4 ms·

> I'm not exactly sure how it works Basically you're making all sorts of unsubstantiated claims about something you openly admit not knowing how it works. At l

> I'm not exactly sure how it works Basically you're making all sorts of unsubstantiated claims about something you openly admit not knowing how it works. At least you admit it. That's OK, I'm like that with some things too. For example I have never tried escargot but I am pretty sure it is disgusting.

zaroth 10y ago
I usually add more references to avoid the impression I'm making shit up. I do have significant experience dealing with SSDI; the application process, the approval process, the payment calculations, and the SGI requirements. It's also something I've researched extensively along with the ACA as a kind of public policy hobby. The "I'm not sure exactly how it works" statement was specifically related to having both Medicare and Medicaid at once. But my claim that Medicare is primary and Medicaid is secondary was based on [1]. EDIT: In reply to 'icantdrive' which needs 'showdead' to see; Getting SSDI is not guaranteed, you have to get through the approval process. But it's clearly not insurmountable if 20% of a county can be on it. Certainly everyone does not have a qualifying condition. But many people have qualifying conditions but who are not currently on SSDI. Many people have SSDI with a qualifying condition (not fraud) but who might otherwise be able to earn more than $1,170 / month. This is the population we are studying, and trying to understand why they ultimately decide to forgoe working and get on SSDI. Medicare premiums for someone on SSDI will be almost nothing. But importantly the co-pays are still 20%. You qualify for Medicare 29 months from the time you were deemed disabled and you also stopped working (later of the two). You are absolutely correct that Medi-Cal is what most people are relying on. For the first 29 months it covers everything at no cost, and after Medicare kicks in it covers the Medicare co-pays. Of course not everyone will take Medi-Cal. But major hospitals and their doctors on staff do take it, so you can walk into Stanford, Lucile-Packard, UCSF, etc. and get fantastic care at zero cost. I care about the system mostly due to the warped secondary effects it creates. SSDI is an incredible program and an essential benefit for millions of Americans. It has the right heart, but like most things governmental, goes about it all wrong. When a crucial benefit comes with a condition that you can't work more than $1,170 / month, that is broken. People who are disabled and legitimately qualify for SSDI should not have an economic gun to their head keeping them from working at all. They should be free to work as much as they are willing and able to. The program claims to provide benefits to people unable to work. But increasingly (for about 50% of enrollees) what it really does is provide benefits to people willing to not work. Because of the broad range of ailments that are covered, the most important factor becomes the applicants willingness to just give up on working. Actually, more to the point, the spectrum of programs (SSDI, Medicare, Medicaid, TANF, etc.) actually drive people to give up working, because the economic value of giving up on work is astronomical. [1] - https://www.medicareinteractive.org/get-answers/programs-for-people-with-limited-income/medicaid-and-medicare/how-does-medicaid-work-with-medicare-to-cover-my-health-care-costs https://www.medicareinteractive.org/get-answers/programs-for...
- DoodleBuggy 10y ago
  It's OK, you have a strong opinion with little basis in fact. That's an opinion in truest form. Like I said I totally hate escargot, never even tried it, but can you imagine eating snails? So disgusting.

zaroth 10y ago

I usually add more references to avoid the impression I'm making shit up. I do have significant experience dealing with SSDI; the application process, the approval process, the payment calculations, and the SGI requirements. It's also something I've researched extensively along with the ACA as a kind of public policy hobby. The "I'm not sure exactly how it works" statement was specifically related to having both Medicare and Medicaid at once. But my claim that Medicare is primary and Medicaid is secondary was based on [1]. EDIT: In reply to 'icantdrive' which needs 'showdead' to see; Getting SSDI is not guaranteed, you have to get through the approval process. But it's clearly not insurmountable if 20% of a county can be on it. Certainly everyone does not have a qualifying condition. But many people have qualifying conditions but who are not currently on SSDI. Many people have SSDI with a qualifying condition (not fraud) but who might otherwise be able to earn more than $1,170 / month. This is the population we are studying, and trying to understand why they ultimately decide to forgoe working and get on SSDI. Medicare premiums for someone on SSDI will be almost nothing. But importantly the co-pays are still 20%. You qualify for Medicare 29 months from the time you were deemed disabled and you also stopped working (later of the two). You are absolutely correct that Medi-Cal is what most people are relying on. For the first 29 months it covers everything at no cost, and after Medicare kicks in it covers the Medicare co-pays. Of course not everyone will take Medi-Cal. But major hospitals and their doctors on staff do take it, so you can walk into Stanford, Lucile-Packard, UCSF, etc. and get fantastic care at zero cost. I care about the system mostly due to the warped secondary effects it creates. SSDI is an incredible program and an essential benefit for millions of Americans. It has the right heart, but like most things governmental, goes about it all wrong. When a crucial benefit comes with a condition that you can't work more than $1,170 / month, that is broken. People who are disabled and legitimately qualify for SSDI should not have an economic gun to their head keeping them from working at all. They should be free to work as much as they are willing and able to. The program claims to provide benefits to people unable to work. But increasingly (for about 50% of enrollees) what it really does is provide benefits to people willing to not work. Because of the broad range of ailments that are covered, the most important factor becomes the applicants willingness to just give up on working. Actually, more to the point, the spectrum of programs (SSDI, Medicare, Medicaid, TANF, etc.) actually drive people to give up working, because the economic value of giving up on work is astronomical. [1] - https://www.medicareinteractive.org/get-answers/programs-for-people-with-limited-income/medicaid-and-medicare/how-does-medicaid-work-with-medicare-to-cover-my-health-care-costs https://www.medicareinteractive.org/get-answers/programs-for...

DoodleBuggy 10y ago
It's OK, you have a strong opinion with little basis in fact. That's an opinion in truest form. Like I said I totally hate escargot, never even tried it, but can you imagine eating snails? So disgusting.