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The Looming Medicaid Time-Bomb

Tyler Durden's picture




 

Submitted by Robert Romano via NetRightDaily.com,

From 1985 through 2011, an average 11.7 percent of seniors were enrolled in Medicaid, primarily for long-term nursing home or home and community care, according to data compiled by the Centers for Medicare and Medicaid Services (CMS) and the Bureau of Labor Statistics.

Keep that stat in mind, because if it remains true, as the Baby Boomers progress through old age, by 2030, as many as 8.7 million seniors could be enrolled in the program, up from 4.6 million today, an Americans for Limited Government analysis of the data reveals. By 2035, that figure could rise to about 9.3 million.

And it will drive the costs of the program to the moon, particularly the costs for long-term nursing home and home care targeted at elderly and the physically disabled, which stood at $88.85 billion in 2013. Why?

As the Urban Institute’s Melissa Favreault noted at the Department of Health and Human Services Assistant Secretary for Planning and Evaluation Long-Term Care Financing Colloquium on July 30, “We project that formal long-term services and supports use and costs will roughly track the growth in the aged population.”

That is not good news, particularly considering the older age population wave now underway.

By 2035, the number of seniors will have increased 66 percent to 79.2 million, the U.S. Census Bureau projects. 66 percent.

As jaw-dropping as that is, in the meantime the population of those aged 15-64 will have barely increased 6.65 percent to 232.9 million.
Demotimebombchart

So, how will revenues ever keep up with costs if comparatively fewer Americans will be of working age as a percent of the overall population — for the rest of the century? We’re already running deficits and the answer is, they won’t.

Consider, since 1995, the number of older Americans enrolled in Medicaid has only increased on a net basis by 11.6 percent. And yet, the costs for Medicaid nursing home expenditures are up 75 percent.

If the above ratio holds, the annual tab for long-term care could be as high as half-trillion dollars. And that does not take into account non-seniors who will also be taking advantage of Medicaid.

The explosion of long-term care costs for seniors will be true whether or not Medicaid expansion under the health care law is ever repealed, since qualifying for Medicaid as a senior predates the law’s enactment in 2010.

Seniors constitute most of the costs for those long-term services, about 63 percent, CMS data from 2010 reveals. That includes about 71 percent of nursing home expenditures. As the number of Americans 65 years and older using the program doubles over the next 20 years, that figure should begin rising, along with seniors’ share of overall Medicaid spending.

This puts states in particular in a rather alarming situation. The hundreds of billions that will be spent through Medicaid on long-term care for seniors will be in addition to the hundreds of billions more spent on non-seniors.

Seniors only accounted for 6.7 percent of the 63.7 million Medicaid beneficiaries in 2010, and yet, made up almost a full quarter of benefits paid — $82.6 billion out of its $311 billion budget.

And now, with Medicaid expansion, by 2024 alone, the Congressional Budget Office estimates there could be as many as 93 million Americans enrolled in the program as a whole.

This will get out of control rapidly.

To a certain extent, the health care law attempts to anticipate some of these challenges and included several financing schemes to boost funding for long-term care for the states. Whether their provision was sufficient, and if it was, whether they are sustainable when the money will have to be borrowed remains very much in question.

Much of these schemes attempt to control the costs by replacing senior nursing home care to home care, probably on the presumption that there will not be enough beds and non-institutional care is hopefully cheaper. But even there, there are cost concerns.

A new rule by the Department of Labor enforcing the Fair Labor Standards Act lifted exemptions to the Act that had previously excluded home care workers from minimum wage and overtime pay guarantees. Under the new regime, once the rule takes effect, the costs of home care will necessarily increase — and precisely at the time when demand for those services is about to skyrocket.

Between the demographic time bomb about to go off - that is, the growth of the elderly population far exceeding the growth of the working age population by several orders of magnitude - and then the weak economy, the huge expansion of entitlements under the health care law, and the dramatic increases of the costs of those entitlements, including for labor, what could possibly go wrong?

