Medicaid. Is it being abused? - page 4

Medicaid was a great idea when first introduced to assure that even the very poor could get quality health care. I just wonder when I see someone drive up in a newer car come up to the triage desk... Read More

  1. by   Peppermint
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    Last edit by Peppermint on Jun 25, '06
  2. by   hogan4736
    Peppermint,

    I don't think anyone here is equating poverty with bad parenting.

    We are discussing the burden to the system by those who seemingly waste taxpayer money in the form of Medicaid abuse...

    NO one socioeconomic "class" has a handle on bad parenting, it runs across all levels...

    That's not to say the poor have a handle on wasting of healthcare resources either. We all have stories of wealthy patients coming to the ER (in the retirement community) at 2100 (AFTER dinner and a drink) for the hangnail...

    But you made a comment about not having walked a mile in their shoes, so we only see things from the north side of the tracks...

    Some of us here have admittedly stated that we have been in their shoes, and lived a very humble life, and would never have dreamed of doing so and so...

    We were very poor when I was a kid, and my parents taught us the value of money and were GREAT parents. They had strong work ethics (farmers) and we were always helping out in some way...

    What frustrates us is the "entitlement" mentality shown by SOME of the Medicaid recipients, and the abuse I spoke of earlier (like the surgeon whos kiddo is on Medicaid) No one said he's a bad parent per se (though he's a horrible role model for that kiddo)...

    sean
  3. by   kastas
    My Dad is a mailman. I remeber him coming home one afternoon when I was a child. He was flaming p.o.'ed. :angryfire He was telling my Mom that he was talking to a guy on his route that afternoon. He had told the guy that he has 4 kids at home. The guy had told him he was a fool for working. He had said he could probably make more money sitting at home with that many kids. :angryfire I can't say I had ever seen him more upset over a stupid comment.

    The other thing I was thinking about after reading this thread...It IS a vicious cycle. My dh got out of it. We talk about it all the time. He is NOT where he is supposed to be in life. He comes from a drunken father, an abusive step dad, and a mom who never cared. He was on wellfare and crippled all his life. He was in and out of foster care. I think the crippled part is what saved him. The teasings and the beatings made him stronger on the inside. He learned to take what life dealt him and deal with it...Anyway, I digress...Now, b/c of being born severely bilaterally club footed and 9 surgeries to help fix it (rumor has it from his mom that the 1st 2 were screw-ups, but who knows what to believe from her)...He has very very bad arthritis pain in his feet and ankles. He takes more narcotics than he should every day just to function. The doctor has told him several times that he would easily qualify for disability. He says that he is suprised that dh can walk, let alone work 10 hour days....

    OK, the point of all this is this--Do you know why he won't take the disability? B/c he doesn't want his kids to see it. He doesn't want his kids to see Daddy not working, but still making money. He wants them to know that you have to work for what you want in life. Whatta man I have!

    I really did not mean this as a flame to anyone on disability that truly needs it. We just have some options right now. I know not everyone does.
  4. by   MrsWampthang
    Quote from kiyasmom
    Last year I was a SAHM with a husband who brought home $60,000 plus bonuses. Our bills reflected that type of income, and now we are cut to less than $20,000. We can't make ends meet... and it's hard. Even now I am crying.

    Basically, many people do. But every situation is different, and you can't judge a persons circumstances based upon appearances alone.
    Just my point, no one can depend on job security. That is what welfare help is for, short term, stepping stone help. Bless you and your family, I hope you get back on track although I know at times it seems hopeless.
    Might I suggest selling some of your nicer things, it wouldn't bring a lot of money but it might bring in some. I ended up selling almost everything from my 1st (and only) marriage at pawn shops and used furniture and appliance stores. Brought in enough to buy groceries and what not. Don't miss any of it either, including the wedding ring set.
    Anyway, that's just a suggestion. Please don't think I am in any way critizing you for keeping anything or having anything. Sometimes a person needs just a little inexpensive fun stuff just to have a way to chill out.
    Good luck!

    Pam
  5. by   SWFlorida
    Kastas>>>>> OK, the point of all this is this--Do you know why he won't take the disability? B/c he doesn't want his kids to see it. He doesn't want his kids to see Daddy not working, but still making money. He wants them to know that you have to work for what you want in life. Whatta man I have!<<<<<<<

    Your husband is a wonderful example of how men should raise their kids. Taking on the responsibility and serving as a good role model.

