Trump pushes debt down the road again in new Budget

Kathy

Trump’s budget request expected to cast aside campaign promises

This new trend shows how little progress the White House is making in dealing with ballooning government debt, something GOP party leaders had made a top goal during the Obama administration. Trump’s first budget projected the deficit in 2021 would be $456 billion. Instead, it is projected to be more than double that amount.

Trump has shown little interest in dealing with the deficit and debt, though some GOP leaders say it remains a priority. The $4.8 trillion budget for 2021 would represent a $700 billion surge over levels from 2018.

White House officials have blamed congressional Democrats for inaction on the federal deficit. However, Trump has agreed to increase spending throughout the government because it was the condition on which Democrats accepted a higher military budget.

The last budget of Trump’s first term, expected to be publicly released on Monday, also calls for about $2 trillion in cuts to “non-defense discretionary programs,” a category of government spending that does not include Social Security or Medicare. It would also propose extending tax cuts for families and individuals that are set to expire at the end of 2025. Budget experts have projected that extending those tax cuts would reduce revenue by roughly $1 trillion.

The White House promised to close the federal deficit over a similar amount of time in its budget last year, after abandoning its initial pledge to close the budget deficit in 10 years. As a presidential candidate, Trump said he would eliminate not just the annual federal deficit but all debt held by the United States after eight years in office.


The budget is expected to propose 5 percent net cuts in domestic discretionary spending, which is expected to include cutting the budget of the Centers for Disease Control and Prevention. However, the part of CDC funding that deals with fighting the coronavirus will remain unchanged.

In the past Congress has restored proposed cuts to the CDC budget. At the same time, the budget will maintain Pentagon spending at around its current level, or boost it if increases in a so-called overseas contingency account are included. As in past budgets, this one will cut heavily into programs targeting low-income communities, including slashing community development block grants and home heating assistance. The Education Department will be cut by $6 billion as the administration proposes a consolidation of elementary and secondary education, a person briefed on the proposal said.

The proposed budgets for nondefense domestic agencies, programs that deal with housing, environmental protection and agriculture, will fall well below spending caps that lawmakers and the administration already agreed to in a bipartisan budget deal for 2021. That all but ensures the budget will face bipartisan opposition on Capitol Hill.

The federal debt has already grown by about $3 trillion under Trump.


https://apple.news/Aag3T4c2iSFaYOwI_ml4vew

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margaritadina

''Trump pushes debt down the road again in new Budget''

Stop posting lies. His plan is designed to reduce the country's spending by $4.4trillion over next decade.

''Budget experts have projected that extending those tax cuts would reduce revenue by roughly $1 trillion.''

Dems are always hungry for the US tax payers money. For democratic ''Bidens'' to lay their pockets with our money via kickback schemas.

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Kathy

Margaritadina he pushed it down the road to 2035 now. Did you read the article?


Trump has shown little interest in dealing with the deficit and debt, though some GOP leaders say it remains a priority. The $4.8 trillion budget for 2021 would represent a $700 billion surge over levels from 2018.

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foodonastump

something GOP party leaders had made a top goal during the Obama administration.


That presidential freedom fries dude said it was all BS, remember?


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cecily 7A

And he IS cutting Medicare.

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lurker111

Don't worry about it. We'll never recover from Obama. We can't afford his interest.

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leona_2008

Yeah, if you need a new financial advisor, look for the guy with the most bankruptcies in his past. You'll know you've got a winner if he's told over 16,000 lies.

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vgkg (Va Z-7)

Cut taxes and accelerate spending, brilliant plan gop, it has worked well since 1981, nyuk. When trump was short on $$$ he had his Foundation to suck on, no fallback plan here.

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Kathy

It is obvious the RW don't want to admit Trump is running up the National debt. Instead of lowering the deficit he is lowering the revenue for the benefit of the 1% and it will extend far after his Presidency.


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vgkg (Va Z-7)

The USA is Debiting it Forward by a Trillion/year, a nice plan. I'm an old fart and don't have kids so sometimes I'm not sure why I even worry about it? Maybe I just like balancing my checkbook and am embarrassed that my government can't?