You do the math. And afterward, if you can figure a way out of this mess, please send a note to Congress. Because they probably have no clue what to do. Repealing the health care law’s Medicaid expansion for non-seniors is just the tip of the iceberg.

 

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Thu, 10/01/2015 - 18:34 | 6618233 dimwitted economist
dimwitted economist's picture

Depressions SUCK! (all the $ away)

Thu, 10/01/2015 - 18:40 | 6618263 TBT or not TBT
TBT or not TBT's picture

Supply will undershoot demand for free stuff, and so that will be the chosen rationing method, making healthcare free.  Its only fair.   

Thu, 10/01/2015 - 18:59 | 6618340 espirit
espirit's picture

Easy Peasy.

Just print MOAR!

Thu, 10/01/2015 - 19:11 | 6618373 Pure Evil
Pure Evil's picture

Just continue to import millions upon millions of 3rd world illiterates working for slave wages.

The taxes they pay should just about pay for it.

Thu, 10/01/2015 - 21:01 | 6618656 MalteseFalcon
MalteseFalcon's picture

The solution is to raise the payroll tax and that's what will happen.

You may have wanted to buy a really rad mountain bike, but instead you're buying health care for your granny.

Thu, 10/01/2015 - 18:45 | 6618282 Gilnut
Gilnut's picture

Nothing more than the basic shortcoming of ALL defined benefit plans, ALL of which have gone bust EXCEPT those propped up by GovCo. Just a hint to those in the 0-60 age brackets.  YOU. WILL. NEVER. RETIRE. PERIOD.  You will work to pay the benefits and pensions of those who have already died, or are almost ready to die.

Thu, 10/01/2015 - 18:37 | 6618250 TBT or not TBT
TBT or not TBT's picture

We'll have virtuously egalitarian death panels?   

Thu, 10/01/2015 - 18:43 | 6618276 The Pope
The Pope's picture

ObamaDEATH is unlikely to be broadcast on the MSM

Thu, 10/01/2015 - 19:13 | 6618378 Pure Evil
Pure Evil's picture

Oregon already has assisted suicide.

Going into the hospital could also be considered assisted suicide.

Thu, 10/01/2015 - 19:20 | 6618405 The Pope
The Pope's picture

The 'sweetness' of it all is that Netanyahu has the graphic placards on TIME BOMB shit all handy to display at a moments notice!

Thu, 10/01/2015 - 18:37 | 6618251 Id fight Gandhi
Id fight Gandhi's picture

With insurance premiums being so high and 20-60% hikes each year and less coverage. Plus no job growth or the gig 1099 economy, most younger people will be on Medicaid.

 

 

Thu, 10/01/2015 - 18:54 | 6618322 Gilnut
Gilnut's picture

Notta probem. Medicaid Disability is due to go bankrupt next year. :)

Thu, 10/01/2015 - 18:40 | 6618264 Freddie
Freddie's picture

20 million more illegals should fix this.

Thu, 10/01/2015 - 18:45 | 6618283 EuroPox
EuroPox's picture

If you like your euthanasia, you can keep your euthanasia.

Thu, 10/01/2015 - 18:45 | 6618284 markovchainey
markovchainey's picture

This entire shit show will probably have blown up by 2035 so there won't be any Medicare, Medicaid, or Social Security.

Problem solved.

Fri, 10/02/2015 - 00:01 | 6619317 sp0rkovite
sp0rkovite's picture

I agree. It's hard to care about any prognostications out past 10 years.

Thu, 10/01/2015 - 18:46 | 6618289 Scooby Dooby Doo
Scooby Dooby Doo's picture

Long medical flotillas Florida<->Cuba?

