{"id":13052,"date":"2013-03-04T19:49:55","date_gmt":"2013-03-04T19:49:55","guid":{"rendered":""},"modified":"2013-03-04T19:49:55","modified_gmt":"2013-03-04T19:49:55","slug":"caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid","status":"publish","type":"post","link":"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/","title":{"rendered":"Caller\u2019s Day Made by Telling Host Something He Didn\u2019t Know About Medicaid"},"content":{"rendered":"<p><a href=\"\/\/videos\/37\/48136\" target=\"_blank\"><img class=\"alignright\" src=\"https:\/\/live-rush-limbaugh.pantheonsite.io\/wp-content\/uploads\/listentoit.jpg\" alt=\"Listen to it Button\"><\/a><\/p>\n<p>RUSH: This is Barney in Tucson.  Barney, I\u2019m glad you waited, sir.  Great to have you on the program.  Hi.<\/p>\n<p>CALLER:  Rush, there\u2019s another hidden reason why the problem with nobody having any money is gonna get much worse under this Medicaid expansion.  There\u2019s an additional Trojan horse in this legislation where the government will seize as much of the estates of Medicaid recipients when they die as it takes to reimburse the government for the services it provided.  And nothing\u2019s gonna be off-limits, including homes which have been in families for generations.  It\u2019s not a brand-new thing.  It goes back to the Omnibus Budget Reconciliation Act of 1993, and it\u2019s called estate recovery and it mandates &#8212;<\/p>\n<p>RUSH:  Under what auspices can they seize a home?  Under what auspices can they seize a home from somebody\u2019s estate?<\/p>\n<p><img id=\"eZObject_73585\" class=\"aligncenter\" align=\"middle\" src=\"https:\/\/live-rush-limbaugh.pantheonsite.io\/wp-content\/uploads\/RushDittoheadNationMap030413.jpg\"\/><\/p>\n<p>CALLER:  They already have the provision set up, but states have not pursued it aggressively.  There is an accounting procedure there where they track what benefits have gone to recipients, and a spouse is living in the house, there are provisions for them, but if it\u2019s the only asset, nobody\u2019s living there, they will be able to seize it when they die.<\/p>\n<p>RUSH:  Okay, hang on.  I gotta take a break here.  I want to explore this further with you, and I don\u2019t have time to do it right now.  So be patient.<\/p>\n<p>BREAK TRANSCRIPT<\/p>\n<p>RUSH: I did some quick searching here during the break; I may have a little bit on this. I want to go back here to Barney in Tucson, Arizona. You say this goes back to budget reconciliation 1993, did you say?<\/p>\n<p>CALLER: Yes. That was when the original provision was put in, but it stands to be greatly expanded under Obamacare &#8212;<\/p>\n<p>RUSH: Right. So &#8212;<\/p>\n<p>CALLER: &#8212; because there\u2019s a multiplier for, you know, the federal poverty level, which is going to get a great deal more individuals enrolled in Medicaid\u2019s program, but with the federal government essentially being able to do a reverse block grant of Medicaid funding, it can force the states to exhaust a state recovery before reimbursing the states for their Medicare cost. It\u2019s just another Trojan horse in here. But if I may, Rush, there is an elegant solution for all of this that we\u2019ve been pushing in Arizona.<\/p>\n<p>RUSH: Elegant solution?<\/p>\n<p>CALLER: Elegant.<\/p>\n<p>RUSH: Elegant.<\/p>\n<p>CALLER: It\u2019s a beauty. It consists of volunteer doctors treating Medicaid patients at no cost to the state in exchange for complete med-mal coverage under the state\u2019s existing policy, which it has &#8212; all states have them for university hospitals and clinics. And there\u2019s been a model clinic in operation in New Jersey for over a decade that has taken the cost of a Medicare encounter down from 150 bucks a pop to $15.<\/p>\n<p>RUSH: Really?<\/p>\n<p>CALLER: And &#8212; you bet.<\/p>\n<p>RUSH: That is elegant.<\/p>\n<p>CALLER: It\u2019s a beauty. Trade doctors, it\u2019s been figured that it &#8212;<\/p>\n<p>RUSH: Okay. I want to go back to the government, to a state being able to seize your house &#8212;<\/p>\n<p>CALLER: Yup.