you mention nothing about the impact and damage and death this ruling has the potential to inflict on millions of people. But yeah, let's all play legal gamesmanship for years while people die because they don't have the resources to get screened. The ruling is just another attempt to confuse, obstruct, and tear apart the ACA and the public safety net at the expense of lives... all to "own the libs".
I don't CARE about the motivation -- well, I might if there were visiting aliens involved, because that would at least be interesting.

If Biden were an effective president he would find a way to get around this, and the official appointments would serve; he could even state that it was a temporary measure until the next higher court rules. In fact I was reminded of something last night: under certain circumstances the government can request an immediate advancement to the next higher course on the basis of national need, and this certainly qualifies! With insurance companies holding off changing anything (almost certainly because they know it will just be reversed and it's simpler to continue an existing policy), asking for immediate advancement and requesting a stay could be accomplished in a week.

The thing is that technically speaking the judge is correct; the Appointments clause requires that the president appoint "all other Officers of the United States, whose Appointments are not herein otherwise provided for, and which shall be established by Law". But the critical clause is the next one: "but the Congress may by Law vest the Appointment of such inferior Officers, as they think proper, in the President alone, in the Courts of Law, or in the Heads of Departments". The devil is in the details, and it all depends on whether Congress actually designated by law who appoints them and in fact whether the law uses the word "appoint"; and according to the Congressional Mandate establishing the Preventative Services Task Force merely says "The Director shall convene" -- no mention is made of "appointment", and that's the detail this judge is probably hanging his ruling on (I didn't bother to try to wade through whatever extensive verbiage he piled up to justify this).

So all Congress would have to do is amend the law by adding the word "appoint" so it reads "The Director shall appoint and convene" -- end of issue. As for the courts, since this is a final ruling the judge can't weasel out of an appeal being made that should have been made in 2018 when this case started but since he didn't hand down a final ruling at that point he had discretion whether or not to allow an appeal -- once a district court makes a final ruling, it can be immediately appealed to a circuit court. In 2018 most of the states and the federal government called on this judge to certify the case for appeal and he basically ignored them; this time he has no say.

Given the technically correct ruling, though, and the makeup of the Fifth Circuit, I would expect an appeal there to affirm the judge's ruling, and the same at the Supreme Court level. It's in a way just semantics, but oh, do lawyers love semantics! so the best resolution would be to just add those two words to the law -- and in fact that may be the only solution. While a good argument could be made that by convening the task force the Director has de facto appointed them, and that this was Congress' intent, at the moment the members are not appointed de jure.

So this is likely going to be up to Congress; the question is what games will be played because of it. A sensible Congress would look at the record and say, "Yes, the idea was that by selecting and convening this task force the Director was to be understood as having appointed them", and just add "appoint and" in front of "convene", and that would be the end of it under the Appointments Clause; the Director of the Agency for Healthcare Research and Quality is appointed by the president as established by Congress.

Note: I earlier thought this task force was at a higher level than it is; that's what I get for relying on the media. This is no higher than fourth echelon: it's selected by a Director who reports to a Director who reports to a Secretary, as best I can figure it out, so it would be ludicrous to expect Senate confirmation except for the fact that the law didnb't use the word "appoint" so this judge read it as requiring the default position. If it's resolved as I suggest, he will have inadvertently done the Republic a favor by making Congress aware that they need to be more specific in future laws... to avoid rulings like this from picky judges whatever their motivation.
 
It has to be about the rules, or we have an emperor and not a president and all law is subject to the whim of whomever is in charge.
Which is the argument for having a board of experts that is NOT appointed by politicians.

It's a surprising basis for a ruling though it does make sense given how powerful the committee is, and it's easily solvable:
No it doesn't. The U.S. Preventive Services Task Force is a Technical Expert Panel (TEP) . Members of TEPs are routinely engaged by healthcare organizations and government agencies. They are not political appointees. They are often not reimbursed for their services and they must disclose any conflicts of interest. TEPs are the norm in healthcare.

There is a CMS TEP that offers advice to Medicare and Medicaid. CMS TEP members are nominated by the public or candidates can nominate themselves. There's often a public posting about the TEP positions. A well-selected TEP has subject matter experts along with consumers (e.g. patients, caregivers of patients). In the case of CMS, the TEP works with civil service employees which is how decisions are made about what is "reasonable and customary" practices for reimbursement purposes.