Thu, 10/01/2015 - 18:50 | 6618299 geekz_rule
geekz_rule's picture

what these never show.. the real issue.. the HUGE costs of Administration.. i.e. privitized BULLSHIT of Insurance

clinicians arent seeing any more, only less

these costs are due to the fraud waste and abuse of fucking insurance companies

P < P + I

Thu, 10/01/2015 - 18:57 | 6618302 cowdiddly
cowdiddly's picture

lol.  I know what you millenials are thinking

Aluminum walkers with mounted twin 7.62mm and a one way ticket to the Syrian Desert Rats Geriatric Paratroopers Division

I know it sucks when you have to clamp your hand over her mouth when she starts moaning in the basement and you got dibs on my Californicating King  Size Bed you little worms.

Thu, 10/01/2015 - 21:32 | 6618935 Doctor Who
Doctor Who's picture

No, I'm actually thinking that I'm working 7 10 hour shifts in a row for the last 2 months.  Never a day off, no demand unrequested.  I'm trying to take care of your generation and there isn't a fucking person in the world that wants to apply for that job.  And I can't let go.

Thu, 10/01/2015 - 21:44 | 6618966 Doctor Who
Doctor Who's picture

You son of a bitch.  You all squandered us away with nothing left, before we even had a chance to meet the world.  And you have the nerve to bitch about that too.  Here is my official fuck all baby boomers.  I'm done.

Thu, 10/01/2015 - 22:38 | 6619080 Doctor Who
Doctor Who's picture

Just so you know.   I'm the chef.  I'm the best in the county.  Enjoy your slop.  I was cooking below my credentials, and not where I work, they have nobody to bring in. 

Thu, 10/01/2015 - 23:03 | 6619187 Doctor Who
Doctor Who's picture

Every master has been gone for over a decade.  This country is fucked.  I'm the best at my game, and I haven't seen anyone better than me for over ten years. I'm pretty embarrased about my work.  Even though I'm suddenly the best.

Thu, 10/01/2015 - 18:51 | 6618306 max2205
max2205's picture

Who cares no one can pay so no one will pay

It'll collapse from it's own weight 

Thu, 10/01/2015 - 18:57 | 6618335 Berspankme
Berspankme's picture

People will die. that is the end game.

Thu, 10/01/2015 - 19:02 | 6618344 espirit
espirit's picture

It worked in Sparta, until it didn't.

Thu, 10/01/2015 - 19:04 | 6618351 Biff Malibu
Biff Malibu's picture

As a paramedic I'm on the frontlines of this.  80% of our calls are now elderly people faceplanting in various locations, at home, at cracker barrel, at the grocery store.  Now we think that doesn't matter or doesn't affect any of us here at ZH.  You're wrong.  It takes us roughly an hour to turn over a simple Grandpa falls (speaking of that, since when did Americans become such pieces of shit that every time someone falls down someone has to call 9-fucking-1!?).  Anyway, while some 40-55 year old productive member of society has a heart attack on the golf course, or a kid has an allergic reaction to peanuts or a bee sting, it's going to take MUCH longer for ambulances to arrive because we are too busy taking old people and their enormous number of various medical problems to the emergency room, because dammit!  I won the big double ya double ya 2 and I don't have time to wait for my doctor!  Talk about the biggest bunch of greedy entitled suckholes on the planet, it's that demographic.  I've worked in the ghetto and I've worked in upper middle class white suburbia.  It's a toss up between who abuses the system more, the "Canadians" or the elderly.

I went into EMS to "help people", what a dumb shit idea that was.  Now I wish I could get out and do something else.  I still like helping people but hate being taken advantage of.  On a good note, the treatment protocols are changing drastically from when I first got in EMS (early 90's).  Now, if someone is in Asystole, they're fucking dead, no more working our asses off to try and save a vegetable. 

However if someone could please tell me how to make money off of all these old people I'm all over it.  Senior "assisted living" condos are popping up all over the place around where I work.  $5000-$10,000 a month rent I hear.  Where do they get all this fucking money?  Most of the people I transport are typical blue collar bozos, post office, auto worker, etc.

