The following Google AI report
cites that 10.3 million fewer people would be enrolled in Medicaid in 2034.
Who is affected by the cuts?
The new reconciliation bill, "One Big Beautiful Bill," would cut Medicaid funding by $863 billion over 10 years. This would result in an estimated 10.3 million fewer people enrolled in Medicaid by 2034. Specifically, the bill targets Medicaid expansion enrollees, those with dual eligibility for Medicare and Medicaid, and those who may have difficulty meeting work requirements.
Medicaid Expansion Enrollees: The bill includes provisions aimed at reducing Medicaid enrollment among individuals eligible for the Medicaid expansion or making it harder for them to access care.
Dual Eligibles: Individuals who are eligible for both Medicaid and Medicare would be disproportionately impacted by cuts related to streamlining enrollment and reducing administrative barriers.
Individuals
subject to work
requirements:
The bill includes work reporting requirements, potentially leading to delays and errors for pregnant women, people
Reduced federal funding: The bill reduces federal Medicaid funding by $863 billion over 10 years.
State-directed payments: The bill further reduces certain supplemental payments to hospitals and other providers, impacting states that rely on these payments.
Provider taxes: The bill restricts state use of provider taxes to finance Medicaid, potentially impacting hospitals and other providers.
Emergency Medicaid services: Federal funding for payments to hospitals providing emergency Medicaid services is also cut.
Increased out-of-pocket costs: Dual eligibles may face increased out-of-pocket costs due to changes in cost-sharing assistance.
Potential for increased uninsured rates: These cuts could lead to a significant number of people losing their Medicaid coverage, potentially increasing the number of uninsured individuals.
Additional
notes:
· The bill also includes
cuts to the Supplemental
Nutrition Assistance Program (SNAP).
· Some states may be
forced to cut benefits and tighten eligibility requirements due to the funding
cuts.
· The bill could affect access to care for vulnerable populations, including children, pregnant women, and people with disabilities.
Who does the new bill cut from Medicaid ?
Recent news reports suggest that the "One Big Beautiful Bill Act" (H.R. 1), currently being debated in the Senate after passing the House, could lead to significant cuts in Medicaid, potentially affecting millions of people
Specific
groups that could be affected include:
· Adults ages 19 to 64
covered through the Medicaid expansion: The bill mandates work reporting
requirements for this population, which could lead to disenrollment for those
unable to meet the requirements.
· Medicaid expansion
adults with incomes above 100 percent of the federal poverty level: These
individuals could face cost-sharing requirements, according
to Commonwealth Fund.
· Individuals who face
delays in eligibility verification: The bill eliminates the requirement
for states to provide Medicaid and CHIP coverage during the reasonable
opportunity period (ROP) for verifying citizenship or immigration status, which
could lead to temporary coverage gaps and potentially permanent loss of
coverage for those who don't have documentation immediately available.
· Seniors and people with
disabilities: The
Congressional Budget Office (CBO) estimates that rescinding a particular rule
in the bill could cut Medicaid enrollment by 2.3 million people, with the
majority likely being seniors and people with disabilities also enrolled in
Medicare.
· Individuals served by
certain family planning providers: The bill prohibits federal Medicaid
funding for payments to any non-profit essential community provider that
provides abortions and receives significant federal and state Medicaid
reimbursements, potentially reducing access to critical reproductive health
services.
· Individuals in states that use their own funds to cover immigrants without qualified status: The bill cuts the federal matching rate for expansion populations in these states, which could lead to reduced coverage options.
Impact
on healthcare providers:
· Safety net hospitals, rural hospitals, children's hospitals, and community health centers: A wide range of these providers stand to lose Medicaid revenues under the bill.
Overall
projected impact:
· According
to the CBO,
the House version of the bill alone could lead to an additional 4.8 million
uninsured individuals by 2034, primarily due to work requirements.
· Combining the effects of the House bill, the expiration of enhanced Affordable Care Act (ACA) premium tax credits, and proposed rule changes targeting ACA marketplaces, the CBO projects that 16 million individuals could be uninsured by 2034.
It's
important to note that the Senate version of the bill is estimated to have even
more severe Medicaid and Children's Health Insurance Program (CHIP) cuts
compared to the House version. The Senate bill proposes a $1.02 trillion cut in
federal Medicaid and CHIP spending over the next ten years, compared to the
House bill's $863.4 billion cut.
https://www.google.com/search?q=who+does+the+new+bill+cut+from+medicaid
In
2025, the percentage of U.S. citizens without health insurance is estimated to
be around 8.2%. This translates to approximately 26.2 million
Americans.
https://www.google.com/search?q=how+many+us+citizens+do+not+have+health+insurance+2025
Comments
The cuts in Medicaid for Illegals is not mentioned above, but it was where this cost cutting process began. Either Bill (House or Senate) would stop Healthcare Costs from continuing to rise. It would reduce Healthcare Revenue and produce a slowdown in Healthcare job openings in Hospitals and Medical Practices.
It should include the repeal of laws requiring hospitals to treat all patients regardless of their ability to pay and remove “cost shifting” abilities for Hospitals and Providers, but it doesn’t.
