I’d say women are screwed too. Probably Republicans thinking about every way they can pressure women out of the workforce.

BeeeeeeCAAAAAAWWWWWSE:

No wonder they like Cuomo

As someone from rural Ohio (the Appalachian part), I want to wring my hands and go, "sucks to suck. Go and do your rebel yell at a funeral." But even in Trump country, ~20-30% voted for Harris. There are people who voted to keep Medicaid/Medicare for themselves AND others.

So only the rich will be able to afford nursing home care and hospital care.

Listen, rural voices in America have been dismissed for too long. They've spoken. Turns out they don't like their hospitals.

Rural communities overwhelmingly voted for Trump. We should celebrate when they get what they voted for.

Real Americans don't need no commie hospitals!

The Medicaid reimbursement rates are already too low to provide decent care; any lower and it becomes unworkable. ⬆️ unemployment in rural areas, ⬇️ tax revenue, ⬆️ ER visits, ⬇️ hospital reimbursement, see where this is going?

Can't wait for the monster bill that Dems will have to pass in 4 years to fix everything get labeled as Soviet Union 2.0 by the media.

it's more like the next democrat administration will have to correct for the failures of reconstruction (1865-77) *****&***** the redevelopment of the postcommunist east (russia, mostly, but also slovakia, poland, & hungary).

They'll be striving. for a bi-partisan bill, so it will fall short.

Fuck that. Need to elect people in the primaries who will be agressive and use a majority (if they get one) should be used to push stuff forward.

Oh, good! My point was clear.

Yup

I read somewhere that there will be a slush fund for health care in red states. (Like bailing out farmers the last time.) Is that true?

If skilled nursing facilities (nursing homes) lose Medicaid, those high need patients will be dumped into ER’s where they will then become inpatients until the RN case managers (me) can help place them. Without Medicaid, they won’t be placed, will remain in the hospital taking needed beds away, and

Saw this happen as a one-off as a unit RN. Dispute between medicaid and patient family over ownership of a home. Patient couldn't qualify but needed a chronic vent facility. Tied up a hospital critical care bed for months while it got sorted out in the courts. Can't imagine it at scale.

Case managers and social workers already have an impossible job.

Thanks for recognizing this. I’ve been a nurse for 30 years, this is the hardest job I’ve had

The bureaucracy is so daunting. Anyone who thinks people are just getting all sorts of things they don't deserve has never tried to get people the things they're supposed to have. It's made to fail.

Yup, this is my job on a daily

And hospitals will close. This will not only be in rural areas. This will have effects everywhere

And then there’s the dementia patients on Medicaid. They don’t need a hospital. Where do they go? There’s no winners here. 😢

It depends on their income. If they do not wander or have behavioral issues, they can go to a SNF. If they need more care but can’t afford memory care, maybe a board and care which are wonderful, but still 3-4K a month

My aunt had dementia with behavior/wandering issues. Her personal assets covered several years of a secure nursing facility and Medicaid picked up when her cash ran out. I don’t know what we would have done without Medicaid- we couldn’t afford to pay for her care, and had no way to keep her at home.

the white house?

Might as well. How much difference can one or two more make, right?

It was going to devastate the health care industry.

Shoving those with advanced dementia either back to families who can’t take care of them, or out on the street, is making America great again. Haven’t you heard?

more unhoused people will just make the concentration of hitler particles in the median voter surge. the kgw8 & katu2news investigative reporting teams in portland are already semi at the news they're be able to break.

Another way to keep women chained to the home. @jessicacalarco.bsky.social

Alot of people have no idea how to handle dementia or other memory care. Many don't know the basics of just helping an elderly person that can't clean themselves. People will suffer and xie.

A lot of people think that dementia is just being really forgetful. When they aren’t treating it as a punchline. As someone whose father died of Lewy Body, it ain’t that.

Yup. I work in assisted living so we deal with it firsthand. It's way more complicated than that.

Or just put 'em into the White House.

Remember how excited we all were to move out of the house of the parents who wiped our butts when we were babies? Would appear to be payback time...

Way to go, trump voters -- and good luck taking care of your aging, ill parents at home. 😐

Bullshit

More of getting what you voted for

Hey struggling Americans, get ready to bring your aging parents back home and care for them and feed them, with zero resources.

And many of these people have nowhere to go. They wont just go home to family. They will die on the streets.

"Who cares? Won't affect us. Our elders don't go to Nursing Homes that take Medicaid."/Sarcasm

Hey Rich Gen Xers and Boomers, the premiums for your Long Term Care insurance just went up and the policy may get cancelled.

“…and how is that Biden’s fault” - NYT editorial article

zoomers going to be unaliving their gen x parents like the menendez brothers.

& another quarter plus of nursing homes will be raided by ice & the ecuadorian, jamaican, moldovan, & nepalese staff will be deported to oman or zambia.

Vote in 2026 like lives depend on it, because they do.

Healthcare in the US has always been problematic, this just means now when people/employers pay for their health insurance they still won't have access to medical care. I guess it isn't much different than the repeated unnecessary denials they faced before though, right? It just skips some steps.

