Don M writes: "Spending additional Medicaid funds when the
federal government is running deficits means it is 100% borrowed from future tax
payers." This is only part of the truth. Neither goods nor
services can be sent back in time. Nor can money. (And the only way a budget
can be "unbalanced" is through arithmetical or typographical error.) Services carried out now are paid for in the here and now, though extra
effort or through the diversion of effort from elsewhere. Money paid for
services now is similarly raised here and now. A deficit is a
bookkeeping entry by which money is lent and borrowed now, usually because the
rich and powerful have managed to evade paying the taxes needed to pay for the
services. Right now. There are effects in the future: somebody
will pay interest forever on the debt created to cover the evaded taxes. This
usually doesn't affect the rich and powerful very much, since they tend to
own the bonds and collect the interest being paid. -dlj.
I am surprised by my surprise by this Utah oversight? God wouldn't do this
is what I think, so who is doing this? Somebody must be giving the orders.
Don M- -If we dont take the medicaid money it goes to other, smarter states, it
does not save one penny for the feds. It does condemn working poor folks to
sickness and death, but its not you, so what do you care.
The premise of this article makes no sense.Why does the lack of an
increase require a decrease? What about the status quo? Were they spending
money they did not have thinking they were going to get it? What poor
oversight!And why are we not hearing similar alarm bells from other
counties? Could it be that dem-managed Salt Lake County is again showing the
ill effects of dem leadership?And what are the 2,630 people NOT
getting treatment services getting?Gandalf,You don’t
understand fiscal responsibility? You don’t understand not being required
to run faster than you are able?
An ounce of prevention is worth a pound of cure - unless you're a
Republican and you refuse to see past the small price of that ounce of
prevention and don't ever plan to take responsibility for having to pay for
the very expensive pound of cure.Forcing poor people into hospital
emergency rooms or an early grave is not sound fiscal policy.
Strider, perhaps the "low success rate" is because finding ADEQUATE and
affordable help is almost impossible.A person in need of mental
health care or who is fighting drug addiction almost always finds that available
help is so severely limited that it ends before the person can turn the critical
corner from failure to success.The state of mental health and drug
care has been equated to the idea that a person with cancer will be limited to
no more than two rounds of chemotherapy or radiation. If that were to happen,
the cancer would return and grow even tougher to kill.But
that's what happens now with drug and mental health treatment.As presently constituted, it's a roadmap for failure and tragedy.
Spending additional Medicaid funds when the federal government is running
deficits means it is 100% borrowed from future tax payers. If additional
spending in Utah is needed, it should paid for by current tax payers in Utah.
Government is much more careful spending money when it is closer to the people
paying for it. Looking for "free" money from the federal government
leads to wasteful spending. If we really have an underfunding case here, make a
case for the people of Utah to pay for it, not our children who can't vote
on us spending their future.
Seems to me that prevention is critical to the health care interests of our
citizens. Pity that political gamesmanship is actually hurting our people.
Ben McAdams is a typical liberal Democrat trying to play the populist. Money
solves everything don't you know?
I do not understand our legislative leaders. This is not a close call on so many
fronts. The words of the scriptures about the fires of Hell come to mind in
connection those who have consciously chosen not to expand Medicaid, those who
have knowingly withheld access to medical care from the least among us.
I would appreciate some hard figures and information regarding exactly what
addictions are being treated and how many people are being served along with
some idea of a success rate.Mental health can be chronic in terms of
needs, and substance abuse such as alcohol and drugs have a low to medium
success rate meaning that a lot of money is spent for relatively small gains.
There is no inexhaustible supply of money and it appears that the county is over
extended. Why not tax the substances that are addictive to earmark the funds
for treatment of addiction to them.Salt Lake County then can be as
generous as their tax base allows.
Maybe things aren't as dire and common sense and the tea party movement of
voters to cut governemnt spending and expansion. Hopefully it will mean the end
of the ACA and the Utah health care coalition to put health care back in the
hands of the peoples choice and private insurance companies. Government does not
have the capacity to run a private business and its escalating costs prove it is
not going to work. I am all for the end of our Medicaid and Medicare
funds being handed over the state government where it is fraudulently diverted
to non health care uses. Medicare and Medicaid must be put back in the hands of
the SSA who collects it and enforces the rules and laws that limit entitlement
to those who paid into Medicare and Medicaid out of their incomes and wages.Medicare and Medicaid are not public health care funds, they are trust
funds held by SSN of workers and busienss who collect it from american citizens.