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To: TheNext; bgill; Lurkinanloomin; ConservativeMind; Yo-Yo; Oldeconomybuyer; PGR88; Mears; ...

1. Care of the elderly and disabled in the US is currently far from Capitalism. Talk of “letting the free market fix it” means changes to Medicare and Medicaid, and to Regulation far bigger than tweaking immigration and ending TPS.

2. If FReepers support ending TPS, then they had better put top priority on alternatives such as increasing take home pay of the working poor, not penalizing the working poor for working, and not rewarding the lazy for gaming the system to draw welfare.


59 posted on 03/27/2018 3:55:52 AM PDT by spintreebob
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To: spintreebob

The problem with elderly health care isn’t the lazy gaming the system. The problem is that elderly health care is often more expensive than it would be to put grandma on a cruise ship. Meanwhile, the workers in these industries, because of cheap non-citizen labor, workers get near slave labor. Pharmaceutical companies reap in obscene profits keeping grandma permanently stoned. The problem is the fascist state.


60 posted on 03/27/2018 4:20:21 AM PDT by grania (Deplorable and ProMy ud of It!)
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To: spintreebob

In response to your post 59:

Good comments.

1 - As long as there is government money involved in any segment of the economy there is no pure capitalism and free market.

The money distorts the market and market forces are overrun.

Just look how government money and government loan guarantees have damaged higher education.

2 - As long as there is a good supply of illegals willing to work for low wages there is little pressure to pay more.

And the government has seen to it that there is a good supply through intentional lax enforcement of immigration law.


61 posted on 03/27/2018 5:43:18 AM PDT by Iron Munro (If Illegals voted Republican 66 Million Democrats Would Be Screaming "Build The Wall!")
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To: spintreebob

Nice threat.

Go pound sand.


62 posted on 03/27/2018 6:26:01 AM PDT by Balding_Eagle ( The Great Wall of Trump ---- 100% sealing of the border. Coming soon.)
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To: spintreebob

“1. Care of the elderly and disabled in the US is currently far from Capitalism. Talk of “letting the free market fix it” means changes to Medicare and Medicaid, and to Regulation far bigger than tweaking immigration and ending TPS.”

“2. If FReepers support ending TPS, then they had better put top priority on alternatives such as increasing take home pay of the working poor, not penalizing the working poor for working, and not rewarding the lazy for gaming the system to draw welfare.”

I agree. It’s such a large order, that IMHO, anything short of a 2nd revolution will fail to restore Rule of Law and serve only to prolong the collapse.


63 posted on 03/27/2018 6:40:25 AM PDT by semaj (U\)
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To: spintreebob
2. If FReepers support ending TPS, then they had better put top priority on alternatives such as increasing take home pay of the working poor, not penalizing the working poor for working, and not rewarding the lazy for gaming the system to draw welfare.

Those are good suggestions, but we're not trying to end TPS. This is just ending TPS status for some people who have been here for almost a decade. TPS is supposed to be (especially for environmental disasters) only a couple years at the very most. TPS is yet another program that's just been constantly abused by everyone..
64 posted on 03/27/2018 6:53:06 AM PDT by Svartalfiar
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To: spintreebob

Govt fixes always end up going badly

Markets always drive pay

Get the cheats out of home care....you know the ones who expect the taxpayer to fund their relatives largess


65 posted on 03/27/2018 7:03:45 AM PDT by Nifster (I see puppy dogs in the clouds)
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To: spintreebob

I believe Medicare and Medicaid should be abolished, along with every other social welfare program.


66 posted on 03/27/2018 7:30:47 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: spintreebob; TheNext; bgill; Lurkinanloomin; ConservativeMind; Yo-Yo; Oldeconomybuyer; PGR88; ...
A perverse incentive pattern for "Caring Facilities" (Hospitals, Nursing Homes etc) that causes decent people to ‘move on’ to different professions and sets the stage for abuse is part of the 'only illegals will do the job' problem.

"Caring facilities" directors are traditionally given bonuses based on keeping costs down. The most common correlation with elder abuse in care facilities is ‘short staffing’. That's the major conflict.

When employees call in ‘sick’ the director has a choice of calling in ‘pool help’ at three times the normal hourly rate - OR doubling up on workers present. The 'saving money' choice is incentivized - abuse happens. Good people are uncomfortable in that environment and leave. People who don't care are left. The director's ‘rewarded’ with a bonus for keeping costs down.

The solution is random variable inspection replacing annual inspection - AND inspections tied to financial incentives. Medicare and Medicaid should PAY Less per patient when 6 random items checked are deficient.

The advantage is the Care facility MAKES MORE PROFIT if they make ethical choices. So the facility polices themselves and abuse drops, turnover drops and dependent people receive better care.

67 posted on 03/27/2018 8:56:14 AM PDT by GOPJ (Whores who serviced members of "elite' Washington MSM - We pay cash for dirt...)
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