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<<<Email2Toot ROBOT -- CHECK ACTUAL AUTHOR BELOW:
EMAIL LIST: clinicians-exchange.org & LEMMY: lem.clinicians-exchange.org

-------- Forwarded Message --------

NOTES/ COMMENTS Re., “ROLLING MEDICAID PURGE….LARGEST CONCENTRATION OF
HEALTH INSURANCE LOSS IN US HISTORY"

* The COVID-19 pandemic demonstrated the urgent need for expansion ,
NOT REDUCTION, of the Medicaid health insurance program.
*  In too many states, political decisions by state legislators to
deny health insurance to thousands of their citizens has resulted in
an almost non-existent social and health safety net.

*  Decisions in 2016/2017 by 25 states to reject the expansion of
Medicaid coverage under the Affordable Care Act resulted in an
estimated 7,115 and 17,104 more deaths than had all states opted in,
according to researchers at Harvard Medical School and the City
University of New York.
* The researchers found that because of the states’ “opting out” of
the Medicaid expansion, 7.78 million people who would have gained
coverage remained uninsured.
* To worsen the situation, many states have over the last decade
privatized administration of their Medicaid program into a managed
care program administered by the private profit health insurance
industry.

* The companies are paid by state government, and their profit depends
on spending as little as possible on Medicaid patients.
*  It’s hard to imagine any greater disconnect between public good
and private profit: the interest of private health insurance
companies lies not in the obvious social good of delivering quality
health care to patients but in having as few as possible treated as
cheaply as possible.
* No better example exists of a private capitalist enterprise that
feeds on the misery of man.

* You might think that we learned the lesson of discredited managed
care in the 1990s.
*  The term “managed care” is confusing to many, but really amounts
to managed reimbursement rather than managed care.
* A set prospective annual payment is made by federal/state
governments, as in the case of state Medicaid managed care, to cover
whatever services patients will receive over the coming year.
* There is therefore a built-in incentive for managed care
organizations to skimp on care and pocket more profits.

 Regards,
              Doug Stephenson. LCSW, BCD
              Gainesville, Florida

* ______________________________________________________________________________
*

* LINK: Rolling Medicaid Purge Called 'Largest Concentration of Health
Insurance Loss' in US History

commondreams.org/news/medicaid

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Drug provisions in recently passed Inflation Reduction Act singularly on what charge while ignoring other players that take a slice of farther down the chain.

That might start to shift, representing a for companies like UnitedHealth, CVS and Cigna.

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