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Lamar Alexander says Medicaid is a "medical ghetto"

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Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby Sixstrings » Tue 24 Nov 2009, 01:14:32

$this->bbcode_second_pass_quote('', 'T')oday on the Senate floor, Sen. Lamar Alexander (R-TN) railed against Medicaid, the health insurance program funded by both the federal and state governments for low-income Americans, by calling it a “medical ghetto” and blasting Democrats for proposing to expand the program:

– “We’ve heard eloquent statements about how moving 15 million low-income Americans into a program called Medicaid, which is a medical ghetto, is not health care reform.”

– “The governor of Tennessee, who is a Democratic governor, has estimated that the cost to our state of this bill — of moving 15 million Americans into this medical ghetto — is about $800 million over five years.”

– “Or arrogant in its dumping of 15 million low-income Americans into a medical ghetto called Medicaid that none of us, or any of our families, would ever want to be a part of for our health care.”

Conservatives frequently rail against this program, which currently covers around 60 million Americans, including people who are often rejected by private plans. Rep. Virginia Foxx (R-NC) has suggested that people are better off uninsured than insured under Medicaid.

While Alexander may think he is too good for Medicaid coverage, a 2005 Kaiser Family Foundation poll found that 74 percent of Americans consider Medicaid very important and most would oppose cuts to the program. Families USA has pointed out that, despite its flaws, Medicaid is cost-effective and provides a solid foundation on which to expand coverage:

Medicaid is cost-effective compared to private health insurance. After controlling for health status (since Medicaid enrollees tend to have greater health care needs), it costs more than 20 percent less to cover low-income people in Medicaid than it does to cover them in private health insurance.

The program protects low-income Americans from uncontrollable out-of-pocket costs charged by private insurers and also “covers services not usually covered in private health insurance.” Under the Senate health bill, “most nonelderly people with income below 133 percent of the [federal poverty line] would be made eligible for Medicaid” starting in 2014. Additionally, the legislation would “increase federal Medicaid funding for states that cover recommended preventive services and immunizations at no extra cost.”
http://thinkprogress.org/2009/11/21/alexander-medicaid-ghetto/


This really bothered me.

The shocking thing here is that Alexander isn't saying Medicaid is a ghetto "that none of us, or any of our families, would ever want to be a part of" because he thinks the supposedly lousy coverage ought to be improved -- he just wants to keep the ghetto where it's at and not see it expanded! The rub here is that the Republicans offer no real alternative to Medicaid. They slur the program as something no decent person should ever want, yet are unconcerned by the fact that crappy Medicaid is better than NOTHING AT ALL. The tragedy here is that a lot of folks who do work can't even get Medicaid and have no coverage at all, simply because they're working poor but aren't impoverished enough to meet the standard for Medicaid.

Alexander's brazen elitism and disregard for the basic humanity of 60 million Americans is just amazing. That's what really bothered me here, he's just so flippant about it.

Now, to be clear, I'm not well versed on the ins and outs of Medicaid. My understanding is that no, it doesn't compare to an employer plan and yes it's worse than Medicare. My understanding is that the coverage is limited, and not all doctors will accept it. But I also thought that it could at least get you in the door for basic preventative treatment, and could make the difference between getting a life-saving surgery or not.

I would agree with the senator that we don't want healthcare reform that reduces current employer-based plans to the level of Medicaid. But if Medicaid is in fact so ghetto that no decent white man should ever want it, then we ought to talk about improving the "medicaid ghetto" along with covering the millions who don't even have access to the ghetto.

EDIT:

I got curious about how many whites vs. blacks use Medicaid. As it turns out, 70% of Medicaid recipients are white! And, it's not even true that most African Americans use Medicaid.. the actual number is 28%. So if it's mostly white folks using Medicaid, then why is he throwing the ghetto word around so much? Why disparage African Americans for a program that's 70% white? And while we're at it, why are we beating up on the poor and unemployed to begin with, regardless of race?

