Eliminate 100% of all Medicare/Medicaid fraud with this one simple trick!
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@GeePawHill Fantastic plan. Call us back when you can wrangle a viable & pragmatic plan for it's implementation. Bear in mind that by necessity it'll have to include shifting the culture & practices of half a dozen ecosystems in that sector constellation before any attempt to address it at the legislative level can be successful. Plan on about a 14-20 year commitment. Bring a bunch of lawyers. You'll need 'em!
Good luck!
@Beggarmidas @GeePawHill UHC does not mean single payer, we could fairly easily adopt the German or Swiss system. It would require some level of cost control at point of use, some tort reform, and some tweaks to higher education.
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@Beggarmidas @GeePawHill UHC does not mean single payer, we could fairly easily adopt the German or Swiss system. It would require some level of cost control at point of use, some tort reform, and some tweaks to higher education.
@VW_Guy @GeePawHill eh, the failure to date has always come down to implementation. This can't be solved by the swish of a legislative pen alone. There's entrenched vested interests with the pull to push back. The only reasonable path towards such a destination would literally take over a decade, maybe as much as two. You'd have to knock down, onboard, distract or outright threaten six different & distinct subsections of the medical sector to clear the way.
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Eliminate 100% of all Medicare/Medicaid fraud with this one simple trick!
Adopt universal health care.
(You'll also be starting to tackle homelessness and welfare fraud, too!)
That's the rub, folks who are on those programs, Snap, Wic, Medicaid, welfare can't afford to defraud the programs, if they do part or all of the aid is gone. It's not as if there is another game. Most all fraud in any of them is white collar. But every time the GOP hears the word Fraud they assume it's the folks on the bottom. I was a caseworker for welfare/SNAP, we had 5 federal, state, local, in house watchers that came around to be sure there was no fraud. Enough BS.
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@Beggarmidas @GeePawHill UHC does not mean single payer, we could fairly easily adopt the German or Swiss system. It would require some level of cost control at point of use, some tort reform, and some tweaks to higher education.
@VW_Guy @GeePawHill As a personal note aside, I think that Singapore has the most viable model that we could template off of. Socialist models don't scale readily, you see. All socialist models for health care or any other social program fragment when presented with culturally non-homogeneous populations, large geographic areas to cover or populations of over 32-34 million (give or take). The USA is all three.
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@Beggarmidas @GeePawHill UHC does not mean single payer, we could fairly easily adopt the German or Swiss system. It would require some level of cost control at point of use, some tort reform, and some tweaks to higher education.
@VW_Guy @GeePawHill Not trying to bum you out or anything. But someone needs be the voice of practicality. Too many people think this is an easier proposition that it is. Our medical sector didnt get this fucked up & whacked out overnight. It's accreted into it's present form presiding over the last 70 years of the most impactful medical progress ever made in human history. Its created powerful lobbies & entrenched interests. They all have to be knocked down, moved aside or brought onboard.
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@Beggarmidas @GeePawHill or we do what the GOP did and just do it. Turns out the only thing that actually stopped them was them not doing it, seems logical the same true for this. Just do the most extream version you can get votes for and let them spend the next 50 years fight to reverse it.
@passwordsarehard4 @GeePawHill Great example, but not the way you mean. The RNC had a longgame that was set to start paying out by this year called "Hardball". Instead a charasmatic came along, hijacked it 2/3rds in, and buttonholed them into a high risk, high reward but low success odd play for the whole cookie. It's creating pushback across more channels than they can keep up with.
...And if it loses, they've created so much broad resentment it'll cost them 20 or even 30 years of gains. -
Eliminate 100% of all Medicare/Medicaid fraud with this one simple trick!
Adopt universal health care.
(You'll also be starting to tackle homelessness and welfare fraud, too!)
@GeePawHill When I developed type 1 diabetes, I was really mad about how much work I have to do every day to keep myself alive. It’s like a whole job on top of the job I do for paid employment! “People with chronic illness should be paid a stipend for all the time they have to spend on their own care,” I fumed. Then I realized what I really want is for everyone to have Universal Basic Income.
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@Beggarmidas @GeePawHill or we do what the GOP did and just do it. Turns out the only thing that actually stopped them was them not doing it, seems logical the same true for this. Just do the most extream version you can get votes for and let them spend the next 50 years fight to reverse it.
@passwordsarehard4 @GeePawHill To change the health care program in this country would require breaking it down into about 7-8 project boxes. They could be tackled one by one by a smaller, deeply dedicated & funded group over a longer period or more broadly by a medium sized & funded group over a moderate period. over 20 years for the former. Maybe 10+ years the latter. Most of it tied up in litigation. Once that deck was cleared THEN you could implement legislation with good odds of it sticking
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Eliminate 100% of all Medicare/Medicaid fraud with this one simple trick!
