Posted on 12/16/2025 2:40:35 PM PST by E. Pluribus Unum
“Medicare Part A - DRGs can’t even cover hospital system’s expenses.”
Look at Figure 8:
https://www.kff.org/medicare/what-to-know-about-medicare-spending-and-financing/
Medicare only pays what an efficient hospital needs, by law as I understand things.
***********************
An operation takes place in a room.
This is a nurse with a gown on and a cart with a set of scalpels, some hand tools such as clamps, some suture material and sometimes a stapling device and staples. She also has a suctioning device.
The patient is placed on a bed and draped.
There is a surgeon. He has gown on. He will refer to an imaging display device.
There is an anesthesiologist. He has an anesthesia machine, a heart and breathing monitoring machine, some gas tanks and tubing, a CO2 absorption container and material, and a mask for the patient. He will also have a few syringes and a vial with an off-patent pre-induction drug. He will also have airway management inserts and off-patent drugs in case there is a problem.
Sometimes, there will be a heart bypass machine and a person to man it.
Sometimes, samples of tissue such as from lymph nodes which might have cancer cells will have to be sent to a pathologist for examination.
It might take about 15 manhours for these people to do their work on the patient, on average.
The patient might have worked 80,000 manhours.
The people (as a collective) voted for revolution in 2016, Trumpo foolishly tried to ally with the GOP after what must have seemed to him like a hostile takeover in business - but politics doesn’t work that way.
So he tried working hard to elect Republicans, seemingly unaware that a lot of his core voters aren’t Republicans and don’t want to vote for what the GOP has on offer. Most Republicans in Congress would vote to impeach and remove Trump today if you allowed them a secret ballot.
This meant the huge losses of 2018, which are about to be repeated in 2026.
His only chance - which is too big of a chance for a 79 year old man to take - is to burn it down. Cross the Rubicon, see if the troops will follow Hegseth or the generals, use his Article II section 3 power to adjourn Congress, outlaw both parties, and do what must be done.
Crap has been festering for decades on end and “The People” way too shortsighted to figure out any rational fix which is why most framers of our current Constitution only wanted property owners to vote.
That pig face can’t shut up.
She’s getting married. Maybe this boyfriend explains her recent changes in behavior and her decision to leave Congress..
—
Her previous behavior was two affairs with gym rat pals. Then another affair with a married man. That’s all before her telling us about her faith. The dems are finally loving this clown of a woman.
“ described health insurance as a big “scam.”
Well at least she’s right about something.
Rest assured, every FReeper is going to crawl over broken glass in 2026 to vote a straight (R) ticket.
But I fear this will not be enough. He needs to find a way to re-energize that base of young white (and white adjacent) men who came out in droves to return him to the White House last year.
There was so much excitement among this demographic last February. You could feel it. Liberals were crying every day as DOGE was taking a chainsaw to the government and liberal NGOs. They felt like they finally had their Franco or Pinochet who would weild a sword and punish the enemies of American Greatness (and make no mistake, it is a Franco or a Pinochet that these young voters desperately want, and when Trump said he was going to be a dictator on Day One, he was singing their song).
And now all of that energy has evaporated. No DOGE. Libs stopped crying and started winning special elections.
And most demotivating was after the assassination of Charlie Kirk, when President Trump had carte blanche to rain hellfire upon every liberal organization out there, in the eyes of these young men, he did nothing.
And now the overall consensus over on X where many of these young men hang out is that you can murder conservative activists with no consequence, no downside at all.
Getting these young men to the polls next November is going to be a tall order.
“Do you even know what a MS-DRG is and how you budget for reimbursements set? BTW are you a hospital admin that understands Medicare Part A in relation to services you need to manage, lol?”
People [surgeons, anesthesiologists, ER doctors] under Part B generally manage the patient until stabilized and operated upon.
The hospital provides real estate, equipment (MRI & CT & ultrasound machines), equipment operators, chemical tests, testers and nurses.
“Currently, cases are classified into Medicare Severity Diagnosis Related Groups (MS-DRGs) for payment under the IPPS based on the following information reported by the hospital: the principal diagnosis, up to 24 additional diagnoses, and up to 25 procedures performed during the stay. In a small number of MS-DRGs, classification is also based on the age, sex, and discharge status of the patient. Effective October 1, 2015, the diagnosis and procedure information is reported by the hospital using codes from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS).”
I’m of the era of DRGs, the MS-DRGs are newer to me.
“Prospective payment rates based on Diagnosis Related Groups (DRGs) have been established as the basis of Medicare’s hospital reimbursement system. The DRGs are a patient classification scheme which provides a means of relating the type of patients a hospital treats (i.e., its case mix) to the costs incurred by the hospital. The design and development of the DRGs began in the late sixties at Yale University. The initial motivation for developing the DRGs was to create an effective framework for monitoring the quality of care and the utilization of services in a hospital setting. The first large-scale application of the DRGs was in the late seventies in the State of New Jersey. The New Jersey State Department of Health used DRGs as the basis of a prospective payment system in which hospitals were reimbursed a fixed DRG specific amount for each patient treated. In 1982, the Tax Equity and Fiscal Responsibility Act modified the Section 223 Medicare hospital reimbursement limits to include a case mix adjustment based on DRGs. In 1983 Congress amended the Social Security Act to include a national DRG-based hospital prospective payment system for all Medicare patients.”
“Did you even read that report?”
I assume you mean this:
https://www.cms.gov/oact/tr/2025
“Table V.H5.—Operations of the HI Trust Fund during Fiscal Years 1970–2034
Benefit payments 2025 $433.7billion 2034 $808.7billion”
Hom many more buildings? Additional MRI scanners? CT scanners?
Probably very few.
Nurses? More? Probably, yes? Nearly double? Probably not!
It’s always them Jews and their magical technology...
If the GOP loses the Mid-Terms, it’s on the American people, whom have developed an odd fetish of getting screwed by everyone.
Trump and the Republicans, don’t care to make the changes called for and necessary. They are rich enough, set in their lives enough to not GAS.
Frankly, I see MTG retiring while sniping as her frustration. She has been literally screaming for America First changes. Hell, we are 6-7 months away from the time when the election system could be made clean, and nearly perfect. No motion on that means the same crooked elections in AZ, CA, WA, OR, Wisconsin, Minn, NM and more.
Well, the money midterm election thing goes back before that.
The only state that clamped down on elections was Florida , and Republicans seem to hate that.
Yes. Sometimes modestly - sometimes severely.
2002 was an exception.
She took her ball and went home.
No, the GOP lost 40 house seats. Do you not know what the difference is?
Trump is not on the ballot. Trump gives people a reason to vote for him.
GOP congresscritters disgust even republican voters. Republicans are not voting against Trump in the midterms, they are failing to vote for GOP congressmen.
If Trump manages to insert himself into the midterm races, he might change that dynamic.
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