I've always heard the number 330,000. But I wasn't talking to any person in particular, anyway.
I'm tired of excuses for why we can't do stuff that other states and countries do all the time. People are going to die because we don't get them access to doctors. Getting them a plan that lets them see doctors costs less than the system of "wait til you feel like you're going to die and go to the ER."
This is just another in a long line of Tennessee government making sport of making life harder and shorter for the poor. Failing to expand Medicaid is a personal insult to the president, so there's that bonus for the crazies.
We've already paid the taxes to support this expansion. The PPACA resets federal spending so that it costs less than the federal health programs that it replaces. There is no fiscal reason to support the old system and not this one.
Tennessee clearly hates the poor. We cut their meager benefits. We threaten to make bigger cuts if their children don't do well in school. We don't have viable public transport for 95+% of our population that allows reasonable access to jobs and shopping. When TennCare was able to enroll a few more people there was no rhyme or reason to who got to join, except the first so many to call a hotline that was impossible to get through for most. We hate unions, even to the point of ridiculing Volkswagen openly. We don't adequately fund public services from police to bridges to libraries or education. We've taken public universities and turned them into state-owned private universities. We welcome low wage employers with open arms, and then ridicule people who work there for not making enough money to support their families and applying for government assistance.
ER care is not reimbursed, as much as 80% in some poorer areas. Until October 1 this year, the federal government had a program that paid back part of that cost to hospitals, because keeping ER's open is in the public need. Because Medicaid is expanding, that old program and ones like it are being disbanded. People would have access to a base level medical plan that allows them to see doctors and have at least a portion of their care paid by Medicare, so the need for ER reimbursements would be much less, if not almost gone.
Tennessee says FU to the federal government. We already paid for this expansion. We can't take the money and use it for other purposes. It is legally obligated to be used for expanding access to care for the poor.
Tennessee hospitals are now cutting staffs. Many rural health facilities can't absorb more losses and are in danger of closing. 25,000 existing good-paying medial jobs are being lost across the state now. As many as 18,000 jobs could have been created to service new demand for these people who now would have had access to care. Now those people have to leave jobs that they spent years of their lives and enormous assets to qualify for. Some of them may have to move out of state. Some will look in other fields. No doubt, some will join the rest of the poor in this state. This reduction in staff at our hospitals means that everybody in the state has less access to care, whether they are rich or poor.
There are still more costs. If somebody has an illness that is treatable and can't see a doctor, what happens to that person? Some people like this will miss more work than they have to and lose their jobs. Some people will see their conditions worsen and experience greater pain and complications before they present at the ER where they still can't pay. Some of these people will die. That is lost productivity in our state. It hurts all of us when less of our people are working, and when breadwinners can't support their families.
And we chose all of it. We chose our state legislature and governor. They chose on our behalf to make this a full-fledged disaster rather than something our state can build on to improve ourselves. I hope using this to say FU to the president is worth it to them.
This is mostly an advertising stunt for "Cyber Monday."
Don't count on having a drone bring your stuff anytime soon.
The thing you need to know about Haslam is, he's not a bad guy. He's just scared to death of being drawn and quartered by the teabillies who are really in charge of our state.
The auto traffic nightmare is already there. BRT works in cities that give it a chance.
Nashville has been 50 years behind other cities in public transport for some time now, so it's not that surprising that we'd see so much hostility against it now, especially since the city wants to deploy BRT on the "better" side of town.
Nobody is suggesting solutions that make sense. Some people want to do BRT on other routes first, but that doesn't address issues in Green Hills, etc. Some people think that timing the lights will fix everything. That's fine, but it doesn't work when traffic is bumper-to-bumper, which is all the time on that road. Mostly, it's a case of NIMBY, and you don't F with rich people.
Dean is breaking two rules here:
- Don't F*ck with rich people.
I'm saying that you're not helpful if you aren't offering alternative solutions. It's easy to criticise, and harder to do.
The red signs don't say "let's talk about AMP," or "question amp," or "maybe there are better ideas." They say "STOP AMP." There's not much room for negotiation there.
The idea of BRT in other areas is fine, but that doesn't mean it's still not needed on West End. I can't think of routes that are tougher than West End, and it is busy just about all the time. There's not a lot of room to just keep adding lanes, if we wanted to, so what does get done has to be thoughtful. Other cities have very successful BRT systems that work. This is still a selfish case of NIMBY.
The Star definitely needs more spokes. I have always thought that the first spoke should have been Franklin or Murfreesboro instead of Lebanon.
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