<\/p>\n<p><img id=\"eZObject_73602\" class=\"aligncenter\" align=\"middle\" src=\"https:\/\/live-rush-limbaugh.pantheonsite.io\/wp-content\/uploads\/ObamacareAgent.jpg\"\/><\/p>\n<p>RUSH: &#8212; when you die to satisfy Medicare expenses. Now, I did some research here. Didn\u2019t have much time. It was only a three and a half minute break here at the bottom of the hour. I found a Christian Science Monitor story from 2006, and the headline: &#8220;A Flap Over Recouping Costs of Medicaid&#8221;. Folks, I have to tell you, I\u2019m ashamed to admit that I didn\u2019t know this existed. I knew it did for drug dealers.<\/p>\n<p>CALLER: (laughs)<\/p>\n<p>RUSH: I knew they could seize the assets of any drug dealer any &#8212; boat, yacht, airplane, homes, whatever.<\/p>\n<p>CALLER: Well, Rush, it\u2019s a rare privilege to be able to tell you something you don\u2019t already know.<\/p>\n<p>RUSH: I can imagine. Probably made your day.<\/p>\n<p>CALLER: (laughs)<\/p>\n<p>RUSH: But here it is: &#8221; States try harder to recover their losses from providing healthcare to the poor &#8212; even seizing homes&#8230;. In the face of soaring Medicaid&#8221; &#8212; remember, folks, now, this is seven years old now. States try harder, &#8220;[i]n the face of soaring Medicaid costs, Tennessee and every other state are required to set up a Medicaid estate-recovery program. Many have been launched only recently, and some &#8212; like Tennessee\u2019s &#8212; are becoming more aggressive. Often, they target the home because it\u2019s all that\u2019s left after beneficiaries have spent their assets to pay for nursing-home care.&#8221;<\/p>\n<p>Now, from the article: &#8220;States base their programs&#8221; &#8212; like what you said &#8212; &#8220;on a 1993 federal law mandating that they recover what Medicaid spends on a beneficiary\u2019s long-term care. Congress approved the law to prevent states from forcing the sale of beneficiaries\u2019 homes while they were still living, in case their conditions improve and they can return home&#8221;.<\/p>\n<p>So the way I\u2019m reading this, somebody\u2019s not living there. They\u2019re either in a convalescent home, or they die, and if nobody\u2019s in the home and the state calculates that it\u2019s gone bankrupt or gone &#8212; not bankrupt &#8212; if the states calculated that the amount of money they have spent treating this person has resulted in a net loss, they can try to recoup what they\u2019ve spent by seizing the person\u2019s house.<\/p>\n<p>CALLER: That\u2019s exactly right.<\/p>\n<p>RUSH: Well, the death panels are gonna take care of this.<\/p>\n<p>CALLER: Well &#8212;<\/p>\n<p>RUSH: They won\u2019t be treating these people ad infinitum like &#8212;<\/p>\n<p>CALLER: Well that\u2019s just means they\u2019ll be able to get their homes sooner. A lot of states have not been pursuing this aggressively and they\u2019ve made provisions for individuals and surviving spouses to be able to keep the homes permanently, but the pressures put on by this legislation is likely to force states to recover costs wherever they can.<\/p>\n<p><img id=\"eZObject_73603\" class=\"aligncenter\" align=\"middle\" src=\"https:\/\/live-rush-limbaugh.pantheonsite.io\/wp-content\/uploads\/ObamacareTaxes.jpg\"\/><\/p>\n<p>RUSH: Yeah. Exactly. And you\u2019re right, it\u2019s a Bill Clinton law, it\u2019s a budget reconciliation, 1993. It\u2019s his first year in orifice. And so, in a nutshell, I hate to tell you here, folks, but old Barney\u2019s right. States can seize houses for money they say they are still owed for their Medicaid treatment costs after somebody dies.<\/p>\n<p>CALLER: &#8212; about this solution because it\u2019s the opposite of greater government involvement. It\u2019s where doctors can connect better with patients, treat them directly at no cost to the state, it\u2019s &#8212;<\/p>\n<p>RUSH: Okay, well, where does the Medicaid patient get the 150 bucks?<\/p>\n<p>CALLER: They don\u2019t. The 150 was the prior cost of the Medicaid &#8212;<\/p>\n<p>RUSH: Okay, whatever it cost the Medicaid patient, the government\u2019s paying that they\u2019re no longer paying because the patient\u2019s dealing directly with the doctor. Where do they get the money to pay for it?