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In a rapidly aging America, Medicaid can be a lifeline for long-term care
The Hill ^ | 08/01/2023 | KOFI AMPAABENG

Posted on 08/01/2023 10:45:58 AM PDT by ChicagoConservative27

Caring for an elderly or permanently disabled family member is a gut-wrenching experience for many families. Not only that, but it’s expensive, often exhausting personal savings and resources.

The United States, like many other rich countries, is aging fast, and that means more Americans with diminishing cognitive function and physical disabilities as well as the loss of independence. Providing such care is intensive. In the case of nursing homes, where residents have the most severe needs, round-the-clock attention is especially expensive.

Most fund these things through the Medicaid program, but this can come with an unreasonably steep cost. The private sector has a simple solution to offer, but it might require a change to the system.


TOPICS: Culture/Society; Government; News/Current Events; Your Opinion/Questions
KEYWORDS: aging; america; chat; fakenews; lifeline; medicaid
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Who is paying for all this Kofi?? Medicaid is broke.
1 posted on 08/01/2023 10:45:58 AM PDT by ChicagoConservative27
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To: ChicagoConservative27

The private sector simple solution mentioned is for all of us to buy long term care insurance.

But such insurance is very expensive, which helps explain why so few people have long-term care policies.


2 posted on 08/01/2023 10:55:29 AM PDT by Dilbert San Diego
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To: ChicagoConservative27

With Medicare clawback, the heirs do.

Of course, importing millions of illegals - also using our tax dollars - and putting them immediately on Medicaid does tend to dry up the pie for all of those who have paid the tax for their entire working lives.

Social security and Medicare - the third rail for politicians, until they can get enough voters to change the rules for them.


3 posted on 08/01/2023 10:56:08 AM PDT by texas booster (Join FreeRepublic's Folding@Home team (Team # 36120) Cure Alzheimer's!)
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To: texas booster

I think it was just yesterday there was a big clawback article about Ohio. If there are any assets after death, the government can make a claim against them.


4 posted on 08/01/2023 11:11:02 AM PDT by Codeflier (Don't worry....be happy)
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To: texas booster

This is about Medicaid, not Medicare. Big difference.


5 posted on 08/01/2023 11:11:10 AM PDT by hinckley buzzard ( Resist the narrative.)
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To: ChicagoConservative27

So is medicare and social security. It’s all a scam.


6 posted on 08/01/2023 11:13:53 AM PDT by Theoria
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To: Dilbert San Diego
My wife and I have long-term care, but that covers the rent for a nursing home or assisted living. The real expensive part seems to come in the last 3-12 months of life. The only real resolution for that would probably involve POA’s for Health, which right now really only cover emergencies when the patient is not breathing and unable to make decisions, etc. Maybe more education on hospice and palliative care decisions can make things less expensive.
7 posted on 08/01/2023 11:18:43 AM PDT by Bernard ("No matter where you go, there you are." (Buckaroo Banzai))
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To: ChicagoConservative27

80% of what is spent per person on health care, in their entire lifetime is spent on their last 2 years of life.. Medicare basically is where 80% of all medical spending comes from...

A simple fact, no one will tell you.

The US pretends to not be a single payer system, but for all practical reasons it is.


8 posted on 08/01/2023 11:21:38 AM PDT by HamiltonJay
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To: ChicagoConservative27

And the care you get on Medicaid is often worth what you paid for it.

Which is why so many people on Medicaid in my neck of the woods use the ER for non-emergent care.


9 posted on 08/01/2023 11:23:17 AM PDT by mewzilla (We will never restore the republic if we don't first secure the ballot box.)
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To: HamiltonJay

We’ve had a de facto NHS since Obamacare was enacted.


10 posted on 08/01/2023 11:24:10 AM PDT by mewzilla (We will never restore the republic if we don't first secure the ballot box.)
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To: mewzilla

It long predates Obamacare


11 posted on 08/01/2023 11:27:21 AM PDT by HamiltonJay
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To: hinckley buzzard

There are dual eligibles, you know.

Elrdey on both Medicare and Medicaid.


12 posted on 08/01/2023 11:28:28 AM PDT by mewzilla (We will never restore the republic if we don't first secure the ballot box.)
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To: HamiltonJay

But Obamacare and the EMR legislation in GWB’s Porkulus sealed the deal.


13 posted on 08/01/2023 11:29:10 AM PDT by mewzilla (We will never restore the republic if we don't first secure the ballot box.)
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To: Codeflier

The author does not know the half of it. The Medicaid option is complicated and there are many tripwires. The worst place to be is in the hell zone where the person has income in the 25-30 thousand range, too much to qualify for Medicaid but not enough to afford the $4000 per month minimum a Nursing home costs. If they have dementia it’s closer to $9000 per month every month for years.


14 posted on 08/01/2023 11:30:56 AM PDT by gibsonguy
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To: ChicagoConservative27

Obamacare is bankrupting Medicaid


15 posted on 08/01/2023 11:33:47 AM PDT by Tell It Right (1st Thessalonians 5:21 -- Put everything to the test, hold fast to that which is true.)
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To: Dilbert San Diego

Yup, got LTC. It is expensive, and yet I hope I never have to use it. But (unlike Kofi) I believe it is my moral duty to take care of my own burdens to the extent possible.


16 posted on 08/01/2023 11:44:32 AM PDT by Nervous Tick (Jesus is LORD and Savior! And Donald Trump is President of the United States of America.)
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To: Dilbert San Diego
we are not govt retirees with rich pensions....we can't afford a nice nursing home insurance policy...we've decided that when one goes down,the other will care for him/her as best we're able at home....no feeding tubes/vents/trachs etc.....death is part of life....

or we can spend down and qualify for medicaid...but medicaid/medicare looks back 4-5 yrs to see if you've given your kids a large amt of your money and they you'll be dinged or have to get it back....

give your kids money NOW before you are sick, in small amts, because the govt will take every single penny from you one way or another.

17 posted on 08/01/2023 11:50:04 AM PDT by cherry
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To: Bernard

hospice and palliative care are both covered by medicare and its not “free”....


18 posted on 08/01/2023 11:51:35 AM PDT by cherry
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Comment #19 Removed by Moderator

To: ping jockey

NHC, as in the United Kingdom National Health Care?

Every government in the world that created a national health care system has been trying to get out of it, by cost sharing, limiting care or by spreading debt around.

Everything gets cut except the federal and state pensions.

Plenty of money for those.


20 posted on 08/01/2023 12:11:28 PM PDT by texas booster (Join FreeRepublic's Folding@Home team (Team # 36120) Cure Alzheimer's!)
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