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BrokenWhiskeyGlass2 · 22-25, M
[youtube=https://www.youtube.com/watch?v=UCdMwyIy3ks] It's right here.

NoFuxGiven · 22-25, F
Older Republicans on a fixed income who have health issues, and they repeatedly vote against their best interests??? I don't understand. I also don't understand gay Republicans, but that's a whole other topic.

Do these older Republicans think the policy changes will not impact them, ONLY Democrats? They seriously think cuts in Social Security will be someone else’s check. It’s like party affiliation will make them immune. It’s NOT a personal choice between paper and plastic. It impacts ALL citizens.

Logic left the Republican Party long ago. About the time the GOP propaganda network started. It can’t be overstated how much the Republicans use fear to manipulate folks. Fox news in particular.
@NoFuxGiven On EP I actually spoke to a man who [b]admitted[/b] that with the ACA his mother actually had healthcare for the first time in decades, even with preexisting health problems, and was able to get all of her medications without [b]him[/b] having to pay for it. He was [b]still[/b] taking shite about “Obama’s socialist programs”.
Some people are just [b]stoopid[/b], and there’s nothing to be done for them. 🤦🏽‍♀️
NoFuxGiven · 22-25, F
@bijouxbroussard I’m stunned by the amount of people who are so clueless as to which party is protecting their benefits. Only reason I can see is they believe the rhetoric of Fox, etc without researching issues. Sad
CountScrofula · 41-45, M
People have reliably voted against their best interests for a while. It makes politicians arrogant and they will cross lines until people start burning down cities.
Well, as an older person who has [b]never[/b] voted Republican and never will, and has octogenarian parents who [b]also[/b] still vote Democrat, I cannot relate to that.
NoFuxGiven · 22-25, F
SW-User
All of those things require government to levy taxes and pay benefits to people who don't always pay taxes due to them being poor.

Republicans hate the concept of

Taxation
Giving things to people who can't pay
Unhealthy people (can't work to make the company money)
Supporting people outside of their immediate circle

Elderly want things to remain consistent from their youth, so they see it as 'conserving' their past.
DearAmbellina2113 · 41-45, F
@SW-User Which is asinine and backward, not progressive at all, and not sustainable.
QuixoticSoul · 41-45, M
@SW-User And yet elderly love medicare. Hmm...
SW-User
@QuixoticSoul Yep. Evades logic.
DearAmbellina2113 · 41-45, F
There is none. That's why we liberals just can't understand the conservatives.
indyjoe · 56-60, M
@DearAmbellina2113 There is also a lot of illogic in liberal thinking too...that's why neither one on their own is working.
DearAmbellina2113 · 41-45, F
@indyjoe I would indeed say that about the extreme left. They have lost their marbles as much as the right have.
Byron8by7 · M
Many Republican operate on beliefs, not on facts.
SevIsPamprinYouAlways · 56-60, F
[image deleted]
windinhishair · 61-69, M
There is no logic. That's what is baffling.
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indyjoe · 56-60, M
You discriminating against older folk? What you say is not completely true...sounds kind of stereotypical.
jackjjackson · 61-69, M
Your second line is the opposite of true.
swirlie · 31-35, F
There is no logic used in America when Americans go out and vote. That is why those who typically voted Republican are now faced with the reality of their ill-informed choices.

It all comes down to a personal responsibility for Americans to become politically educated before they vote, which of course the vast majority of Americans are not. They don't know the facts before voting; they don't know 'what' they are voting for as they shoot themselves in the foot by voting in old traditional ways... like their parents did. That is why those same people who voted Trump into Office will be the beneficiaries of the American Health Care implosion that has already begun across the country. Hospitals are shutting down and Physicians are leaving the country seeking a better deal as we speak.

Make America Great Again? Hey, not a bad idea! Are Republican Americans now waiting for the Democrats to make that happen for them, I wonder?
jackjjackson · 61-69, M
American hospitals are closing but your finger is pointing in the wrong direction according to Bloomberg Business News:

U.S. Hospitals Shut at 30-a-Year Pace, With No End in Sight

Industry M&A may be no savior as the pace of hospital closures, particularly in hard-to-reach rural areas, seems poised to accelerate.

Hospitals have been closing at a rate of about 30 a year, according to the American Hospital Association, and patients living far from major cities may be left with even fewer hospital choices as insurers push them toward online providers like Teladoc Inc. and clinics such as CVS Health Corp’s MinuteClinic.

Morgan Stanley analysts led by Vikram Malhotra looked at data from roughly 6,000 U.S. private and public hospitals and concluded eight percent are at risk of closing; another 10 percent are considered “weak." The firm defined weak hospitals based on criteria for margins for earnings before interest and other items, occupancy and revenue. The “at risk” group was defined by capital expenditures and efficiency, among others.

The next year to 18 months should see an increase in shut downs, Malhotra said in a phone interview.


The risks are coming following years of mergers and acquisitions. The most recent deal saw Apollo Global Management LLC swallowing rural hospital chain LifePoint Health Inc. for $5.6 billion last month. Apollo declined to comment on the deal; LifePoint has until Aug. 22 to solicit other offers. Consolidation among other health-care players, such as CVS’s planned takeover of insurer Aetna Inc., could also pressure hospitals as payers push patients toward outpatient services.


There are already a lot of hospitals with high negative margins, consultancy Veda Partners health care policy analyst Spencer Perlman said, and that’s going to become unsustainable. Rural hospitals with a smaller footprint may have less room to negotiate rates with managed care companies and are often hobbled by more older and poorer patients.

Also wearing away at margins are technological improvements that allow patients to get more surgeries and imaging done outside of the hospital. They are also likely to be forced to pay more to attract and retain doctors in key areas, Bloomberg Intelligence analyst Jason McGorman said.

They “are getting eaten alive from these market trends,” Perlman cautioned.

Future M&A options could be too late -- buyers may hesitate as debt laden operators like Community Health Systems Inc. and Tenet Healthcare Corp. focus on selling underperforming sites to reduce leverage, Morgan Stanley’s Zachary Sopcak said.

The light at the end of the tunnel is some hospitals are rising to the occasion, Perlman said. Some acute care facilities are restructuring as outpatient emergency clinics with free-standing emergency departments. “Microhospitals,” or facilities with ten beds or less, are another trend that may hold promise.

https://www.bloomberg.com/news/articles/2018-08-21/hospitals-are-getting-eaten-away-by-market-trends-analysts-say


@swirlie

 
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