US US Politics General 2 - Discussion of President Trump and other politicians

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Should be a wild four years.

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Current members of the House of Representatives
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he worst part about Massie is that he knows an actual budget won't get passed because Dems want the shutdown and they will be able to do that easily to an actual budget so we have to use reconciliation to get this passed.

There is no way in hell Trump gets 60 votes in the Senate without giving up trillions to USAID tier shit why the fuck would Massie even want that to be a possibility? The other bad part is that if you get into the reconciliation process we can easily cut USAID and that sort of shit out of the budget with the numbers we have now so why is Massie fighting against that?
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Two year long government shutdown, perhaps four if the midterms don't immediately fuck it up. Permanent dismantlement of the federal government apparatus; four years of no pay.
 
Look at the provincial and municipal levels. Half the city is represented by prog tards in the Legislative Assembly and there isn't one right leaning member on the city council.
How Calgary votes federally is not indicative of how it'll vote during any hypothetical plebiscite.
That's because the National Conservative party is hot garbage that has already demonstrated it rufuses to tackle issues the voters are concerned about. It's like if your choices to vote were a version of the Democrats run by Obama and one by Harris on the same ballot
 
What do the hospitals in the states look like? Like my partner vomited blood this yesterday morning and the clinic he went to directed him to urgent care, but he had to wait 14 hours in the waiting room and would've had to wait at least three more hours on top of that to be seen. How long would he have to wait at an American hospital, and how much would it cost with the average insurance provider?
It depends.

In a really rural area with just a small clinic, you get told to go to the big city for proper care if it's bad. If you're rural and far away enough, they can actually transport you via helicopter if you're in critical condition. I don't know about airlifts, but most insurance covers ambulance rides.

In big cities, the wait time depends on how busy they are and how banged up you are. It also depends on staffing. If it's the middle of the day, there's a light caseload at that time, everyone's on duty, and you have a maybe broken arm, you'll see a doctor within an hour. Two hours tops, if they have a lot of inpatient stuff to deal with. At busy times, or if staff is short, you might wait between 2 and 4 hours to see a doctor. In major areas with lots of assholes going to the ER for a cough (illegals), you could be waiting even longer if your condition isn't life-threatening. I once waited 5 hours to get some stitches because of this - and that was before urgent care centers were everywhere (which is where you should go for stitches if your cut isn't severe).

If you're vomiting a little blood, as a treat, they'll take a little longer. If it's a lot, they will triage you right away and prioritize you because GI bleeds are life-threatening. If you come in complaining of chest pain and you are worried about a heart attack, you go right in. If you arrive in an ambulance, you get a room right away, which is something that hypochondriacs and psychos exploit. Basically, how badly you're fucked up is correlated to how quickly you'll receive care.

Insurance is a whole other ballgame. I once had to go inpatient for 4 days and all I paid was $1,000. Another time, I had a scare that turned out to be nothing and I paid something like $1,300 all said and done because different doctors, labs, and hospitals do things differently. The hospital might accept your insurance, but the doctor doesn't accept any and you get a bill from them directly. Some hospitals cut you a break, others won't. I once had a lab try to bill me thousands for a routine panel and I spent 6 months battling them until the feds basically told my insurance to cover it. It's inconsistent. At the end of the day, though, most people don't go in medical debt unless they are really irresponsible (constantly going to the ER for simple shit) or really unlucky (they get in a critical accident, don't have proper insurance, and the hospital fucks them). Most hospitals will try and work with you, though.

I summon @Your Girlfriend's Dad for this topic and to correct me if I'm wrong. Canada's problem, AFAIK, is they simply don't have enough staff. They have to ration care a lot more.
 
That's because the National Conservative party is hot garbage that has already demonstrated it rufuses to tackle issues the voters are concerned about. It's like if your choices to vote were a version of the Democrats run by Obama and one by Harris on the same ballot
This seems to be the biggest problem in the west right now. The aussies and irish earlier in the thread said as much, I've spoken to bongs who've said the same, and I'm sure it's along the same lines in nz and other anglosphere countries, let alone europe.
 
At the end of the day, though, most people don't go in medical debt unless they are really irresponsible
Being very blunt, people are too scared to negotiate with hospitals to lower their bills or set up payment plans. I know someone who was charged 10k by a hospital after insurance covered everything else and he just took it instead of negotiating like I urged him to. I did a lot of research and it turns out that if a hospital is non profit, they have to forgive some patient debt to maintain that status. Quick grok overview states:

Nonprofit hospitals, which make up about 58% of community hospitals in the U.S., can qualify for federal tax-exempt status under Section 501(c)(3) of the Internal Revenue Code. To maintain this status, they must provide "community benefits," a broad category that includes charity care—free or discounted care for patients unable to pay. The Affordable Care Act (ACA) added Section 501(r) to the tax code, which imposes specific requirements on these hospitals. They must establish written financial assistance policies (FAPs), make reasonable efforts to determine eligibility for assistance before engaging in aggressive debt collection, and widely publicize these policies. However, the law does not set a minimum dollar amount or percentage of debt that must be forgiven—eligibility criteria and the extent of assistance are left to each hospital's discretion.
For example, a hospital might offer free care to patients with incomes below 200% of the Federal Poverty Level (FPL) and discounted care up to 400% FPL, but these thresholds vary. The value of this charity care often offsets some of the tax benefits they receive, though studies suggest it doesn’t always cover the full amount of the tax exemption.