(source for the racial breakdown: http://www.jackandjillpolitics.com/2009/11/sour-sorry-sen-lamar-alexander-calls-medicaid-medical-ghetto/)
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby frankthetank » Tue 24 Nov 2009, 01:43:39

This guy is a politician. It doesn't matter what party he is a part of. His backer's want him to take a view they will accept so he'll say what he needs to to satisfy them. I'm sure there is plenty of motivation for the other side that is backing this healthcare agenda (i hate to say this, buti doubt its because they really care about these people...and more about $$$)

I have no idea if Medicaid is ghetto. I'm sure if you live IN the ghetto and go to a ghetto hospital, you'll probably receive some pretty ghetto care :)

Get rid of the whole system and have doctors take cash(barter) only... you'll see prices come down in a hurry. Its probably where its going in the long run anyways...say 10-30 years from now... maybe sooner, maybe later...
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby PrestonSturges » Tue 24 Nov 2009, 02:09:26

I watched the start of Cavutos business show on Fox, and he went off about how HCR would destroy the country, then he went straight to a couple of teabaggers that claim to represent the majority of the country.

Not Republicans, not their puppet masters in the insurance industry, but straight to the corporate butt monkeys previously known as teabaggers.

Too bad that the independent/libertarian wing was co-opted by industry as soon as they had a chance to cash in. These corporate mouthpieces are bad enough, but the overlap of corporations/conspiracy nuts/white supremacists/neonazis is sinister indeed.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby AgentR » Tue 24 Nov 2009, 02:26:02

$this->bbcode_second_pass_quote('PrestonSturges', 'I') watched the start of Cavutos business show on Fox, and he went off about how HCR would destroy the country, then he went straight to a couple of teabaggers that claim to represent the majority of the country.


I'm curious as to all this gay reference stuff in relation to those who are opposing Obama's version of health care reform. Does this imply that couples practicing various forms of gay intercourse are doing something disgusting and repulsive, or is it that that the advocates for Obama are so obsessed and inflamed over the fact that there is opposition to their policies that they fall back to their underlying homophobia and hatred that they normally mask with green shoots babble and pride parade attendance?

$this->bbcode_second_pass_quote('', 'b')utt monkeys previously known as teabaggers.


Lol. More obsession with gay sex? I don't quite see how its relevant to the issue of whether one opposes or supports Obama's health care reform.

All that said, I think the current proposal is brain damaged stupid; its only redeeming feature being that it finally puts the ball in play; because the current system is running out of rope and can not be continued as it currently exists. Once this thing is in play, and folks come to grips with the notion that we can't just, "leave it be"; honest, real pieces of reform can be generated and worked on. But this piece of junk that Obama Corp is drafting now, it'll be dust bucket liner long before it has any impact other than to lighten the wallets of most Americans and pad the wallets of those who are... "more equal" than the rest of us.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby PrestonSturges » Tue 24 Nov 2009, 02:33:04

$this->bbcode_second_pass_quote('AgentR', '')$this->bbcode_second_pass_quote('PrestonSturges', 'I') watched the start of Cavutos business show on Fox, and he went off about how HCR would destroy the country, then he went straight to a couple of teabaggers that claim to represent the majority of the country.


I'm curious as to all this gay reference stuff in relation to those who are opposing Obama's version of health care reform. Does this imply that couples practicing various forms of gay intercourse are doing something disgusting and repulsive, or is it that that the advocates for Obama are so obsessed and inflamed over the fact that there is opposition to their policies that they fall back to their underlying homophobia and hatred that they normally mask with green shoots babble and pride parade attendance?

$this->bbcode_second_pass_quote('', 'b')utt monkeys previously known as teabaggers.


Lol. More obsession with gay sex? I don't quite see how its relevant to the issue of whether one opposes or supports Obama's health care reform.

All that said, I think the current proposal is brain damaged stupid; its only redeeming feature being that it finally puts the ball in play; because the current system is running out of rope and can not be continued as it currently exists. Once this thing is in play, and folks come to grips with the notion that we can't just, "leave it be"; honest, real pieces of reform can be generated and worked on. But this piece of junk that Obama Corp is drafting now, it'll be dust bucket liner long before it has any impact other than to lighten the wallets of most Americans and pad the wallets of those who are... "more equal" than the rest of us.


