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69FunnyNumberGuy420 t1_j9v76k6 wrote

Just wait until they start throwing people off the expanded Medicaid rolls come (IIRC) April. Rural healthcare in this state was heavily dependent on Medicaid before the pandemic and it's even more so now.

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saintofhate t1_j9vnd9p wrote

My wife got noticed that it was ending, I'm very glad she has a job that has health Care as she requires medication to be able to work. The whole system is fucked

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tinymonesters t1_j9vs1wp wrote

The system works well you just have to know how it works. She could get MAWD from the assistance office if she requires health sustaining medicine. It has a premium adjusted at 5% gross income. It's usually cheaper than employees insurance.

Edit: Downvote this all you want. It's a fact. Eligibility requirements were expanded recently and it's insanely easy to qualify for "disabilty" related MA. Source: IMCW for DHS CWOPA.

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lm896 t1_ja4tjbp wrote

I am not sure how easy it is. I have a fairly serious mental illness that is well treated with medication, therapy, self care, etc. However to get approved for mawd my therapist had to write a letter stating I was literally at risk of death via suicide without medication. That's a lot to ask of a provider and a lot for someone with a mental illness to be willing to face/admit with the associated stigma.

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tinymonesters t1_ja56kk2 wrote

They generally aren't interested in that type of statement. They want treatment records, the type they would send if you were transferring your care to them. In my experience they're looking for a reason to approve, not a reason to deny.

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lm896 t1_jaa3132 wrote

They had all my treatment records. I have had the opposite experience that they absolutely look for reasons to deny. It could be the caseworkers/counties involved I suppose.

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tinymonesters t1_jaaeugf wrote

Most likely it's the worker. I can choose if the information is sufficient for review personally. And I do when it's a vague statement like: "(Insert name here) is under my care for (whatever diagnosis)" nope not spending tax money to get a guaranteed denial.

Edit: I have actually literally Never gotten a "denial" it's "I need more information".

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NewYork_607 t1_j9vihu4 wrote

Rural areas vote Republican. So yeah… lol 😂

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TheJediJoker t1_j9vpa2k wrote

And yet Democrats run the whole state

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sg92i t1_j9vsyn4 wrote

> yet Democrats run the whole state

That's ridiculous. The GOP has had a deathgrip on most of Pennsylvania for ages. Look at this chart under "historical party control."

https://ballotpedia.org/Party_control_of_Pennsylvania_state_government

That's a lot of red.

The state senate has been republican forever. The state house is usually republican and just recently turned blue (for the first time in over a decade), by a tiny majority that doesn't mean anything if just a handful of those democrats are right-leaning (which you can almost count on).

Nonetheless: Medicaid and EBT is state/county managed but the feds set most of the rules & funding.

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Kairenne t1_j9w44ud wrote

The Feds set ALL of the rules for those benefits.

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sg92i t1_j9w4hl0 wrote

Not all of the rules. IDK about EBT but there is a lot more variety for medicaid at least than you'd assume once you look at how jurisdiction to jurisdiction differs in terms of dental coverage, or whether medicaid was expanded at all (some states still haven't).

In some states you can't even get dentures under medicaid until you have a mere 4 teeth left.

Also some states allow for medicaid buy-in and some don't.

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TheJediJoker t1_j9vuyez wrote

Ok so my point on it being state run bares no impact on the current changes So it's on the Federal Level? Also mostly ran by Democrats.

But I'll keep reading up on it, I may be missing something

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PinsAndBeetles t1_j9w3zjh wrote

The GOP fought tooth and nail against Medicaid expansion as part of Obamacare. Many red states opted not to allow the income limit for adults without children (yes, including Florida, Texas, and Mississippi) to increase, thus allowing million to go uninsured or underinsured even though the Federal government subsidizes the cost. Even before the House went red even if every single Democrat voted for expanded healthcare (which they likely would) the filibuster doomed the chances of that happening. At a state level PA only opted into Medicaid expansion after Wolf took office, and within a few years 300,000 Pennsylvanians who were otherwise uninsured became eligible for Medicaid. The overall nightmare that is US healthcare will never improve unless half of the people in charge realize that access to healthcare isn’t a handout, it’s an investment in a stronger, healthier population but of course to fund it all their rich friends would need to pay higher taxes.

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