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lurker111

It's obvious that the crats won't admit the damage done by their party.

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vgkg (Va Z-7)

It's obvious that the repubs have been buying votes with tax cut promises over the past 40 years (usually for the wealthiest) and don't care about paying the nation's bills, or when the chit will hit the fan.

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lurker111

Buying the 1%? Big help.

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vgkg (Va Z-7)

Buying the 1% with promises of a middle class tax cut, the old gop bait & switch......trump thinks that millionaires are the middle class now.

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JodiK

Big shocker... not.

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Kathy

The deficit has increased 77% since McConnell became majority leader in 2015.

GOP to blame w/ corporate tax cuts.

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Kathy

Breaking News: President Trump's $4.8 trillion budget proposal includes a familiar list of deep cuts to federal safety net programs and student loan assistance. NYT

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Kathy

Trump’s Budget goes live even if it has no chance of passing.


https://www.whitehouse.gov/omb/budget/


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chipotle

The cuts reflect Trump's values. He doesn't care about anyone except the rich.

Isn't it ironic that Trump's policies always cut right to his base and they never see it coming.

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chipotle

During his state of the union address on Tuesday, President Donald Trump
promised that he would protect Americans’ health care. “We will always
protect your Medicare and your Social Security,” he said.

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Ziemia(6a)

margaritadina

16 hours ago

''Trump pushes debt down the road again in new Budget''

Stop posting lies. His plan is designed to reduce the country's spending by $4.4trillion over next decade.

******

That sounds like it was his campaign promise, which he basically ignored soon after the election.

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THOR, Son of ODIN(2)

— Cuts $850,000,000,000 from Medicare
— Cuts $270,000,000,000 from Medicaid
— Cuts $30,000,000,000 from Social Security
Take note of where IMPOTUS's priorities lie.

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Nana H

....and $2B for the wall

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Kathy

The increase is for military which Trump used for the wall. He knows that is the only increase Dems will approve.

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Ziemia(6a)

Trump’s first budget projected the deficit in 2021 would be $456 billion.

Instead, it is projected to be more than double that amount.

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Ann

"And he IS cutting Medicare. "

Cecily, please explain how? I found this from CNN today. Is this what you mean? If yes, please explain what about this bothers you? Are you a doctor and concerned about a reduction in payments to you?

"The budget does call for changes to the Medicare program, but they would largely affect doctors and hospitals."

"Much of that cut comes from reducing payments to providers, which would not directly affect beneficiaries' costs. The budget notes that it supports legislative efforts to establish an out-of-pocket maximum for seniors in Medicare's Part D drug coverage."

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Ann

Cecily, did you read this from the OP? Again, what cut to Medicare are you referring to?

"The last budget of Trump’s first term, expected to be publicly released on Monday, also calls for about $2 trillion in cuts to “non-defense discretionary programs,” a category of government spending that does not include Social Security or Medicare."

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Ann

"Cuts $30,000,000,000 from Social Security"

Please explain this one Thor. What types of cuts to Social Security?

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Nana H

Wouldn' t a reduction in payments to doctors lead to additional fees charged to the patient? Can't imagine doctors will just take a pay cut without passing it on.

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lurker111

No.

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ohiomom

Now Nana H you know it is just like the trump telling his fans that Mexico would pay for the wall and China would pay for the tariffs.

Who really pays? We The People!

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foodonastump

Nana - I’m thinking it’ll further drive down the number of doctors who accept Medicare. So the doctor may accept more out of your pocket, but more likely you’ll have to find someone else.

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Nana H

Unless legislation specifically prevents docotors from passing their shortfall on to the patient, I'm not sure what would prevent it. If legislation did do that what a nice step to universal healthcare.

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Nana H

Guess I didn't know that doctors could refuse to take Medicare.

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foodonastump

Yep. My FIL is an example. He’s been trying to get his hip replaced. “Sorry, we’re not accepting new Medicare patients at this time.”

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haydayhayday

You get what you pay for.

If you cut the payments to doctors, you'll find that the good doctors will leave for better opportunities and Medicare will be left with the runts.

