New York State Medicaid is basically that, if you make under $28,000 a year or something like that. I was on it for a while. It’s good. everything is free.
The only problem is that not every provider accepts it. But most in the city do.
I hate those arbitrary cut offs for aid. Oops, you got a raise and now make $28,100 sorry no more medicare. It locks people into low paying jobs because if they make too much, they instantly loose all the benefits that their little raise doesn't match.
if we're not going to do free-for-all, it should at least be on a very large scale,
make less then 28k = 100% covered,
29, 99% covered
30, 98% covered
...
All the way up to when 128k = 0% covered
(You'd have fix healthcare prices too, procedures/medicines are priced so insurance looks like they are doing you a favor "you only had to pay $700 for this $25,000 procedure and the $600 follow up medicine will only cost you $100 a week")
Agreed. All cut-offs for everything should have a ramp-down rather than full to zero. Lose $1 of benefit for every $X above the threshold. You should never be worse off for making a few bucks more.
There is something of a welfare cliff for medicaid, but aren't there also means tested subsidies/discounts on the health insurance market for when you make more than that but are still poor?
Yes, but didn’t red states reject that?
They rejected expanded access to medicaid, but afaik the health insurance marketplace system established by the ACA is still accessible.
Same with Washington and I think Oregon too. They call it by different names.
Washington's Apple Health is great. Easy and accessible. The state could definitely expand that to everyone.
Support Whole Washington! That’s basically exactly what they are trying to do. I try to volunteer anytime I can.
Are they closer to a public option than NY? NY really isn't a public option.
No, it's similar to NY. You have to be at a certain income level. Washington State is a rich state of billionaires and millionaires with Costco, Microsoft, Amazon, Boeing, etc that have headquarters here or are a major presence, but they don't pay their fair share of taxes. That's one of the biggest problems.
Yeah I think every states Medicaid is similar. It’s partly funded by the feds but only covers the lowest incomes
You need to figure out how to include all those of us paying into expensive private healthcare - including employer contributions
Funny story, if it cuts off at a certain income level, it’s not for all.
I can’t imagine making a survivable go of it in New York for 28k/year.
It's "basically that." But it's not "actually that."
A public option would provide necessary health care at zero cost. Without regard to your income. Without regard to your job.
This creates a situation, where if you earn a little bit more, you get "taxed" a lot. And quite frankly, sometimes it's better to earn less and get healthcare than to earn more and lose it.
Also, I'm under the impression, and could be wrong about this, but I believe NYC gets the funding for the NYC state of health from the federal government. So it can be held as ransom, by bullies like Adams or Trump.
I'm suggesting that NYC should do an actual public option not using federal money. Instead binding together with other states to increase leverage and lower costs.
The people overall want it, but the r's shut that shit down any chance they can. Take a look at Canada if you want to see the far rights trying to take down their public option. Right now, the administration is trying to take away Social Security and Medicaid.
But Democrats have majorities in California and NYC and other blue states. The republicans aren't necessary for this to happen. I think?
Funny thing: insurance companies donate to both parties ;).
Yeah Dems say they want this stuff on TV, but when push comes to shove, they do whatever they can to prevent it from actually passing. Case in point was the ACA where they bailed on the single payer option in order to maintain the private insurance scheme with a plan written by Mitt Romney. They claimed they did this to "reach across the aisle" and gain Republican support but they had a super majority and didn't need Republican support. Zero Republicans voted to support this plan.
A few reasons:
More importantly, though,
All states except Vermont have statutory or (state) constitutional requirements to have a balanced budget every year. This means they cannot run a budget surplus or deficit. Any surplus has to be spent or returned to taxpayers and any deficit needs to be resolved that year. This makes it incredibly difficult to run large programs like a M4A over time. When the state runs into a budget shortfall, the M4A system would be the first on the chopping block.
Insurance companies fight HARD against anything that hurts their business. This is specifically why Obamacare (the ACA) didn't include a public option despite Obama campaigning hard for a public option in the 2008 election. Insurance companies got their stooges in the Democratic Party to kill the public option when the ACA debates were going through Congress. They do the same in states when states try to do something about the healthcare industry. And if insurance companies publicly talk about a proposed bill causing them to raise rates or pull out of a market, that's a huge political stick to swing.
It may sound unbelievable, but I got the closest to MC4A after moving to a deeply red state. I thank the coop that was able to hook it up with it! But the type of coverage I have currently should be available to everyone without the need for a lucky expert.
California and New York have GDP’s above most other countries in the world.
But Cali and New York do not reap the tax revenue of a country with the GDP of their size; they can only reap part of it, both because Federal taxes remove a portion of that taxable income, and because states are necessarily more limited in their options for taxation than national governments.
It's possible, don't get me wrong, but significantly more difficult.
Tell me why I shouldn’t blame the democrats for:
Doing Obama care half assed, when something like 80% people wanted a public option.
Bruh, do you not remember how Obamacare was passed?
As far as the first part of your response: Hmm, that's interesting.
As far as the, "Bruh, do you not remember.."
Yes, I remember how Obamacare was passed.
Do you you remember how it seemed like a public option should pass- it had a ton of support- people were rallying behind it.
