Will All Seniors Eventually Have No Choice but Medicare Advantage?

[somarco]

Bama has probably never been to Florala, Demopolis, Wetumpka where the world of health care is a bit more limited.

I made a good living traveling to those towns in the 70's. A very good friend in Demopolis died on the way to UAB Medical center. He was unable to get the kind of care he really needed in Demopolis or Tuscaloosa.

 

[rousemark]

Prove it...

And you’re not just proving that they drive further for care. You have to prove that they by-pass more local options in favor of care many more miles away. Because most rural beneficiaries have to travel for serious care because of a lack of facilities in there onimmediate area. You’re contending that a significant portion bypass even in state options for care in other states.

Prove it.

Can only go by my personal experience which I do not think is out of the ordinary. Live in a small town which has a very good hospital but anytime I had a serious problem they trandported me to Knoxville ... 60 miles away. On another occasion my cancer specialist had me go to Vanderbilt in Nashville ... 200 miles away to see another specialist. It is not that our hospitals don't have the facilities, we don't have the specialists. My best friend needed treatment he could on get at Mayo in FL. He went there and stayed 3 months. When you are told you are terminal, you will want to go anywhere thst will give you hope. I was first told my cancer was terminal and to go home and make my funeral arrangements 14 years ago, so I know a bit about how it feels. I am not saying you should not put people in a MA but you should tell them about the limitations before you do.

 

[DonP]

I make fun of the fact that the supplement Taliban thinks that anyone who makes a choice that isn’t a supplement believes the person made an ill-informed and bad choice.

I laugh at the fact that you can’t imagine why someone who prioritize food, electricity, water, gas and other daily necessities over the ability to go to a hospital that they couldn’t afford to travel to in the first place.

I laugh at the arrogant stupidity of such a mind set.

It’s funny you say this . 20% of all mapd plans are duals I read . I’d say a full 65% of people on mapd make less than $50 k a yr in retirement. Had a client flipped on a partial dual with zero copays to a 20% out of pocket hybrid dual with a $100 more food card . I could him the partial Medicaid 2 yrs ago . He told me “ we hardly got enough money for food . I need that extra $100. Im starving “ . I said your in very bad health and you go to the dr 4-6 times a month . Do you have $40-$80 for copays ? Do you have 20% for outpatient surgery ? We cancelled the other app . But like you said it’s become the choice of eating or not .

 

[rousemark]

So you’ve only personal anecdotes to counter my empirical data? And you “liked” somarcos post about “logic and reason”?

Did not say your data was wrong. In fact, I am sure it is correct. With the vast majority of cases there is no need to travel for treatment because the vast majority of accidents and illnesses do not require specialized trearment.

 

[goillini52]

Overall, the median straight-line patient-hospital travel distance was 6.6 miles, with 75 percent of distances less than 15 miles and 90 percent of distances less than 30 miles. The median driving distance was 8.7 miles.

Methods for Calculating Patient Travel Distance to Hospital in HCUP Data

So… 90% of people drove less than 30 miles for hospital care.

Facts and all.

i think the large cities with heavier MA concentration and hospitals closer together throw those figures off.

 

[goillini52]

Prove it…

 

[goillini52]

I rest my case…

What I said is common sense. I'm in the middle Sailor Girl.

 

[rousemark]

That people in rural areas travel further? No shit. That’s not the question dumb ass.

So don’t talk about common sense when you clearly have none. Pussy.

Can tell when people are afraid they are losing the debate. They resort to name calling.

 

[DonP]

Here’s the truth . Mapd will continue to grow and med sup sales will stay stagnant. The upper middle and high income will mostly continue buying sups . My sisters high income and I’ll be selling her a sup this yr . She could care less about $200 a month and wants no copays or coins . But 75% of Americans will opt for no premium mapd . Those are the facts and the reason why is irrelevant.

 

[goillini52]

That people in rural areas travel further? No shit. That’s not the question dumb ass.

So don’t talk about common sense when you clearly have none. Pussy.

Hahaha....potty mouth.