I guess they're much better at investing than the rest of us.

Thu, 10/01/2015 - 19:15 | 6618390 Biff Malibu
Biff Malibu's picture

to clarify, I don't hate old people, I hate those that abuse the system.  Many elderly are tough old bastards and if I see anything that requires more advanced investigation on the monitor or in their history I absolutely do my best to talk them into going to the hospital.  But many of these "retirement communities" sell themselves that all their needs will be taken care of and if grandma falls down they will come rushing and pick her up immediately.  In reality, their lawyers tell them not to touch grandma because then they could be liable for any injuries grandma sustains.  So in reality, you have 8 people standing around watching and not doing anything waiting for us to arrive and help grandma off the ground. 

 

Thu, 10/01/2015 - 19:39 | 6618490 Ms No
Ms No's picture

Another problem is American's unecessary fear of death.  Ambulances are for serious trauma but so many an old fart is trying to hold on for 2 more months regardless of the cost, to each his own I guess.  The way I see it not a one of us is getting out of here alive, we will get old and then we will die.  If we are unlucky we will get cancer from GMO and then die during exorbitant and painful radiation treatments. 

I for one will not be handing over all of my wealth on my way out to the sordid and predatory system which almost never cures anyone of anything.  I will do the best I can to make myself healthy, strong and when it is my time to go all I ask for is hospice and pain killers, lots of pain killers.  They will not get my ass into one of those hospitals to pillage the last of my wealth and independence when I know I am likely to never get out.  I hope to leave as much for the next generation as possible and I hope to leave with dignity to the other side which is most certainly better than this shithole.  I won't be the person calling your ambulance every two weeks, I can assure you of that.  It's embarassing Americans didn't used to be like this. 

Thu, 10/01/2015 - 21:10 | 6618851 FredFlintstone
FredFlintstone's picture

sometimes it is the selfish old coot trying to hang in there a couple more months to see several more Gun Smoke or Walker Texas Ranger episodes and eat a few more cheese burgers, but sometimes it is the greedy healthcare industrial complex palyers all lining up for their share of the Medicare pie. They all get paid from the ambulence driver, the smokin hot pharma sales rep, the nurse, the receptionist, hospital administrator, the bed pan washer and the five doctors who all peek their head in the patient room door to say "hi".

Thu, 10/01/2015 - 21:33 | 6618934 cynicalskeptic
cynicalskeptic's picture

My mother retired from a Fortune 500 company with GOOD benefits  (before they got gutted).  I swear the hospital kept her alive for 2 weeks more thn necesary - and longer than she wanted - because they collected another couple hundred thousand for those two weeks in ICU.  She adamently did NOT want to be on a respirator - and that was in writing - yet she ended up on one anyway.  Greedy damn hospital and doctors.

Sometimes peopel WANT to die and you should let them.

Thu, 10/01/2015 - 22:04 | 6619021 Hubbs
Hubbs's picture

Pinned a 103 yr old's broken hip last week. Two days later she was discharged home. Two days after that she died.

 

The futility.

Thu, 10/01/2015 - 22:33 | 6619099 Jena
Jena's picture

That must have been some pre-op conversation with the patent and family, I'm guessing. Risks, post-op, physical therapy, how she'd tolerate all that.

Oh wait, anything less would be a death panel?

Thu, 10/01/2015 - 19:42 | 6618508 Larry Dallas
Larry Dallas's picture

is this because grandpa is overweight and can't move nad you need a forklift to move him?

Thu, 10/01/2015 - 19:05 | 6618355 EuroPox
EuroPox's picture

When Putin has fixed the mess Barry made in Syria, maybe we could ask him if he could fix Obamacare?

Fri, 10/02/2015 - 07:54 | 6619782 fxrxexexdxoxmx
fxrxexexdxoxmx's picture

Barry is going to be pissed/pissed on at times when his boyfriend tells him that Putin is killing brown people in the Middle East. You know how quickly president dufus got the heck out of there when he discovered that fellow Muslims of color were sometimes killed by people who wear clothes like those strong muscular dreamboats which stand around his thing that flies.