Hay

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lurker111

My father died from prostate cancer and when it was all over, we received a bill for $28.00. Medicare paid for everything.

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haydayhayday

"left with the runts"

In the past ten years or so, I've had 5 different "primary" doctors who have come and gone in my local medical group. MY primary care doctors!

FIVE in 10 years!

The last one lasted for one yearly exam for me and then she's gone.

I don't always hear the reason why for each of them, but for the two that did share with me, the reason was something along the lines of:

"I wanted to go to Medical school and open up a little private practice where I could actually spend most of my time dealing with my patients."

I have another long-term friend in the medical profession who says that she spends an inordinate amount of time documenting every single little bit of time she spends with a patient.

Endless paperwork.

That's your future under anything resembling "Medicare for All".

Hay






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haydayhayday

"Medicare paid for everything."

You're starting to talk like a Canadian.

Hay

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haydayhayday

Nana:


"Guess I didn't know that doctors could refuse to take Medicare."

Not yet, but that will change. Think Canada.





These are two creeps who are the the co-authors with Elizabeth Warren about the so-called connection of Medical Expenses and Bankruptcies. Another lie from Warren and crew.

These are the creeps who currently advise Bernie. They traveled to Canada to study their system.

"Everybody IN. Nobody OUT."

You won't a choice.

i have no desire to be in the same boat as this pair of Creeps.

With Bernie at the helm.

God help us.

Hay

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Kitchenwitch111

Guess I didn't know that doctors could refuse to take Medicare.

They sure can! Also doctors can say they participate in Medicare, but charge the patient extra if if they don't accept Medicare's approved rate.

That old "you can keep your doctor" is true if you can afford your doctor.

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haydayhayday

"Free this, Free that."

What gets lost is YOUR freedom.

Hay

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Nana H

Actually single payer reduces paperwork considerably. It's one of the reasons my oncologist moved his practice from the States to Canada. That and the fact he didn't have to turn away patients that could not afford their treatments, the dramatic reduction in malpractice insurance costs and the fact he didn't have to provide healthcare benefits to his staff.

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haydayhayday

"Actually single payer reduces paperwork considerably."

The old doctor who took care of my baby ran her office from the bottom floor of her brownstone. She lived on the upper floors.

She kept track of the immunizations on an index card.

Hay

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lurker111

MD Anderson still isn't aware that my father died under their care. They still send letters wishing him well and reminding him of how they took care of him. Then, they ask him to leave everything he owns to them as a sign of appreciation for everything they did for him.

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haydayhayday

My primary care doctor in the golden years of my healthcare.... those years when I had NO health care insurance... would, in longhand, sit there and write down the important parts of our conversation.

When it was over I wrote him a check and walked away.

I loved it.

Hay

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Stan Areted

More articles and concern about what epidemics do to single payer countries economically. Even GB has problems with the flu.


As to Canada:


"When it comes to the final metric, quality of care, Canada lags behind most other developed Western nations. A 2014 report by the Commonwealth Fund ranked Canada tenth out of eleven wealthy countries (ahead of only the United States) in health-care quality, and dead last in timeliness of care. The report showed that 29 percent of adult Canadians who fell ill and needed to see a specialist waited two months or longer, and 18 percent waited four months or longer, compared with 6 percent and 7 percent of Americans, respectively.

Canada’s quality of care is poor, and it continues to deteriorate in the face of a looming fiscal crunch and further rationing. In Canada’s single-payer system, citizens cannot pay directly for procedures, and they cannot purchase private insurance to cover services provided by the CHA. They must instead wait in line or seek health-care services outside the country. " NR 4 13 17 (bold by poster)

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haydayhayday

I had a dermatologist for a few years. I finally walked out of his office before an appointment when I sat there for like 45 minutes waiting for my visit. My time is worth something. Not to him, but to me.

He had this routine with me. EVERY SINGLE TIME I went to him... my yearly check-up... he would ALWAYS seem to find some "questionable" little something on me that needed, absolutely "needed" to be snipped off and sent over to the lap.

They always....surprise!... came back negative.

He got money, the lab got money... I got a pock marked body.

My newer dermatologist looks over my body and sends me home for another year.

