Cory touches on one side of the story;
Yesterday, the U.S. Department of Justice announced that South Dakota is violating Title II of the Americans with Disabilities Act by forcing thousands of South Dakotans into nursing homes instead of providing home-based and community-based care options.
According to the DOJ Civil Rights Division’s letter and findings released yesterday, the department notified the state of this investigation on August 11, 2014. DOJ says South Dakota has spent an inordinate amount of its Medicaid dollars on nursing home care that unnecessarily deny individuals with disabilities the “supports and services in the most integrated setting appropriate to their needs” that the ADA, as interpreted in the U.S. Supreme Court’s 1999 Olmstead decision, requires.
Oh, But Denny has an excuse;
Dennis Daugaard, South Dakota’s governor, said that his state had made progress but that, with such a sparse population, it faced problems not shared by more urban areas.
“Ideally, we want elderly residents and people with disabilities to be able to stay in their communities and receive the services they need without going to a nursing home,” Mr. Daugaard said in a statement. “That can be a challenge for a state like ours, which is made up of rural communities.”
The Justice Department, however, said South Dakota was not trying hard enough to address a problem it has known about for years. In 2013, it spent $133 million in Medicaid money on nursing homes and $27 million on in-home care, the department said.
Oh, baloney. Most of these people are forced into these nursing homes to suck what little estate they have left. They can live on their own with assistance. My 93 year old grandfather lives in un-assisted living apartment by himself. While he has the luxury of many different family members checking on him, he also has a traveling VA nurse that stops by (bi-monthly?) to make sure he has his meds in order and other OTC items. She told him he is her oldest veteran she sees. My grandfather has NO INTEREST in living in a nursing home, and really he is much happier (and healthier) because he is not.
I think the state needs to work with these people more to keep them in their homes.
I can’t believe we let this CLOWN work in the Secretary of State’s office. What a ‘TRUE’ waste of taxpayer dollars. His lastest post about Dems being the root of out of control spending in Pierre is not only far-fetched, it is hypocritical. SD Republicans seem to have amnesia when it comes to corporate bail-outs, no-bid contracts to campaign supporters, increases in FTE’s, state airplanes, prisons and blatant nepotism. All under THEIR watch. Because there is one area I do agree with them on, Democrats are powerless in Pierre. But it doesn’t stop them from denying WORKING people healthcare;
These aren’t the elderly. These aren’t children. They’re able-bodied people who have the use of both hands and feet, who are actively in the workforce. And Democrats want 48,000 of them to be on “Health care welfare.” At taxpayer expense.
It just staggers my imagination.
Governor Daugaard’s address today pointed out that “because of the uncertainties we need to be conservative to committing to future ongoing expenses.” And, hence, the optional expansion of Medicaid under Obamacare was not recommended.
Ironically, they point out the very reason why these people deserve healthcare, they are working, which means they pay payroll taxes to the Federal government. Governor Doo-bad calls it welfare. Last I checked, people receiving welfare are not working.
What amazes me is how hard these same jackasses fought single-payer (using our taxdollars and resources to fight it), but if it would have been implemented it would have saved states billions of dollars in Medicaid costs, because it would have been funded through payroll taxes. But the insurance companies (who profit from sick and dying people) cried they would go out of business. Good. Now if we can just put Republicans out of business in Pierre.
Some SD Legislators get it
UPDATE: from my email box;
I wrote this a couple weeks ago when this was a headline in the Argus. I didn’t send it, but it p’d me off just the same and it still does. And today you wrote about it. SD has the largest number of women who work 2 and 3 jobs to support their family. They all can’t afford healthcare.
The headline for this story in the Argus is totally wrong. SD did not opt out, it was the governor who chose to opt out of the health exchange even though there are so many people in the state who need these health benefits and the gov’t. is paying for him. All these stupid republican states opting out is disgusting, they are only doing it because they don’t like President Obama. Plus the gov’t. pays for the healthcare for the first 2 years.
And then once again the people on Dailykos are coming to the aid of people on the reservation in South Dakota so they will have Thanksgiving dinner and heat. They did the same thing a year ago. And where is/are the governor and past governors……no where to be seen. But you can bet your bottom dollar they are stealing money that is suppose to go to the people on the reservations. I know the funds to make it easier for them to vote has been used else where. And they could certainly use a clinic and healthcare along with a lot of people who are barely making it in wonderful South Dakota.
S.D. opts not to run health exchange
By David Montgomery
DEADLINE : Under the Affordable Care Act, states had until today to tell the federal government whether they plan to operate a health care exchange themselves. The deadline was extended to Dec. 14 after several states requested more time.
S.D.: Gov. Dennis Daugaard is carrying through with his decision not to run an exchange for South Dakota, according to spokesman Tony Venhuizen.
WHAT IT MEANS: The federal government will build and operate South Dakota’s health care exchange, which is a marketplace on which individuals can buy health insurance and, if eligible, receive subsidies.
WHY: Daugaard says he thinks the cost of operating an exchange would be too high — up to $7 million per year.
WHEN: On Jan. 1, 2014, exchanges will be operational.
EXCHANGES: Insurance plans on the exchange are required to sell to anyone and can vary the cost of premiums based only on age and whether individuals smoke. People will be eligible for government subsidies depending on family income, with subsidies for families up to 400 percent of the federal poverty line.
Add Texas Gov. Rick Perry, Maine Gov. Paul LePage, Ohio Gov. John Kasich, Kansas Gov. Sam Brownback and Wisconsin Gov. Scott Walker to the list of Republican governors who are continuing to protest Obamacare by refusing to establish health insurance exchanges, in the process forcing the federal government to step in and create the exchanges itself.
Starting in Oct. 2013, the exchanges will be the marketplace for individuals to obtain insurance if they do not have coverage through their employer, Medicare, or Medicaid. Beginning Jan. 2014, the new insurance plans will take effect, giving nearly every American citizen health care coverage.
Under Obamacare, if a state does not establish a health insurance exchange, the federal government must do it for them. Therefore, while ostensibly a protest against the expansion of federal power, these governors are actually forcing the federal government to expand the scope of its operations.