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enough

(13,259 posts)
Thu Dec 29, 2016, 01:53 PM Dec 2016

Tom Price's Plan to Destroy Medicare: "Balance Billing" Seniors into Bankruptcy

[link:http://www.dailykos.com/stories/2016/12/28/1615175/-Tom-Price-s-Plan-To-Destroy-Medicare-Balance-Billing-Seniors-Into-Bankruptcy|

by Dartagnan at Daily Kos

Donald Trump has nominated Tom Price, a “Tea Party" Republican Congressman from Georgia, as Director of the Department of Health and Human Services, the Federal agency that oversees Medicare, the nation’s largest and longest surviving health insurance program, serving those over 65 years of age, and those with disabilities.

Like nearly all of Trump’s nominees, Price is overtly hostile to the agency he has been designated to lead. His nomination was supported by the American Medical Association (AMA) because, contrary to what many Americans may believe, the AMA is traditionally a Republican- leaning organization made up of nearly a quarter of a million physicians whose financial interests are one of its primary motivators. In particular, both Price and the AMA are on the same page when it comes to a practice known as “balance billing."

It's the practice of billing the patient for the difference between the sticker price and what insurance will pay. So if a hospital visit costs $1,000, but your insurance will only cover $300, some providers will "balance bill" you for $700.


SNIP>

Tom Price wants to “reform” Medicare by allowing “balance billing” of Medicare patients, the practical effect of which, as Ryan Cooper, writing for The Week explains, would “[allow] doctors and hospitals to devour the nest eggs of thousands of American seniors:”

Permanently obliterating the financial security of helpless families with no or bad insurance as a loved one dies slowly and painfully of a chronic illness is a nice little profit center for providers. But it pales in comparison to the gravy train they might get if they can bring balance billing to Medicare.


MUCH MORE AT LINK
43 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Tom Price's Plan to Destroy Medicare: "Balance Billing" Seniors into Bankruptcy (Original Post) enough Dec 2016 OP
Would you update with the link? Thank you. eom guillaumeb Dec 2016 #1
Link: demmiblue Dec 2016 #2
Thank you demiblue. Haven't got the knack of copying things with iPad. enough Dec 2016 #33
Balanced billing bankrupted my parents back in the 80s when my dad had cancer. doc03 Dec 2016 #3
I thought balance billing wasn't allowed under Medicare currently? Doremus Dec 2016 #14
I think that the article says that it isn't Proud Liberal Dem Dec 2016 #15
That's exactly what they're planning to change. NT enough Dec 2016 #41
I guess your dad wasn't old enough then to be on Medicare? Ilsa Dec 2016 #22
He was on Medicare I think it was changed sometime over the years. I think it doc03 Dec 2016 #39
link Eliot Rosewater Dec 2016 #4
Ah ha, ha, ha, ha.... Raster Dec 2016 #7
But he said he was draining the swamp? Eliot Rosewater Dec 2016 #8
He's not draining the swamp... Raster Dec 2016 #11
So republicans heard "take" thought they heard "cake" and got in line? Eliot Rosewater Dec 2016 #12
Anymore, "DRAIN THE SWAMP" . . . HughBeaumont Dec 2016 #25
Anybody who seriously believed that he was for the "little guy" Proud Liberal Dem Dec 2016 #17
I completely agree. I did not support Clinton in the Primary... Raster Dec 2016 #23
Nope. Proud Liberal Dem Dec 2016 #29
McCheetohead when he was 7 ... aggiesal Dec 2016 #21
Don't believe he'll get far with that as soon as 40 Million seniors and disabled watch Supplemental Hoyt Dec 2016 #5
There is no question they will attempt to take everything away, including Social Security Eliot Rosewater Dec 2016 #9
Filibuster in the Senate (for as long as it lasts)? Proud Liberal Dem Dec 2016 #18
I think the filibuster goes day one, literally. Eliot Rosewater Dec 2016 #20
I'm not sure Proud Liberal Dem Dec 2016 #27
and for those not able to get supplemental plans PRETZEL Dec 2016 #13
Supplemental is already going up. dhol82 Dec 2016 #32
Thats the thing; the "3rd rail" usually gets Congressmen nervous 7962 Dec 2016 #34
People will die penniless gratuitous Dec 2016 #6
The younger people will fight this once they realize elehhhhna Dec 2016 #16
Let the wealthy go, then gratuitous Dec 2016 #19
And thats the retirement plan of many of the 30-ish; inherit their parents assets 7962 Dec 2016 #35
We need a million Grandmother March. roamer65 Dec 2016 #10
Great Idea. This could be fun! Make this handbags be from Ivanka's Made in China line delisen Dec 2016 #28
My plan bucolic_frolic Dec 2016 #24
It's time to buy a gun. CrispyQ Dec 2016 #26
although that sounds macrbe onethatcares Dec 2016 #30
"... then they lay you on the table and extract your wallet." CrispyQ Dec 2016 #43
Thinking about putting a fake one in a wood frame with a glass front, mount it on the wall elmac Dec 2016 #38
I agree - a bullet and a gun right next to the aspirin in the medicine cabinet. airplaneman Dec 2016 #40
Lets see if Chuck Schumer has a mouth when it comes to defending CentralMass Dec 2016 #31
He sure is a sleazy one busterbrown Dec 2016 #36
I was charged 10 times what insurance companies pay elmac Dec 2016 #37
K&R SMC22307 Dec 2016 #42