Socialism turns us all into lying, thieving crooks.


Hay


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haydayhayday

"In Canada’s single-payer system, citizens cannot pay directly for procedures, and they cannot purchase private insurance to cover services provided by the CHA. They must instead wait in line or seek health-care services outside the country. "

Everybody IN. Nobody OUT.

Socialism never works. It always needs a little more tweaking. And every little tweak means I lose more and more of my Freedom.

My freedom always loses.

Yours, too.

And, the innovators? What's the point any more under that ridiculous approach?

Hay


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haydayhayday

Profit is bad?

I depend on food much more so than I do on my medical "providers" on a daily basis.

You must be totally shocked when you walk into one of our modern grocery stores and see all those wonderful choices you have. Brought to you by people who want not much more than to make a good living.

They benefit. I benefit.

If the store is dirty, if the store is lacking in any way, there's plenty of other stores around that will gladly do a better job.

Usually with a lot less cost.

Profit. It's the reason most of you get your tush out of bed in the morning and head out to work.

hay

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Chi

I remember when Trump promised to eliminate the deficit within 8 years. Nearly halfway in and it's significantly higher than when he started. Looks like another big whopper of a lie.

Republicans only care about the deficit when a Dem is in the White House. When a Republican is, they give lots of tax cuts to their wealthy friends and corporations, and spend money freely. And then as soon as a Dem is in office, it becomes a big, big problem. And they use it as leverage for Dems to slash entitlements programs, which is their true goal.

It's so transparent.

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Ann

I was stunned at this conversation last night. First off, the new budget does not impact the price paid by Medicare recipients, so of course off the thread went down the fake path as nearly every thread does these days. And, in nearly all these "fake info" threads, other posters immediately jump on that train. With this kind of trend, we're going to need to start checking what every poster is posting. Even the titles of the googled articles were practically screaming about the Medicare changes, but then when one read the text within that very same article, Medicare beneficiaries are not impacted.

Then, we learn it's actually docs and hospitals that will receive less money in certain situations or for certain procedures. Following that, we have people who have a highly controlled program (looking at you, Canada) or people here in the U.S. saying that will create a situation of fewer docs who will accept Medicare patients. DUH - that's exactly what will happen over time with changes like this. YET, these same people want Medicare for all! OMG!!!!!

Kitchenwitch, you are correct and, as a patient, you could ask if the doc you want to see accepts the Medicare approved rate. If not, some supplemental plans (like Plan G) cover the additional cost. But, it shouldn't be a surprise to you or anyone. Many docs do accept the Medicare approved rate, so for now, it's certainly not hard to locate one.

But as Hayday is discussing, you get what you pay for and if we head too far down the path of paying our docs and hospitals less, we'll have a shortage just like our neighbor does. So, careful what you complain about in this budget Dems (when it comes to Medicare) because what you really want is what this budget is proposing, but on steroids.

My guess is Medicare recipients will feel little, if anything, from this budget proposal because it will be minor enough for docs that they'll grumble a bit but not make many changes to who or how many they are willing treat. They do get a ton of business from Medicare age patients.

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Kathy

The budget does not address debt or the deficit both of which will keep rising because of Trump’s tax cuts. Cutting revenue for 1% is costing US.

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Ann

"Guess I didn't know that doctors could refuse to take Medicare."

We live in a free (mostly) country, Nana. Docs can set up a practice the way they choose. I believe they can accept only cash if they so choose (concierge, I think it's typically called). Most do accept Medicare because there is huge business in the 65+ crowd. As I've explained many times before, they have younger patients whose insurance plans can be billed higher rates, but this group doesn't need a doc very often. So, they have the older Medicare crowd who needs a doc very often but they only get paid the Medicare rate. The mix works out for the majority of doc practices.