<\/p>\n<p>CALLER: There is no money to pay for it because the doctors are treating these patients under this provision. We have a bill proposed, but it\u2019s not getting any traction in Arizona, called the &#8220;Arizona Volunteer Physicians Protection Act&#8221;, and doctors donate four hours a week of their time in exchange for complete med-mal coverage, which can run into the six figures. So it\u2019s a great way &#8212; for doctors &#8212;<\/p>\n<p>RUSH: Wait a minute. You\u2019re talking about &#8212; you\u2019re saying &#8220;med-mal&#8221;, you\u2019re talking about malpractice. You\u2019re saying that states can exchange Medicaid charges for the state covering malpractice coverage?<\/p>\n<p>CALLER: Well, actually the Medicaid charges will disappear because the Medicaid patient will now go to clinics set up by volunteer doctors at no charge, and the doctors are amply compensated for their services &#8212;<\/p>\n<p>RUSH: By who? That\u2019s what I &#8212; by who?<\/p>\n<p>CALLER: The state will put these doctors under the state\u2019s existing medical malpractice coverage, which is very cheap for the state, and they have it in place for their university hospitals and clinics, and the payouts under that are minuscule. The state will &#8212; the problem is, in Arizona, there\u2019s huge opposition from health insurance industry lobbyists.<\/p>\n<p>RUSH: Well, of course there is. And of course there would be.<\/p>\n<p>CALLER: But, Rush, this solution could solve Medicaid nationally.<\/p>\n<p>RUSH: Well, Medicaid would become a charity run by the state, then?<\/p>\n<p>CALLER: Bingo.<\/p>\n<p>RUSH: That\u2019s the way your system works.<\/p>\n<p>CALLER: Yep. Everybody wins. Almost everybody.<\/p>\n<p>RUSH: No, everybody doesn\u2019t win.<\/p>\n<p>CALLER: Nope. The insurance industry lobbyists lose. The health care administrators &#8212;<\/p>\n<p>RUSH: The people that count are losing. (Laughing) The big enemies of this, the insurance companies, governments, they &#8212; the problem here is&#8230; Look it. I don\u2019t want to be negative. I don\u2019t doubt that your program works. Here\u2019s the thing. What government, especially an Obama-type guy, what government official can allow for Medicaid to appear to be this inexpensive versus what it is now?<\/p>\n<p>CALLER: Well, the fact is they\u2019re showing it in New Jersey, and they\u2019ve done it for the last 11 years. It\u2019s called the Zarephath Clinic &#8212; <\/p>\n<p>RUSH: The Arafat Clinic?<\/p>\n<p>CALLER: &#8212; they\u2019ve been operating it for more than a decade.<\/p>\n<p>RUSH: Arafat Clinic?<\/p>\n<p>CALLER: Zarephath.<\/p>\n<p>RUSH: Oh.<\/p>\n<p>CALLER: It\u2019s with a Z. It\u2019s a tough spell. But the doctors are &#8212; have the last name &#8220;Eck&#8221; &#8212; E-C-K &#8212; so if somebody Googles them, they\u2019ll find the clinic.<\/p>\n<p>RUSH: Look, we\u2019ve already lost 90% of the people in the audience with this. I\u2019m just exploring in my own curiosity.<\/p>\n<p>CALLER: Rush, the more you think about it, the more you\u2019re gonna realize this could solve our Medicaid problem nationally. It\u2019s the cure for Obamacare &#8212;<\/p>\n<p>RUSH: Well, I\u2019ll tell you what I\u2019m gonna do. I\u2019ll go home and think about it. I got nothing else to do to do today. I\u2019ll go home and think about this, and you may be right.<\/p>\n<p>CALLER: Rush, thank you so much for all the time. I wanted to &#8212;<\/p>\n<p>RUSH: Barney, it\u2019s &#8212;<\/p>\n<p>CALLER: &#8212; get on this &#8212;<\/p>\n<p>RUSH: &#8212; my pleasure.<\/p>\n<p>CALLER: &#8212; for about a year and a half.<\/p>\n<p>RUSH: Well, I\u2019m glad you made it, I\u2019m glad you got through. By the way, his original point that he was discussing &#8212;  the seizing of your home business &#8212; would apply even now to the states taking $300 billion from the federal government for Medicaid, they can still take your home even after taking the $300 billion from the Feds. He\u2019s calling it a Trojan horse, only because you don\u2019t know it\u2019s there. Anyway, I\u2019m glad he got through, and I made his day: he told me something I didn\u2019t know. Let me ask you: Mr. Snerdley, now that you know this, are you glad that you\u2019ve learned this? Was it worthwhile? (interruption) Says it\u2019s worthwhile, but he\u2019s not glad. Okay. I appreciate it, Barney. Thanks much.