I have a perfect proposal for it to save money and not kick people off.
Make the look back on finances back 25 years. Right now I have neighbor in their early 70’s transferring their money into their kids name so if they go to a nursing home, Medicaid will pay. Others are putting it into an irrevocable trust so again they get free nursing home living. Or at worst lose their social security checks.
Are we the dumbest country on earth to allow this? How can we allow someone transfer a million dollars or put into a trust so the United States tax payers have to pay their medical?
Are we really this stupid??????
This could solve everything.
Those may be loopholes that you mentioned but I’ve always heard that states can take the real property of anyone on Medicaid and sell it for reimbursement to the state. Of course, if they’ve shielded it the way you mentioned, that would be difficult but I would hope states are aware of this.
I really don’t understand how the BBB can affect Medicaid that the states pay for...but maybe I’ll get some replies here that will explain it..
Wouldn’t it be better to simply terminate Medicaid?
I noticed the quality of care dropped after I was forced onto medicare.
Who cares if a program has an no enumerated power backing it, right? What we have to do is make them pay, sure!
It would be far better to give up on these lawless dreams of common weal, but that is just me obviously.
“Make the look back on finances back 25 years. Right now I have neighbor in their early 70’s transferring their money into their kids name so if they go to a nursing home, “
It is a reconciliation bill. It cannot change existing law.
It is not just about transferring money, it is about living a life with no assets. Not very enjoyable.
I could not imagine selling all my assets at such an early age.
One thing not being discussed is that Medicaid funds flow smoothly to the local healthcare system. Without it the illegals still show up to birth babies and go to the emergency room for illness and the healthcare system eats the cost and passes it on to paing customers and local government. The illegals cost us regardless.
“This could solve everything.”
This will never happen, our faltering country has been running on a “uniparty” system (aka RINOs, dems, GOPe, etc.) for decades and will continue to do so. There may be ebbs and flows over generations, and add in some optimism President Trump has made things in the short run he won’t be around forever. And our national debt will be trillions more in a couple years bringing us closer to total collapse.
Trust politicians at your own peril.
Lady Bird Deed
People with resources are able to game the system?
No way.
Fair question. Always seemed unfair to me.
The ‘Two weeks to flatten the curve’ medical industry wants your life, your fortune and your sacred honor.
There is a look back period where they (Medicaid) will claw back the trust/estate if those people apply before 5-8 years have passed. So, if someone is doing that in their 70’s they are probably behind the game a bit.
There seems to be a cultural thing in this country where people are not expected to use their assets to pay for their care and/or the care of their loved ones. Medicaid is not going to kick anyone out of their homes. But they will slap a lien on the asset after you are dead. And I don’t see that as a negative thing.
We are a greedy country when it comes to these things. I happily sold my mom’s house and paid every penny to the nursing home over the years that she required it. The people that cared for her deserved every dime.
My siblings were not thrilled. But if your retirement plan is based on your parent’s assets…then you are an idiot.
I’ll stay at home and hire my kid for 70,000 a year to care for me
Medicaid Self-Directed Home Care
How it Works
• States offer options under Medicaid (through waivers or state-plan services such as 1915(i), 1915(j), 1915(k) HCBS), letting individuals:
• Recruit, train, supervise, and pay their chosen caregiver—including a family member—using Medicaid funds  .
• Set an individualized care budget and determine compensation rates, within state guidelines ().
Coverage & Eligibility
• Available in nearly all states—47 states plus DC offer self-directed Medicaid home-care options .
• Participants must be Medicaid-eligible, usually requiring a nursing-home level of care or meeting specific functional needs.
• Once enrolled, the older adult is the employer of record, paying their relative caregiver through the program.
There should also be excise taxes on tattoos, Piercings, processed foods, cannabis, HFCS foods, soda pops, plastic surgery, and other stuff to pay for Medicaid.
The trusts & gifts should all face a IRA sequestering process the same year that matches the gifts/trusts amounts that eliminates the worst abuses on this.
And on all this the biggest challenge of all is we are talking about a system at the federal level that is unconstitutional in a post 16th/17th Amendments era where the gold standard is dead, fiat money is running its historically disastrous pattern, national debt exceed 3 years gross wages, annual deficits exceed 20% of gross wages, and fiscal sanity is dead in DC.
The best insurance for anyone is to marry well, have several kids & raise them well, stay happily married, live thriftily & work hard/smart, and make very good health, exercise, diet, and other lifestyle choices. That way as the federal malaise gets worse then they have a better chance of taking care of the elderly & disabled (starting with yourselves).
Most likely what will happen is that federal CMS quality of service for seniors and disabled or truly needy people will continue to deterioate as will any of the people on insurance plans or living in places that are heavily corraled into subsidizing the CMS deficiencies. If you live in a Blue zone you are screwed as their voters are going to shutdown the possibilities of untethered health care services & it will become like the Prohibition era in such places where real quality health care will be underground.
And if you insist on living a non-thrifty lifestyle then be prepared to be heavily dependent on the mercies of the system. Whenever you see anyone over age 50 not having 2+ years of liquidity + being debt-free then you have to wonder what they were thinking the past billion seconds on preparing for this stage in their life. They will never have the same health/vigor in the next billion seconds as they did the past billion seconds. I don’t wish them bad ill. But I see how much riskier things will be for them in the future & how much of an extra burden they are placing on everyone else.
The problem with your solution is that some people for those 25 years will spend all their extra money and then get Medicaid to pay for their nursing home stay. While others who instead gift their extra money for those 25 years to their kids would not get medicaid.
Who are you to determine that the spender gets free care while the gifter doesn't.
What you mention was done for long term insurance.
Medicaid is a scam. It helps more that don’t need it than those that do.
They have changed some rules about financial assets but not much. My mother in law has to keep the house in her name to qualify.
Medicaid shouldn’t exist and neither should Medicare or Social Security. Folks should take care of themselves, it’s not the governments responsibility.
You ever see what a Medicaid bed looks like? They aren’t the best and brightest facilities unless you get very, very lucky
“Are we really this stupid??????”
Yes. Unfortunately.
There’s an entire industry whose sole purpose is to skirt financial limits for Medicaid qualifications.
“Medicaid Spend Down” is but scratching the surface. Look it up.