If ever there were a slippery slope, it's requiring the executive branch appoint and the Senate confirm "experts". One term, we'll have the TEP packed with anti-abortion activists. The next term, we'll have we'll have the TEP board packed with liberal academics. And always, the donor class will have first pick of who is on the committee.

The ACA is one of the complicated situations where the government is providing funding and does have the ability to influence how those dollars are spent. TEPs are designed to be independent, non-political arbiters. A TEP is not and should not be subject to political whims. The TEP system has worked well and politicians and politician-judges shouldn't be meddling in the process.
 
Which is the argument for having a board of experts that is NOT appointed by politicians.

Did you even read the rest of what I wrote? The only thing my suggestion would change would be terminology; the process wouldn't change at all: the same Director would be choosing the people and getting them together, so it would be no more "appointed by politicians" than it is now.

No it doesn't. The U.S. Preventive Services Task Force is a Technical Expert Panel (TEP) . Members of TEPs are routinely engaged by healthcare organizations and government agencies. They are not political appointees. They are often not reimbursed for their services and they must disclose any conflicts of interest. TEPs are the norm in healthcare.

There is a CMS TEP that offers advice to Medicare and Medicaid. CMS TEP members are nominated by the public or candidates can nominate themselves. There's often a public posting about the TEP positions. A well-selected TEP has subject matter experts along with consumers (e.g. patients, caregivers of patients). In the case of CMS, the TEP works with civil service employees which is how decisions are made about what is "reasonable and customary" practices for reimbursement purposes.

If ever there were a slippery slope, it's requiring the executive branch appoint and the Senate confirm "experts". One term, we'll have the TEP packed with anti-abortion activists. The next term, we'll have we'll have the TEP board packed with liberal academics. And always, the donor class will have first pick of who is on the committee.

The ACA is one of the complicated situations where the government is providing funding and does have the ability to influence how those dollars are spent. TEPs are designed to be independent, non-political arbiters. A TEP is not and should not be subject to political whims. The TEP system has worked well and politicians and politician-judges shouldn't be meddling in the process.

Apparently you didn't read the rest of the above post you quoted.
 
Did you even read the rest of what I wrote?
My comments were regarding the judicial opinion.

The TEP system has been around before the ACA and is a system that is working quite well.

There's no reason for a judge, who has no knowledge of medicine, to weigh in on these issue, other than the whims of a bunch of wealthy donors who want to try to undo successful programs like the ACA. They weren't able to repeal the ACA through elected officials, so these donors are donating millions to the Federalist Society to pack Federal Courts so that they can bring these cases to accomplish what they weren't able to do using democracy.
 
Apparently you didn't read the rest of the above post you quoted.

Blah, blah.

A fantasy solution that will not happen is an unrealistic, pointless waste of time and avoids the issue.
A judicial opinion by a far right judge, based on a Christofascist agenda, intended to cripple the ACA and that hurts people, is not legitimate. I don't CARE that you don't CARE about it.
The outcome of this ruling, if it stands, will be disease, grief, and death, when preventive care is withdrawn from those who need it the most. And I don't understand why you refuse to even acknowledge the real consequences inflicted on the lives of patients, but clearly, you don't CARE about it.
 
The Biden Administration has proposed ending the COVID-19 Emergency Declaration that has been in effect since the Spring of 2020.

In March 2020, Congress passed Families First Coronavirus Response Act, which prevented states from involuntarily removing insured patients from Medicaid coverage. The intent was to ensure that Americans affected by lockdowns and business slowdowns were not left without insurance coverage. Congress provided funding which boosted the Federal Medicaid match rates by 6.2 percentage points to help support the expanded enrollment.

This graph shows how Medicaid enrollment increased during the pandemic:
1680451533282.png

The Republicans didn't think that May was soon enough, so they passed legislation that ends the emergency declaration immediately. The vote in the House was 229-197 and in the Senate 68-23 with significant Democratic support. Biden has said that he won't vote the bill.




What will happen when the emergency declaration ends? It's estimated that up to 15 million people will lose Medicaid coverage, including about 6 million children insured through the CHIP program.

