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Monday, November 02, 2015

Our infrastructure money went to Medicaid

I saw this headline and thought, what a fool: "Millennials ease off the gas (making it harder to pay for roads...)"

Taxpayers already give New Jersey $35 billion in taxes each year. That's enough yo pave the streets in gold. But New Jersey spends $12 billion a year on Medicaid, the health lobby's boondoggle in the name of aiding the poor. Hospitals rip off taxpayers with outrageous charges -- including using emergency rooms to meet non-emergency needs, and then charging emergency room prices.

This is a racket. States get "free" money from the federal government, but have to meet a match that is driving state after state toward the fiscal abyss. Conservatives like to blame state pension plans, and while there are abuses, the fact is this is an ordinary cost of employment. In many cases, the state pays no Social Security tax and the state pension must make up for that.

Nope, Medicaid is the No. 1 problem. It has become (depending on the state) either the top or second expenditure, and it keeps growing as no one will tell the medical industry no.

Politicians need to start budgeting. That means setting priorities. Priority No. 1 should be scrutinizing those emergency room bills. If the situation isn't a peril to life or limb, or a woman giving birth, it ain't an emergency.


  1. You could probably cut the budget in half if you got rid of all the pork in it. Jersey is a f.....g joke anymore. Add in aid to the cities (usually half their budget) and the pension ripoffs....and welfare in general - ah screw it. I just get so p.o.ed

  2. Don't forget what SEIU and AFSCME do to raid the taxpayers.

  3. "Hospitals rip off taxpayers with outrageous charges -- including using emergency rooms to meet non-emergency needs, and then charging emergency room prices."

    As I understand it, there is a lot of cost shifting going on at hospitals, by which the cost of care given to people without insurance (including illegal aliens) is shifted to people who do have insurance, using inflated prices on the hospital's cost schedule for billing. As for the excessive use of emergency rooms, I think much of the abuse can be blamed on walk-in patients, although actually I'd call them impatients, many of whom have no private insurance of their own but do know that hospitals are required by law to treat them---at least that's the case for for real emergencies. Such people typically refuse to call for appointments. Instead of waiting for a few days or perhaps a week to get treatment, they want to be treated NOW!!! They'd rather sit for a few hours in the waiting room of the emergency clinic. Hey, they've got nothing better to do for the rest of the day and, besides, they're not paying for the care. To them, it's "free" medical care. What it costs is of no concern to them. The only thing they're concerned with is their personal convenience. Of course, from the hospital's perspective, the emergency room staff won't know if the issue is an emergency until AFTER the (im)patient has seen an intake nurse or physician. By that point, the bean counter's meter of the medicaid charges has already been running.