enough

(13,259 posts)
33. Thank you demiblue. Haven't got the knack of copying things with iPad.
Thu Dec 29, 2016, 04:11 PM
Dec 2016

I thought the link was there, but it disappeared.

Doremus

(7,261 posts)
14. I thought balance billing wasn't allowed under Medicare currently?
Thu Dec 29, 2016, 02:41 PM
Dec 2016

I thought if Medicare covers a procedure, the caregiver has to accept assignment (i.e. agree to accept what Medicare pays) if they want to continue being a Medicare provider.

I could be wrong, it's confusing as hell sometimes.

Ilsa

(61,695 posts)
22. I guess your dad wasn't old enough then to be on Medicare?
Thu Dec 29, 2016, 03:30 PM
Dec 2016

Insurance, from what I remember, was different in the 1980s. Seems like like we paid the balance between what the health care provider said was the price and what the insurance paid. I don't remmember the discounts being what they are today.

doc03

(35,344 posts)
39. He was on Medicare I think it was changed sometime over the years. I think it
Thu Dec 29, 2016, 07:21 PM
Dec 2016

was prohibited in 1997.

Eliot Rosewater

(31,112 posts)
4. link
Thu Dec 29, 2016, 02:07 PM
Dec 2016
http://www.dailykos.com/story/2016/12/28/1615175/-Tom-Price-s-Plan-To-Destroy-Medicare-Balance-Billing-Seniors-Into-Bankruptcy


So If I am reading this right, Donald Trump is appointing person after person who seeks to do great financial harm to everybody who isnt rich so the rich can get richer.

But this CANNOT be true, he said the opposite. Right?

Raster

(20,998 posts)
7. Ah ha, ha, ha, ha....
Thu Dec 29, 2016, 02:20 PM
Dec 2016


The tRump "administration" appears to be of the RICH, for the RICH, by the RICH. The only thing he needed the little people for was their votes.

Eliot Rosewater

(31,112 posts)
8. But he said he was draining the swamp?
Thu Dec 29, 2016, 02:24 PM
Dec 2016

Little did we know what he meant by that was getting rid of working people who work for the government, who are not rich, who care about their jobs and the American people.

Those are the bad people he will drain, and his voters will applaud this.

Eliot Rosewater

(31,112 posts)
12. So republicans heard "take" thought they heard "cake" and got in line?
Thu Dec 29, 2016, 02:31 PM
Dec 2016

Take everything away, and all they wanted was cake.

HughBeaumont

(24,461 posts)
25. Anymore, "DRAIN THE SWAMP" . . .
Thu Dec 29, 2016, 03:43 PM
Dec 2016

. . . sounds like something a morphine-addled Bela Lugosi would say at the beginning of a bad film.