1680451600762.png
 
Last edited:
Back in 2001 when The Affordable Care Act (Obamacare) was being negotiated, a Republican Congressman from Louisiana named Billy Tauzin negotiated with the pharmaceutical industry to insert certain concessions into the Obamacare legislation, in hopes of getting Republican votes and pharma industry support.

Among those concessions were caps on penalties that drug companies had to pay to Medicaid when the drug companies raised the price on medications at a rate higher than the inflation rate (typically 2% per year). After negotiating those concessions, Billy Tauzin left Congress and became a lobbyist for the pharmaceutical industry, making $11 million per year.

Tucked into the 2021 American Rescue Plan Act (passed by the Democratic House and Senate and signed by Pres Biden) was a change to remove financial caps on penalties that the drug companies would have to pay for raising prices above the rate of inflation that year. After the 2021 law passed, if a drug maker raises their prices at a rate higher than inflation, there is no limit to the penalty they must rebate to Medicaid.

Coincidentally, some drug companies are dropping lucrative name brand medications that no longer have patents and are surrendering the manufacture of the medications to companies that make cheaper generic versions.

The latest is Flovent, a drug for asthma, which has been on the market since 1980. It has been available in generic form since 2004. GSK, the manufacturer of Flovent, announced that they will no longer produce the brand name version starting in 2024. Flovent is one of the drugs that is ridiculously expensive- the brand name inhaler costs $273.83 and the generic version (also sold by GSK) costs $177.99.

“Flovent Diskus has been on the market since 2000 and Flovent HFA since 2004, and GSK has hiked the price on both products numerous times since their launch,” Dr. William Feldman, an associate physician in the Division of Pulmonary and Critical Care Medicine at Brigham and Women’s Hospital who studies asthma drugs, told CNN. “These are precisely the sort of drugs that will be affected by the new policy eliminating the Medicaid rebate cap.”

Until now, the rebates were capped at the total price of a drug, so manufacturers would never pay more than a drug costs back to Medicaid.

But under a provision in the 2021 American Rescue Plan Act, that limit was removed, and starting January 1, 2024, drugs that have been subject to large price increases over time could end up incurring rebates to Medicaid that are greater than their price — meaning pharmaceutical companies would sell those drugs to Medicaid at a loss.
 
Last edited:
This might be a good time to revive this old thread about healthcare after the failure of the Republican Congress to repeat the Affordable Care Act (also known as Obamacare).

Why?

Republicans seem to be befuddled that the CEO of one of the largest healthcare insurers was gunned down on a public street. There wasn't a public outcry. On the extremes of the far right and the far left, there may have even been celebration. CEOs in many industries outside healthcare are beefing up security for fear of copycat killings.

UnitedHealth, Elevance and some BCBS plans have deleted senior leadership pages from their corporate sites, while Centene and CVS scrubbed images of their executives online.

The shooter's mugshot is already showing up on "hot mugshots" websites. Users are creating fake social media accounts in the shooter's name.

It seems that there has been a boiling discontent with the healthcare system that Republicans and conservatives didn't pick up in their polls. And perhaps the Democrats missed a campaign issue that they could have run on in 2024?

Over the weekend, both [Ben} Shapiro and [Matt] Walsh harshly condemned liberals for cheering on the assassination in respective episodes of their eponymous podcasts, titled "The EVIL Revolutionary Left Cheers Murder!" and " Why The Left Is Really Celebrating The Murder Of A CEO."

But their followers disagreed with their criticisms and defended the left, arguing that they felt the same way about Thompson's death and bashing Shapiro and Walsh for being "out of touch" as wealthy media personalities.
 
Last edited:
A big part of the story is the failure and actual surprise by the media and politicians at the reaction. Especially that a reaction ranges the political spectrum end-to-end. It shows how out of touch they are with the public and whose side they're on. If you've ever dealt with health insurance, it should have been obvious. I totally expected this kind of reaction.

Have you (you meaning anyone) ever called a health insurer? They literally ignore what you tell them and just repeat over and over the same canned lines. It's infuriating and goes nowhere. It's inhumane. I'm surprised violence hasn't happened before. I hate that someone was killed. But I also hate that I do understand the reaction.

"Sorry. Sympathy and compassion requires a pre-authorization. Denied."
 
