Blue Press Journal

Tag: medicare

  • 25 Million Americans Face Significant Health Care Cost Increases: Donald Trump and the Republicans could stop it

    A looming deadline threatens to upend the health care landscape for millions of Americans, with 25 million individuals facing potential premium hikes and 4 million at risk of losing their insurance altogether. The clock is ticking on a Biden-era program that has made Affordable Care Act (ACA) coverage more affordable for non-elderly people who purchase private insurance on their own.

    The program, which is set to expire on December 31, has provided significant financial assistance to individuals and families who buy insurance through the ACA’s online marketplaces, such as HealthCare.gov and state-run exchanges like Covered California. This assistance has resulted in hundreds, and sometimes thousands, of dollars in annual savings for these individuals.

    However, if the program is allowed to lapse, the consequences could be severe. The Congressional Budget Office (CBO) predicts that over 4 million people will become newly uninsured, while millions more will be forced to choose between paying higher premiums or opting for less comprehensive coverage that leaves them vulnerable to larger out-of-pocket medical bills.

    “This would be a huge premium shock for many people, and would mostly dwarf any gains they’re getting from tax cuts in the Republican plan that just passed,” said Larry Levitt, a health policy expert at the Kaiser Family Foundation (KFF).

    The affected individuals are a diverse group, including contractors, small business owners, part-time students, and early retirees. They are spread across the country, with varying income levels, but all rely on the ACA’s marketplaces for their health coverage.

    Despite the potential consequences, the Trump administration and Republicans have shown no indication that they will take action to extend the program. This inaction has sparked concerns among health care advocates and experts, who warn that the expiration of the program could undermine the progress made in reducing the number of uninsured Americans.

  • Medicaid Cuts: What They Mean for Health Services in America

    With the ongoing political discourse surrounding Medicaid and the GOP’s commitment to a reduction of $880 billion from the program, it is essential to comprehend the intricacies of the program, its operational framework, and its significance to the American populace.

    Medicaid is a joint federal-state program that provides health coverage to millions of low-income Americans, including children, pregnant women, elderly adults, and people with disabilities. As a critical safety net, Medicaid plays a vital role in ensuring access to healthcare services for some of the nation’s most vulnerable populations.

    Understanding Medicaid

    Medicaid was established in 1965 under the Social Security Act as a partnership between the federal government and individual states. The program is designed to provide healthcare services to specific groups of low-income individuals who might otherwise struggle to afford coverage. While the federal government sets minimum guidelines for eligibility, enrollment, and services, states have the flexibility to tailor their programs to meet local needs and preferences.

    Medicaid’s Impact on Individuals

    For millions of Americans, Medicaid is a lifeline that provides access to essential healthcare services. The program covers a broad range of services, including:

    1. Inpatient and outpatient hospital services
    2. Physician and nursing services
    3. Laboratory and X-ray services
    4. Family planning and maternity care
    5. Mental health and substance use disorder treatment
    6. Transportation to medical appointments
    7. Home health services
    8. Rehabilitative services and devices
    9. Dental and vision care
    10. Non-emergency medical transportation

    Medicaid’s Role in Supporting Hospitals

    Medicaid is not only crucial for the individuals it serves but also plays a significant role in supporting the financial stability of hospitals and healthcare systems. Medicaid reimbursements help hospitals cover the cost of care for low-income patients, ensuring that essential services remain available to all who need them.

    1. Financial Assistance: Medicaid reimbursements help hospitals offset the costs of providing uncompensated care to uninsured or underinsured patients.
    2. Safety Net: Medicaid serves as a safety net for hospitals, particularly those in low-income areas, by providing a stable source of funding for essential services.
    3. Preventive Care: By covering preventive care services, Medicaid helps reduce the need for more costly interventions and hospitalizations down the line.
    4. Rural Health: Medicaid is vital for ensuring access to healthcare services in rural areas, where hospitals often struggle to remain financially viable due to lower patient volumes and higher rates of uninsured individuals.

    Medicaid is a critical safety net program that provides essential healthcare services to millions of low-income Americans. By supporting both individuals and hospitals, Medicaid plays a vital role in promoting health equity, ensuring access to care, and maintaining the financial stability of healthcare systems.

  • President Donald Trump increases Medicare Drug costs!!

    On January 20, 2025, President Donald Trump decided to throw a wrench in the works by revoking former President Joe Biden’s executive order 14087. This order was actually trying to do something good – lower the cost of prescription drugs for Americans, especially those on Medicare Part D. But who needs affordable medication, right?

    Let’s take a look at what Biden’s executive order was all about:

    First up, we had the Medicare $2 drug list model. This little gem was meant to keep certain generic drug prices at a measly $2 for Medicare beneficiaries. How dare they try to make medication affordable for those who need it most?

    Then there was the cell and gene therapy access model. This one was all about making high-cost therapies more accessible for Medicaid recipients. Negotiating pricing and facilitating coverage? Outrageous!

    Last but not least, we had the accelerating clinical evidence model. This bad boy was focused on getting effective treatments out there faster by streamlining the evidence-gathering process for new drugs. Who needs efficiency when you can have sky-high drug prices instead?

    In his executive order back in 2022, Biden had the audacity to say that too many Americans struggle to pay for their prescription drugs. Imagine that! Americans paying two to three times more than people in other countries for the same medications? Shocking, I know.

    But fear not, because President Trump is here to save the day! He’s already working hard to make sure drug prices go through the roof, all to keep his billionaire buddies happy. Who cares about the average American struggling to afford their medication when you can cater to the ultra-rich, right?

    So, kudos to Trump for showing us once again where his priorities lie. Who needs affordable healthcare when you can have a president looking out for himself and his wealthy pals? Bravo, Mr. President, bravo.

    Senior citizens who voted for Trump…enjoy your higher drug prices. You got what you voted for!!!