Adopt universal health care.
(You'll also be starting to tackle homelessness and welfare fraud, too!)
@GeePawHill Eliminate all fare dodging by making public transport free.
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That's the rub, folks who are on those programs, Snap, Wic, Medicaid, welfare can't afford to defraud the programs, if they do part or all of the aid is gone. It's not as if there is another game. Most all fraud in any of them is white collar. But every time the GOP hears the word Fraud they assume it's the folks on the bottom. I was a caseworker for welfare/SNAP, we had 5 federal, state, local, in house watchers that came around to be sure there was no fraud. Enough BS.
@A_Minion @GeePawHill Yes, this! As a Medicaid provider myself, I pay attention to accusations of fraud in my community, and while I certainly don’t know everything that is going on, every instance of Medicaid fraud I’ve heard of involved a *provider* billing for services that weren’t actually rendered, rather than a recipient trying to game the system. Blaming and scapegoating the people just trying to get basic healthcare is just wrong.
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@GeePawHill How does that work? Do you have a description of what a fraud resistant implementation of universal health care would look like? I ask because medicare fraud from doctors telling medicare they did a thing when they didn't, seems to work just as well when everyone is covered by health care. So I'm trying to understand the mechanism here.
@ChuckMcManis @GeePawHill Yes, of course this happens in universal healthcare systems too.
Here in Norway there are cases every year of GPs and specialists billing the system for things they did not do. They often get caught by the checks and balances in the system.
Fraud is not a reason to either to change to universal healthcare or to stay with the current system existing in the USofA.
Fraud is fraud.
Healthcare is a human right and universal healthcare brings universal benefits to people.
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@GeePawHill How does that work? Do you have a description of what a fraud resistant implementation of universal health care would look like? I ask because medicare fraud from doctors telling medicare they did a thing when they didn't, seems to work just as well when everyone is covered by health care. So I'm trying to understand the mechanism here.
@ChuckMcManis @GeePawHill Fraud exists in robber baron capitalist systems, corrupt oligarchies, dictatorships, theocracies as well as mixed social-market economic systems. Fraud existed in the state capitalist systems of the former USSR.
In all cases driven by the profit motive.
In all of these systems such corruption only exists due to a lack of checks and balances, audits and controls, and the absence of meaningful sanctions should people get caught.
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@A_Minion @GeePawHill Yes, this! As a Medicaid provider myself, I pay attention to accusations of fraud in my community, and while I certainly don’t know everything that is going on, every instance of Medicaid fraud I’ve heard of involved a *provider* billing for services that weren’t actually rendered, rather than a recipient trying to game the system. Blaming and scapegoating the people just trying to get basic healthcare is just wrong.
The people who are dependent can't afford the last of the places to get help. I've watched this system grow & conclude that the problem is not the people at the bottom. It's the refusal of the owners & leaders to pay a living wage. I'm from the 50's what we had then was the promise of what happens when my $1.25hr pay was enough to live on. We had an education to be envied. All it needed was to be expanded for all. corporations were doing fine. Nixon killed it All.
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@gnaddrig
I'm going to challenge that point of view. This bit was from the Bulwark (https://www.thebulwark.com/p/the-real-story-behind-the-minnesota-welfare-fraud-scandal) on the Minnesota fraud 'story'. Sure, there is some unproven allegations of "immigrants" getting free medical care on the taxpayers dime (because racism) but that has not been typically "medicare fraud". I'm still curious how universal health care would address what the Bulwark was reporting as fraud.@ChuckMcManis @GeePawHill
I agree, that type of fraud would not be affected much by the introduction of universal healthcare. To stop that sort of thing would require better oversight and, I guess, a better setup of the recognition and payment processes. -
@Funcan @GeePawHill Huge proportion of mental health issues are exacerbated, where they're not caused, by poverty. Ensuring even basic healthcare without adding more financial stress is a big deal.
@calicoday @GeePawHill I can believe that entirely. Good point
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@ChuckMcManis @GeePawHill Yes, of course this happens in universal healthcare systems too.
Here in Norway there are cases every year of GPs and specialists billing the system for things they did not do. They often get caught by the checks and balances in the system.
Fraud is not a reason to either to change to universal healthcare or to stay with the current system existing in the USofA.
Fraud is fraud.
Healthcare is a human right and universal healthcare brings universal benefits to people.
@the_wub @ChuckMcManis @GeePawHill My bank messages me when I spend something with my card/phone. If we got messaged any time someone put something on our account, it would be a lot harder. In fact just today I had to approve the bulk billing of my flu vaccination via the doctor's app in Australia where we have universal health care.
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