A general practice does not want all Medicare patients (and wants the mix of young and old), so they limit new Medicare patients. This is why people going on Medicare in a few years tend to learn if their family doc takes the plan (Advantage or Supplemental) they want in their Medicare years. If not, they change docs a couple years ahead of that time when they are still on their employer insurance plan. If they move or need to change family docs once on Medicare, it's a little harder to find one, but certainly not impossible. I have a family doc I like, a neighbor of mine is going on Medicare very soon and didn't bother finding out their doc only took Advantage (my friend wants Supplemental), and I suggested my doc (who will take Supplemental). They called and were told they wouldn't take new Medicare patients. But, they did suggest to her two other nearby practices who would accept new Medicare patients, so she made a meet and greet appt with both to choose her favorite. Not too big of a deal and had she taken action a year ago, my doc would have happily accepted her as a new patient.

Specialists are different. The nearly all take Medicare patients. As specialists, their procedures are more expensive, Medicare pays more for those "specialist" type procedures, and the group that needs knee replacements and many other surgeries, tend to be the 65+ crowd. I bet if I needed a knee replacement and called around the Denver area (where there are a ton of specialists who would be great choices for that surgery), 9 of 10 (or even 10 of 10) would accept Medicare.

ETA: Regarding my last paragraph, that applies to patients who choose a Medicare Supplemental plan (which I plan to) rather than an Advantage plan. Those people who are on an Advantage plan stay within a network of docs and are referred by their primary doc. Still quite easy but not quite as flexible with doc choice.

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eageree

It IS getting harder to find a Doctor who will accept new Medicare patients. Maybe there is "a ton of business from Medicare age patients", but there are fewer Doctors willing to accept the reduced payments and MORE paperwork. It is difficult to find a Psychiatrist who will take Medicare. I love my Medicare but I did have to change Primary care when I went on Medicare. How can a budget that cuts millions from Medicare not affect those with Medicare?

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Nana H

"Specialists are different. The nearly all take Medicare patients. As specialists, their procedures are more expensive, Medicare pays more for those "specialist" type procedures,"

Then why is FOAS' FIL having so much difficulty finding a specialist for his hip replacement?

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eageree

Didn't see Ann's post before my post.

I'm also in Denver area. Yes the orthopedic practices here mostly accept Medicare - those joint replacements are big money for them. But do take a look at how the charges by the anesthesiologist are significantly discounted by Medicare. (I do have to say that I am sometimes astounding by the high level of those charges before the discount). In my own case, my decision about which Medicare plan to choose was influenced by 2 of my specialists not participating in the Advantage plans. There are many good aspects of Medicare but its not all roses.


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foodonastump

Good question, Nana, I wasn’t going to push it because it’s anecdotal. But he’s here in the NYC Metro area. There’s a local doctor who will take him, several months waiting list, but he’s not convinced of him because he gives wishy-washy answers to his lack of using robotics, etc. He’s contacted doctors at hospital for special surgery, etc, they won’t take him. My 50 y.o. friend went to HSS, after his initial eval was told just call a couple weeks before he wants surgery and they’ll schedule him. That’s what happened. Made a call, a couple weeks later it was done.

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Ann

Eageree, I agree that "Medicare" cuts to docs could certainly impact their willingness to take Medicare patients. Clearly, the further we go down the path of government deciding what docs can be paid, the more shortages we'll face. I don't live in Canada, but a quick google search will tell us that the doc/hospital shortage is a very real situation.

For now, and I think the proposed budget won't likely be enough to change the situation much, the only problem Medicare patients face is that situation of finding a new "general" doc once on Medicare, if needed. But, as I described with my neighbor who didn't think ahead, it wasn't all that hard. AND, if she really loved her previous doc, she could have just opted for Advantage instead of Supplemental.

Honestly, I'm stunned at the number of 65+ Dems who are planning to vote for one of many of the Dem candidates. I don't think they are giving any thought to the very real consequences to their own healthcare situation! If they think the Dems plan to preserve the Medicare they are accustomed to, they aren't paying attention!

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Ann

I don't get anything about FOAS's comment. But, it sounds like FOAS doesn't have enough first hand info about the situation.

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Nana H

Why would you say that? It's his FIL.

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Ann

"He’s contacted doctors at hospital for special surgery, etc, they won’t take him. My 50 y.o. friend went to HSS, after his initial eval was told just call a couple weeks before he wants surgery and they’ll schedule him. That’s what happened. Made a call, a couple weeks later it was done."

