Should the US expand Medicaid to 400% of the Federal Poverty Level

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Is life expectancy actually declining among the poor? It might not be rising that much, but I think the largest rising cause of death in a lot of poor areas isn’t lack of health care but more due to violence.
It seems to be declining, but you make a valid point. Correlation does not equal causation. For example, greater drug use rates could also be a factor. This is why we do not have to agree on solutions, like the topic of the thread for example, but Catholic should agree on the principle for darn sure.
 
Voting for a government health care program which includes abortion means signing off on abortion, funding it with our tax dollars, and being complicit in the killing of children.
Well, that would have to come from the states since the Hyde Amendment prohibits federal funding of abortions.
 
There’s also the issue of changing expectations. At least where I am, access to a car and a cell is pretty much considered a requirement to have a job.
 
There’s also the issue of changing expectations. At least where I am, access to a car and a cell is pretty much considered a requirement to have a job.
Here in Pittsburgh, a lot of people don’t have automobiles and take the bus or uber. Of course, cell phones are provided Free to poor people through the Obama Phone program
 
Here in Pittsburgh, a lot of people don’t have automobiles and take the bus or uber. Of course, cell phones are provided Free to poor people through the Obama Phone program
Yeah, that one depends on where we are. Here, the bus hours are very limited, and they don’t go far (most people at my work can’t afford to live near the bus routes, unless they live with parents). When I asked around, the answer was basically they don’t want to hire people who ride the bus, because they’re not available enough and they can be unreliable because the bus system is unreliable.

The cell phone one, yes - I was mostly saying that’s not just a matter of increasing the standard of living. That’s exactly the reason the cell phone program was started, because having a phone nowadays is important to getting and keeping a job.
 
I don’t think anyone’s saying they truly need to be free - just that they shouldn’t be priced out so some people can’t afford them. The trouble right now in the U.S. is we have a gap where people are making too much to be eligible for assistance, but not enough to be able to afford care on their own.
 
I would never say that they Church is ‘just’ pro-birth. I would contend that one must be born to continue living and to be able to exercise those other rights mentioned in the social justice compendium. All other rights are predicated upon the right to life.
 
@Augustinian, what do you have to say regarding Darklight and my previous post. There are people out there who struggle, what is their recourse, what is their hope? People who have difficulties despite trying, people simply trying to live. What do you say in regards to these issues.

Pardon for my tone, I’m feeling rather emotional.
 
don’t think anyone’s saying they truly need to be free - just that they shouldn’t be priced out so some people can’t afford them. The trouble right now in the U.S. is we have a gap where people are making too much to be eligible for assistance, but not enough to be able to afford care on their own.
I think we are in agreement with the cost of primary care,

but some treatments and procedures are very costly, I don’t think they should be heavily subsidized. Our limited public dollar should go to support broad delivery of primary care services.
 
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your quote indicates those products and services should be available, not free.
That’s what it says. Available, not free. Whether it needs to be free, or a dollar per surgery, for some/ten thousand for others, is what can be debated.
I would never say that they Church is ‘just’ pro-birth.
I only say that when I see abortion trotted out like a tool to trade off on other pro-life issues.
but some treatments and procedures are very costly, I don’t think they should be heavily subsidized
If a treatment means living or dying, then do you propose that we place a monetary value on the life of an indigent person? My own opinion is that we aggressively attack the problem of why some procedures are so expensive, when then do not strictly need to be. Martin Shkreli did not act in a vacuum when he maximized profits at the expense of life. It if not him, but the economics that made him, that prompt me to suggest we re-structure medical patents to make his actions impossible. I do believe it is cheaper in the long run, unless we want to just right off those who cost too much to keep alive.
 
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I think part of the problem is the weirdness of the healthcare market. A lot of that stuff might not need to be that expensive - I’d be in favor of judicious subsidies to encourage competition and researching other strategies to bring rates down.
 
If a treatment means living or dying, then do you propose that we place a monetary value on the life of an indigent person? My own opinion is that we aggressively attack the problem of why some procedures are so expensive, when then do not strictly need to be.
Everyone’s life can be extended with expensive treatments due to the wonders of modern medicine.

No, we don’t owe indigent people free heart and lung transplants. Our moral obligation is basic care.
 
Everyone’s life can be extended with expensive treatments due to the wonders of modern medicine.

No, we don’t owe indigent people free heart and lung transplants. Our moral obligation is basic care.
At least Obama’s plan include a chance to evaluate this. Ironic it was Republicans that railed against death panels. We do not owe the poor transplants because there are not enough to go around. However, thanks to so far-sighted progressives, money is not a factor on who goes first in the transplant list.
 
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At least Obama’s plan include a chance to evaluate this. Ironic it was Republicans that railed against death panels.
Resources have always been scarce and there have always been people making the call (death panels). I disagreed with that characterization of ACA.
 
What about those areas that aren’t scarce, like pharmaceuticals? Is being price-prohibited (at least under an unregulated market) considered a resource issue?

Another consideration is equipment. There is only so much, so many surgeries, so many MRI’s etc. that can be done. I think hospitals usually prioritize based on need, not ability to pay. I may be a little biased now that the primary hospital where I live is under Catholic Health Initiative.
 
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What about those areas that aren’t scarce, like pharmaceuticals? Is being price-prohibited (at least under an unregulated market) considered a resource issue?
That’s been the fuss over epipens lately. Basically prices go up just because they figure, if people have to buy the pens or die they’ll buy the pens.
 
What about those areas that aren’t scarce, like pharmaceuticals? Is being price-prohibited (at least under an unregulated market) considered a resource issue?

Another consideration is equipment. There is only so much, so many surgeries, so many MRI’s etc. that can be done. I think hospitals usually prioritize based on need, not ability to pay. I may be a little biased now that the primary hospital where I live is under Catholic Health Initiative.
Expensive drugs are scarce, by definition. I would like to see meaningful changes that increase competition and reduce the pricing of most drugs. As it is now, it’s the US consumer that is funding the above norm profits and research costs for the drug companies. You shouldn’t have to go to Canada to find affordable drugs.

MRIs are diagnostic and relevant for primary care. Both private hospitals and free clinics should have access to it when it is needed.

One could argue that we have too much such equipment and can get the job done with less of it.

 
Expensive drugs are scarce, by definition
They are scarce by design. Production will not exceed what they can sell at the cost that is being demanded. The idea of the super high pricing has little to do with actual production costs, and more to do with either passing on R and D, or as we have seen proven in court, profiteering. True, you shouldn’t have to go to Canada, or order illegally, some drugs. But if the life of a loved one was at stake, who wouldn’t?
 
I think its appropriate for indigents to receive basic medical care on the taxpayers’ dime.

The main problem I’ve had with the ACA and other risky medical schemes is how they seek to change everyone’s healthcare just supposedly to help the minority of people who are, indeed, in poverty here in America.

What I say is for the government to keep their hands off the health care of the vast majority and just aim the new regulations if needed to the poor.

Of course non-essential items like contraception and abortion and sex change operations should not be included as a free service paid by the taxpayer. If a private charity wants to provide these for the poor, that’s fine as long as those procedures are legal.
 
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