Once shown that Putin is doing the same, Barracky the first bisexual secret Muslim POTUS, will stomp he feet and drawn a line in the sand and ask Nancy Pelosi if she can get the same actors she used to denounce Presidet Bush to get out there and make Mr Putin stop.

Where are all of those who cried foul when the USA was trying to achieve Islamic Unity by helping those silly Shia and Sunni people to stop their centuries old genocide by only killing each other in well defined and managable geography now when Putin is KILLING BROWN PROPLE.

 

 

Thu, 10/01/2015 - 19:14 | 6618383 Money_for_Nothing
Money_for_Nothing's picture

What has really happened with Medicaid is that the Medical business figured out how to get paid for charity work. Then all that money with no oversight caused prices to rise too fast. If things go as badly as predicted by zero hedge (lets pray they don't) then a lot of old people will die from neglect. Won't matter since the MSM will cover it up. Happens all the time all over the world.

Thu, 10/01/2015 - 19:19 | 6618402 conscious being
conscious being's picture

So many black clouds. Right now, its not about what, but when.

Thu, 10/01/2015 - 19:21 | 6618411 SSRI Junkie
SSRI Junkie's picture

medicaid time bomb set off by what? obolacare.....which forced states to assume the burden (voluntarily or involuntarily) for all the new free shit army members from all over the world

Thu, 10/01/2015 - 19:58 | 6618572 Ms No
Ms No's picture

Set off by the fact that everybody is now entitled to at least 2 years of the pure hell of pointless medical surgeries, radiations and 20 perscriptions on their way out.  Of course most of these treatments will be fatal on their own in time and have questionable benefits but that is a different story.   

Thu, 10/01/2015 - 19:26 | 6618431 29.5 hours
29.5 hours's picture

.
.
.
"by several orders of magnitude"
Iñigo Montoya: I don't think "order of magnitude" means what you think it means.

Thu, 10/01/2015 - 19:37 | 6618475 Jena
Jena's picture

It's easy. The trend for drugs is such that if you have anything chronic, you'll be weeded out. There won't be any long-term ill elderly after a few more decades. Anyone know how expensive insulin is? I didn't. Guess what? It used to be cheap. It's not anymore. $200-$300 a month and we expect people to be compliant? Plus, unchecked diabetes has so many complications, not the least of which is an increased riskf of Alzheimers. And those pills for Type 2 diabetics for whom insullin isn't enough? Be prepared to sign over the house to get them. Cardiac drugs? Even the old ones, and I mean decades old are undergoing price hikes that are crazy.

Therefore, avoid diabetes, insulin resistance, congestive heart failure, coronary artery disease, COPD or any other pulmonary problem as much as you possibly can. Get in shape now because tomorrow is around the corner. Drugs will be there and your doctors will be happy to prescribe them. They'll work but they'll be too expensive to take. If you need them to live, well... that's sure too bad.

Oh, and don't get me started on the cost for Epi-Pens... Who knew a little adrenaline would run a few hundred bucks?

And this is, of course, after we run out of antibiotics that work on basic staph and strep, let alone more exotic bacteria like NDM-1.

Fri, 10/02/2015 - 04:24 | 6619550 kareninca
kareninca's picture

I take it you are familiar with this clinical trial, Jena:  http://www.ncbi.nlm.nih.gov/pubmed/10808186.  It turns out that epi-pens that are decently stored are good for many years past their "expiration" date.  You do need to check the liquid color through the little hole.

And a popular press artilce on the topic:  http://allergies.about.com/od/anaphylaxis/a/Expired-Epipen.htm

"While both methods studied showed that the expired EpiPens contained less epinephrine compared to the non-expired EpiPens, there was still a surprisingly high amount of epinephrine in the expired EpiPens. Even EpiPens that were 5 to 7 years past expiration date still had more than 70% of the original dose remaining in the device. Many EpiPensthat were 2 to 3 years past their expiration date had more than 90% of the original dose remaining."

