College of Political Knowledge

DNC/Democratic Party

Paper #3

No secret that I dislike the Dems in Congress for they are doing nothing but reacting to everything Little Donny and his band of thugs are doing….they run to the nearest mike and bitch and moan and then sit back and wait for the next outrageous crap to happen.

As bad as the Trump administration is how can the Dems be losing on every front?  Especially on the Medicaid destruction bill that is before Congress as I type.

This article points to so many spots that Dems could get a stronghold with the voters…..but seem to be falling short…..why is that?

And so we watch as Senate Republicans argue about the degree to which they want to destroy Medicaid. You’ve been reading and hearing about this, I’m sure, and you may even have become familiar with the phrase “provider tax.” Journalistic shorthand usually does a poor job of explaining what that actually is. Bear with me for this brief explanation, because it makes clear how cruel and deliberate these cuts are.

Health care services that are reimbursed by Medicaid are, well, provided by a range of different “providers.” Chief among these are hospitals, but the category also includes nursing homes, other long-term care facilities, doctors, physical therapists, even chiropractors: all sorts of people. But the big money revolves around hospitals, and specifically rural hospitals, which rely heavily on Medicaid dollars because they are poorer on balance than other hospitals. They tend to be run on a nonprofit basis. They are less likely than urban or suburban hospitals to have commercial insurance, and they’re more dependent on Medicaid revenue because their client base tends to be poorer. There are about 1,800 rural hospitals in the United States. Here’s a map.

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To make a long story short, when you reduce a tax, you reduce the amount of revenue it brings in. It’s also worth bearing in mind here that Medicaid reimbursements rarely cover the cost of care to begin with, so these cuts will make an already dire situation much worse. Governors and state legislatures will be staring at a quite substantial reduction in Medicaid tax revenue. They will then be faced with three choices: one, raise some other sort of tax; two, cut some other state service, like education; three, cut Medicaid services.

https://newrepublic.com/post/197356/democrats-losing-stupid-republicans-senate-bill-medicaid

I cannot understand how the Dems could be losing to the GOP on this destruction of a much needed program.

Are the American people that stupid?

Any ideas to share?

I Read, I Write, You Know

“lego ergo scribo”