this post was submitted on 18 Feb 2025
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Millions more Americans signed up for taxpayer-funded health care coverage like Medicaid and the Affordable Care Act’s marketplace during the Biden administration, a shift lauded by Democrats as a success.

But Republicans, who are looking to slash federal spending and offer lucrative tax cuts to corporations and wealthier Americans, now see a big target ripe for trimming. The $880 billion Medicaid program is financed mostly by federal taxpayers, who pick up as much as 80% of the tab in some states. And states, too, have said they’re having trouble financing years of growth and sicker patients who enrolled in Medicaid.

To whittle down the budget, the GOP-controlled Congress is eyeing work requirements for Medicaid. It’s also considering paying a shrunken, fixed rate to states. All told, over the next decade, Republican lawmakers could try to siphon billions of dollars from the nearly-free health care coverage offered to the poorest Americans.

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[–] [email protected] 44 points 4 days ago (3 children)

Anyone who looks around America and thinks "man, the poor have it too good here" needs their screws adjusted.

[–] [email protected] 3 points 3 days ago

Yeah but there's no funding for people getting their screws adjusted.

[–] [email protected] 3 points 3 days ago

I think of this argument too when I hear people talk about how "the homeless and/or illegal immigrants are siphoning up all our money!" The guy living in a tent on the sidewalk or the field worker sleeping on a bedroom floor with 15 other guys aren't where all of our money is going. That should be fairly obvious.

[–] [email protected] 1 points 3 days ago

That's just wanted the semi poor to believe as they stepped over poorer folk

[–] [email protected] 22 points 3 days ago (1 children)

This sounds a lot like the "Death Panels" the Republicans were always warning us about for Obamacare. If you're too expensive for care, you're getting kicked out of the program and left to die.

[–] [email protected] 13 points 3 days ago

It's really aggravating that the "death panels" are literally the insurance companies.

They got people scared about the thing they already had, where the solution was getting rid of the "death panels" (insurance).

[–] [email protected] 18 points 3 days ago (2 children)

So let's get this right.

They currently have care, including preventative care. If we remove them from Medicaid, they will no longer be able to afford care, even preventative care.

The only doctor's office that can't turn them down based on their ability to pay is the emergency room, the most expensive form of healthcare in America.

So instead of preventing large medical bills and keeping emergency rooms manageable, we're going to instead shift the burden onto hospitals, fill emergency rooms, who as usual, shift this burden onto the paying customers (also us, btw), at the most expensive rate possible.

Yep, sounds like a republican plan to me.

[–] [email protected] 3 points 3 days ago

$20 says they're going to try to make it so hospitals can refuse care.

[–] [email protected] 6 points 3 days ago (1 children)

The bankruptcy courts are clearly the best administrative body to administer our system of socialized medicine because they make participants suffer the most.

[–] [email protected] 2 points 3 days ago (1 children)

I don't even know if we have to bankrupt them anymore. I think a Biden executive order just stopped or severely limited credit reporting on medical debt, and I don't think trump or musk has fucked that one back up.

But what they did do is fuck up the CFPB, so these debt collectors are going to get away with more fraud fueled bullshit. But I wonder if you can simply report any medical debt that does show up to be inaccurate based on the Biden EO.

There still are laws in place, the dumb dickheads just fired some of the enforcers. Now, debt collectors are going to have to try to garner your wages, and if you're smart enough, you'll go into court with evidence that you have been following the process of law, and they haven't since the enforcers are gone, and it'll just further roadblock the debt collecting scumbags.

That is of course, in a just world. In the real world, very few will know about their rights and recourse, and all it takes is one shitty judge with prejudice to ruin lives, as usual.

[–] [email protected] 3 points 3 days ago

Each state has a deceptive trade practices act that regulates debt collection practice. The neat thing about them is that each violation carries a substantial fine payable to the victim. Texas is $11k per violation (or at least that was the amount when I last looked into it). Usually you can get an attorney to take these cases if there are decent records. Again, you are right that the most vulnerable will suffer the most.

[–] [email protected] 13 points 4 days ago (2 children)

People will die from not being able to get medical care because of this.

[–] [email protected] 7 points 4 days ago (1 children)

If those who die are MAGA fans, they learned the hard way not to choose the right candidate

[–] phdepressed 4 points 4 days ago (1 children)

If the people who die voted third party or didn't vote they will also learn that politics do matter to them.

[–] [email protected] -3 points 3 days ago (1 children)

Garbage take. Stop trying to blame voters - it’s the responsibility of the DNC to win votes, they are not owed votes. Democrats failed miserably because they’re too beholden to corporate interests to actually give a damn about helping the working class.

Yes, people will die from losing Medicaid, and you’re wrong to blame them for it.

[–] phdepressed 3 points 3 days ago (1 children)

It is a responsibility to vote for the best outcome you can get. That isn't staying home and it isnt a Russian funded 3rd party. Voting or not voting such that we're in the situation we are is entirely the fault. Refusing to participate in the system doesn't make the system reform.

As someone close to the front of the genocide line I'll blame whoever I damn well please and that includes 3rd party and non voters who want perfection vs cartoon evil.

[–] [email protected] -3 points 3 days ago

Then you, just like the Dems, have learned absolutely nothing from this election and will lose even worse next time as a result. Good luck with that strategy. Maybe the “good billionaires” the Dems work for will stop to save you from impending doom, but I wouldn’t count on it.

[–] [email protected] 4 points 3 days ago

Women have already died from lack of abortion access. They don't care.