My VA experience

wickedsm

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@DEAD7 you better keep ya eye on Cheeto and Granny starver and them
theyre itching to fukk the VA up "privatize" it so the Kochs and Mercers and the gang can keep their xl tax cuts

i have no complaints about the VA care that my husband has received either in military facilities or private care
:ehh:

also fukk no I dont want Texas to get a block grant and fukk it up with all kind of extra rules ans sneaky shyt
to keep the poor poor and unhealthy

:camby:
 

TheNig

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Just left the V.A. hospital and :whoo:that shyt was amazing.
Almost no wait time and super attentive care.
Thought I was gonna have to schedule lab,ekg, vison/hearing appointments, they were like nah just walk over and let em know what you need. I got everything done in about an hour.
:wow:
At essentially zero cost to me:whew:


Its anecdotal but shyt got me rethinking some things :lupe:



@FAH1223 Canada(which i've seen you cite several times) uses block grants for its provinces which then ration out funding for their respective systems... yet I faintly remember you and others rejecting block grants earlier this year. Could you explain why? or link me to the thread... I know it was a Republican bill, but surely that wasn't the only ground for rejection.

VA services have gotten waaaaay better. I call the education benefits line today to get an exhaust of benefits letter mailed and I don't think I was on the phone 3 minutes before talking to a live person.

I remember 5 yrs ago having to call to change some banking information becuz ebenefits was down for maintenance and waited about 2 hrs before speaking to someone.
 

hashmander

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it figures that the most libertarian among us has a good ole govt safety net protecting the most precious need. probably got a navy federal credit union account, va small business loan, va home loan. what other anti-free market shyt are you benefiting from without us knowing?

and just like the conservative position is that social security is gonna fail because when they designed the system most people didn't make it to that age. well when they came up with those great veterans benefits the injuries that they are living with today would have killed them in the past. funeral costs are less than long term health care costs.
 

Robbie3000

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it figures that the most libertarian among us has a good ole govt safety net protecting the most precious need. probably got a navy federal credit union account, va small business loan, va home loan. what other anti-free market shyt are you benefiting from without us knowing?

and just like the conservative position is that social security is gonna fail because when they designed the system most people didn't make it to that age. well when they came up with those great veterans benefits the injuries that they are living with today would have killed them in the past. funeral costs are less than long term health care costs.

@DEAD7 Get in here and let us know just how much of the gov't teat are you suckling?
 

DEAD7

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well when they came up with those great veterans benefits the injuries that they are living with today would have killed them in the past. funeral costs are less than long term health care costs.
@DEAD7 Get in here and let us know just how much of the gov't teat are you suckling?
Lots...:ehh:

:ufdup:But military benefits are earned.
 

FAH1223

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@FAH1223 Canada(which i've seen you cite several times) uses block grants for its provinces which then ration out funding for their respective systems... yet I faintly remember you and others rejecting block grants earlier this year. Could you explain why? or link me to the thread... I know it was a Republican bill, but surely that wasn't the only ground for rejection.

Block granting lowers the federal government's share of paying for social programs like healthcare. Canada has done this.

The primary long-term effects have been a downsizing of federal spending on health care and increasing strain on provincial budgets. The federal government reduced its spending in 2 ways. First, ending the 50% match uncoupled federal commitments from growth in health care spending; more specifically, the government capped the annual growth rate for the grants starting in 1986, sometimes freezing the growth rate entirely and other times setting it at 2% to 3% below per capita GDP growth. Second, one-time cuts to the block grants were made, amounting to 5% in 1982-1983, followed by a 30% reduction in health and social block grants in the mid-1990s. Overall, the proportion of provincial health spending derived from federal transfers declined from approximately 30% in the late 1970s to less than 15% by the mid-1990s.

The article also goes on to say

There is little evidence that the alleged advantages of block grants have materialized in Canada. Advocates argue that with greater flexibility and proper incentives, states can reduce costs by improving the efficiency of care. In Canada, however, the provinces’ primary means of coping with budget pressures under block grants has been to reduce funding to hospitals and bargain harder with provincial medical associations. Ironically, then, if this scenario plays out in the United States, it would exacerbate one of the chief Republican criticisms of Medicaid—that it pays clinicians such low rates that they have reduced incentives to care for low-income patients. In Canada, the effect of low payment rates to clinicians on care of low-income patients is blunted because federal and provincial legislation has effectively banned private insurance for publicly insured services; hospitals and clinicians accordingly have no choice but to participate. The situation is far more precarious in Medicaid precisely because the US market is segmented with multiple private payers. Facing steep payment cuts, many US physicians and hospitals would likely stop providing care for Medicaid patients entirely. Another likely scenario in the United States is that a block grant system would simply lead many states to restrict eligibility for Medicaid, leaving millions of low-income adults and children newly uninsured.

Lessons from Canada on block grants | Physicians for a National Health Program

This is why I'm against the idea of block grants in the US. The GOP won't put stipulations on them so it'll be free money that the state governments end up not using on Medicaid but on something else.
 

Arithmetic

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:lolbron:They're running the federal govt.
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