Friday, November 29, 2013

Obamacare- "Thanks For Nothing"


   It's not actually Obamacare death panels that decide whether critical care patients receive necessary care, or not. Including the aged and catastrophic care patients in convalescent settings.
 Decisions on care is decided by policy and by Medicare/Medicaid coverage.   There are choices on policies.
 Extra coverage on supplemental care needs is obtainable through supplemental insurance. Most elderly people on Medicare have supplemental insurance.
   The (Death Panel) argument centers on the claim of rationing as a means by which to control costs on the part of officials who are said to be in offices that are set up to overlook Obamacare.
    Claims that the panels make decisions on individual cases is not true.
   Decisions on policy coverage is made by mandatory requirements for all policies and Medicaid.
  Certain topics of coverage can be discussed by the panels in reference to coverage that can be mandated in a particular state. (The coverage on epileptic testing in certain states that is allowed through Medicaid, for example.)
   In the state I lived in as a child, the testing for seizure activity in epileptic patients was not covered by Medicaid, or Native Health care. Insurance carriers did not automatically cover necessary testing, either. Policies had to be purchased and separate coverage was added.
   Some states did have extra coverage on Medicaid.
In some cases the covered patent had to qualify under certain programs. (Like Welfare)
 The patients parents income made a difference. Lower income parents could receive specific care through the program, in association with Medicaid.
   Children who  were not on their parents policies  were cared for through Emergency rooms or on Medicaid coverage. If parents did not have the money to pay; those children did not receive testing under Medicaid, they received only basic care. Basic care was pretty much the same for everybody.
  In some cases, parents went on Welfare in order to gain better coverage for their children. (This did not guarantee necessary testing.) The parent still received basic care. Mine didn't.
   Obamacare does not define the exact coverage that is found on the policy offered by Medicaid. As far as I can determine, the  coverage is the same as before, except some mandatory additions have been included. This mandated extra coverage does not cover areas that were left off of the coverage before Obamacare.
    Besides the controversial mandates on coverage, there are no substantial or necessary changes to Medicaid. The coverage necessary for those patients who were left out before is still not there.
   Obamacare - "Thanks for nothing."
   
  
  
  

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