California Legislature Considers Free Health Care for Illegal Alien Seniors

Gavin Newsom (Justin Sullivan / Getty)

JOEL B. POLLAK

The California state legislature is considering a bill that would expand Medi-Cal, the state’s Medicare program, to illegal aliens over the age of 65 with low incomes.

Earlier this year, California Gov. Gavin Newsom signed a bill expanding Medi-Cal to illegal aliens 25 years old and younger with low enough incomes to qualify for the program. That fulfilled a pledge he made in his first act as governor to offer coverage to illegal aliens over 18 years old.

As Calmatters notes, Newsom balked at proposals earlier this year to expand Medi-Cal to elderly illegal aliens because of concerns about the cost, and because the proposal would pre-empt the governor’s budget proposals.

Calmat’s explains (original links):

The bill, authored by Los Angeles Democrat Maria Elena Durazo, would expand Medi-Cal—the state’s version of federal Medicaid  for low-income residents — to undocumented immigrants age 65 and older starting next July. That would inch the state closer to providing health care to all immigrants in the state illegally.

The governor hasn’t indicated whether he would sign this bill, despite his previous support for universal health care. Experts note that he might object to its attempt to lock him into new spending for next year’s budget.

The Newsom administration’s Finance Department opposes the bill, estimating it would cost an additional $163 million in next year’s budget and $255 million the following year, with costs projected to rise further as the senior population of undocumented immigrants grows. Nearly all of those costs would be born by state taxpayers because the federal government, which funds most of Medicaid, refuses to pay for services for people in the country illegally.

All of the Democratic Party frontrunners for president support providing free health care to illegal aliens; all ten presidential candidates on the stage at the second night of the first presidential debate in Miami, Florida, famously raised their hands to agree.

OBAMA JUDGE RULES MEDICAID MUST PAY FOR TRANSGENDER SEX REASSIGNMENT SURGERY

Obama Judge Rules Medicaid Must Pay For Transgender Sex Reassignment Surgery

Federal judge is forcing Wisconsin taxpayers to provide costly sex reassignment surgery and hormonal procedures for low-income transgender residents

JudicialWatch.org – AUGUST 23, 2019

An Obama-appointed federal judge is forcing Wisconsin taxpayers to provide costly sex reassignment surgery and hormonal procedures for low-income transgender residents who get free medical care from the government.

In a recently issued ruling U.S. District Judge William M. Conley writes that Medicaid, the publicly funded insurance that covers 65.7 million poor people, cannot deny the medical treatment needs of those suffering from “gender dysphoria.” Officials estimate it will cost up to $1.2 million annually to provide transgender Medicaid recipients in the Badger State with treatments such as “gender confirmation” surgery, including elective mastectomies, hysterectomies, genital reconstruction and breast augmentation. The intricate operations are typically done by plastic surgeons.

The ruling culminates a lawsuit filed more than a year ago by two transgender Wisconsinites, who accuse the federal and state-funded insurance program of providing them with disparate and inferior health care on the basis of sex. Cody Flack of Green Bay and Sara Makenzie of Baraboo say they suffer from severe gender dysphoria that requires costly surgery. Flack, a woman, claims to be ashamed of her breasts and wants to have them surgically removed as she transitions into a man’s body. To make a case for the government to pay for her surgery, she claims that she engages in “binding,” which flattens her breasts and causes sores, skin irritation and respiratory distress. Flack also has difficulty binding her breasts due to a disability, according to court documents. Makenzie, a man who legally changed his name to Sara and wears women’s clothing, says his “male-appearing genitalia” causes him “great distress” and negatively affects his sexuality and social life. Showering and seeing his body in a mirror is “painful,” court records state, and Makenzie fears someone will be able to see his “male genitals” through his clothing.

Last summer Judge Conley issued a preliminary injunction ordering Wisconsin to cover sex reassignment surgery for Flack and Makenzie while state health officials appealed. The permanent ruling directing the state-federal insurance for the poor to pay for all gender confirmation operations in the state was issued last week. To lay the foundation, Conley writes in the injunction that gender dysphoria is a serious medical condition, which if left untreated can cause adverse symptoms. “As a group, transgender individuals have been subjected to harassment and discrimination in virtually every aspect of their lives, including in housing, employment, education, and health care,” according to the document. “Their own families, acquaintances and larger communities can be sources of harassment. For some transgender individuals, though certainly not all, the dissonance between their gender identity and their naturally assigned sex can manifest itself in the form of gender dysphoria, a serious medical condition recognized by both sides’ experts and the larger medical community as a whole.”

