Comments by "Janis Williams" (@janiswilliams2766) on "Glorious Life On Wheels"
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I’m actually surprised that his rent was able to increase by 500$ because there are currently laws in California about increasing rent during covid and kicking people out for non payment of rent. A lot of communities have rent control laws that only allow landowners to raise the rent a certain percentage, usually much less than 10 percent and it appears s/he might have raised it way out of proportion to their rent. He should seek out legal aid which is free and they will connect him to a tenant rights group who would be more familiar with the local laws. If nothing else that would buy them time on the issue of moving out and have more time to make a plan.
I personally feel that how people vote is what reverberates what happens in the future. When you vote Republican … let’s say because of a single issue like abortion rights or in the current case of California the governor taking steps to closing down the state because of covid…. You throw away all the social issues that Democrats try to better correct. Business owners, land owners tend to vote Republican because they don’t want rent control laws to prevent this kind of problems from happening because it’s all about their profit. Also, I’m going to add, maybe to the chagrin of some of you, the majority culture tends to vote against policies they perceive are there to help people of color (typically the phrasing is they need to learn to pull themselves up by their bootstraps, they have had plenty of time to get their act together, all the problems in this country are because of brown and black peoples and people who are specifically brown immigrants) so when you vote on that agenda, your hatred also affects your own majority culture, and thus people like this become a story. I recently received my ballot for the ridiculous California recall election …. Californians think about what you are asking for…. For those Republicans, you really think Cox, Jenner or Elder are able to do a better job for people like this guy and his wife?
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Project 2025’s plan would lead to a multibillion-dollar annual giveaway to corporations at the expense of Medicare enrollees and taxpayers.
Project 2025 would restrict Medicare enrollees’ choices
A stated goal of Project 2025 is to “[g]ive beneficiaries direct control of how they spend Medicare dollars.” Yet the result of making MA the default Medicare enrollment option will be the opposite: to give for-profit corporations more control by restricting the choices of even more older Americans.
Once a Medicare enrollee has chosen an MA plan, they are constrained to a network of providers, which restricts their choice of doctors and hospitals, compared with traditional Medicare enrollees, who can see nearly any Medicare provider nationwide. Sometimes, MA networks can be very limited: According to a 2017 report, MA networks, on average, included fewer than half (46 percent) of all Medicare physicians in a given county. Data show that some MA plan networks are restricted to an area as small as a single county, and nearly half of MA plan networks include no psychiatrists. One study of cancer patients from 2015 to 2017 found that MA enrollees were 6 percent less likely than TM enrollees to use “top-ranked cancer hospitals for complex cancer surgery,” suggesting that beneficiaries in MA plans also have less access to at least the best cancer care.
In the name of cost savings, MA plans also often require burdensome prior authorization for services and medications and sometimes deny doctor-recommended care. In 2022, physicians submitted more than 46 million prior authorization requests to MA plans. According to the American Medical Association, in 2023, physicians submitted an average of 45 requests per week and 1 in 3 physicians had staff members assigned exclusively to prior authorizations.
These restrictions do not lead to higher-quality care for enrollees: In a 2021 systematic review comparing MA and TM, MA plans performed better than TM for breast cancer screening, diabetes care, and influenza and pneumonia vaccinations, but enrollees in MA plans were more likely to be cared for by lower-quality nursing facilities, average-quality hospitals, and lower-quality home health agencies. Other measures did not show better performance by MA plans compared with TM “despite the higher payments to MA plans.” While Project 2025 touts MA’s superior performance in some categories, it fails to mention MA’s inferior performance in others. Overall, the best available evidence shows there are few differences in health care experiences between TM and MA.
Further, burdensome prior authorization requirements and care denials have led a growing number of hospitals and health systems to stop accepting some MA plans altogether. Citing reported losses of $75 million, one health system in San Diego recently terminated the contracts of the MA plans of more than 30,000 beneficiaries. A 2023 report in Becker’s Hospital CFO Report listed a dozen hospitals and health systems that have recently cut ties with MA plans, allegedly as a result of slow, excessive, and unreasonable prior authorization and claims denials that result in financial losses for hospitals. As providers drop MA networks, patients are left with fewer choices, and the MA program as a whole becomes less sustainable.
Project 2025’s plan to make MA the default option for all enrollees would also likely lead to more people getting stuck in the MA program. That is because in all but four states, MA enrollees who want to switch from MA back to TM after a short trial period can be denied supplemental coverage (Medigap), which many enrollees would need to make the switch to TM financially viable. This can trap people with serious health issues in MA plans—which may not be the best option for their needs—for the rest of their lives. If MA becomes the Medicare default enrollment option for all enrollees, MA plans will be guaranteed a steady stream of excessive overpayments, as many enrollees won’t be able to afford to leave them.
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