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The House Fiscal Year 2019 Budget and Its Effect on Seniors

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The House Budget Resolution for Fiscal Year (FY) 2019 would make cuts to the Medicare, Medicaid and Social Security programs and repeal and replace the Affordable Care Act (ACA), actions which would be harmful to millions of Americans.

The House Budget Resolution for FY 2019, introduced by House Budget Committee Chairman Steve Womack (R-AR), was approved by the House of Representatives Budget Committee on June 21, 2018.  This budget proposes drastic cuts in federal spending for programs of importance to most low- and middle-income Americans while protecting nearly $2 trillion in tax cuts, which mainly benefit the very wealthy and large profitable corporations and dramatically increase our deficits and debt.  This paper summarizes some of the key proposals in the House Republican FY 2019 budget resolution that would affect seniors and people with disabilities who rely on Medicare, Medicaid and Social Security.

Medicare

The budget resolution proposes $537 billion in cuts to Medicare which would be achieved by ending traditional Medicare and increasing health care costs for beneficiaries.  Chairman Womack’s plan assumes savings for the federal government by privatizing Medicare and shifting costs to Medicare beneficiaries.

Privatizing Medicare with Vouchers/Premium Support Payments

Under premium support, when people become eligible for Medicare they would not enroll in the current traditional Medicare program which provides guaranteed benefits.  Rather they would receive a voucher, also referred to as a premium support payment, to be used to purchase private health insurance or traditional Medicare through a Medicare Exchange.  The amount of the voucher would be determined each year when private health insurance plans and traditional Medicare participate in a competitive bidding process.  Seniors choosing a plan costing more than the average amount determined through competitive bidding would be required to pay the difference between the voucher and the plan’s premium.  In some geographic areas, traditional Medicare could be more expensive.  This would make it harder for seniors, particularly lower-income beneficiaries, to choose their own doctors if their only affordable options are private plans that have limited provider networks.  Wealthier Medicare beneficiaries would be required to pay a greater share of their premiums than lower-income seniors.

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Hospital Sponsored Guardianships: Another threat to the elderly, disabled and children

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Marti Oakley

2019 PPJ Gazette copyright ©

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“In the event that your family member or friend is being targeted by the hospital you do have a few options that may be of help, according to various BAR Union members. Of course these things are usually only available if you received due notice of hearing of the intention of the hospital to take your family or friend, prisoner. Still, filing these motions could stall out what is sure to be a dangerous state of affairs for the individual targeted.”

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As if the guardianship scams that target the elderly, children, the disabled and those chronically ill, most especially when there is a sizable estate involved by legal predators and equally predatory professional guardians was not enough, the medical industry is now entering into the game. Hospitals, whose only function is to care for the sick, are now openly engaging in the capture and hostage taking of individuals whom they claim are incapacitated. Never mind that their actions most likely caused any actual incapacity. Or most often, what is nothing more than a fraudulent statement claimed by those involved that an incapacity exists, when in fact, no evidence can be provided or will be provided to substantiate the claim.

In any of the instances sighted above, simply asking for a second opinion, or disagreeing with the doctors on types of treatments, medications or other intended services, can trigger a hospital initiated guardianship. In the case of children, disagreeing with doctors about diagnosis, treatment or other measures can result in the medical kidnapping of the child by the hospital.

In virtually all of these medical kidnappings for profit, no due process is observed and no notice of hearing is served. The individual is now a virtual prisoner taken hostage by the hospital, the doctors and the attorney’s. The guardianship is granted before anyone can object and the newly reclassified medical prisoner only finds out about their new classification, after the fact. They can no longer speak for themselves, refuse damaging medications, vaccines, surgeries or other needless or harmful interventions all predicated upon the bottom line profits of the hospital. The medical kidnappings are not about protecting the life of the medical prisoner, but rather leveraging the situation so that the hospital continues to profit. Once the deadlines loom on Medicare and Medicaid, or other insurance, the hospital will move quickly to ensure that their bottom line stays in the black, even if it is detrimental to the life of the patient. More

TS Radio Network: Dialysis Advocates with Arlene Mullin #3

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Virginia Hospitals Now Able to Withdraw and Deny Care at Will or Whim

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Yolanda Bell

Manassas, VA

Apr 30, 2018 — (The picture is an X-ray of Anastasia’s hip/femur that was broken by Dulles Health and Rehab Center in Herndon, VA)

Last month the Virginia General Assembly (sponsored by healthcare pawn Delegate Stolle) passed a bill and Governor Northam signed into law legislation that now allows Virginia hospitals (Inova) to withdraw and deny care their doctors deem unethical or inappropriate (i.e not profitable for hospital). The law gives a family that disagrees with a hospital treatment decision 14 days to find another doctor at another hospital to agree to take their family member or the hospital may withdraw all care including life saving care already being provided. In other words they can removed oxygen, ventilators, tubefeedings, fluids, etc and let you die, or more accurately put kill you. This law becomes effective on July 1, 2018. Strangely or not so strangely this is one of the only laws passed in this session that has Not been boasted about or published.

Medicare and Medicaid patients and anyone without platinum health insurance needs to be very wary of dealing with hospitals in Virginia now because if my sisters story shows anything it is Inova hospitals have absolutely no qualms about putting out or killing off patients they do not value and deem unprofitable. In fact I believe it is the outing of Inova and what they did to my sister that brought about this bill.

Lastly Medicare patients have certain federally protected rights when it comes to this type of situation which this law appears to go against (and is why Inova ran to have their buddies in Fairfax circuit court hand over my sister before the Medicare decision was rendered). Federal law trumps state law.

