Chicago’s political leadership is floating a pension buyout program as evidence it is seriously addressing the city’s thirty-six-billion-dollar unfunded pension liability, but Mark Glennon, founder of the Illinois policy research organization Wirepoints, said that the proposal moves debt from one column to another rather than reducing it, and that the broader fiscal picture facing the city continues to deteriorate across every measurable dimension. Audio here.
Give away medical care for free (medicaid) and demand skyrockets. Heck, 25% of the state is on medicaid. All your medical care for free, including child genital mutilation!
What? Now we don’t have enough doctors to provide all that free medical care! How did this happen! Must fix now! Make more DIE doctors now to solve this problem!
Percentage of Population Enrolled in Medicaid or CHIP by State
https://www.medicaid.gov/state-overviews/scorecard/percentage-of-population-enrolled-medicaid-or-chip-state/index.html
Provider Notice Issued 01/09/2020 re: Gender-affirming Services This notice seeks to inform providers of the Department’s adoption of amendments to 89 Ill. Adm. Code Sections 140.412; 140.413; and 140.440 regarding the provision of gender-affirming services to medical assistance program participants. These rulemakings remove transsexual surgery from the list of physician services specifically excluded from coverage and payment and establish the Department’s requirements for reimbursement for gender-affirming services. Service Effective Date Effective with dates of service on or after January 1, 2020, the Department will reimburse for gender-affirming surgeries subject to the establishment of medical necessity and prior authorization. … Read more »
Yet absolutely zero talk about Medicaid reform. This is an area that doesn’t have the same constitutional protections as contracts yet we (our portion not feds) spend 14 billion per year. So instead we complain about money being spent on areas that can’t be cut according to our constitution.
As I’ve stated many times, plenty of money for our required spending just not enough for everything else.
Half of state Medicaid spending is for nursing homes and long term care facilities. The reality is that IL has a lot of poor elderly on the government medical dole. The elderly have always been the poorest people in every society, especially those without children able to take care of them. Unfortunately, the state creates two unequal classes of elderly people – the poor folk who get nothing more than social security, and the rich thieving pensioners who, just happened to work for a governmental unit (usually through fraud, or nepotism or other nefarous mean), they pilfer and steal from… Read more »
So people who exchanged their labor for a stable retirement are in the wrong and people who did nothing to save for old age are deserving? You’re logic is twisted like a pretzel. Probably why the courts don’t agree with your attempted theft.
“Physicians today are struggling with large caseloads, requirements to keep exams short, administrative demands, insurance requirements,”
After our doctor’s small practice merged with a larger practice it became increasingly difficult to get an appointment. When I did see my doctor, she often seemed frazzled and the appointment felt rushed. So I wasn’t too surprised when she decided to retire a few years ago, guess she’d had enough.
I ran into a old HS classmate who is a doctor. He had a practice with another Dr. they decided to merge into a large practice, since mandated computer upgrades were going to cost over $1 million.
Most Dr.s will state that part they hate most about the job is the all the paperwork (well computer work)
I’ve got bad news for Illinois. Soon there’ll be a shortage of productive taxpaying citizens. You know the givers as opposed to takers. You can kind of see it now in public places that can’t seem to find people that want to work.