And then DroopyDog Senator Lieberman had that touted "meeting with Obama" and the public option was scuttled.
From the moment that happened, I thought, "Lieberman's the fall guy. The democrats don't want the public option, and Obama isn't any different from everyone else before him." (think Flint, think Guantanamo, think Bank bailouts, think Bank Bailouts again). If Obama had wanted it, he could have done it. I mean, look at Trump. He didn't.
At the time I was furious with Lieberman and Obama- now, just Obama.
https://www.latimes.com/archives/la-xpm-2009-dec-15-la-naw-health-senate16-2009dec16-story.html
If Obama had wanted it, he could have done it.
Lord.
Yeah.
I also think he could have closed Guantanamo.
And I even think he could have bailed out the people that lost their houses and not the people that owned (banks, through predatory loans) the houses.
I still think he should have nationalized the banks that failed and renamed them to "Bank A" and "Bank B." But no, no consequences for the rich under Obama just like everyone else.
Crazy huh.
I also think he could have closed Guantanamo.
Apparently you don't remember how that went either.
And I even think he could have bailed out the people that lost their houses and not the people that owned the houses.
Oh, sure, just pass an executive order for it, right?
I still think he should have nationalized the banks that failed and renamed them to “Bank A” and “Bank B.”
Jesus Christ man.
Crazy huh.
In desire, no; in perceptions of what the president has the power to do, yes.
Obama won in a landslide. The democrats owned both houses.
People at the time really thought Obama would be on the the side of the people- not the rich. I mean, come on, he was our first black president; you would have thought he would at least be on the side of the blacks.
If he had been, then Bernie wouldn't have been such a sensation. If he had been, and Hillary was like, "Obama and the DNC has anointed me his successor, and I will continue to do all the great things he has done," Bernie wouldn't have existed. Bernie was the message that Obama had actually failed. Flint was real.
Anyway. If Trump has one Lieberman senator stopping him from getting some signature item, you can bet that their meeting isn't going to end with that signature item being scuttled, it's going to be that Lieberman would be afraid he'll lose everything.
Trump is extreme, but Obama could have made the final push. Same with our black torture rendition site.
For me, seeing Obama is cringe. I wonder if that viewpoint is radical. I mean, Obama is a saint when compared to Trump, but...
Perhaps I am unjustified.
I see a lot of refutation, but if the year has taught us anything it's that the rules of the game are about as rigidly enforced as the rules of monopoly. Every single politician in my life could have chosen to just ignore the rules for the benefit of the people, instead the first one that does is the one that's out to hurt us.
But Cali and New York do not reap the tax revenue of a country with the GDP of their size; they can only reap part of it, both because Federal taxes remove a portion of that taxable income
I'd love to see people like Newsome, Kotek, Ferguson, and Hochul grow some balls and start co-opting Trumps rhetoric on these trade deficits but with federal taxes instead. Currently most blue states pay more to the federal government than they receive and those dollars that they do receive are just returning the very tax revenue they sent out but with Trump's ridiculous conditions tacked on. He currently has his base of useful idiots talking about how uninhibited islands like the Mcdonald Islands are "ripping us off" so they should strike while the iron is hot and threaten to seize federal tax revenue generated from the workers and industries in their respective states just the same. If Trump is going to gut every federal office and program that actually impacts people's lives, what are we even sending them money for?
I don't know about New York, but California calculated that they can't afford it on their own and need federal funding. Problem is, the politicians at federal level is beholden to for-profit medical sector.
I'm very interested in reading about this. But not much comes up when I search. What did California find out?
It has been years since I have read about it. I can't find it now either. However, my search did mention that having single payer healthcare will cost California $500 billion annually, double the state's entire annual budget as of 2024. https://www.wordandbrown.com/NewsPost/Single-Payer-2024
For now, California has been subsidising healthcare costs through existing programmes.
It's honestly insane how expensive all this shit is.
Can you imagine the influx of people to those states?
Lol, California unemployment is capped at 450/week. No chance we can afford universal medicare
You should look up what benefits were set at in the '70s. California has absolutely slashed the amount they are willing to spend on community welfare.
The federal government can print its own money and therefore can pay for its debt with modest and predictable increases in inflation. The states cannot.
NYC has a very viable option in MetroPlus, the city healthcare option for Medicade
Your problem are the big healthcare companies that make absurd amounts of money of patients. Here in Germany we have many health care programs and MidiCare and I believe the state looks. The prices of medicine and treatment aren'tOver the top, inflated. Just look at the prices of some medicine In the states to the rest of the world.
What do you consider Medi-Cal to be? 🤨
Medicaid, which services those with disabilities or who are below an income threshold. At least that's what I get from the wikipedia page.
If there's limited criteria for getting it, it's not "medicare for all", yeah?
If this thread has taught me anything it’s that reading comprehension and or critical thinking is at an all time low. It’s all contrarians posting how the op is wrong and that Medicare for all or a public option exists and then using examples of programs that are literally neither of those things. This is why these bills never go anywhere, people fundamentally don’t know what it is they want, what is proposed, and what they have and can’t even reason about it in a thread where the definitions are right in front of them.
I wonder how many make fun of those people who want to get rid of Obamacare because they have the ACA to take care of them.
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