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#Brampton has declared a Healthcare Emergency

Harsh Reality at EPI-CENTRE of #ONHealth & #HallwayMedicine Crises:

"They strung a white bedsheet up from IV poles to give a family in hallway privacy as their family member died. She passed in the hallway behind a sheet." @dockaurG pic.twitter.com/Bmhm4XDVso

— Your Ontario Doctors (@OnCall4ON) January 31, 2020

Sure, sure, but hey: Free!

And this, dear readers, is what's in store for us under #Medicaid4All.

[Hat Tip: Kulvinder Kaur MD]

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Offered without (further) comment:

Doctors should be able to write prescriptions for housing the same way they do for insulin or antibiotics.

— Gavin Newsom (@GavinNewsom) February 21, 2020

#WhatCouldGoWrong

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■ FoIB Shari G sends us this video from the esteemed (and oft-linked) Sally Pipes on the false Promise of #Medicaid4All:

■ FoIB Jeff M tips us to this un(?)-intended consequence of CON laws and tightening networks:

"[Fairmont Regional Medical Center ] announced that more than 600 physicians, nurses and staff will be shutting down after attempts to find a new buyer for the hospital failed."

This has apparently been in the works for several weeks, and points out some of the challenges of providing health care for our more rural citizens.

■ And finally, in email from FoIB Randy G, a note on the SECURE ACT:

"[T]he new law eliminates the concept of the “stretch IRA’s” which extend the tax-deferred status of an inherited IRA when passed along to a non spouse beneficiary ... the beneficiary would need to take the payments over 10 years ... This could create an enormous tax burden.

So, if you have clients expecting to inherit qualified funds, then you should consider re-positioning these funds into One America’s Asset Care Annuity Funding Whole Life plan. This plan will help in turning an inherited, taxable part of an estate into a tax free income stream for LTC expenses."

Cool beans!

■ BONUS Link:

Patient plays violin during her brain surgery.

A patient at King's College Hospital in London played the violin while surgeons operated on her brain to remove a tumour.#Violin #surgery https://t.co/zeLV8VFVDE pic.twitter.com/bYnx0K9HEO

— Dutch Rojas (@DutchRojas) February 19, 2020

Wow!!

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We haven't written a lot about health care Down Under (most recently here), so a short recap seems in order:

"Medicare is the publicly funded universal health care insurance scheme in Australia operated by Services Australia. Medicare is the main source of payment of health care in Australia"

As here, some care is financed by private insurance, but most is paid for by the Australian taxpayer through the country's Medicare program.

As with all such schemes, this involves rationing, in this case of essential primary health services. As FoIB Holly R alerts us, this can spell special trouble for at-risk women:

"Canberra women awaiting crucial genetic information left in limbo as BRCA breast cancer test waitlist blows out to 12 months."

Again we see rationing in the form of time management; that is, it's obvious that the philosophy is that, by making patients wait long enough, some (many?) will die before services are actually rendered.

Or, for the more right-brained among us:

[click to embiggen]

#Medcaid4All

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We've written before about would-be Moriarty's trying to scam insurance companies. Some, of course, are more successful than (the vast majority of) others:

"Judge rules Denver man who 'killed his wife' can use up to $500,000 from her life insurance to pay for his defense"

Others, well, not so much:

"California dad charged with insurance fraud after he drove off cliff, killing autistic sons"

But this one, courtesy of co-blogger Bob V, takes the (proverbial) cake:

"Boston man pretended brother was still alive, opened life insurance policies for him, in attempt to claim $5 million in benefits"

Yikes.

The first thing that strikes me is that total face amount. How does one purchase that much coverage, in what appears to be record time, without getting caught out? As we've mentioned before, life insurance underwriting, especially at that lofty level is going to require any number of physical and financial exams. And it gets even more weird (not to mention ironic):

"Investigators found witnesses in China that said Zheng’s brother died two to three years earlier of a sudden heart attack suffered on Tomb Sweeping Day."

Heh.

It's still not clear to me how the perp actually pulled this off. The story mentions that he'd renewed his (then-deceased) brother's driver's license, and used the deceased's bank accounts, but the actual mechanics go unreported.

Great job, MSM.

(Although, on second thought, maybe it's just as well)

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From CMS:

[click to embigen]

I have a client whose spouse is a legal permanent resident, and who qualifies for a subsidy (Advance Premium Tax Credit, APTC), and his subsidy eligibility notice says:

“• By March 8, 2020, send documents to confirm:
• [Spouse's] immigration status”

And a list of acceptable documentation.

I just sent him an email to remind him.

Have you checked your notice?

It's not too late....

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Our friend Sheron Sidbury alerts us to this helpful info:

Maryland has a new SEP. If you are uninsured you still have a chance to enroll in health insurance coverage. It is as easy as checking a box on your Maryland State tax return. You will only have 35 days to act and not 60 like in a regular SEP. https://t.co/ro83tyfBKB

— Sheron E Sidbury (@SheronESidbury) February 10, 2020

Who knew?

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