Always negotiate.
 
This seems to be the biggest problem in the west right now. The aussies and irish earlier in the thread said as much, I've spoken to bongs who've said the same, and I'm sure it's along the same lines in nz and other anglosphere countries, let alone europe.
To think America would also be in this state if they didn't go "lol this guy is goofy lets pit him against the lady we set up to win" only for a halfway normal human being to be massively popular.
 
they can actually transport you via helicopter if you're in critical condition. I don't know about airlifts, but most insurance covers ambulance rides.
Unfortunately (at least around here) Life Flight is a privately operated company and not covered under insurance. It's kind of a scam, had a coworker tell me about the way it worked for his dad after a bad car accident. You come into the hospital in critical condition and unable to consent to anything, and the hospital makes the decision to call Life Flight to get you to a better equipped hospital as quickly as possible. They dispatch a helicopter and whether they end up taking you or not, you get billed for the dispatch. If they do take you, it's an even larger bill (coworker claims it was $600k+). Insurance does not cover any of it.

If it comes down to me dying or me getting life flighted, well, I have Life Insurance to leave my family and I'd rather do that than saddle them with a half a million dollar bill for a helicopter ride I didn't ask for.

Edit: I guess there are multiple Life Flight companies. Here's another https://lifeflighteagle.org/
 
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How long would he have to wait at an American hospital, and how much would it cost with the average insurance provider?

From a state that's in better shape than Canada, and a lot of the Blue States that operate like the Canucks.

Local private ERs have a digital sign with weight times, the only point I saw it over 10 minutes was when it was so dark it looked closed. On my insurance card and ER visit is $1000. But that's ER you should only be going to that if you're dying or broken something, major trauma more than stitches.

They directed you to a Urgent Care, aka Doc in the Box. That's where you go for flu tests, minor chronic discomforts, infections etc. They look you over, maybe do a test, and give you a script for antibiotics or steroids. Currently runs me $20 for a visit, but on previous providers it was $60. Little longer wait time as it isn't an emergency, but in and out is 30-40 minutes, including time in the exam room, plus 20-60 minutes to get the script from a pharmacy.
 
If presented with an unholy hospital bill while poor, contact their billing department and ask if they can help. A lot of times bills can be written off if the patient is low income.
You don't need to be poor to do this. You can do this with ANY medical bill. Ask for a discount, offer less money up front than their response, and you will end up with a much lower bill.
 
What do the hospitals in the states look like? Like my partner vomited blood this yesterday morning and the clinic he went to directed him to urgent care, but he had to wait 14 hours in the waiting room and would've had to wait at least three more hours on top of that to be seen. How long would he have to wait at an American hospital, and how much would it cost with the average insurance provider?
varies WILDLY by where you are, mostly its about population density. somewhere like LA or New York City? TERRIBLE unless you have millionaire private care or need EMERGENCY service and I mean like fence pole in your left leg or actively having a heart attack, blood vomit might make the cut but maybe not, depends on how slammed they are.

You get to a city of about 250,000 or less and you will get STELLAR care in most states and acceptable care in the poor ones. The bill will obviously be AWFUL but they will get you in fast and the quality of care will be "American Standard" in the way we would like to think of it.

Price for just a standard pop in for urgent care would be a few hundred for something simple and probably like 1,500 if they do a bunch of things to ya. Pray you dont need an ambulance ride that's like a grand alone right there WITH insurance.
 
Being very blunt, people are too scared to negotiate with hospitals to lower their bills or set up payment plans. I know someone who was charged 10k by a hospital after insurance covered everything else and he just took it instead of negotiating like I urged him to. I did a lot of research and it turns out that if a hospital is non profit, they have to forgive some patient debt to maintain that status. Quick grok overview states:



Always negotiate.
There’s always financial officers at hospitals, financial social workers, and if someone can’t figure out how to navigate it on their own there’s always the option to set up an in person appointment with a financial social worker to walk them through it.

It’s deeply sad how many low income people will outrightly avoid emergent medical care or get snowed by medical bills when they definitely can’t afford it.

Go to the ER if it’s needed, they’ll work something out with you after the fact including temporary/emergency Medicaid that’s good for roughly 30 days.
 
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