It figures that the study was done by Canadian scientists.

Fri, 10/02/2015 - 11:00 | 6620815 Jena
Jena's picture

Yet every child in the U.S. with allergies severe enough to require an Epi-Pen who attends school is required to provide said school with a fresh set (two) at the start of the school year. If one is used, it must be immediately replaced so there are always two on hand for that student. Accordingly, most Epi-Pens are sold in sets of two, with a purchase prices of around $500 for the set. Insurance doesn't always pay for them, and of course, there is that deductible to meet.

The expiration dates on drugs are largely an arbitrarily short date, another gift to Big Pharma. But school rules here.

If all I had was an Epi-Pen that was three years past the expiration date and even if it had precipitates and someone I cared about was in anaphylaxis, I'd inject them while waiting for an ambulance in a heartbeat. The injection isn't going into a vein so the particles aren't as much of a risk as dying from the immediate allergic reaction is.

We are losing any collective common good sense we might have had.

Thu, 10/01/2015 - 19:40 | 6618497 45North1
45North1's picture

You know those ghost cities in China?

Logical solution is to off shore our Elderly.

Thinking about learning Mandarin myself.

 

Thu, 10/01/2015 - 19:57 | 6618566 Bemused Observer
Bemused Observer's picture

Healthcare costs should be coming down along with everything else. The costs of the actual components of healthcare, the commodities, are at lows and going lower. Wages are stagnant or declining, and office rental spaces have high vacancy rates.

It's the subsidies...the patent protections and copyright restrictions that extend to the ultimate heat-death of the Universe.
It's the mandated, cost-inducing minutiae, the forms, the coverage schedules, the appeals process involved in every decision.
It's in the labyrinth of licensure, registration, certification, educational fees, and fines issued by Health Departments during their yearly inspections. (These are an important source of revenue for these agencies. The retail holiday season of health departments everywhere.)
And yeah, of course upper management has been diverting a large chunk to themselves and shareholders, and looting the place.

So yeah, a basic office visit with blood work is hundreds of dollars, with additional lab fees, consultations, and prescriptions that cost you 850 dollars to fill. You finally straighten things out with the insurance company, only to get hit with a bill 3 weeks later from the phlebotomist, who you find out always bills separately because she doesn't take your insurance. Neither does the company your lab used for some of their tests, which you discover to your chagrin when THEIR bill arrives...Then your insurance company disputes something stupid..."We only cover those tests if the blood is drawn in a hospital and tested on-site by licensed personnel whose names contain a 'Y'...", and tell you your premiums are going up.

Thu, 10/01/2015 - 20:45 | 6618746 yellowsub
yellowsub's picture

Guess that means oldies may not be getting their hover-around scooters now...  You know, the ones that never applied for it but still gets them.

Thu, 10/01/2015 - 21:06 | 6618826 Temerity Trader
Temerity Trader's picture

Well, duh! Don't you think that's why the oligarchs wanted limitless immigration? Without population growth, it all ends...we need new debtors and consumers.  As soon as the oligarchs see the falling X-Mas sales each year, and even tanking I-Phone sales, they will panic and press Obama to let in millions more needy, friendly, muslims. Entitlements will only grow, Medicare, Medicaid, VA benefits, EBT cards, Social Security...just try cutting them...LMAO. AARP and veterans groups will scream how you just want to see the elderly left lying in the gutter to die. Millions are taking out more than they EVER paid into the system. It has to collapse...

Kick the f***ing can is all this useless congress can do. Go Trump! Run this government like a business...fire their lazy asses.

Thu, 10/01/2015 - 21:11 | 6618856 vanityvanity
vanityvanity's picture

Ahem. As a practicing physician, take it from me, we are screwed. The government has done to medicine what it does to every industry it meddles with - quality is down and costs are WAY up.

