> Everyone in America who makes <138% the poverty level qualifies for free insurance.
qualifies is kind of a weasel word though, "in theory they qualify, in practice ..."
I'm guessing this is the US Medicaid system that recently
dropped enrollment by more than 11 million people in the past year, including 4.8 million children, the vast majority of whom were kicked off their healthcare for surprise procedural issues.
Indeed, I read the article which was utterly uninformative about what is going on.
Can you explain it?
As I understand it, Medicaid has waived all ongoing requirements for coverage due the pandemic, and people are now required to verify they still qualify. People who make too much will and do not qualify for Medicaid now need to purchase subsidized insurance on one of the markets.
Of course the article does noting to explain what "surprise procedural issues" means. IT seems that the word surprise is an entirely editorial insertion.
Based on KFF reporting, it seems that it just means anyone who didnt complete the renewal processes. This includes those that no longer qualify and therefore did not complete complete the renewal process. Of course there is valid concern that some of these people may still qualify and did not complete the paperwork, but it completely unclear how many that is. It could be 0.1% of the 11 million or 99%.
I'm both in and from Australia and no expert on the US public health system.
My only point of reference is ~4 decades of usenet and web forums routinely having mention of people (in the USofA) being bankrupted by medical incidents (heart attacks, car accidents, sporting injuries, non elective surgeries, etc) that here and in the UK are relatively mundane affairs.
I struggle to fathom a country where there is a need to "renew" health coverage .. here we have 'adequate' and 'private' and essentially everybody has adequate as a fallback with no need to tie basic health coverage to an employment package that is lost when someone fires|quits.
Each to their own, here the ideals of good health and sufficient basic wage have been tied in to social contract since Federation.
To be clear, I'm not a defender of the US system. I vehemently hate it. Im just explaining why costs are so high.
It is high because of the system structure and the fact that most people are willing to tolerate.
I'm pushing back on the moronic idea that prices are high because drug companies are too “greedy“ in the US, but the same exact company is mysteriously less greedy in the EU or AUS. The difference is that insurance in those places negotiate a lower price, so they get one!
Insurance companies in the US operate on a cost plus basis, so they want prices as high as possible.
Medical bankruptcies do happen in the US, at a rate of about 1 per 1,000 people per year.
There seems to be a big problem with the systems not having the capacity to complete the renewal process.
There was no checking for a while thus little need for resources needed for checking (there was still some because people still came into the system.) Now there's a big demand for renewal checking and it's working on a basis of dropping people if they don't complete it even if the problem is on the state's end. And, yes, it's completely unclear how many--because the red states want these failures, they're not keeping track.
It's the usual garbage of putting roadblocks in the way of benefits to keep down the amount paid out.
No, a lot of it is individuals responding and their responses not being processed. They have to prove they are eligible, if that proof isn't processed they are dropped.
Look at the reports of huge backlogs with the IRS. What would happen if they automatically started prosecuting you for failure to file as of June 1st?
qualifies is kind of a weasel word though, "in theory they qualify, in practice ..."
I'm guessing this is the US Medicaid system that recently
https://www.theguardian.com/tv-and-radio/2024/apr/15/john-ol...Admittedly that's the UK Guardian reporting on John Oliver which is indeed an auto nope for some, but the issues highlighted here seem real.