According to the Urban Dictionary, all the highest ranked definitions for "butt monkey" are simply variations on "brown noser." It's also a hell of a lot more specific and funnier than tea bagger. But it was the wingnuts themselves that used teabags as a theme of their early protests.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby Plantagenet » Tue 24 Nov 2009, 03:10:36

SNL got it right when they parodied Obama meeting Hu....Obama always has the same solution to every problem.....SPEND MORE MONEY.

Putting 30 million more people into Medicare and other goverment programs is not going to reduce healthcare costs or reduce the unsustainable deficits or fix the 40 TRILLION dollar shortfall that exists in projected SS & medicare obligations.

All Obama and the BOers know how to do is borrow money from China, print money, and spend money.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby PrestonSturges » Tue 24 Nov 2009, 12:02:45

$this->bbcode_second_pass_quote('Plantagenet', 'S')NL got it right when they parodied Obama meeting Hu....Obama always has the same solution to every problem.....SPEND MORE MONEY.

Putting 30 million more people into Medicare and other goverment programs is not going to reduce healthcare costs or reduce the unsustainable deficits or fix the 40 TRILLION dollar shortfall that exists in projected SS & medicare obligations.

All Obama and the BOers know how to do is borrow money from China, print money, and spend money.


Well at least the Bush tax cuts are about to expire, because that was $2 T right there, and of course our two wars accounted for another $4 T. So the GOP "solution" is war and tax cuts. Nothing has replaced that, except now they are promoting domestic terrorism. Like it or not, they make the Dems look like Mensa.

And the libertarians had wandered off into the usual swamp of conspiracy theories, where a lot of them have latched onto Beck's warmed over MacCarthy era Mormon fringe prophesies, and Palin who believes in witchcraft but not evolution. Some of these are merely the dupes of big business, but others are latched onto the corporate teat while pretending to be libertarians ("corporate butt monkeys").
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby rangerone314 » Tue 24 Nov 2009, 12:09:53

Its pretty obvious that he is saying that the people on Medicaid are not decent people, and he'd rather let them die and not spend his masters' money on them.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby PrestonSturges » Tue 24 Nov 2009, 13:09:09

$this->bbcode_second_pass_quote('rangerone314', 'I')ts pretty obvious that he is saying that the people on Medicaid are not decent people, and he'd rather let them die and not spend his masters' money on them.


He's appealing to people that would rather destroy the entire public school system than let one poor (black) child learn to read, and they'd rather condemn members of their own family to die from cancer if in return they can be sure one illegal alien will bleed to death or some poor (black) person won't get a measles vaccine.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby PrestonSturges » Tue 24 Nov 2009, 13:15:57

It doesn't matter that we aren't talking about black people specifically, HCR opponents are deliberately tapping the same deep vein of hatred for "the Other," which we see in so many ethnic conflicts around the world where the two sides are indistinguishable to an outsider. On the militia websites, we see that Obama supporters are getting the same sort of hatred that was reserved for "race traitors" with talk of lynching and arson.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby efarmer » Tue 24 Nov 2009, 18:06:09

Washington D.C. is a mental ghetto where corporate pimps buy
protection from Red Bloods and Blue Crips, who talk trash for hire
in return for "donations".

Efarmer lays trash talk stink on Washington's "hood" for free,
which is a better deal than they give us.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby Pretorian » Tue 24 Nov 2009, 18:16:43

$this->bbcode_second_pass_quote('PrestonSturges', 'I')t doesn't matter that we aren't talking about black people specifically, HCR opponents are deliberately tapping the same deep vein of hatred for "the Other," which we see in so many ethnic conflicts around the world where the two sides are indistinguishable to an outsider.


That thing comes with territory that needs to be protected. Are you suggesting there is no such thing as "the Other/s" ? You know you mammals all look the same to an outsider, especially if you are a surgeon. Rats, mice, humans, rabbits, cows, ets. So? Have you forgotten yourself munching on your not so distant cousin,huh? Gonna eat lizards now? Didnt think so.

