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Problem w/ mass ignorance fueling mass arrogance among ppl 4 whom fact is second to belief is they cant understand their own destruction....
...what has happened with Trump's actions on health insurance affects everyone, for the worse. This is not repeal and replace. This is...
(3) ...pointlessly destroy in a way that harms everyone. A few examples. The ppl getting killed by killing subsidies are not the poor that..
4...so many GOPrs hate. They still have Medicaid. It is the working class who could not afford policies without subsidies. Those policies...
5...are gone. Thats 8 million w/o insurance. Now, try to follow: Those 8 million uninsured arent just going to slink away and die. They...
6,...return to being what's called "uncompensated care." Hospitals are required to provide care through emergency rooms - but they cant...
...TREATMENT on an ongoing basis. They come in when they are train wrecks. But they cannot pay. Insurance companies pay on negotiated ...
8...rates. Uncompensated care is full rates. If hospitals are not reimbursed, they go under. Who pays? YOU do. A system called....
9. ...disproportionate share kicks in. Govnt pays to keep hospitals from going under. It is MUCH higher cost than subsidies and the....
10...quality of care is much less. GOP has been depending on disproportionate share to keep red state hospitals afloat so they could play..
11...their "we wont expand Medicaid" game. Disproportionate share was supposed to end since hospitals could get reimbursed under ACA by...
12...insurance companies. GOP begged and pleaded with Obama to keep this waste of $ going. He caved rather than let them face the....
13...consequneces of their political games. So now, congrats: Ur tax dollars are going for full charges that YOU pay directly, rather than..
14...negotiated charges paid by insurance companies. But wait! There's more. Because hospitals dont get full reimbursement for.....
15...uncompensated care, and must under accounting bill at full charge, one way they address is is by cutting back on expensive services....
16...so if they have, say, a PET scan that would have been paid at negotiated rate, they know they can lose money on this expensive test...
17...now that they have to depend on disproportionate share. So how do they deal with that? Well documented: They SHUT DOWN the PET scan....
18...unit. That means uninsured dont get it, insured dont get it, no one gets it. They have to find somewhere else. And this is across the..
19...board for expensive diagnostic and treatment services. So, because Trump only wants destruction, all of us are now denied access.....
20...other thing that happens: Staff gets cut. Family member of mine was senior official at Houston hospital. Texas didnt expand Medicaid...
21...because off the realities I am describing, all of his time was spent shutting down units and firing staff. He couldn't stand it....
22...anymore. "My whole day is spent making care worse for people of Houston." So he moves to a blue state. There, he is BUILDING more....
23...services. Haven't spoken to him today, but I am sure that, thanks to Donald "Don't understand it, just want to wreck it" Trump, those..
24...expansions are now over. There are other consequences that I will explain throughout the day, but this is too long already. All in....
25...all, the bottom line is this: Stupidity is a fatal condition. Ppl who know NOTHING about insurance have been ranting and raving for....
26...years, not understanding that premium increases the consequences of GOP continual sabotage. Do NOT come back and say that the....
27...coming wreckage is the result of the ACA. It would be like shooting out the tires of a car, and blaming the accident on the driver.