PETITION UPDATE

Probate Courts: Criminal racketeering sanctioned by government revisited

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Marti Oakley (c)copyright 2018 All Rights Reserved 

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“This system of theft will continue until the entire estate has been stolen leaving the victim penniless. At this point, Medicare and Medicaid are used as the cash cow to cover medical expenses and the inflated charges of nursing, the doctors’ visits and vast amounts of medications are charged off to these services costing these services millions each year in padded billing. 

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One of the worst pseudo courts in the US is the system of probate courts.  Across the board, in absolutely every state is a so-called court system that operates for profit at the expense of any individual or family unfortunate enough to have any assets.  By law, upon death of the estate holder, all assets are seized by the court for distribution.  Supposedly these courts are charged with making sure all assets are distributed in the manner the decedent supposedly wanted yet it is estimated that 80% of heirs never receive their inheritance or receive only small portions of what was originally left to them as a result of the criminal racketeering that occurs in these courts.

Between the probate judge who has a financial interest against the estate collecting on average 6-7% of the estate nationally,(this is aside from his annual salary paid by the state and is assessed against each and every probate case in their courts) and attorneys who will land on the estates like a swarm of vultures and who misuse the courts to access the assets of the decedent while filing vexatious motions, charges and suits then charging hyper-inflated fees for these actions against the estate, there is little chance heirs will receive anything at all.

Probate begins when a person dies. The decedent’s last will and testament and death certificate are filed through probate court which sets this system of organized crime into motion. The will outlines the decedents’ final wishes including funeral arrangements and distribution of assets.

So how do living persons end up having their estates stolen by predatory guardians, crooked attorneys, and corrupted judges?  After all, probate is premised upon the individual having died.

You are dead in the law!

The most insidious motion filed in any guardianship case is the motion that creates the guardianship. This motion, once granted, removes all civil and constitutional rights of the person in question.  These people now do not even have the rights still afforded death row prisoners.  In effect these individuals now held prisoner by the predatory guardianship are “dead in the law” and the courts view them as if they are in fact, literally dead.  Dead people have no rights.

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In case you didn’t understand the first time: Social Security is not an “entitlement” program

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strip bannernew-logo25Marti Oakley

Reposted from 2011….and here we are again with another administration that will refuse to deal with the real issues with medicare and social security….the absolute fraud that is perpetrated by the medical, pharmaceuticals and elder services industries costing medicare 20-60 billion annually.
“One way or the other, the elderly in this country will be cleansed from society. In the meantime, every dime that can be squeezed and wrenched out of our existence for any reason whatsoever will continue. And MSM along with government hacks will continue to portray the elderly as receiving “entitlements”, “free rides at the expense of the country”.

Never once will they admit the problem isn’t with the elderly, it is with those who exploit the elderly.”

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It is alarming to hear not only younger members of the country, but also some middle aged members, medical professionals and others, referring to Medicare as some kind of free, gravy train medical insurance that seniors don’t have to pay for. Are people really that ignorant of how this system works?

After paying into Social Security and Medicare for decades, those who receive medicare must also now pay a premium every month for this insurance. These premiums can range from a few hundred dollars a month, to several hundred. Married couples pay individual premiums which can amount to $700.00 per month or more, combined on average. These premiums are deducted from their Social Security checks; neither the government, nor taxpayers, pay this premium.

Then there is that handy-dandy “donut hole” where Medicare pays nothing. This was a huge gift to the insurance companies who whined about not getting a piece of the Medicare pie. From approximately the $2500.00 to $5000.00 costs of care, Medicare pays for nothing. Ta DA! We got your GAP insurance plan which will cost you another $200.00 per month at least. This will cover the costs incurred in the hole. Of course the insurance companies have no plans to make good on these GAP policies, so getting them to pay any percentage of anything is a monumental task.

Then there is the co-pay at your doctors office. Then the co-pay on medications. Then there are the costs of medications your insurance and Medicare don’t/won’t pay for. That comes right out of your pocket!

Now, to add insult to injury, an estimated 20 million illegal aliens will be given “free” healthcare and I have yet to hear the word “entitlement” attached to those benefits.

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Medicare Pay for Performance—Fighting a War That’s Already Over

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new-logo25Gerard Gianoli, M.D., F.A.C.S.

“In 1814, we took a little trip, along with Colonel Jackson, down the mighty Mississip….”

Like any good student growing up in New Orleans, I learned about the magnificent victory of the U.S. forces over the British in the Battle of New Orleans during the War of 1812. Of course, the Treaty of Ghent ended the War of 1812 before the Battle of New Orleans was even fought. Many have argued that the battle was useless since the war was already over. However, this is not the first or last time that governments have pursued “useless” enterprises.

Government central planning fosters this type of ineptitude. By its design, government is a slow-moving entity that often makes changes only long after that change has become obsolete. This is the nature of government, and it does not matter whether the occupants of the Oval Office or Congress have an “R” or a “D” after their names.

Recently, legislation passed as part of the “Doc Fix” (repealing the “SGR” physician pay cuts) institutionalized a physician Pay-for-Performance (P4P Medicare program called Merit-Based Payment Incentive System (MIPS).) The idea is to pay bonuses to physicians providing higher quality care.

Let’s make the highly dubious assumptions that government can measure quality in medical care and that such a system won’t just lead to “cherry picking” of patients. MIPS still won’t work to identify and reward “quality” physicians with bonuses. Why? Like in 1814, the government is fighting a war that is already over. More

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