$this->bbcode_second_pass_quote('PrestonSturges', ' ')On the militia websites, we see that Obama supporters are getting the same sort of hatred that was reserved for "race traitors" with talk of lynching and arson.

Was reserved?
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby RedStateGreen » Tue 24 Nov 2009, 19:27:17

Since Medicaid is administered by the states, Lamar Alexander is ragging on his own home state with his comments. :lol: :roll:

I worked with indigent populations for almost ten years as a doctor. Medicaid is a whole heck of a lot better than no insurance at all, and although a lot of doctors don't like it because it doesn't pay well, expanding it is one way to get everyone at least SOME coverage.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby AgentR » Tue 24 Nov 2009, 22:38:55

$this->bbcode_second_pass_quote('PrestonSturges', 'I')t's also a hell of a lot more specific and funnier than tea bagger. But it was the wingnuts themselves that used teabags as a theme of their early protests.


It was in reference to the Tea Party, not teabagging. Its just kinda weird that all the lefty counters to the tea party folks have been bantering the gay sex comments as if gay sex is some repulsive, negative thing; and yet, they turn around and play all nice for pride parades and whatnot.

Just funny...

Kinda a general example of how "enlightened" people sink to the low bar, when becoming emotionally charged up by the argument. I prefer the argument on the merits; and some kind of HCR does have merits, and though Obama's version falls far short of the mark, it still puts the ball in play. Perhaps over the next few presidents and congresses a health care reform can occur that will address the truly out of control cost centers, inequity in utilization of basic care, and protections for the chronically ill that are both compassionate, AND financially realistic.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby PrestonSturges » Tue 24 Nov 2009, 22:49:00

$this->bbcode_second_pass_quote('AgentR', '')$this->bbcode_second_pass_quote('PrestonSturges', 'I')t's also a hell of a lot more specific and funnier than tea bagger. But it was the wingnuts themselves that used teabags as a theme of their early protests.


It was in reference to the Tea Party, not teabagging. Its just kinda weird that all the lefty counters to the tea party folks have been bantering the gay sex comments as if gay sex is some repulsive, negative thing; and yet, they turn around and play all nice for pride parades and whatnot.

Just funny...

Kinda a general example of how "enlightened" people sink to the low bar, when becoming emotionally charged up by the argument. I prefer the argument on the merits; and some kind of HCR does have merits, and though Obama's version falls far short of the mark, it still puts the ball in play. Perhaps over the next few presidents and congresses a health care reform can occur that will address the truly out of control cost centers, inequity in utilization of basic care, and protections for the chronically ill that are both compassionate, AND financially realistic.


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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby dinopello » Wed 25 Nov 2009, 00:17:28

$this->bbcode_second_pass_quote('AgentR', '')$this->bbcode_second_pass_quote('PrestonSturges', 'I')t's also a hell of a lot more specific and funnier than tea bagger. But it was the wingnuts themselves that used teabags as a theme of their early protests.


It was in reference to the Tea Party, not teabagging. Its just kinda weird that all the lefty counters to the tea party folks have been bantering the gay sex comments as if gay sex is some repulsive, negative thing; and yet, they turn around and play all nice for pride parades and whatnot.

Just funny....


I haven't been following this thread, but you need to read up on the sexual reference to teabagging. It swings for both teams. In other words, not a gay reference. [Definition]. I think definition 4 is the one being referred to by PS

The nursing homes that accept medicaid are cheaper than the ones that don't and are a good option for the middle class people who can't afford the high-end and don't qualify for medicaid.
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Re: Lamar Alexander says Medicaid is a "medical ghetto"

Unread postby Timo » Fri 03 Sep 2010, 13:09:37

A growing chorus here in the US is very busy demonstrating a whole new peak, only this doesn't seem to be a theory. Collectively, we seem to have hit Peak Intelligence. Facts and rational thought are just too hard to cram into our simple little minds. Life is easier if we only think about things that we agree with. Everything else is evil and un-American and we should spare no expense screaming our thoughts to the whole universe. If we scream loud enough and take over the media, eventually, everyone will be just as dumb as us, and everything will be right in the world.
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