What "special surgery" and why is he contacting a hospital? If a person needs a knee replacement, wouldn't they visit an orthopedic doc or clinic, find out if a replacement is the best course of action and once the tests and docs reveal that, schedule the surgery? Is your FIL thinking he will benefit from a knee replacement and the tests and orhopedic surgeon are maybe suggesting a different course of action?

What is HSS and what does a 50 year old have to do with Medicare? It does sound like your 50 year old friend was diagnosed and found to need a replacement. The surgery was schedule in a couple weeks and done. That's what would happen here too, with employer insurance or Medicare for those over 65. For those on Medicare Supplemental (thus not needing to stay within an Advantage network), I bet you could not find an Orthopedic surgeon in Denver who would not take Medicare. I don't need surgery and I'm not on Medicare yet, but I've had older relatives (on Medicare with a Supplemental) who had knees and hips replaced within weeks of diagnosis - just as described with the 50 year old friend.

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Ann

"Why would you say that? It's his FIL."

Because of this:

"Good question, Nana, I wasn’t going to push it because it’s anecdotal."

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Nana H

Ann, I believe FOAS used his 50 year old friend to demonstrate the difference in treatment of non medicare vs medicare patients when it comes to specialists.

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Nana H

Anecdotal only means based on personal experience rather than hard data. It has nothing to do with how much information you have on the situation. Clearly FOAS is very familiar with his FIL' s situation and his post demonstrated that.

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Ann

"Ann, I believe FOAS used his 50 year old friend to demonstrate the difference in treatment of non medicare vs medicare patients when it comes to specialists. "

Well, just ask your 65+ friends when you are at your U.S. home and see what you learn. Honestly, having a home here, I'm surprised you don't know more about it.

We could try it right on this thread. Posters who are 65+ (on Medicare and with a Medicare Supplemental plan), do you think you are experiencing wait times with a specialist, that those going to the very same specialist pre-Medicare, aren't experiencing. Anyone on this thread care to honestly address this question? I'd sure make a bet on what the honest results of this question would be!

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Nana H

Ann, trust me there are practically no US citizens in our enclave,...This is Florida in February.

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Ziemia(6a)

On Medicare with a supplement - zero wait times for seeing a specialist - whether a new need or ongoing one.

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foodonastump

Ann - Hospital for Special Surgery is an orthopedic surgery facility. FWIW (or not) US News & World Report has ranked them #1 in the country for the past ten years. I may consider going there for knee issues.

My information was a bit lacking, so I just called my FIL. I didn’t press too hard for details, but it turns out that as MIL is a retired NJ teacher they have “insurance for life” under what he called “Aetna PPO Medicare.” Not sure what that is or if the name is exactly right, but that’s what the doctors wouldn’t accept. He thinks he could have arranged to have regular Medicare pay and he pick up the difference, but wasn’t prepared for that.

So at this point I admit that my anecdote may not have been helpful; I only relayed it as I originally heard it. In the meantime he’s found a NJ doctor he’s happy with and is on the calendar for May.

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eageree

Don't know about non Medicare compared to Medicare (most people I know getting joint replacements are of age to be on Medicare) but I do know people who have had to wait months to get on the schedule for joint replacements, most of them at a very large orthopedic practice.

I'll ask once again - its not a rhetorical question - How can a budget that cuts millions from Medicare not affect those with Medicare?

Ann - I must say, it must be a "stunning" morning!


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Ziemia(6a)

Re PPO

"PPO, which stands for Preferred Provider Organization, is defined as a type of managed care health insurance plan that provides maximum benefits if you visit an in-network physician or provider, but still provides some coverage for out-of-network providers."

In network vs out of network?

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Ann

Thanks FOAS and Ziemia. Both most recent comments are very useful in helping spread accurate info on this thread!

Ziemia, your comment is precisely what we've experienced with our relatives on Medicare with a Supplemental. I have a sibling who is on Advantage and has the same review - zero wait times for their specialists (and they are restricted to in network due to Advantage). But, even with the in network restriction, still no wait times whatsoever and, unfortunately, they have a lot of experience with specialists due to health issues.