<\/p>\n<p>A brief, obscene profit time-out. Just think of it, folks, as Medicaid becoming a charity as far as the doctor-patient relationship is concerned. That\u2019s what he was saying, Medicaid becomes a charity, and medical malpractice insurance fees end up being directed somehow to compensate the doctors for their charity work at no loss to the doctors, but not nearly as expensive as straight Medicaid &#8212; Medicare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RUSH: This is Barney in Tucson. Barney, I\u2019m glad you waited, sir. Great to have you on the program. Hi. CALLER: Rush, there\u2019s another hidden reason why the problem with nobody having any money is gonna get much worse under this Medicaid expansion. There\u2019s an additional Trojan horse in this legislation where the government will [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","ngg_post_thumbnail":0},"categories":[],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Caller&#039;s Day Made by Telling Host Something He Didn&#039;t Know About Medicaid  - The Rush Limbaugh Show<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/\" \/>\n<meta name=\"twitter:card\" content=\"summary\" \/>\n<meta name=\"twitter:title\" content=\"Caller&#039;s Day Made by Telling Host Something He Didn&#039;t Know About Medicaid  - The Rush Limbaugh Show\" \/>\n<meta name=\"twitter:description\" content=\"RUSH: This is Barney in Tucson. Barney, I\u2019m glad you waited, sir. Great to have you on the program. Hi. CALLER: Rush, there\u2019s another hidden reason why the problem with nobody having any money is gonna get much worse under this Medicaid expansion. There\u2019s an additional Trojan horse in this legislation where the government will [&hellip;]\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/live-rush-limbaugh.pantheonsite.io\/wp-content\/uploads\/listentoit.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"GeorgePrayias\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/admin.rushlimbaugh.com\/#website\",\"url\":\"https:\/\/admin.rushlimbaugh.com\/\",\"name\":\"The Rush Limbaugh Show\",\"description\":\"Excellence In Broadcasting\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/admin.rushlimbaugh.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/#primaryimage\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/live-rush-limbaugh.pantheonsite.io\/wp-content\/uploads\/listentoit.jpg\",\"contentUrl\":\"https:\/\/live-rush-limbaugh.pantheonsite.io\/wp-content\/uploads\/listentoit.jpg\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/#webpage\",\"url\":\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/\",\"name\":\"Caller's Day Made by Telling Host Something He Didn't Know About Medicaid - The Rush Limbaugh Show\",\"isPartOf\":{\"@id\":\"https:\/\/admin.rushlimbaugh.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/#primaryimage\"},\"datePublished\":\"2013-03-04T19:49:55+00:00\",\"dateModified\":\"2013-03-04T19:49:55+00:00\",\"author\":{\"@id\":\"https:\/\/admin.rushlimbaugh.com\/#\/schema\/person\/9a33276eb9dc5b6d3f8218957f30e6b4\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.rushlimbaugh.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Caller\\u2019s Day Made by Telling Host Something He Didn\\u2019t Know About Medicaid\"}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/admin.rushlimbaugh.com\/#\/schema\/person\/9a33276eb9dc5b6d3f8218957f30e6b4\",\"name\":\"GeorgePrayias\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/admin.rushlimbaugh.com\/#personlogo\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/d290ab65e2eaca3719268528f83b85bf?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/d290ab65e2eaca3719268528f83b85bf?s=96&d=mm&r=g\",\"caption\":\"GeorgePrayias\"},\"url\":\"https:\/\/www.rushlimbaugh.com\/daily\/author\/GeorgePrayias\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Caller's Day Made by Telling Host Something He Didn't Know About Medicaid  - The Rush Limbaugh Show","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.rushlimbaugh.com\/daily\/2013\/03\/04\/caller_s_day_made_by_telling_host_something_he_didn_t_know_about_medicaid\/","twitter_card":"summary","twitter_title":"Caller's Day Made by Telling Host Something He Didn't Know About Medicaid  - The Rush Limbaugh Show","twitter_description":"RUSH: This is Barney in Tucson. 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