Medicaid. Is it being abused? - page 7

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   Energizer Bunny
    I cannot agree with letting an innocent child be born in the streets. That's going a little too far. Maybe not letting the mother have the child after it's born...but not punishing the child for the stupidity of the mother.
  2. by   SWFlorida
    I really don't think this thread was meant to throw personal attacks at individuals. Its the system that is ill. No one can see thru the computer and see any one individuals situation.

    Why cant middle income people get insurance? Many families are working two jobs, paying their taxes and can't afford health care coverage. That is what is really sad.
  3. by   hogan4736
    Quote from SWFlorida

    Why cant middle income people get insurance? Many families are working two jobs, paying their taxes and can't afford health care coverage. That is what is really sad.
    I don't get health insurance through my new job...I have 2 boys under 4...they are both fully insured ($15 office visit copay, $10 RX) NOT an 80/20 but a large HMO (exact same coverage when I worked for said HMO), for $75 per month each...That's a great deal, and quite affordable...

    sean
  4. by   irishnurse67
    .

    Thanks.
    Last edit by irishnurse67 on Apr 17, '06
  5. by   oostarglowos
    We would not be having this discussion if the goverment did what it should do and provide healthcare to all its citizens.
    Healthcare is a RIGHT not a LUXURY!!!
    And if some people are having the goverment pay for something they should be doing for everyone, so be it!!
  6. by   heron
    I just finished skimming thru this thread ... gotta go to work in a minute ... so I haven't read all posts carefully. Just wanted to point out that, although we can all point fingers at recipients who seem too well off to qualify for aid, I still believe the majority of the stolen aid money goes to greedy vendors. I remember back in the late 70's there was a big scandal in Massachusetts over "welfare queens" which provided the justification for beginning the purge of so-called "cheats" While the headline story was about a woman who bought a house in Florida with double-dipping to the tune of a few hundred thousand dollars, buried deep in the middle of the newspaper was another story of a psychiatrist who stole four million dollars in fraudulent billing!!! Those people in the welfare cadillacs are doing the same thing as the upper class cheats ... just not doing it well enough to hide it from the rest of us. Make no mistake ... there are plenty of summer homes by the water paid for with your taxes ... way more exensive than babies and benadryl!
  7. by   grannynurse FNP student
    Quote from heron
    I just finished skimming thru this thread ... gotta go to work in a minute ... so I haven't read all posts carefully. Just wanted to point out that, although we can all point fingers at recipients who seem too well off to qualify for aid, I still believe the majority of the stolen aid money goes to greedy vendors. I remember back in the late 70's there was a big scandal in Massachusetts over "welfare queens" which provided the justification for beginning the purge of so-called "cheats" While the headline story was about a woman who bought a house in Florida with double-dipping to the tune of a few hundred thousand dollars, buried deep in the middle of the newspaper was another story of a psychiatrist who stole four million dollars in fraudulent billing!!! Those people in the welfare cadillacs are doing the same thing as the upper class cheats ... just not doing it well enough to hide it from the rest of us. Make no mistake ... there are plenty of summer homes by the water paid for with your taxes ... way more exensive than babies and benadryl!

    Back in the mid-70s, I worked as a primary investigator with the NYSDOH, in NYC. I could make your hair curl with the number of physicians, administrators and nursing home operators that I and my partner investigated. And the number of trips I flew back from Florida to testify at their trials. The number of illegal providers far out distance the number of illegal individuals using Medicaid. Heck, one year my own dentist's took the state for more then three million dollards. If he had worked like he claimed, he would have had to work 34 hours a day.

    Grannynurse
  8. by   LoriAlabamaRN
    As someone who has struggled VERY hard to get to where I am in life, I find it difficult to comprehend the "desperately poor" people who live off of MY tax dollars while keeping internet and cable services. I didn't have either until after nursing school. Heck, for 7 months I had no phone.

    It would be very easy for me to go on disability. I broke my back many years ago in a car accident, and have permanent spinal damage and pain because of it. I have an autoimmune disorder with chronic fatigue syndrome. It would be very easy for me to file the paperwork, go on disability at age 29, point to my medical reasons and sniffle while I eat the junk food my food stamps buy and watch cable and hang out on the internet.

    But you know what? I was raised better than that.

