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When talking about Medicare, that's the seniors program...but what about the state care that is given to folks on foodstamps/ TANF...?
Here in CA, it is called Medi-CAL...and has also implemented a sliding scale of sorts to have those who are making more (compared to next to nothing) to pay a minimal co-pay, etc...
Here's some issues:
Not every doctor "accepts" Medi-CAL - meaning if you are in a rural area you may have to travel to find a doctor or emergency room....and usually you end up in the clinic, where you may or may not get an appt, or get a doctor who knows you or your history. Tom, Dick & Harry healthcare is spotty at best.
Any needs beyond General Practicioner is usually referred to a specialist... even OBGYN issues or Rhuematology, Alergies, etc..these folks are either booked out for months or refuse to see you depending on your case, and can be miles away as well. Only certain specialists will "accept" Medi-CAL...so you have limited to no options. ...and there are guidelines to all procedures, no such thing as elective hysterectomy or something equally necessary, no second opinions either...what they say goes.
Many medications are "not covered" by Medi-CAL...meaning that my doctor may want to give me Cipro for a sinus infection, but has to settle for penecillin because it is all that is covered. What about those with special conditions and on other medicines, do the doctors get to pick the safest medicine for their patient...or is the state "Insurance" option dictating who gets the good meds?
Is this fair?
I am NOT saying I wish Medi-CAL were eliminated...if my family didn't have this, we'd have nothing. BUT I wonder if the changes that are talked about will be implemented in the Medi-CAL state systems too? Will Medi-CAL no longer be something doctors can refuse? will they no longer be able to tell me I can't have the meds or procedures my doctor wants to give me? Will I have the same accessibility that everyone has?
hmmm...I honestly don't know the answer... is it in any of the Bills?
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