EverCurious
Gold Member
- Jul 24, 2014
- 11,221
- 1,845
I'm not surprised Murkowski wouldn't sign off on it because of the Medicare reduction... Gov peeps up here say we're looking at loosing well over $3B WITH the special allowance and we're already tight on the budget, I believe we're still $1B short even after all the tightening/cutting, we're struggling hard to not use our savings. (It is looking better as oil goes up thankfully, ANWAR opening and selling to the Chinese should help a ton.)
Anyway, we have a shit ton of Alaska Natives we have to provide insurance for. These folks make nothing because they live traditionally, but we're not exempt from proving them health care (and a shit ton of it) we are not allowed to just dump them off the rolls, regardless, because of ACA and other welfare regulations. It's also villages in the middle of damned nowhere, no access for half the year kind of remote, no power, no indoor plumbing, etc. Thus we pay through the nose for medical care in those places, and it's mostly emergency care which means we /have/ to treat and have to pay, therefore any health insurance we have to pay for out in the bush is outrageously expensive. Try to convince a comfortable city doctor to take a small plane for 4 hours to someplace it's 30 below zero so they can treat a kids sniffle and you'll understand - same reason our teachers are paid more than national averages, and our police as well.
We also have a bunch of vets up here (just over 68k), there's lots of elderly (10% of our population,) and a lot of disability to cover too (8% of our population).
Alaska has over 184k people on Medicare (out of a population like 740k) average per person spending in 2013 was $12k because of the ridiculous cost of medical care outside Anchorage. In 2016 Alaska spent $1.8B on Medicare (Related - our entire state budget is $10.6B and we were at that time running $3.5B short due to low oil prices >.<)
Anyway, we have a shit ton of Alaska Natives we have to provide insurance for. These folks make nothing because they live traditionally, but we're not exempt from proving them health care (and a shit ton of it) we are not allowed to just dump them off the rolls, regardless, because of ACA and other welfare regulations. It's also villages in the middle of damned nowhere, no access for half the year kind of remote, no power, no indoor plumbing, etc. Thus we pay through the nose for medical care in those places, and it's mostly emergency care which means we /have/ to treat and have to pay, therefore any health insurance we have to pay for out in the bush is outrageously expensive. Try to convince a comfortable city doctor to take a small plane for 4 hours to someplace it's 30 below zero so they can treat a kids sniffle and you'll understand - same reason our teachers are paid more than national averages, and our police as well.
We also have a bunch of vets up here (just over 68k), there's lots of elderly (10% of our population,) and a lot of disability to cover too (8% of our population).
Alaska has over 184k people on Medicare (out of a population like 740k) average per person spending in 2013 was $12k because of the ridiculous cost of medical care outside Anchorage. In 2016 Alaska spent $1.8B on Medicare (Related - our entire state budget is $10.6B and we were at that time running $3.5B short due to low oil prices >.<)