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this post was submitted on 08 Nov 2024
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And let the poor die in the street.
And we saw this coming.
https://www.npr.org/sections/thetwo-way/2011/09/13/140434378/ron-paul-its-not-governments-job-to-take-care-of-uninsured
https://www.usatoday.com/story/news/nation/2020/03/24/covid-19-texas-official-suggests-elderly-willing-die-economy/2905990001/
America has stopped giving a shit. And it will come back to bite Americans. Hard. There's a lot of leopards a-comin'.
Bear in mind - the poor (even the elderly poor) generally get coverage under medicaid or qualify as dual-eligibles. But it ain't much.
Federal funding for medicaid is actually already in the shitter so plan administration and sustainability is mostly a state matter. If Trump suddenly pulled medicaid funding it'd cause a lot of financial stress but most states could probably weather the storm in the short term.
The people really fucking shafted by Medicare cuts would be the disabled which (as little help as they're given under the US system) would be unable to afford regular care on medicaid's FFS model (where partial costs can often exceed the amount they're legally allowed to save (it sucks, but that's a separate topic)). Anyone like my stepson who has BPD, ASD, and a few more spicy disorders would be fucked if they tried to maintain daylight (let alone overnight) staff supports. That's not even getting into med or doc costs...
And the old folks, of course... it'll be an extremely rude awakening to elderly conservatives and probably cause a real shock to the stock market as people are forced to disinvest to avoid dying if they're lucky enough to have that option.
I don't think assuming Medicaid will stick around if Medicare doesn't is a safe assumption.
It's mainly state run and the plans are state administered - it'd definitely depend on your state but blue states would likely try to sustain it. (And they could probably cheat the federal government out of the costs to run it by paying for it out of harmonized SALTs if they're smart).
The states would have to be solvent, and willing to shoulder the burden right?
Yes - aka not a red state. I don't believe many state governments are deep in debt enough to be close to their borrowing limit but that's a bit out of my wheelhouse.
I suggest you delete your accounts that can be tied to your identity before January. They will absolutely go through social media after the deportations and incarcerations to continue to fuel their need for forced labor. I'll be doing the same shortly. It was an honor, but now is the time to prepare for the underground.
If that info is already out there, you can’t get it back. Deleting your account won’t remove it from some other data broker’s server too. You can clear out one copy of it, maybe, but not the 1000s of others that were sold already.
Remember those racist mass text messages from… yesterday? How the fuck did someone know all those phone numbers belonged to black people specifically? And how did they get access to them? What other data do they already have? Everything is for sale. The fact you deleted an account is for sale. We are fucked.
Everyone is about to find out why privacy is important.
Well, fuck. Yeah you're right. I'll just be sure to smile at the firing squad.
Try to be optimistic. Maybe you’ll just need to be sure to smile at your grandma when she visits you in prison while you’re serving your 10-year slave labor sentence because you didn’t scroll past that transgender furry porn fast enough.
That is a very good idea for many people. In our case, we will be taking advantage of my dual citizenship and emigrating to the UK, where it is safe. For now. We'll have to cross the next bridge if we come to it.
I'm actually pretty sad reading this after the library and community work you shared recently. We'll need more folks like you to stick around, people that can get positive change done. But also totally understand, need to do what's best for you and loved ones
We're sad about it too, but we really don't have a choice. Our daughter is queer and she's never been in the closet. Deleting social media wouldn't be enough. There are things like Discord chats that can't be deleted. She also can't keep a secret to save her life.
If we stayed and she was taken away from us, we would never forgive ourselves.
Nah I'm good.