    The US has become so politically correct that it is crippling our society.
  6. by   Medic946RN
    Is Medicaid being abused? Well name a federal program that isn't abused in some way. I think the problem is societal in a holistic manner. We tend to look at the Governments money as "free money" when it really came from you and me. Then there are the types who feel guilty that they have worked hard and succeeded in life and others haven't who expect the government to take care of the indigent and indolent. And of course then we have the folks who believe because of some percieved slight that others or the Government "owes" them something. But of course then come my favorite people the politicians who pit classes of people against themselves for their own personal gain. Very thorny problem indeed.
    I believe in charity, I give to several causes, I believe in the government providing medical help to those who need it, the poor, the young, the elderly. The crux is in the definition of those segments of the population. I heard yesterday on the radio that 46% of our so called poor own their own home with more living space than the average person living in Paris or London, 72% own their own car with 30% having two cars, 89% have color tvs, vcrs and/or DVD players. Now if any of us went to our grandparents (many of which were truly poor and lived through the depression) and asked "Hey if I own my own house, car, and have a color tv and VCR/DVD player, am I poor?" I don't know about you but my old Grandpa would have smacked me up alongside the head and said "Boy, what on earth are you talkin about?"

    Sorry, got a little carried away there.
  7. by   judy ann
    I remember more than one OB that informed me that she "makes" $xxx. She is on medicare. Sorry, that is not a pay check!
  8. by   HisTreasure
    Quote from hogan4736
    kiyasmom,

    My post was not an attack on you. I was speaking in terms of things we have all seen, and the frustration the abuse brings.

    None of those were thrown onto you for you to own. And the cable comment was directed at those who do ask us for RXs for the OTC meds who brag of the cable TV and the satellite TV (an ex coworker of mine)...

    I support the program as it was MEANT to be used (the way you are using it - as a stepping stone)

    Calling me from a cell phone for medical advice while eating at MCDONALDS is not the way free medical care was meant to be used, and I didn't single anyone on this board out, just giving personal examples that I HAVE EXPERIENCED!! (REREAD MY POST: I stated: "Things that I have witnessed")

    SW Florida hit it on the head

    sean


    :imbar Well, please excuse the defensiveness. :imbar

    Being in my current state is very shameful for me, and trust me, I do not brag. My parents are well off, as are my in-laws. Would they help us financially if we asked? Sure. Do they offer assistance? Of course. But this is a temporary situation and will be over soon. I accept responsibility for myself, my actions, and my children. I am a young wife/mother/nursing student trying to do things the wholesome and American way. I have always been responsible. I am by no means worthless or lazy. I'm not saying you are calling me lazy for receiving Medicaid, I just am waiting for someone to make that comment.

    I went to college while working two part time jobs to pay tuition (to build character/no financial aid). I maintained a 3.62 GPA while working these jobs, cheerleading, chairing our campus activities board, and sitting as a Officiating Member on the Presidential Cabinet. I also was involved in my youth group and choir. In my spare time I volunteered in the church soup kitchen.

    I'm a good person, and dispite the cable channel debate...I do not abuse the system or misuse the tax dollars that my family, your family, everyone's family pays.
  9. by   kids
    I make a decided effort to avoid threads on this subject, except when I see what I feel is incomplete or (IMHO) mistaken information. I am using quotes NOT to respond to the specific poster but rather to address these 2 points that I have seen both here and in previous threads on this topic.
    Quote from Pamela_g_c
    <snip>Or these immigrants that can't speak our language who bring their kids in for fevers or coughs and expect us to have an interpretor there 24 hours a day, seven days a week; plus they are on welfare!<snip>
    "These immigrants" expect to have an interpertor available 24/7 because it is federal law just like it is a federal law that an interpetor be available 24/7 for the deaf. The interpetor does not have to be physically present, it is legal to make use of a language line or TDD but it has to be available. *Personally* the majority of "immigrant" families I have dealt with were private pay and paid their bills because they valued having good healthcare available.
    Quote from Rain
    <snip>Anyway, the patient smirked and said "well it's free for me" and starting laughing. And she waas being serious! <snip>
    (1) We are insured thru my husband's employer. Our medication benefit covers OTCs 100% (no co-pay) if prescribed (heck, it covers birth control including OTCs 100% also). You can bet I am not going to pay out of pocket for something that is covered by my insurance.
    (2) My grandson has had open heart to correct a serious defect. He has medical coverage thru his parents insurance, BUT, because he is legally (and permanently) disabled he also gets a medicaid suppliment to cover any out of pocket medical expenses including OTC meds if prescribed. I am the one who told his parents to ask for prescriptions for his Tylenol, Motrin and Benedryl. It is a covered benefit and there are a LOT of uncovered expenses that go along with having a disabled or medically fragile child and they add up fast.