Have you (you meaning anyone) ever called a health insurer? They literally ignore what you tell them and just repeat over and over the same canned lines. It's infuriating and goes nowhere. It's inhumane. I'm surprised violence hasn't happened before. I hate that someone was killed. But I also hate that I do understand the reaction.

I mentioned this in another thread but UnitedHealthcareGroup, the parent of UnitedHealthcare insurance has been on a buying spree of late.

They own a pharmacy benefits manager (PBM), which gives them the ability to negotiate prices with the pharmaceutical companies on behalf of their own health insurance provider company.

They own a eligibility, claims and payment processing company that gets paid to accept bills from providers and forward them to the insurance companies and then they get paid to receive payments for those bills which they then forward to the providers. During the Obama Administration, rules were put into place to restrict the fees associated with these transactions. The Trump Administration repealed those rules which allowed payment processors to skim a percentage of payments (similar to how VISA and American Express take a percentage). So, if UHCG's payment processor accepts $10,000 in payments for a doctor's office, they can legally take a 5% cut of those payments and send only $9,500 to the doctor's office.

UHCG has also been getting into battles with large doctor's groups and hospitals that refuse to accept the low payment schedules that UHCG has been forcing onto providers. If the doctor's group or hospital won't accept the price, UHCG uses their PPO/HMO power to make those providers be "out of network" for their health insurance plans.

UHCG isn't just hated by their health insurance subscribers. UHCG is hated by the doctors and hospitals that have to deal with them.

The Federal Trade Commission under Biden was looking at these insurance companies that have merged together, bought PBMs and claims/payment processing companies under anti-trust laws. The FTC was considering unfair trade practice lawsuits and possibly asking the Courts to break these insurance companies up. Under Trump, all of those FTC actions are likely to be dropped.


The CEO and UHCG and several of the executives sold off large volumes of their UHCG stock when they discovered that the US Government was investigating them. This triggered an SEC investigation for insider trading.

 
Last edited:
A big part of the story is the failure and actual surprise by the media and politicians at the reaction. Especially that a reaction ranges the political spectrum end-to-end. It shows how out of touch they are with the public and whose side they're on. If you've ever dealt with health insurance, it should have been obvious. I totally expected this kind of reaction.

Have you (you meaning anyone) ever called a health insurer? They literally ignore what you tell them and just repeat over and over the same canned lines. It's infuriating and goes nowhere. It's inhumane. I'm surprised violence hasn't happened before. I hate that someone was killed. But I also hate that I do understand the reaction.

"Sorry. Sympathy and compassion requires a pre-authorization. Denied."
Earlier this year, I had attempted to get all of my vaccinations about the same time (Covid, Flu, Pneumonia, and RSV). I attend many conferences in late September through the end of November and find myself on planes, trains, and thousands of people either speaking or interacting. I was told that I'd have to pay for each of the vaccines and told the pharmacy they could shove it and treat me in a hospital later that would cost tens of thousands more.

Turns out, the United Health was in an argument on paying CVS and other providers so they just rejected all payments. Medicare was supposed to pick up on either the Advantage Plan or standard Medicare but they pointed back to United Health. After about 10 calls and telling them I'd just walk over to Capitol Hill and discuss with friends there, I got one poor employee who told me how to bypass and get the vaccines. My primary care provider then told me to come in and they'd give me everything and it was all covered. That momentary victory was just overshadowed when I got notice yesterday I could not longer get PrEP for 3 months via the mail and now have to go to the pharmacy every month (and of course pay a deductible.

I don't think politicians or others realize what a hot button that is for everyone dealing with the VA to business owners like me. It is ridiculous that every year I have to go through checking to make sure my regular Medicare that is supplemented by a B,C,D, and prescription drug plan still meets my needs and covers the two prescriptions I require. Health care could be simple and convenient with far better oversight and vastly cheaper if politicians actually understood it. However, it does not fit the "30 second sound bite" that is all that is required to fool the masses today.
 
...UHCG has also been getting into battles with large doctor's groups and hospitals that refuse to accept the low payment schedules that UHCG has been forcing onto providers. If the doctor's group or hospital won't accept the price, UHCG uses their PPO/HMO power to make those providers be "out of network" for their health insurance plans...
Earlier this year, I had attempted to get all of my vaccinations about the same time (Covid, Flu, Pneumonia, and RSV). I attend many conferences in late September through the end of November and find myself on planes, trains, and thousands of people either speaking or interacting. I was told that I'd have to pay for each of the vaccines and told the pharmacy they could shove it and treat me in a hospital later that would cost tens of thousands more.