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Ziemia(6a)

Maybe I should have asked what the bet would be before answering:

"I'd sure make a bet on what the honest results of this question would be!"

PS: not worried about changes to Medicare under a Dem Congress. It's not up to the prez all that much.

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Ann

"I'll ask once again - its not a rhetorical question - How can a budget that cuts millions from Medicare not affect those with Medicare?"

I don't know what the "specific" proposed cuts are to docs and hospitals? Do you? I don't have time to dig deeper than I have already. My guess is they are moderate enough that they will be absorbed by both (hospitals and docs) without change to the Medicare recipient, but if you find good info saying otherwise, please share.

What is it Dems want? You seem to want the same good and quick care, no wait times, plenty of docs and hospitals, but you are loudly yelling about the cost of that to the country and, at the same time, many of you are supporting Medicare for all. Do you recognize the inconsistencies in these various "wants"?

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Ann

"Ann, I believe FOAS used his 50 year old friend to demonstrate the difference in treatment of non medicare vs medicare patients when it comes to specialists."

This is precisely the type of comment that frustrate me the most on HT. Comments like this are exactly how misinformation is quickly spread.

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Ann

Ziemia, my bet would be that if two patients were visiting the same specialist with the same issue - one person on Medicare with a Supplemental and one person on some employer plan prior to Medicare age - they would receive the exact same care, surgery scheduling, etc..

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haydayhayday

You don't need to control ALL of healthcare to basically, effectively, control ALL of healthcare.

I paid dearly to support Medicare in my working years. (I had NO choice in the matter. Out of my control. )

And, now, I'm offered a CHOICE.

Either go to our Medicare providers which is "FREE" or pay the full amount to a private physician.

Pay twice and get great service or pay once and get semi crappy service.

You can control my choices pretty easily by taking most of my money and THEN dole it back to me as YOU decide.

Right now the our governments takes close to 35-45% percent of our GDP and controls much more with their regulations.

We have no control over our own lives.


Hay

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foodonastump

Ann - looking online at what the Aetna plan is, I’m not convinced he wasn’t turned down because of Medicare. But I’ll bow out now as I obviously don’t have all the info I need.

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haydayhayday

Our healthcare nonsense got started in some large part with FDR and his wanting to control prices during the war.

And here we are. 80 years of one fix after another and we've got a big mess.

Thank a Socialist. The same ones who want to continue fixing the problems that they, themselves, create.

It won't end until you've lost all control over your life.


Hay

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Kathy

Trump’s budget cuts 465B from Medicare providers such as hospitals.

The plan had no chance even before Trump's impeachmentscorched Washington. Its cuts to food stamps, farm subsidies, subsidized housing for the poor, Medicaid and student loans couldn't pass when Republicans controlled Congress, much less now with liberal House Speaker Nancy Pelosi, D-Calif., setting the agenda.

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Iris GW

Clearly, the further we go down the path of government deciding what docs can be paid, the more shortages we'll face.

Ann, how is Trump helping by cutting how much to pay them? Is Trump's plan good or bad? How is it likely to help Medicare patients?

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Ann

Iris, I don't think this is helping those docs or hospitals. This is a budget, not Christmas. Trump could "help" every program in the country by writing a budget giving every department and every program unlimited funds, but in this very thread, posters are rightfully complaining about debt. I would call any budget a reasonable (not good or bad) one if it accomplishes budget goals or moves toward goals with the least amount of pain. I repeat, this is a budget, not an unlimited and careless Christmas.

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Iris GW

Ok, Ann, is this budget helping Medicare recipients in this regard? Is the decision driving this budget item a benefit to recipients? If not, does it have the potential to hurt Medicare recipients by increasing costs to them or reducing doctors willingness to see them?

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Stan Areted

I am with Hay.

Saw my new concierge doctor Friday. APPT so I was only one there.

Pristeen offices, he came from his office met me as I walked in the door.

Basic exam and CBC $11, although charges for specific tests in December with other doctor through local health care hospital and clinic provider was over $800.

Because I was in network my bill was $158.

All x rays now $34 and CBCs $11.

