this post was submitted on 11 Aug 2025
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[–] Remember_the_tooth@lemmy.world 14 points 3 days ago (2 children)

Over in the US, the Federal government is starting to care more about its citizens with disabilities, too. A new act will be increasing eligibility checks for medical coverage from yearly to every six months, using more "thorough" (by which they mean more "complicated") forms and requirements. It also introduces a work requirement, so people with disabilities who lose coverage by administrative error will not have access to alternative coverage while they dispute the miraculous cure of their long-term disability.

Co-pays are increasing, in many cases, by a factor of several and the act is reducing the cap on taxes that states can charge to providers by about half. Also, while states won't face penalties for accidentally denying coverage to eligible people, they will be facing new financial penalties for accidentally covering ineligible people. The Federal health program, Medicare, is backed by the joint Federal and State program, Medicaid, so this means more costs are being pushed down to the states, meaning less funds to cover eligible people.

Moreover, the act establishes a home equity cap of USD $1,000,000. That sounds like a lot, but its only twice the median American home price. $1M rules out most multi-bedroom condominiums in urban areas of large metropolitan cities. There are people who will have to take on a mortgage or lose coverage.

The US government has taken a new and special interest in its citizens with disabilities: squeezing them and their families for every last penny.

[–] Viking_Hippie@lemmy.dbzer0.com 5 points 3 days ago (1 children)

Jesus nonexistent Christ! I knew it was a dumpster fire, but I didn't know that the dumpster contained radioactive medical waste!

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[–] yetAnotherUser@discuss.tchncs.de 2 points 3 days ago* (last edited 3 days ago)

Wow, that sucks. Somewhat surprised you didn't have the finiancial penalties for providing too much already though, Germany had so since forever:

§ 12 SGB: Economic efficiency requirement

(1) The benefits must be sufficient, appropriate and economical; they must not exceed what is necessary. Insured persons may not claim benefits that are not necessary or uneconomical, the service providers may not provide them and the health insurance funds may not approve them.

(2) If a fixed amount has been set for a service, the health insurance company fulfills its obligation to pay benefits with the fixed amount.

(3) If the health insurance fund has provided benefits without a legal basis or contrary to applicable law and if a member of the Board of Management knew or should have known about this, the competent supervisory authority shall, after hearing the member of the Board of Management, cause the Board of Administration to claim compensation from the member of the Board of Management for the damage resulting from the breach of duty, if the Board of Administration has not already initiated recourse proceedings on its own initiative.

Of course the only recourse if they don't provide coverage is to first write a letter of complaint and if it's rejected to sue for coverage. If you have suffered quantifiable damage due to the lack of coverage you will have to launch a separate lawsuit to get compensation. Being in pain alone does not qualify.