    My point is, it really isn't "fair" to use someones requesting a prescription for an OTC med to make a value judgement on an individual unless you are intimately familiar with the person and their circumstances.
    Last edit by kids on Jun 9, '04
  10. by   Dixiedi
    Quote from Peppermint
    I agree.If this were a perfect world those minimal standards might actually be a possiblilty.
    That would be the perfect world in which a capitalist society actually provided shelter,food,clothing and of course centralized healthcare to EVERYBODY EQUALLY.LOL. Where's the daydreamer smiley when you need it.
    In a capitalist society, if you don't have the money, you buy no services! You, I believe, are referring to a socailist society.
    I choose to stay capitalist. I work, I cannot afford the health inusrance my agency offers and my husbands company offer is worse! So, we live without insurance. Our choice as we prefer to pay our mortgage and eat once or twice a day.
    However, I would appreciate it if fokls who do not work for a living do not have health care. What do they need it for?
    I have degenerative lumbo-sacral spine. How long without health care do you think I'm going to be able to work? Will I be able to get help if I still own my car? Own my home? (I couldn't get rent less than my mortgage is)
    I'm only 50, it's a long time before I see anything of SS.
    The whole system sucks! I enjoy our capitalist society and the liberals within our system should quite servicing those who do not work and then deplete the system so severely that those of us trying to survive in our system can't.
  11. by   hogan4736
    Quote from kids-r-fun
    I make a decided effort to avoid threads on this subject, except when I see what I feel is incomplete or (IMHO) mistaken information.
    ...BUT, because he is legally and permanently disabled he also get a medicaid suppliment to cover any out of pocket expenses including OTC meds if prescribed. Guess what, I am the one who told his parents to ask for prescriptions for his Tylenol, Motrin and Benedryl. There are a LOT of minor, uncovered expenses that go along with having a disabled or medically fragile child and they add up fast.
    "These immigrants" expect to have an interpertor available 24/7 because it is federal law just like it is a federal law that an interpetor be available 24/7 for the deaf. The interpetor does not have to be physically present, it is legal to make use of a language line or TDD but it has to be available. *Personally* the majority of "immigrant" families I have dealt with were private pay and paid their bills because they valued having good healthcare available.
    1) My son is speech delayed, and can qualify for all kinds of free services. We attempted to get his helath insurance to cover, to no avail. So we pay out of our own pocket. WHy? Because we can afford it, period. We sold a vehicle that we had (lots more bicycling/bus) so we could pay for it. I consider us fairly well-off too. But the thought of us taking free services didn't sit well when we could afford the 65/week it cost a speech therapist to come to the house. I'm not a big fan of "automatic" qualification based solely on an ICD-9 dignosis. Financial need should come into play. Why should a well-to-do family get free services when they have expendible income? I would discourage asking for scripts for OTC in the above situation, as it seems to be taking from those that may actually need it. The mentality seems to be "It's there, why not use it"

    It should be based more on financial need. My point from before (about there needing to be more checks and balances within the Medicaid system) is absolutely true. (I am not referring specifically to kids-r-fun's family, as I know NOTHING of their financial status, though if they can afford OTC meds without an RX, and do without dining out for awhile, for example, then the priorities should change, and my point is underscored)

    2) Just because we have a (federal) EMTALA law, doesn't make it reasonably and financially prudent. I speak fluent Spanish as a white man, and would NEVER expect anyone to speak English if I emigrated to said country. I would laugh at them for mandating 24/7 translators. The federal law mandating translators was our government's knee-jerk reaction to the liberal ACLU and it's lawyers, period.

    Learn our language, I learned (and have TAUGHT) yours.

    Sean
    Last edit by hogan4736 on Jun 9, '04
  12. by   Energizer Bunny
    You know, when filing this bankruptcy that we are working on, we could be adding every single bill that we owe RIGHT NOW, but instead we are paying all of them that we can and only adding our large hospital bills that would never be able to be paid. All the little dr. bills, we are footing ourselves instead of adding them and having our slate wiped clean. Crazy? maybe, but it feels right to be doing what we can rather than just saying "oh to heck with it...the bankruptcy will cover it so let's go buy ourselves a new toy with the money we could have used to pay some of these bills."

    I say...if you have the money, use it on your obligations...don't leave it for others to pick up the mess! We learned our lessons all the hard way and will never get ourselves into this mess again, barring a medical emergency of course.
  13. by   hogan4736
    Quote from CNM2B
    You know, when filing this bankruptcy that we are working on, we could be adding every single bill that we owe RIGHT NOW, but instead we are paying all of them that we can and only adding our large hospital bills that would never be able to be paid. All the little dr. bills, we are footing ourselves instead of adding them and having our slate wiped clean. Crazy? maybe, but it feels right to be doing what we can rather than just saying "oh to heck with it...the bankruptcy will cover it so let's go buy ourselves a new toy with the money we could have used to pay some of these bills."

    I say...if you have the money, use it on your obligations...don't leave it for others to pick up the mess! We learned our lessons all the hard way and will never get ourselves into this mess again, barring a medical emergency of course.


    The right thing to do

    Hats off to you and yours for stepping up to the plate and displaying a mentality that is a great example for others to follow

    sean

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