Though Medicaid initially denied Flack’s chest reconstructive surgery, it was eventually completed at taxpayer expense after the judge’s injunction. A plastic surgeon performed a double mastectomy and male chest construction last fall. “Following the surgery, Cody’s gender dysphoria was greatly diminished,” according to Conley’s final ruling, because his “outward appearance matched his male gender” and he “would no longer be misgendered because of his breasts.” Makenzie got a bilateral orchiectomy and vaginoplasty to create “female appearing external genitalia” after the judge determined that the surgeries are medically necessary. Because Medicaid refused to cover chest reconstruction surgery prior to the lawsuit, Makenzie obtained a personal loan to pay a plastic surgeon at the University of Wisconsin Hospital for the operation in 2016. Court documents say Makenzie contends that the surgery helped alleviate his gender dysphoria.

In his decision, Judge Conley cites guidelines issued by the World Professional Association of Transgender Health to treat transsexual, transgender and gender nonconforming people. Treatments include psychotherapy, hormone therapy and “a number of surgical procedures” to eliminate the development of unwanted secondary sex characteristics of the assigned sex, develop secondary sex characteristics of the sex associated with the patient’s gender identity and enhance the patient’s ability to “pass” as the sex associated with the patient’s gender identity to decrease harassment, mistreatment and other forms of discrimination.

Mass Migration is Costing America a Ton of Cash

Screen Shot 2019-04-24 at 11.17.39 AM

By Jose Nino

Later this week, the U.S. Supreme Court is considering whether the 2020 U.S. Census’s question over citizenship status is constitutional.

Mass migration advocates worry that adding a citizenship question to the census would undercount 6.5 million people. Their concerns center around both political power and federal funding for states.

According to a Fox News report, advocates of border security argue that mass migration is costing American taxpayers a hefty sum of money

Dan Stein, the director of the Federation for American Immigration Reform, says “We’re talking about billions of dollars in taxpayer benefits over the next few years.”

Stein argues that “The payout for the taxpayer is enormous and income to the Treasury is miniscule.”

A study that FAIR conducted in 2017 found that illegal immigrants “are a net consumer of taxpayer benefits worth more than $100 billion a year, not including the cost of enforcing the border.”

In theory, federal benefits are supposed to be off limits to illegal immigrants. However, the U.S. Department of Housing and Urban Development reports that more than 25,000 illegal immigrants receive subsidized housing. Children also receive free education and most of them qualify for English lessons and school lunch programs.

Under federal law, hospital and clinics are forced to provide urgent care to anyone regardless of their legal status.

Pregnant women are also able to receive prenatal and postpartum care through the Women, Infants and Children program. Medicaid pays for infant delivery costs.

A Journal of the American Medical Association study discovered that a federal-state immigrant insurance program costs $2 billion annually in emergency treatments. On top of that, infant delivery expenses totaled $1.24 billion.

Although illegal immigrants can’t receive food stamps, their children, through birthright citizenship, can. The Center for Immigration Studies found that 31 percent of these families use the SNAP program and more than 50 percent of Central American families are on at least one welfare program.

BLP reported that migrant crossings are on the verge of exceeding Bush-era levels.

Additionally, there are other costs to immigration. Europe has become notorious for its immigrant ghettoes, with BLP reporting on the rise of so-called “no-go” zones in Germany.

Taking all these factors into consideration, GOP voters see immigration as the #1 issue during the 2020 elections.

With border crossings on the rise, immigration will continue to be a hot-button issue in American politics.

Dr. Phil: Medicare, Medicaid Force Doctors to ‘Throw Pills’ at Patients or Go Out of Business

By Robert Kraychik

Phil McGraw, best known as Dr. Phil, credited Medicare and Medicaid with compromising the quality of health care in a Tuesday interview with Joe Rogan. Insufficient compensation for physicians via Medicare and Medicaid, said Dr. Phil, transformed medicine into a “high-volume business” in which quality is sacrificed in pursuit of quantity.

Dr. Phil characterized the status quo of American health care as overmedicating patients (starts at 25:29):

JOE ROGAN: When you see all these folks that are on medication today, how many of these people do you think legitimately should be on medication? Is it something you can asses?

DR. PHIL: I can’t answer that … but in my personal experience, most of the people that I see on medications, in my opinion, don’t need most of the medications they’re on. Now, that’s just anecdotal. It’s my opinion. If you ask me to hand you a research survey or study to support that — I can’t hand it to you, or I can’t point you to one.

I can just tell you, after 45 years in this experience, I see people that are on medication. They’ve usually seen someone for six or eight minutes, and said, “I’m really feeling kind of down.” Here’s some Prozac. Here’s this. Here’s that. They give it to them. They don’t even really ask why. They just give it to them because medicine has become a high-volume business, and that’s not necessarily the doctors’ fault. I mean, the way that it’s now funded — Medicare and Medicaid — you’ve got to turn them and burn them or you can’t stay in business. So it’s a high volume business, so they throw pills at them because they don’t have an hour to sit down or don’t take an hour to sit down and say, “Let’s find out what’s going on.”

