first medicaid sections are about delaying biden rules. they delay here rather than just having trump stop them so they can get the savings inside of reconciliation.
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lots and lots of increased screening where they say it's all about making sure people are only on medicaid when they "should be" - but also means tons more places for people to get caught in red tape and lose their medicaid.
imposing $1 million home equity limit for medicaid long term care. breaking the notion that medicaid could be for anyone. no more "get super sick and can no longer work - don't worry, medicaid is for you even if you used to make a great living." live in a rich city? you have to sell your home first.
I'm sure it's by pure coincidence they chose number that homes in most blue States rise above and in most red states come below. sheer happenstance, of course.
No. Someone who is going to go on Medicaid for long-term care is never going into one of those communities. They are for the rich. Forced selling of the house only impacts married couples as usually one spouse can remain living in it. I don't disagree with the $1 million house limit though.
If you own the $1 million free and clear and one spouse has to go into assisted living, can take out a reverse mortgage or home equity loan to pay for it. It IS an asset that should be tapped. Often spouses move into assisted living together anyway.
Anyone who has had to have someone in a nursing home knows you'd better have Medicare and Medicaid. Medicaid alone means you can't have more than 1k to your name. Yep, true you have to be monetarily broke!
Medicare only covers so much, too.
Not that many Americans own $1 million homes AND have no other assets to pay for their own assisted living/nursing home care. Also takes incredible planning to do a Medicaid asset protection trust. Few do it.
You’d be amazed how many people have million dollar homes and no other assets. I’d bet millions in high real estate markets. A whole lot of people live in million $$ houses and thats their entire “estate”. Do you know the average home in Southern California is 800k? And that’s not a mansion.
Not that many but they are out there (I’ve helped them with their tax returns - there’s a lot of seniors out there who only have a house and a small social security check. In areas that recently became HCOL, it’s a strange but very real scenario.)
And all so that trump, Bezos and Elon can have yet more tax cuts. They are not attempting to solve any problem other than people less well off having anything at all.
really destroying the idea of social insurance here. imagine you're living in the same house your parents lived in, and your grandparents before them. you get really sick. you have to sell your home and now try to pay rent to get medicaid? bad stuff.
It's worse than that, I think. You have to sell your home, so now you have a bunch of cash meaning you don't qualify for Medicaid. You have to exhaust all that cash paying medical bills (so you can't pay rent anymore either) and only then are you eligible for Medicaid.
next section is more stuff going after undocumented folks for medicaid and chip. they really, really, really don't want poor undocumented children having any health care.
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Medicare only covers so much, too.
not that i expect SCOTUS to ever be consistent, but in sebelius they said no sticks that are too strong.