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Dirty little secrets of Medicaid Expansion

Dear Editor,
These people who write in begging and pleading for Medicaid expansion in VA just blow my mind. Hopefully you noticed they are trying to work on your emotional and spiritual side to get you to support it.
Well guess what? There’s some dirty little secrets they don’t want you to know about. Here they are in plain talk:1. The folks begging for the expansion don’t want you to know that the same Federal government they are begging to cover the very expensive expansion almost $18 TRILLION in debt, much of it owed to China. This debt is going to have devastatingly negative consequences on the next generation(s).
2. They also don’t want you to know that the Federal government will ONLY cover (subsidize) the first couple years, then the VA STATE government, aka VA taxpayers, will be on the hook to cover it.
3. There is tremendous fraud, waste, and abuse in VA’s current Medicaid program with very little oversight to do anything about it.
4. We don’t have the resources and/or personnel to handle expanding Medicaid. There is already over a 40,000 claim backlog.
There’s a really smart man named Thomas Jefferson who once said, “It is incumbent on every generation to pay its own debts as it goes.” And another very smart man named Alexis de Tocqueville that warned of the following, “The American Republic will endure until the day Congress discovers that it can bribe the public with the public’s money.”
Wilma Royer
Mechanicsville

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One Response to Dirty little secrets of Medicaid Expansion

  1. Anton Afterwit Reply

    April 4, 2014 at 11:29 pm

    Those same liberal minds who bemoan the fact that everyone needs medical care fail to mention at the same time that the entire medical machine is a vast moneyed empire that is no longer tied or guided by morals, ethics, or altruism.

    Medicine has quickly left the bygone years where a doctor was only slightly more well off than his patients. He lived in the community and would often take payment in the form of chickens, eggs, free meals, or whatever payment the patient could afford. He was more interested in helping and healing than he was in money. This was also the case for the rest of the medical community, often with nurses and others not even being paid for their services.

    There were many in the medical community that would deride the “snake oil” salesman and go to battle with the old-wives over proper medicine and medical care. You would grow your own medicines, purchase them from a local source (usually related to herbs), or buy them at the local store without a prescriptions. Alcohol and marijuana were often taken to address maladies where pain was involved.

    Then came the “Community Hospitals” where the community would fund establishing a building where all the community could go to receive increased care. They collected these medical professionals into a central location so they could focus on medicine and improving the care patients received. There were small fees associated with using these facilities and in all but the largest cities, these centers also accepted payment in the form of livestock or other barter goods and in many cases would provide treatment without fee.

    Alas in our enlightened progressive days, someone came up with the idea of medical insurance. In order to ensure we had the ability to pay for the doctors and medical care we developed a system to save money in order to pay for those services. Again, what started as a good idea (putting money away for a rainy day), has become a bloated behemoth of money and greed.

    So now we have our modern medicine. Yes, it is a far cry from the middle ages where every malady was treated by bleeding the patient, using leeches, or treating common ailments with items such as mercury. On the other hand, it has become a moneyed profession where hospitals have become profit centers. We now have hospitals run for profit and they bemoan the “loss of profit” when having to take truly indigent patients.

    We have medicines supported by a vast network of marketers and drug dealers who push their wares on an unsuspecting public and approved by a government regulatory body that often is plied with money to approve various medicines. Where else can you have medicines to treat the common cold where the side effects are headache, nausea, vomiting, and diarrhea? Where else can you have medicines to treat depression where the side effects are uncontrollable rage, suicide, and even murder.

    And lest I fail to mention the behemoth legal profession who will sue a doctor, hospital, nurse, or drug company because their service or product was substandard or questionable. Yes, they sue because a full battery of tests were not run on a patient showing up to complain about a cold and he dies a few weeks later of a heart condition and the hospital failed to run a heart stress test. And of course, we have insurance for that as well.

    And behind all of this we have laws creating monopolies of these businesses and protecting them at the expense of their fellow citizens. A nurse is no longer allowed to provide you anything but limited care that is prescribed by a doctor, a doctor is limited in what treatments he may provide and therefore must refer you to a specialist, the specialist is only able to provide a limited range of services, and of course we just bill it all to the insurance companies to recover the costs.

    Yes, those fine crusaders of compassion (liberals) have created a system where a box of adhesive bandages can be purchased at the drug store for under a dollar but at the hospital it will cost you $29.95 for one. A cotton ball can be purchased for several hundred for a dollar but that same cotton ball will cost you $49.95. And if a nurse is caught giving you an adhesive bandage without the doctor seeing you and ordering even more tests, they will be fined and/or thrown in jail.

    I don’t think it is time to figure out how to pay for all of this. Instead, I think we need to go back and examine our laws and get back to real community hospitals and community treatment. Time to get the lawyers and politicians out of our health care and get back to basics. Instead of all of the money being spent on lawyers, marketing specialists, and advertising, we need to get back to treating the sick and injured.

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