Most of the people I see on medications — not all, but most of the people I see are on too many medications in too high a dose or either don’t need it at all, and I am really bothered by polypharmacy. Thar’s where I really get frustrated.

JOE ROGAN: Yeah, what you’re saying is a very common sense approach, but it’s not the norm, today. It seems like more people are treating this — air quotes — depression issue as if it’s a medical disorder like diabetes, or something where you need medication.

ADHD and ADD are overly diagnosed, assessed Dr. Phil.

“Wastebasket diagnoses like ADD and ADHD,” began Dr. Phil. “What used to be a spoiled brat is now ADD or ADHD, so they start prescribing these neo-cortical stimulants like Ritalin, and you give a kid that does not need a neo-cortical stimulant a stimulant, you’re really going to throw him off the charts, now, because you’ve got a normally active  brain that you’re now making hyperactive,s o you’re creating a problem that didn’t exist before the medication because you didn’t do the proper diagnosis.”

“You cannot chemically babysit your children,” added Dr. Phil.

Opioids are too quickly prescribed to patients, said Dr. Phil, describing opioid addiction and abuse as amounting to a national “epidemic”:

Medications are too readily administered. That’s certainly what we’ve seen in the opioid epidemic, right now. Opioids are so readily prescribed right now that there are enough opioid prescriptions for every man, woman, and child in America to have their own bottle, and if you renew that prescription one time — one time — if you are taking those opioids at the seven-day mark, your chance of being addicted one year is one-in-12, and if renew it [and] you’re still taking them at 30 days, your likelihood of being addicted is one-in-three. These things are getting written with way too high a pill-count, and so we’re seeing a whole different kind of addiction, now, coming out of the suburbs, and they take them for awhile and they’re very expensive, and after they take them for awhile, heroin is cheaper, so they dump the opioids and start taking the heroin. So you’re seeing soccer mom heroin addicts that you weren’t seeing 10 years ago because they get started on prescription opioids and then they can’t afford them — or finally the doctor cuts them off and they’re addicted — so they start taking heroin because it’s cheaper.

Mental health professionals are insufficiently available in rural regions, stated Dr. Phil.

“Fifty-eight percent of our rural markets today have no psychiatrists available, and something like roughly 50 [percent] have no mental health professionals available, at all; none,” remarked Dr. Phil. “So there’s just nobody available in the outlying areas. I think the more people you can get into the profession, so long as there’s a degree of competency, the better.”

CALIF. DEMS PLAN TO EXTEND MEDICAID TO ILLEGAL IMMIGRANTS

SOON COMING HERE TO ILLINOIS ALSO

Calif. Dems Plan to Extend Medicaid to Illegal Immigrants

Globalists destroying California

By Kimberly Leonard

A California lawmaker has pledged to re-introduce a bill that would allow adults who live in the state illegally to receive medical care paid for by the government.

State Assembly member Joaquin Arambula, a Democrat and a doctor, announced the plans Monday as the legislature convened at the state capitol, according to the Los Angeles Times.

Should the bill advance, California would become the first state to extend Medicaid coverage regardless of immigration status. State projections for last year’s bill found that 1.8 million people in California are uninsured and reside there illegally; roughly 1.2 million would qualify for Medi-Cal, the name of the state’s Medicaid program.

The legislation is being introduced ahead of a new governor entering office. Gov.-elect Gavin Newsom initially had vowed to seek a single-payer healthcare system for the state, but tamped down his rhetoric later in the campaign, focusing instead on extending coverage to the uninsured. Single-payer systems refer to one source of payment for all medical services, usually the government.

Arambula introduced a similar bill last session alongside state Sen. Ricardo Lara, but the final versions would have covered fewer people than they had both originally envisioned. They were narrowed to young adults, between the ages of 19 and 26, and to immigrants over the age of 65. Outgoing Democratic Gov. Jerry Brown refused to fund the provisions in the state budget.

The latest plan would carry an estimated price tag of $3 billion a year, according to California’s Legislative Analyst’s Office, which would be paid for by the state’s general fund. Medicaid is otherwise jointly funded by the state and federal governments.

Critics have questioned whether people in the U.S. illegally would move to California to receive healthcare benefits, which would increase state spending.

Under a Medicaid provision in Obamacare, anyone making less than roughly $17,000 a year qualifies for coverage. That provision, however, doesn’t apply to people who are in the U.S. illegally. Emergency departments provide medical care for people regardless of immigration status.

California has already extended Medicaid to people younger than 19 who are in the state illegally.

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