Just today we went live with the new coding scheme: ICD-10. Who cares, right? Never even heard of this?

Five years ago our clinic could see over 120 patients a day. Since electronic medical records have been forced down our throats, we can barely handle 60. Today, because we now have to 'code' everything to minute levels of specificity like obsessive compulsive career bureaucrats, we saw a grand total of 40!

Take a second to let that sink in. At just the moment that demographics are sending demand through the roof, our government has demolished physician productivity by 66 PERCENT!

Plus, many of the older docs who can afford to retire are going to do so rather than jump through any more hoops. Previous generations of physicians used to work til they were dead. The current crop is going to get out in their fifties and sixties.

The solution is simple but will never happen. Since we can't eliminate medicare/medicaid we must radically change it. 1. Set a baseline fee schedule for all services. 2. Allow docs to charge what they must. The hungry young ones will take the baseline fees to create their practice and the more experienced docs will charge more as they see fit. 3. Do the same thing with meds. If folks want the latest and greatest, they had better find a way to pay for it. 

For all the non-entitled (i.e. working stiffs) purchase catastrophic insurance plans and start medical savings accounts. Singapore has a great system, our politicians should look into it. 

Thu, 10/01/2015 - 21:55 | 6618998 Hubbs
Hubbs's picture

Only decreased your productivity 66%? How did you do it? Mine is about 75% down!   I almost smashed my computer today. Two patients got tired of waiting and left.

 

BTW we are having to use Athena elctronic medical records which might explain it.

And probably next week, I'll get a pile of notices for improper coding and have to resubmit them all over again.

Thu, 10/01/2015 - 22:38 | 6619120 Jena
Jena's picture

Not a bug, a feature. Fewer patients seen, less productivity from the health industry, more pissed off everyone and everyone pissed at each other.  Yeah, I've heard the reasons why we moved to ICD-10.  And yeah, we really needed to have diagnostic codes for initial and subsequent contacts with turtles plus myriad other obscure things. But look at all that's being accomplished in the meantime.

Thu, 10/01/2015 - 23:50 | 6619297 fowlerja
fowlerja's picture

I am not really worried because ...On a long enough timeline the survival rate for everyone drops to zero...

Thu, 10/01/2015 - 23:53 | 6619302 enloe creek
enloe creek's picture

Here it is at the end of all things. And we are discussing those useless old about to die boomers like they freaking matter. You don't really think the millenials are going to put up with the system going south like that.

  Google lem ownby. That's how you do it      

 

 

Fri, 10/02/2015 - 00:21 | 6619348 DaveA
DaveA's picture

Easy solution: Every time a senior dies in a nursing home, immediately reimburse the home for the next three months of that person's care, and never investigate the cause of death. Who cares if you die of neglect? Your family could have taken you in, but they let you become a ward of the state.

Fri, 10/02/2015 - 03:50 | 6619539 InnVestuhrr
InnVestuhrr's picture

America voluntarily took a big bite of the socialism apple starting with Roosevelt, then accelerated with Johnson, and turbo-charged with subsequent democrat (socialist) apparatchiks. The inevitable result is progressive decline ending in total mediocrity and rot. The only possible escape is violent civil war and purging of all the socialists, which will never happen in the USA. You live in a mortally wounded dieing society.

Fri, 10/02/2015 - 06:29 | 6619637 Raoul_Luke
Raoul_Luke's picture

Good thing we did Obamacare, eh?  What did that add, like another seven or eight million to the Medicaid rolls?

What a complete fiasco.

Fri, 10/02/2015 - 06:30 | 6619638 Raoul_Luke
Raoul_Luke's picture

If you like your euthenasia, you can keep your euthenasia...

Fri, 10/02/2015 - 09:01 | 6620057 sam site
sam site's picture

 

The problem with today's healthcare is government-protected Monopoly Medicine. 