    It's a pity so many people weren't.
  9. by   LoriAlabamaRN
    Quote from kiyasmom
    As a mentioned in a subsequent post my parents pay my cable/internet and they are helping with my car note. I use internet for school (research and such for papers) and my basic cable is a luxury I can't afford but my kind parents are providing me. It is terribly difficult going from being able to live a comfortable life to having to decide between laundry detergent and dish washing liquid. My parents understand this, and while I don't expect them to take care of me, they still think I should not have to sit in a cold bare room with a bare lightbulb and a can of pork and beans because my husband fell upon unfortunate circumstances. Furthermore, I am going to school for my LPN and then RN, so it's not like I am making a life of my current situation.
    God bless you all, and I hope you never have to deal with a financial hardship.
    If I were in that situation, I would ask my parents to give money instead to go toward groceries, so that perhaps the taxpayers wouldn't have to support you. That may sound harsh, but you can survive without cable, and without internet access. When you can't afford it, the luxuries should stop before the public assistance starts. I'm obviously not saying that you should "sit in a cold bare room with a lightbulb and a can of pork and beans", but if you honestly can't afford BOTH dish soap and laundry detergent, then maybe local television stations aren't so bad. I used the computers at my school and the local library, did not have cable, and used the $100 or so to buy the necessities.
  10. by   grannynurse FNP student
    Quote from LoriAlabamaRN
    As someone who has struggled VERY hard to get to where I am in life, I find it difficult to comprehend the "desperately poor" people who live off of MY tax dollars while keeping internet and cable services. I didn't have either until after nursing school. Heck, for 7 months I had no phone.

    It would be very easy for me to go on disability. I broke my back many years ago in a car accident, and have permanent spinal damage and pain because of it. I have an autoimmune disorder with chronic fatigue syndrome. It would be very easy for me to file the paperwork, go on disability at age 29, point to my medical reasons and sniffle while I eat the junk food my food stamps buy and watch cable and hang out on the internet.

    But you know what? I was raised better than that.

    It's a pity so many people weren't.
    Sorry but I am one of those evil individual's who is using everyone's tax dollars to live high off the hog. I don't have cable TV, can't afford it. Don't get food stamps either, my SSDI income is too much. Will have to pay for my Medicare Part D, just as soon as I figure out which one I can afford and which will work best for me. Of course, my Medicare prenimum is up to $88 plus dollars per month but what the heck, it pays 80% of my bill. And my medications only run me a little more then $400 a month but what the heck, with that and the repayment of my student loans, it leaves me with just $600 a month to throw away on your economy. Woops, forgot about my car insurance for my 14 year old car, which I need given the lack of public transportation here in sunny SW Florida. And I almost forgot, the $250 a month I give my daughter and SIL for allowing me to live with them, it is the least I can do.

    I have been on SSDI since I was 42 years old. Prior to going on it, I lost everything I had worked so hard to get, my condo, my IRA, my car, my savings but what the heck I am getting your tax dollards. Sorry, am not. Paid all of my own federal taxes for ten years prior to my accident. That means I paid the full amount of FICCA, no employer contributing like most of you. And since I've always worked two jobs, I've always had to pay the max for FICCA. Despite what some of you think and maintain, the majority of people living on SSDI do not receive Medicaid or any state welfare. And the majority were tax payers, just like you, before they had to accept SSDI. And the majority have lost their homes, lost their life styles, lost their savings. And the majority of us are just barely getting by. I would like to invite any of you, to live on your own, on $1296 a month. Try paying your morage or rent, for food, bills, medications, Medicare, etc and see how far you get. By the way, my access to the internet is gradius of my daughter, she pays for it. And I piggyback off of her access.

    Stop complaining so much and volunteer in a soup kitchen or in your juvenile court system, like I do. Then you would have nothing to complain about. You would thank your stars for what you have.

    Grannynurse
  11. by   kbclary4
    Quote from traumaRUs
    If you see or know of Medicaid abuse there is usually a hotline to call to report it.
    How is that affected by HIPPA...or is it? I was @ work the other night and a patient came in to get a RX filled and handed me her Aetna insurance card and her Medicaide card and told me to "try both and use the cheaper one.":angryfire I informed her that if she had a form of insurance other than Medicaide I HAD to use the alternate form and of course she got ticked. It made me so mad...but if I were to report something like that, would I be violating HIPPA? Just curious.
  12. by   mercyteapot
    I don't think there's a single entitlement (other than public education, I guess) that isn't prone to abuse. You betcha Medicaid is abused. I'd prefer that the politicians that keep harping on that as a reason to eliminate the assistance would instead spend the time and $ to create systems that are harder to beat.
  13. by   mercyteapot
    Quote from kbclary4
    How is that affected by HIPPA...or is it? I was @ work the other night and a patient came in to get a RX filled and handed me her Aetna insurance card and her Medicaide card and told me to "try both and use the cheaper one.":angryfire I informed her that if she had a form of insurance other than Medicaide I HAD to use the alternate form and of course she got ticked. It made me so mad...but if I were to report something like that, would I be violating HIPPA? Just curious.
    To answer your question, I'm not sure you'd be violating HIPAA if you didn't disclose any information about her condition or dx. That's just my guess, though, I really have no idea. More to the point, I wonder what you think the point of reporting her would be. What do you think they're going to do to her for asking a question? She didn't commit any fraud.

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