Proud Liberal Dem

(24,414 posts)
17. Anybody who seriously believed that he was for the "little guy"
Thu Dec 29, 2016, 02:45 PM
Dec 2016

or believed that Hillary was somehow going to be worse than him by any measure (Here's a hint: we wouldn't be having this discussion about "balanced billing" if she had been elected) needs to have their head examined

Raster

(20,998 posts)
23. I completely agree. I did not support Clinton in the Primary...
Thu Dec 29, 2016, 03:36 PM
Dec 2016

...However, I heartily supported Clinton in the General. There is no comparison between Clinton and tRump. He isn't fit to press her pantsuits.

Proud Liberal Dem

(24,414 posts)
29. Nope.
Thu Dec 29, 2016, 03:53 PM
Dec 2016

and I thought that things couldn't get any worse than potentially having to deal with Sarah Palin as VP (seems sort of "quaint" and oddly funny right now......)

 

Hoyt

(54,770 posts)
5. Don't believe he'll get far with that as soon as 40 Million seniors and disabled watch Supplemental
Thu Dec 29, 2016, 02:11 PM
Dec 2016

Insurance premiums skyrocket. If balance-billing were even seriously proposed, it would likely drive a lot more beneficiaries into Medicare Advantage plans. But, I wouldn't put anything past Price.

Eliot Rosewater

(31,112 posts)
9. There is no question they will attempt to take everything away, including Social Security
Thu Dec 29, 2016, 02:25 PM
Dec 2016

the question is what are we prepared to do, how far are we prepared to go, to make it clear this is not an option?

What legal and non violent way can we oppose this successfully?

Proud Liberal Dem

(24,414 posts)
18. Filibuster in the Senate (for as long as it lasts)?
Thu Dec 29, 2016, 02:47 PM
Dec 2016

Trying to persuade a few not-crazy-enough Republicans in the Senate not to go along with McConnell?


Proud Liberal Dem

(24,414 posts)
27. I'm not sure
Thu Dec 29, 2016, 03:50 PM
Dec 2016

If they were planning to get rid of the filibuster, they wouldn't be talking about using reconciliation to pass their (partial) repeal of PPACA. And I think that there are (maybe) just enough older Republicans whom might not be so keen to get rid of the filibuster for legislation, if for no other reason than for Democrats to be able to eliminate it when they get back in control of the Senate (their majority in the Senate isn't large and isn't able to be gerrymandered). I think that if Democrats frustrate them enough on their legislative , they might consider it but some of them might still think that it is a bad idea.

dhol82

(9,353 posts)
32. Supplemental is already going up.
Thu Dec 29, 2016, 04:09 PM
Dec 2016

What I pay, in relation to the benefit as compared to Medicare, is ridiculous.

 

7962

(11,841 posts)
34. Thats the thing; the "3rd rail" usually gets Congressmen nervous
Thu Dec 29, 2016, 04:39 PM
Dec 2016

and much less likely to support anything that gets their office thousands of angry seniors calling

gratuitous

(82,849 posts)
6. People will die penniless
Thu Dec 29, 2016, 02:13 PM
Dec 2016

As disinclined as I am to listen to people complain about the natural and foreseeable consequences of their votes for Republicans and their policies, I also urge Democrats to go into Republican enclaves and strongholds and talk up these consequences. Are you worried that Mom's cancer will leave her destitute? That's the Republican plan for her. What can you do to change that? Quit voting for Republicans!

Yes, government programs designed to help you also help other people. But that's what happens when we decide to take care of our citizens, even the fellow citizens you may not like.

 

elehhhhna

(32,076 posts)
16. The younger people will fight this once they realize
Thu Dec 29, 2016, 02:43 PM
Dec 2016

They'll inherit nothing if Grandma spends her last week in the icu.

Side note - the loudest reeps I know all inherited their money. All if them.