It's unaffordable because there is no competition between the various types of medicine. 

Our state governments gave accident or Allopathic medicine a government-protected monopoly to

diagnose, treat and cure ALL medical afflictions including degenerative diseases that represents 90% of medical care.

Did you know that Big Pharm drugs are mostly petroleum-based synthetic chemicals that poison the liver and present a huge burdon on the body to eliminate? 

The body doesn't recognize these foreign substances. 

Much of the world is using cheap Chinese, Naturopathic, Homeopathic or Ayurvedic medicine and they aren’t dropping like flies like Americans want to believe. 

Monopoly Allopathic Medicine has duped Americans into believing that disease strikes randomly like lightning from germs or genetics and that we have little control over our health. 

Louis Pasteur, the founder of the Germ Theory of Disease, finally admitted on his death bed that germs don’t cause disease but the terrain is the chief cause.

The terrain is the state of cleanliness or toxicity in the body that enables our immune system to reverse or prevent disease. 

Allopathic Monopoly Medicine completely ignores toxicity, detoxification, nutrition and natural immunity as all the alternative medicines emphasize.     

Like the corrupt Fed, these are the last days of government-protected monopolies and if they had to compete with cheaper, safer and far more effective

natural medicine like Homeopathy, Naturopathy or Chinese Medicine they would likely be starved for patients. 

The last time the dangerous Allopaths competed in the marketplace in 1900 they could only attract 14% of patients. 

The public was afraid of them and fortunately there was back then a free market in medicine so the public chose affordable, safe and vastly more effective natural medicine. 

In the 1918 Flu Pandemic, the Allopaths lost 30% of their patients.  The Alternative Medical providers lost 1%. 

Allopaths were known as the Quicks (later Quacks) for the quicksilver or mercury they poisoned their patients with. 

They're still poisoning patients with toxic mercury in vaccines along with aluminum, MSG and formaldehyde embalming fluid. 

And that's besides the toxic infectious agent that starts a brushfire in the brain for life causing Autism and Schitzophrenia.  Senior CDC scientists have known this for 80 years. 

They're also poisoning and killing patients with chemotherapy for cancer that's a derivative of WW1 mustard gas. 

Because we allowed the Zionist Globalists to take over our money and medicine about 100 years ago, we allowed the quacks of the day, a government-protected monopoly and drove out the true healers. 

The sheeple to this day still believe the myth that Ambulance Allopathic Medicine earned it's

government-protected monopoly status because it's the only "proven and scientific" medicine. 

Nothing could be further from the truth.  It's a vicious, cruel lie that 90% of Americans not only believe, but

even defend because they have been chemically dumbed-down with vaccines, fluoridated water and GMO food to name a few. 

Forget about government-protected monopolies containing costs and becoming affordable, our hidden rulers are getting a huge belly laugh on their way to

the bank as they have handicapped the public with poisons in the food, air, water and medicine. 

Visit naturalnews.com and mercola.com and educate and treat yourself with cheap, safe and effective

natural medicine that cleans up your immune system terrain and turns on powerful prevention. 

Empower yourself and dispel the myth, power and fraud of Monopoly Quack Medicine. 

Allopathic Ambulance Medicine specializes in stabilizing traumatic accidents and that’s what they should be restricted to doing. 

PBS doctor Andrew Weil MD says that Allopathic Medicine has no business treating degenerative

diseases just as natural medicine has no business treating accident victims. 

We’ve all been duped by our organized-crime hidden rulers into believing false paradigms about medicine and money. 

It’s time we woke up and started controlling our economic future and health.  We will all find that the body is enormously powerful in keeping us healthy

without the poisoning agendas and interventions of corrupt men.

See this video describing this handicapping agenda by neurosurgeon Dr Russell Blaylock MD for a real eye-opener.

http://www.youtube.com/watch?v=fB3xcN_eoPo

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