Donald Trump wants you to hurt your own child for his re-election. Join the fight and say #NotMyChild.
youtube https://www.youtubeDOTcom/watch?v=E88JVaxsCro /youtube
Some observations, and warnings. States, county, and city governments find themselves in dire financial straits due to the interruption in revenue streams resulting from covid-19 effects on economic activity. They will all reduce services and seek innovative methods never widely resorted to previously
to collect revenue to literally attempt to continue to function.At this link,
below the U.S. states map (duplicated at the bottom this post)
https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/....read of the detailed lunacy, state by state, of the republican/Trump party state legislatures and governors in their nine years effort to deny legislative accomplishment to "the negro in the White House", first by relabeling the ACA as "Obamacare" in an effort to disparage this vital and prescient health care reform resulting in elimination of pre-existing medical conditions as disqualifying affordability by private health insurance issuers to all but the wealthiest.
Just three states, combine population of 58 million, Texas, Florida, and Georgia, "enjoy" at least 5 million residents without affordable healthcare coverage during covid-19 pandemic.
VS in California, a state of 40 million with almost all qualified under ACA medicaid expansion are protected with affordable healthcare coverage and have the ability, economically, to seek timely treatment for symptoms of illness instead of dragging themselves to their jobs until their illness feels acute enough to seek much more expensive ER diagnosis and care, the cost unreimbursed to states still refusing to accept ACA medicaid expansion.
Why would any of the primarily working poor parents in states denying ACA medicaid expansion coverage to them, risk sending their kids into schools without adequate access to testing or followup tracing, while risking their kids bringing covid-19 home from schools, raising the risk of parents with no affordable healthcare coverage and the risk of needing medical care resulting in economic ruin?Lay offs of state and local government employees are only at the early stages. Moscow Donald & Mitch blocked legislating direct aid to help states and local governments continue to provide services during this crisis while continuing to employ as many as needed to maintain vital services and efficient government while addressing local pandemic response.
The "Moscow Boys" claimed the need was primarily in blue states and there was little political benefit in appropriating financial aid too states in which the majority do not vote Trump party and providing temporary financial support would be rewarding fiscally irresponsible states with large unfunded pension obligations, such as Illinois. It mattered not that Moscow Mitch's state of Kentucky is one of the two poorest states and also has a "top ten" unfunded pension obligation.
In this example, it seems wise to avoid burdening the kids down the road by at least trying to "nip in the bud", the health disorder we've witnessed in a plethora symptoms filled posts. The alternative is to heavily burden the kids down the road. This is not a set up for improvement, if left unevaluated and untreated. The illness, similarly to covid-19, is not going to just disappear.
"Many people don't know" that in 26 states, children can be held financially for the $5,000 monthly cost of long term care each state medicaid program pays for the majority of elderly who require such care.
This state, however, has a narrower requirement for children to pay back medicaid.:
https://en.wikipedia.org/wiki/Filial_responsibility_laws#cite_note-8
......
1. Arkansas law can only require payment for adult mental care.
Presenting evidence to consider of the zealotry behind the resentment of the poorest by legislatures and governors in Trump party states
before the dire need to pursue, under law, the children of parents who exhausted their savings and home equity and then applying for and receiving state medicaid funded long term care routinely costing at least $5,000 per month. This is a mandates medicaid discount rate. Search for monthly privately paid for long term care. You will have great difficulty finding quality in-patient care for less than $7,500 per month!
The Affordable Care Act, derided by Trump supporters as "Obamacare", was passed by a 60 vote senate majority. In an effort to provide healthcare cost of coverage to as many uninsured as possible, it simply offers 90 percent federal reimbursement to all states agreeing to expand each state's medicaid health coverage to everyone with income between 100 and 138 percent of the federal poverty rates.
This ACA provision was intended to solve the gap between those with income of 100 percent or less "FPL", qualifying them to receive medicaid coverage, VS those, many who are working poor, with income above FPL, but unable to afford even a $100 month premium for an income scaled ACA Silver health coverage plan. Those with income less than 139 percent of FPL, but above 100 percent, would be covered for healthcare expenses in all states agreeing to follow the ACA provisions required for 90 percent federal reimbursement.
Consider how low this income level actually is, and the lesson sudden unemployment and the covid-19 itself has given U.S. society, that it is an vital economic and national security interest that all U.S. residents have constant, adequate access to affordable healthcare:.
The map indicates which states embraced the ACA, aka Obamacare, enrolled residents with income between 101 and 138 percent of FPL
back in 2014, received 90 percent federal reimbursement, experienced an increase in healthcare related employment and a healthier overall population at no increase to state expense, given the added employment and reduction in unreimbursed emergency room expense of treating the formerly uninsured using ER medical services as a last resort, often neglecting their symptoms while attempting to continue to work at minimum wage jobs and hoping to "tough it through" their unaffordable to treat, medical disorder.
https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/Below the map, on the webpage link above the map image,
read the state by state effort to resist enrolling their poorer residents in expanded medicaid healthcare coverage as the ACA legislation was written and draw your own conclusions as to the cost vs benefit of the effort these states have expended to scapegoat and harass their poorest residents with income just above FPL (federal poverty level) and consider the consequences these states face during and after pandemic.
And this was before these states recently became desperate for money!