Doctor himself called me yesterday with blood tests looked great /cholesterol could be a bit lower, but that is always the case.

The way to go!

There are doctors that do not take medicare patients, or were a few years ago I kmow of nothing that has changed. Well theynwill take them but you file and pay.

Same here they have a credit card on file told me charge was $11 for blood test would go on my card I can turn in to insurance if I want and they will provide documentation.


In and out and done.

NO WAITING 24-7 availability.

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Kathy

25B for his new space Force. That’s a priority in Trump world. Continued tax cuts for rich.

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Ann

"Ok, Ann, is this budget helping Medicare recipients in this regard? Is the decision driving this budget item a benefit to recipients? If not, does it have the potential to hurt Medicare recipients by increasing costs to them or reducing doctors willingness to see them?"

Help them, no I don't think so. But, besides prescription drug prices (which both parties are interested in addressing), I don't know what "help" you think the program needs? Medicare recipients tend to be very satisfied with their health care!!!!! And, they should be as I think Medicare recipients likely get some of the best and quickest health care in the entire world and at an affordable price. They've paid for it for their entire careers and they get a very good situation once they reach the recipient age. Why do you think this budget had or should have had a goal of "helping" a program that has a very high level of satisfaction? The help Medicare needs is keeping it going financially. The recipients are very happy.

I don't know the specifics of the cuts to docs and hospitals, but a willingness to see Medicare patients is not a problem now. Many Medicare recipients experience exactly what Ziemia described earlier - "On Medicare with a supplement - zero wait times for seeing a specialist - whether a new need or ongoing one.". Maybe docs will end up making a little less, but I doubt they'll run off to another country to practice if the changes are minimal and it's still far and away the best country in which to be a doc. Also, I doubt they'll give up their 65+ patients and spend their days hoping some young person will show up for care, with multiple appointment slots sitting empty.

Do you really have an issue or are you just trying to dislike something that won't change a bit for a recipient, because Trump's in office and one must make something of nothing?

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Ziemia(6a)

Aren't most of the related cuts happening to Medicaid rather than to Medicare?

(Will cuts to Medicare mean the cost of supplement insurance goes up?)

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Iris GW

I don't know what "help" you think the program needs?

Nowhere did I say that it needed help but it sure doesn't need to be hurt and that's the path Trump is going down now. In other words, the plan hurts Medicare recipients by increasing doctor costs which are extremely likely to be passed down to patients in one form or another.

Do you really have an issue or are you just trying to dislike something that won't change a bit for a recipient, because Trump's in office and one must make something of nothing?

I am disagreeing with your premise and am trying to help you see that what is being proposed is a negative for medicare recipients. Do you honestly think that the change of increasing costs (also known as 'reducing payments') to doctors won't affect patients at all?

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Ann

Iris, I'll assume like most of us, you've maintained a family or personal budget for much of your life. When a family or person is living a bit above their means or fears they will be (I'm sure everyone would agree the U.S. is living far above its means resulting in our enormous debt), a budget typically involves a variety of choices and allocations, right?

Regarding Medicare, I expect the changes in this budget will not impact the Medicare recipient one bit. Furthermore, while this budget will likely be argued and tweaked in many a way, I think there is a pretty darn good chance these Medicare changes may end up remaining after all the arguing is done. I think they're minimal and both parties could very well end up accepting them. I'll remember to pay attention as the process continues.

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Ann

For those of you who like reading and gathering info before you talk about issues, I found this a very interesting article regarding proposed (and definitely new information to me) changes to some Medicare recipients (especially those who work late into life and delay SS). Also, in the middle of the article is a very interesting video about the proposed "permanent" tax cuts - who it will benefit and who it won't. I think you'll be surprised about what you'll learn from the video.


https://www.cnbc.com/2020/02/12/two-items-buried-in-trumps-budget-call-for-big-changes-to-medicare.html

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lurker111

This just came in the mail. 3.5 years and they still don't know that he died under their care. Here they are, asking for everything...Bank accounts, stocks and mutual funds, retirement accounts, life insurance, real estate, donor advised funds...

Just what to expect if you use these people.


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