Turns out, the United Health was in an argument on paying CVS and other providers so they just rejected all payments...
UHCG succeeded, then. Their goal is to have you get mad at the provider because UHCG is trying to strong-arm the provider into accepting lower payments.

It sounds like you're on a UHCG Medicare Advantage ("part C") plan. The Federal Government pays more to the private insurance company over and above the insurance companies' costs. This makes it more profitable for the insurance company- the more they squeeze providers and the more services they refuse to pay for, the higher their profits. Private insurance companies are making billions off of Medicare Advantage, otherwise they wouldn't be running millions of dollars in commercials trying to get elderly people to switch from traditional Medicare to Medicare Advantage.

The ACA requires all insurers to pay 100% of the cost of preventative care, including immunizations. The insurance companies get around this by using "preferred networks". The more pharmacies that they consider "out of network" the more that they are able to make it difficult for the patients to get basic services like immunizations.

I also mentioned that UHCG had a ransomware attack back in March. It took them over 6 months to get their systems fully operational. During that 6 months, they weren't paying a large number of the providers, which gave UHCG yet another reason why they couldn't pay claims.
 
The thing about Medicare Advantage is it covers things regular Medicare doesn't cover. When I first got Medicare, I also got a GAP plan to cover what Medicare doesn't, but then I had to have a separate prescription drug plan, AND if I wanted dental and vision I had to have separate plans for them too. The monthly premium for the GAP plan to cover 20% of what Medicare doesn't cover, was more than the Medicare premium itself, which covers the first 80%. Overall, everything added up to more than the yearly maximum out of pocket for an Advantage plan, if I even used it.

If you're not healthy and you have a lot of doctors visits and treatments etc. I guess all that is good. But I was forking out a lot of cash for nothing. I don't take any prescription drugs other than one time things. I only go to the doctor once a year. I needed dental, vision, drugs and vaccines when needed, and coverage if I got sick or needed other care. For me, Medicare Advantage saved me a lot of money. My Advantage plan covered most of the cataract surgery, but it did end up costing me about a $1000 which is still less than all the premiums would have been, and that includes partial coverage for new glasses. Despite all the problems with Medicare Advantage, if you are basically healthy, it is much more cost-effective for the individual. If you're not real healthy though and need a lot of care, the other way would be better.

I'm not advocating for one or the other, and certainly not for insurance companies. This is just my experience. The whole system needs to be reformed. But it is only going to get worse in the next four years.
 
The thing about Medicare Advantage is it covers things regular Medicare doesn't cover...

I'm not advocating for one or the other, and certainly not for insurance companies. This is just my experience. The whole system needs to be reformed. But it is only going to get worse in the next four years.
Medicare Advantage is a mixed bag. For people who live in urban areas where there's a large number of in-network providers, it works. For patients in rural areas where in-network provider options are limited, it is not as advantageous. The HMO version of Advantage is not as convenient as the PPO version. The formulary limitations can also be problematic. But you are correct, if you want dental or vision coverage, Advantage plans offer these services, where traditional Medicare has not.

My main complaint about Advantage is that it is a government transfer of taxpayer funds to insurance companies, just like the Healthcare Marketplace individual plans. The government spends about between 15%-22% more on per Advantage patient compared to traditional Medicare patients. Instead of expanding traditional Medicare to cover preventative health services like glasses and hearing aids, CMS is sending billions to private insurance companies, at a higher cost to taxpayers, who will cover those services. 🤦‍♂️
 
^ Exactly. It is where the inefficiencies and bloated costs reside.

But do you think that the DOGE bros. will figure this out? Nope.
 
^ Exactly. It is where the inefficiencies and bloated costs reside.

But do you think that the DOGE bros. will figure this out? Nope.
I'll go back to something that I said during the Trump 2017 term- "If the American public elects people who know nothing, they will get a government that understands nothing".

There are some people in the Appropriations committees who understand the budget and have a grasp on where the money goes. Any politician who has a podcast or who hangs out at Mar-A-Lago is a know-nothing who is going to create a bigger mess.
 
Back
Top