Category Archives: Medicaid

Obama Embraces the Right-Wing Fantasy of Massive Medicare/Medicaid Fraud

Barack Obama’s Blue Dog Presidency took another step toward Bushist crackpottery yesterday when he actively and enthusiastically reached to to Bushist crackpots by embracing a theme almost as close to their dear little paranoid hearts as voter fraud and SocSec fraud: the supposedly massive fraud in Medicare and Medicaid that has for 30 years been their go-to reason for killing both programs.

President Barack Obama made his case for an overhaul of the U.S. medical system to Missouri voters, emphasizing his efforts to curb waste and fraud in government health programs. obama.jpeg

“The health-care system has billions of dollars that should go to patient care and they’re lost each and every year to fraud, to abuse, to massive subsidies that line the pockets of the insurance industry,” he said yesterday at a high school in the St. Louis suburb of St. Charles, Missouri.

Obama is trying to rally public support for the biggest changes to U.S. health care in 45 years in the face of unanimous Republican opposition. He said his proposals show there are ways to pay for expanding insurance coverage to tens of millions of Americans without running up the federal budget deficit.

“So much of the money currently in our health-care system is being misspent,” he said. “If we can have a smarter health- care system, then yes, we can provide help to middle-class folks who need it and, at the same time, actually reduce the burden on taxpayers.”

His spirited endorsement included some of the same probably bogus figures in the charges Republicans have been making for decades – figures they’ve never been able to back up with evidence. The Pres claims he has such evidence through a pilot program in several states.

Last year, the Medicare and Medicaid programs for seniors and low-income Americans made $54 billion in unwarranted payments to healthcare providers, according to White House.

To combat the problem, Obama has proposed expanding a program to reward private bounty hunters who find waste by auditing government payments through what are called “payment recapture audits.”

The White House reported that a pilot program in California, New York and Texas yielded $900 million in Medicare savings between 2005 and 2009.

Gee, I hate to say it but this all sounds very familiar. Isn’t there someone else who used to be president who made unsourced claims based on interior White House studies we never saw that were supposedly prepared by people who were never named?

Whenever FoxNews or George W or Darth Cheney wanted to beef up their credibility when they made incredible statements of fantasy as if they were fact, they, too, would, like, pick a big number – say, a BILLION – and subtract 100 million or so from it so it would sound real. “$897MIL” sounds so much more believable, like numbers were actually crunched to produce it. Except that we would find out months – or years – later that they’d simply made the numbers up, that those “facts” had never existed in the real world.

So before I get all excited about how badly we’re being ripped of by our elderly parents and grandparents, I’d like to a) know who ran this pilot program, b) see the study numbers that reached that conclusion, and c) find out how exactly these paragons of virtue defined “waste”. After all, to a health insurance company any money whatever spent on anybody over 65 is a “waste” since they’re just going to die in a few years anyway.

None of this information was included in either news report. None. Maybe because it doesn’t exist.

Yah think?

Powered by Zoundry Raven

The Real Face of "Compassionate Conservatism"

Florida Tells Sick Kids to Get Lost

Gov Jeb Bush, the hero of the Florida election debacle, wants to cut medical care for the sick kids of low-income families. He considers the amount of his state’s contribution to KidCare, the “Florida version of the nationally popular and successful Children’s Health Insurance Program”, to be too extreme. In January, he ordered state officials to start putting eligible kids beyond a certain number on a “waiting list.”

Even children with serious health problems were put on the list. Conni Wells, director of the Florida Institute for Family Involvement, which advises families on health matters, told me at the time, “We’ve had families tell us they’ve put off buying groceries so they can afford to take their child to the doctor.”

As a result, the “waiting list” came in for some bad press. Instead of fixing the problem by just ordering the kids on it to be put directly into the program, Jeb arranged a little suprise. Bob Herbert explains in today’s NYT:

The attention given to the Florida waiting list by the news media embarrassed the state Republican Party, which controls the governorship and both houses of the State Legislature.So here’s the good news: The Legislature is expected to approve a measure that would end up providing coverage to about 90,000 of the 100,000 or so youngsters on the waiting list at the end of January.

The rest of the news is not good. Republican leaders in the Florida House and Senate have crafted the new legislation in ways that will radically limit future access to KidCare and prevent the press and the public from getting information about the number of kids who are frozen out.

At least we knew over the past several months that children were being put on a waiting list. Under the new legislation, eligible youngsters who are denied enrollment in KidCare will not be put on a waiting list. There won’t be any waiting list.

So public pressure is forcing them to take care of most of the kids they tried to freeze out, and to make sure that never happens again, they’re changing the rules to freeze out even more and make sure there’s no way the press will find out about it.

Robert Greenstein, director of the Center on Budget and Policy Priorities, which has been monitoring the developments in Florida, said, “Politically, what that means is that nobody — not us, not you, not anyone — would be able at any point to say that 30,000 or 50,000 or 80,000 or 100,000 kids are on the waiting list because there would no longer be any record of a waiting list.”At the same time, the enrollment process would be sharply curtailed. Under the new legislation, there would be only two 30-day periods each year in which parents would be allowed to try to enroll their children in KidCare. Worse, the state would not be required to actually conduct those two enrollment periods. State officials could simply declare, for budgetary reasons, that there would be no enrollment in a given year. (emphasis added)

Isn’t that sweet? Herbert says, “This is mean-spirited stuff. We are finding new and ingenious ways in this country to wreak havoc on low-income people.” I think he’s being too kind.

Is this what you expected “compassionate conservatism” to mean? Playing govt tricks on poor families with sick kids so they wouldn’t have to treat them? Is that really what you had in mind when Jeb’s bro was running around the country sayin’ as how he wanted to he’p po’ folk git a leg up? I don’t think so, but that’s what you got.

ALL the Bushes need to go. They’re a collective blight on the country and not one of them seems to have the amount of soul God gave a pig. Down with the whole damn family! (Whew!)