@alt-text.bsky.social

Alt text retrieved

Also, the "defer modernization efforts" is going to sting. Those probably refer to things like detecting patients falling in their room with AI, or additional cooling in the rooms to deal with climate change. Deferring those can and will kill a lot of grandparents...

Everything except the ultra rich is screwed. Just an awful, awful bill

I think they are screwed too, just the reckoning will be a lot subtler and more delayed. The king of the wasteland still lives in a wasteland. Like being able to afford the best medical care means nothing if you die in transit because you are five hours away from a hospital.

They will caged inside their gated communities and too fearful to do anything else.

And they will never realize how they built their own cage and resist any measure to make it better. 😩

Mom & Dad are coming home to live with us. That's gonna make a lot of folks really happy about the Big Bullshit Bill.

Wonder what lives in those "rural areas".....oh, dear...

Seems important.

I'm never sure when it's OK to laugh at how they're mostly screwing themselves..

Living in rural America is already a huge challenge for medical care. Doctors don’t want to live and raise families here for the most part. 60-90 minute drive to large hospital if ours closes. Not to mention the jobs lost. But, I guess we’ll “get over it”

This is planned eugenics disguised as budget cuts.

robert f. kennedy, jr., finishing what his grandpa wanted jr.'s dad to do. (why else did robert, sr., spend the early/mid 50s working for joseph mc carthy? the kennedys were supposed to become republicans!)

Closing a quarter of all nursing homes would be disastrous, but republicans probably think it will be a good thing because it will force a ton of middle aged women out of the workforce to do 24/7 home care.

...and stop young women from ever entering it. Once many women no longer have financial freedom, start stripping them of all the others. Maybe the doctrine of coverture can make a comeback?

And how!

A massive ripple effect will then follow. Buckle up if this thing passes.

No plan for residents of these nursing homes, evidently? Guess they will either be moved somewhere far away from their family or family members will need to care for very elderly - even if medical needs are high - and not able to work.

Are there no workhouses

Are there no prisons in El Salvador?

Maybe just maybe this will lift the rurals out of their GOP addicted stupor. Maybe.

Nah. Fox and church will talk about the gays and the trans, and they will vote MAGA

Ya they can die sick without the hospitals they voted for this.

Honestly the problem is cyclical; they feel condescended upon by wonky urban elites, which makes them lash out in self destructive rage, which makes those wonky urban elites point out how stupidly self destructive their behavior is, which makes them lash out with even *more* rage... and so on.

A comparison i make is to when one of your friends (or yourself!) Is acting childish, as we all do sometimes, and you tell them so -- and often, that just makes them angrier. Their bitterness grows, and so you point out that theyre having a temper tantrum. Which... only makes things worse.

You might bet better mileage by asking them to explain how this helps them.

You can cure yourself with this one weird trick on YouTube

Colloidal silver and Ivermectin by the pound brought to you by Trump Pharmaceuticals. Order now pay with Trump Coin later.

en.wikipedia.org/wiki/Sarco_pod

Is this the “Let them eat cake” moment?

There's nothing a Republican loves more than their constituents dying miserable deaths.

larry kudlow might finally get his spring 2020 wish of the nation's seniors dying for the dow.

Look, we can't support the weak forever.

Like the good book says...

"I don't like the far right OR the far left. I like things to stay in the moderate center, where genocide is fine and people's healthcare money is given to cruise missile manufacturers." Caitlan Johnstone

Time for grandma and grandpa to take one for the team again

"If they would rather die, they should do so and decrease the surplus population."

Remember, they're pro life. Unless you actually want your kid born in some kind of professional and well maintained hospital in which case hahaha good joke now get in the barn.

Guaranteed, the care provided to America’s most vulnerable—folks who paid taxes all their lives, defended their country, brought up families—will certainly degrade. Our seniors deserve more. Anyone in need deserves more. The Republicans snd Trump own this misery and catastrophe.

That’ll teach those boomers.

"Bathe in shit." - Charlatan Kennedy Jr.

The grand old party of death. 💀💀💀

Terrifying if you're in age group with a good chance of needing a nursing home at some point. Or if you have parents in that age group.

Susan Collins and Josh Hawley are you listening

Not to worry! See attached article. truthout.org/articles/vot...

They'll likely get over it with something like this? en.wikipedia.org/wiki/Sarco_pod

55% reduce medicaid census = if your grandmas new medicaid adjustment doesnt meet the new cost analysis we run we are sending her back to you.

and many hospitals not just rural hospitals either

so, red murica dies first?

Boy, you'd think the people making billions off nursing homes would be up in arms and have their lobbyists talking to congress

Everyone seems focused on rural hospitals but urban ones serving all comers will be in just as much trouble, won't they? Plus cuts to residency programs, visas for workers, and fewer people with any insurance due to ACA changes -- the whole system is at high risk of collapse.

Yes. We are flirting with an epic disaster. Once it all starts to snowball, a rebound will take years.

Everyone loses here

I strongly suspect that collapse is the point: Kennedy wants modern medicine destroyed, the quicker to eliminate those lives unworthy of life. That's why they hate abortion: the women who survive must be forced to give birth to the new American Ubermensch.

It'll be bad for urban hospitals but they benefit from economies of scale and their finances are much more stable.