Never underestimate American greed. It runs the country.

gratuitous

(82,849 posts)
19. Let the wealthy go, then
Thu Dec 29, 2016, 02:59 PM
Dec 2016

But for the non-wealthy (or the folks Mark Twain described as "temporarily embarrassed millionaires" who are just sure that any day now they'll come into vast wealth), I think Democrats can reach out to them with a simple message that addresses that famous economic insecurity that the popular media said was at the root of the Democrats' failure in 2016.

If people are really worried about their economic status - in this case from the wholly justifiable and real prospect of being consigned to penury from medical bills - Democrats can offer their solution (the Affordable Care Act) and point out that the Republican plan is specifically designed to bankrupt them. It has the advantage of being true, which Democrats should repeat over and over again (something Democrats seem loth to do).

 

7962

(11,841 posts)
35. And thats the retirement plan of many of the 30-ish; inherit their parents assets
Thu Dec 29, 2016, 04:41 PM
Dec 2016

I'm not talking about millions, just the fact that so many younger people dont save anything. they want it all & they want it NOW.

roamer65

(36,745 posts)
10. We need a million Grandmother March.
Thu Dec 29, 2016, 02:28 PM
Dec 2016

I want to see them beat these sons a bitches senseless with their handbags.

Just like that older lady did to Charles Keating.

delisen

(6,044 posts)
28. Great Idea. This could be fun! Make this handbags be from Ivanka's Made in China line
Thu Dec 29, 2016, 03:53 PM
Dec 2016

All of us never or no longer a Trump 10 (anyone over 30) descending upon Washington and/or the Trump Tower. Donald might have have a heart attack trying to tweet his way to safety.









bucolic_frolic

(43,176 posts)
24. My plan
Thu Dec 29, 2016, 03:37 PM
Dec 2016

to never get sick and self-medicate with the best information I can find
and stay away from doctors because I don't trust them or their
pharm medicines gains traction

Of course I'm still vulnerable to car accidents, ski slopes, broken bones

But at least I have ibuprofen and gin

CrispyQ

(36,478 posts)
26. It's time to buy a gun.
Thu Dec 29, 2016, 03:49 PM
Dec 2016

So if I get too sick, I can check myself out. I'm not letting the medical industry devour our nest egg. This is not the first time I've thought of getting a gun since Election 2016. I have other reasons for thinking it might be a good idea.

onethatcares

(16,169 posts)
30. although that sounds macrbe
Thu Dec 29, 2016, 04:01 PM
Dec 2016

I thought the same thing. It seems the first thing the medical industry does is hook you on multiple drugs with interactions between them and then they lay you on the table and extract your wallet.

In good mind I will be taking my own road home when that time comes.

CrispyQ

(36,478 posts)
43. "... then they lay you on the table and extract your wallet."
Sat Dec 31, 2016, 04:57 PM
Dec 2016

I don't remember a wallet being a piece in that old childhood game "Operation," do you?

I laugh to keep from weeping.

 

elmac

(4,642 posts)
38. Thinking about putting a fake one in a wood frame with a glass front, mount it on the wall
Thu Dec 29, 2016, 04:58 PM
Dec 2016

& attach a mini hammer with a sign, "In case of illness brake glass". Title it "Republican Health Insurance".

airplaneman

(1,239 posts)
40. I agree - a bullet and a gun right next to the aspirin in the medicine cabinet.
Thu Dec 29, 2016, 09:31 PM
Dec 2016

If I have a choice I will never go on expensive drugs and leave my wife destitute. Even with what is considered good coverage a basic blood panel for me and my wife costs $1100.00 total this year. Four years ago the same blood panel costs us $170.00 total for both of us. I will refuse anything preventative unless its necessary for a diagnosis from now on. In 2015 I battled all year long on supplies I was supposed to be covered for and lost meaning I am now treating myself. Even my doctor has noticed a huge increase in "medical denial by inconvenience" as he put it.
-Airplane

 

elmac

(4,642 posts)
37. I was charged 10 times what insurance companies pay
Thu Dec 29, 2016, 04:53 PM
Dec 2016

for an emergency room visit some years ago. These hospitals can charge what ever they want and get away with it.

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