In this last session, they've ended IllinoisCareRX, cut medicaid, attacked State retirees health insurance and are aiming for my pension next. They would already have it, but the democrats and republicans got into a hissy match and stomped out of session before they could snatch away parts of our pension.
Now, the assembly is just so sorry about making gramma having to choose between electricity and medication, but decisions must be made for the GREATER good...psst...Mr. Cullerton? Madigan? Cross? Rodagno? When you say that? Please realize that I'm NOT THAT STUPID!!!
I guess I could think that all of you are that stupid...or that greedy...ok, greedy over stupid, but did you even pay attention to what you were doing? Do you know what the ramifications are of your actions?
First, Medicaid "reform" or middle class/senior destruction. The changes in Medicaid* which were touted as much needed include:
- Ending the IllinoisCareRX program -- drops drug coverage for 180,000 senior citizens. Yes, ObamaCare does help some of these citizens since ObamaCare gets rid of the doughnut hole, but the doughnut hole isn't gone until 2020 and the people that used this program had already had an income of under $19,000 per year; saves $72,000
- Family Care for Adults -- reduce eligibility to those adults with covered kids to 133% of poverty level and eliminates care for caretakers/adults. This affects about 26,000 citizens...this affects the working poor/lower middle class. We are taking away the ability of parents to get health insurance from the state...when their employer(and yes, I'm calling out mallwart, homedespot and other big box stores) doesn't offer affordable insurance without caveats; saves $50,000.
- Eliminate adult dental, chiropractic, podiatry, group psychotherapy...there is "emergency" adult dental, but does that cover a tooth that needs a root canal and is painful? I know I missed a couple of days because of that--and I was lucky, I had a union to back me; saves $56,000.
- Limit adult optical(every other year), occupational/physical therapy to 20 visits per year--the optical is not my issue, but the PT? the OT? When I had my knee surgery, it took more than 20 visits before I was OK...now, think about someone who has a stroke? Only 20 visits? That's deplorable; saves $18,000.
- Adopt policy to not pay for other care services when citizen is in hospice...this one hit home. Last year my mother was sent from a nursing home to the hospital(due to an infection) to hospice and then, after less than a week, we were told she was to go back to the nursing home(and she's still alive)...if medicaid hadn't paid for her bed, we would have had to scramble to find another one; saves $3,000
- *****Reduce home health services; saves $2,000 and how many people will have to go into nursing homes if they can't get home health care???? And how much more will that cost????
- Limit medication to 4 perscriptions per month(need prior approval for more); saves $180,000...hmm...ok, I understand that some people shop doctors, shop 'scripts...BUT...on the other hand...a person has asthma--2 'scripts(an inhaler and a "stableizer") hypertension(one for blood pressure and usually one diauretic) and oh...lung issues, heart issues, HRT, anxiety, depression, other mental health issues, diabetes!!!! People on Medicaid don't go to the doctor until they absolutely have to, which usually means more care is needed, not less.
- Cuts to Hospice support
- Changing asset verification for spouses...I'd love to agree on this one, but I am sure that the only ones that will be caught in this net are the ones not rich enough to hire good attorneys...if you think I'm just blowing smoke, I know people in my area that brag about how they've already hid their parents assets...10 years before there's an issue!
- Cuts to Nursing home Care, so...after the state cuts home health care(see **** bullet point), the state is cutting nursing home care?!?!?!?!?!
- Reduce advance imaging, cardiac imaging, pain management, back surgery(some of it dealing with managed care/care coordination); saves approximately $20,000. Again, part of this I agree with...too many doctors will push up the bill by adding more tests, but on the other hand, Illinois has cut chiropractic care and now wants to limit back surgery???
- Denying pediatric palliative care. For those who don't want to hit the link, Pediatric Palliative care is for children that are either terminal or chronically ill.
- Reduce some provider rates by 2.7%; saves $240,000--this does not include doctors...but...it doesn't spell out, in laymen(citizen) terms, who this will affect.
But, other issues were not addressed, how about actual bold/brave decisions such as:
Make corporations pay their fair share! Two Thirds of Illinois corporations pay no state income tax! But the only thing I ever hear on the tv is how high Illinois' tax rate is and its running corporations out of the state! So, they're trying to find a state that will pay THEM????? Can we just say the truth-they're greedy bastards. One very good post by Curtis Black(Truth Out) brings up some very good points about how horrifically biased Illinois tax structure is towards wealthy/corporations. Although Illinois has a so-called flat tax which is regressive by nature, we've also grabbed a bunch of loopholes/deductions from the federal tax code that benefits the upper class more so than middle or lower.
Raise revenue by:
- Getting rid of the Single Sales Factor There is a very good explanation of this procedure on page 4 & 5 of the Closing Corporate Loopholes,Bolstering Illinois Budget by the Good Jobs First organization
- Getting rid of certain deduction which allow for dividend paid by foreign corporations to US parent corporations located in Illinois(this costs about $400 million annually) and the reduces tax bills for Illinois corporations that produce in other states(about $200 million).
- Getting rid of Accelerated depreciation it does what it says. It allows businesses to take a higher percentage of depreciation on business machines/supplies. This would bring in $300 million annually.
- Getting rid of the Retailer's Discount on Sales Tax. This would bring in over $100 million a year! As I've said in previous posts, computers are the norm in retail business...in fact most registers I've worked on keeps a running balance on cash/credit and tax for the day...its time to end this welfare to wall mart(kept $9M on this in FY11)...and home depot....and menards....and so on and so on. This would had up to a couple of hundred Million annually.
- Oil Company subsidies...what? in Illinois???? Yep, oil companies get a $75 million tax break!
OH LOOK, I've just brought in a couple of billion dollars without it being very painful for the Citizens of Illinois!
So, to our General Assembly, Governor, and other governmental executives--this is bold and brave. What you did with the Medicaid bill? That was shameful. Sure, attack little kids, the disabled and old people; the first two categories don't vote and the last one will die off...hopefully quickly--and with the measures you just shoved through, in all probability will be their future...which is very sad, considering Illinois is one of the wealthiest states in the country.
* all monies saved in the smash Medicaid bill are in millions of dollars
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