Diseases with Similar Symptoms
Many diseases can present with similar symptoms, making
accurate diagnosis challenging. Some examples include:
1. Lupus vs. Rheumatoid Arthritis: Both are autoimmune
diseases with joint pain and inflammation as prominent symptoms.
2. Lyme Disease vs. Multiple Sclerosis (MS): Lyme disease can
mimic MS symptoms like numbness, tingling, and fatigue due to the bacteria's
ability to travel through the bloodstream, according
to Healthgrades.com.
3. Fibromyalgia vs. MS: Both can cause
fatigue and pain, including headaches and numbness in extremities.
4. Sjögren's Syndrome vs. other conditions:
Symptoms like dry eyes and mouth can overlap with conditions like fibromyalgia,
lupus, or even multiple sclerosis, according
to UMass Memorial Health.
5. Myasthenia Gravis (MG) vs. ALS: Muscle weakness, a key symptom of
ALS, can also be present in MG, though MG often features fluctuating weakness
that worsens with use.
6. Stroke vs. MS: Sudden onset of symptoms
like weakness or numbness on one side of the body can be mistaken for an MS
flare-up, particularly if the person doesn't have a prior MS diagnosis.
7. Syphilis vs. other diseases:
Syphilis is often called "The Great Imitator" because its symptoms
can mimic other conditions, including Lyme disease.
8. Sarcoidosis vs. other conditions:
Sarcoidosis, particularly in the lungs, can resemble cancer, tuberculosis, or
other infections, according
to MedStar Health.
9. Vitamin B12 Deficiency vs. MS: Fatigue, mental confusion, and numbness or
tingling can be symptoms of a B12 deficiency and can mimic MS symptoms.
10. Epstein-Barr Virus (EBV) vs. MS: EBV can
cause prolonged fatigue, similar to what might be experienced in MS.
11. Spondyloarthropathies: These are a
group of diseases with similar clinical symptoms and genetic predispositions.
12. Acute Disseminated Encephalomyelitis (ADEM) vs.
MS: ADEM is a sudden onset of inflammation in the brain and spinal cord and can
be mistaken for MS.
13. Migraines vs. MS: Some migraine
symptoms like blurred vision can resemble optic neuritis in MS.
14. Bell's Palsy vs. MG: Both can cause
drooping eyelids and difficulty swallowing, according
to AmeriPharma® Specialty Care.
15. Autoimmune Diseases: Many autoimmune
diseases share similar symptoms like fatigue, joint pain, skin problems, and
digestive issues.
what illnesses have the same symptoms
Many illnesses can have overlapping symptoms, making it
difficult to distinguish between them without a proper diagnosis
Here are some illnesses that often share similar symptoms:
- Common
Cold and Flu: Both are viral respiratory illnesses that can cause
symptoms like sore throat, stuffy/runny nose, cough, fatigue, headache,
and body aches. The flu typically comes on suddenly and is more severe
than a cold, while colds usually develop gradually and are milder.
- COVID-19,
Flu, and RSV: These viral respiratory infections all cause similar
symptoms like fever, cough, and shortness of breath. COVID-19 can also
include symptoms like loss of taste or smell.
- Bronchitis: Acute
bronchitis can cause a cough, mucus production, chest pain, fatigue,
fever, shortness of breath, stuffy nose, and wheezing, similar to colds
and the flu.
- Strep
Throat: Symptoms of strep throat, caused by bacteria, include sudden
sore throat, fever, swollen lymph nodes, white patches on tonsils, and
headache.
- Mononucleosis
(Mono): A viral infection causing symptoms like extreme fatigue,
fever, sore throat, swollen lymph nodes, and potentially a rash.
- Pneumonia: An
infection of the lungs that can be caused by viruses or bacteria. Symptoms
include cough, fever, shortness of breath, and fatigue, and it can be a
complication of the flu, COVID-19, or a cold.
- Meningitis: Inflammation
of the membranes covering the brain and spinal cord, caused by viral or
bacterial infections. Symptoms include headache, fever, fatigue, and a
stiff neck (which is uncommon with the flu).
- HIV
(Initial Infection): In some cases, a new HIV infection can present
with flu-like symptoms.
- Other
conditions: Flu-like symptoms can also be caused by conditions such
as Lyme disease, bacterial infections like sinusitis or tonsillitis,
parasitic or fungal infections like malaria, and even some autoimmune
disorders or chronic illnesses.
Important Notes:
- Self-diagnosis
can be misleading. If you are experiencing symptoms, especially if
they are severe or persistent, it's best to consult with a healthcare
professional.
- Testing
is often necessary for accurate diagnosis, particularly for conditions
like COVID-19 and the flu.
- Your
doctor will consider your specific symptoms, medical history, and may
order tests to determine the correct diagnosis and recommend
appropriate treatment.
https://www.google.com/search?q=what+illnesses+have+the+same+sysptoms
Comments
Cost reduction and quicker diagnosis and treatment strategies are being pursued by Hospitals. Bio Merieux has developed and is selling diagnostic test equipment to Hospitals.
bioMérieux
strengthens its point of care presence with the acquisition of the immunoassay
start-up SpinChip.
biomerieux.com/corp/en/our-offer.html
Norb Leahy, Dunwoody GA Tea Party Leader
