Your OP highlights a pivotal predicament that Affordable Care Act insurees now face: medical/insurance limbo, where the patient no longer qualifies
Many of ATS's membership are already aware of the state of things becoming increasingly dichotomously hypocritical.
I call the situation: When Loopholes become Nooses.
I'll give two examples of this in action:
A poverty line income patient has been treated at a teaching hospital under "free care," the understood exchange being, "We will provide your medical
care, and in exchange you will be used to train residents and collect information for statistics for research, etc." Along comes Affordable Care Act
(Under the Affordable Care Act, you must have some income to qualify for the insurance offered. If you do not have any income, due to disability or
unemployment, for instance, then you should qualify for your state's medicaid program. However, some states have chosen not to accept the federal
subsidies for their medicaid programs, and in those states, a disabled or unemployed person may very well find they won't be able to get coverage
under medicaid, either. This is done in such states by limiting coverage under medicaid to people who have dependent children, only. People who are
disabled will only be able to seek care through Social Security disability programs, which will often take years to get a positive result, if at all.
People who are unemployed don't reallly have any options, whatsoever, at that point. Both these groups end up in the same place: using an emergency
department as a clinic, or in place of a primary care physician, or in urban clinics designed to address this need in low income areas--if they are
lucky enough to find one of those.)
Back to our indigent patient. The patient then applies for, and gets coverage under the Affordable Care Act. Primary Care physician orders an MRI.
Patient goes to teaching hospital for MRI, where he/she's been treated in the past, as "free care patient," taking brand new insurance card with
him/her. Medical record of free care patient is abbreviated, as those who've been getting free care treatment get the minimum of care, usually.
Thus, insurance company with brand new insuree with limited medical records and brand new primary care physician, doesn't approve MRI. Patient, now
being insured, no longer qualifies for free care he/she was getting.
Second example: higher or adult continuing education.
Student can't afford costs of continuing college or returning to college. Student qualifies for financial aid, but it doesn't fully address the
costs. Student applies for and is awarded achievement based scholarship. Great, right?
Except, it doesn't fully fill the gap left over after financial aid. And, even worse, scholarship award was enough money that student now doesn't
qualify for some of the financial aid, which was previously available before scholarship "award."
In both cases, what was meant to be a "solution," has the effect of solving the problem by permanently removing both the student and patient from any
possibility of further education or medical care, respectively.
In other words, it seems the solutions being offered these days actually leave you wondering exactly who the solution is for. There are all kinds of
ways of population control, evidently. Every class system relies upon there being a base in order to have levels above it. It's simply a structural
issue….sarcasm intended. In order for anything to stand up, there must be something underneath to support it. Just a matter of physics….don't
take it personally.
It should long ago have become clear that this land of equal opportunity is wearing a mask and we've all got our invitations to a wonderful
charade…..that's your social security number, your invitation and place setting. Your taxes are your charitable contribution. Ooops, forgot to add
that you are what's being sold at the private auction later, proceeds donated to ________________.
edit on 8-8-2014 by tetra50 because: (no reason given)
edit on 8-8-2014 by tetra50 because: trying to be less
cynical….i've always been something of a failure.