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Health reform penalizes some indians : Swingers Discussion 222072
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TOPIC: Health reform penalizes some indians
Created by: Nkenswing
Original Starting post for this thread:
SAN FRANCISCO (AP) - When Liz DeRouen needs any kind of health care services, from diabetes counseling to a dental cleaning, she checks into a government-funded clinic in Northern California's wine country that covers all her medical needs.

Her care and the medical services for her children and grandchildren are paid for as part of the government's treaty obligations to American Indian tribes dating back nearly a century. But under President Barack Obama's health care overhaul, DeRouen and tens of thousands of others who identify as Native American will face a new reality.

They will have to buy their own health insurance policies or pay a $695 fine from the Internal Revenue Service unless they can prove that they are "Indian enough" to claim one of the few exemptions allowed under the Affordable Care Act's mandate that all Americans carry insurance.

"I'm no less Indian than I was yesterday, and just because the definition of who is Indian got changed in the law doesn't mean that it's fair for people to be penalized," said DeRouen, a former tribal administrator for the Dry Creek Rancheria Band of Pomo Indians who lost her membership amid a leadership dispute in 2009. "If I suddenly have to pay for my own health insurance to avoid the fine, I won't be able to afford it."

The Affordable Care Act takes a narrow view of who is considered American Indian and can avoid the tax penalty, which will reach a minimum of $695 when fully phased in. It limits the definition to those who can document their membership in one of about 560 tribes recognized by the U.S. Bureau of Indian Affairs.

Yet more than 100 tribes nationwide are recognized only by states and not the federal government. Many tribes do not allow their members to enroll before they are 18, meaning some school-age children whose parents are American Indian might not be considered "Indian" under the definition in the act.

Other tribal governments have complicated blood-quantum requirements or rules that all members must live on the reservation, even though nearly two-thirds of American Indians and Alaska Natives now live in metropolitan areas, partly a legacy of federal relocation and adoption programs.

The definition of Indian in the Affordable Care Act is roiling emotions on reservations and in native enclaves across the country, but U.S. Department of Health and Human Services spokeswoman Erin Shields said the agency is powerless to change it without an act of Congress.

The problem is so new that the federal government is still seeking to establish how many people might be affected, although Indian health advocacy groups estimate it could be up to 480,000.

In California alone, about 21,000 people who currently receive free health care through Indian clinics are not recognized as Native American by the federal government and would have to pay the penalty, according to the nonprofit California Rural Indian Health Board.

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"Neither one of you would be here, if it wasn't for us bitches!"

My awesomeness is so great that I'd have found a way to exist one way or another.

T

Danville PA
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thank god for bitches...............BS

Kingston TN
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Neither one of you would be here, if it wasn't for us bitches!

Rumson NJ
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"Admittedly, a world without me in it would suffer tremendously. Luckily for all of yous, it's nothing to worry about. "

lmao!!

Same here. :-)

Pittsburgh PA
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"I do not believe the Government has any business in the health care profession, however a deal is a deal. "

The Govt got involved because every not-wealthy person in America was at the complete mercy of the insurance industry. They may rip you off, or let you die, or both.

Flat Rock NC
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"Wouldn't that mean he may have never met his wife, his kids may not have been born?"

Most likely, yes. But it's probably an even trade in the long run.

"Who knows what the world would look like if that were true."

Admittedly, a world without me in it would suffer tremendously. Luckily for all of yous, it's nothing to worry about.

T

Danville PA
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we have not heared the end of how screwed up obamacare is.we have just scrachted the surface.why do you think they wouln't let anybody read it before passage..................BS

Kingston TN
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I do not believe the Government has any business in the health care profession, however a deal is a deal.

Blythe GA
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That I cannot answer, darling. But I do want you to know, that your favorite part in a woman, happens to be mine too!!!

Rumson NJ
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"I believe T was saying that the diseases of the natives should have killed off all the colonizers that arrived here. "

That's what I thought he meant.

Wouldn't that mean he may have never met his wife, his kids may not have been born?

Who knows what the world would look like if that were true.

Pittsburgh PA
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TOPIC: Health reform penalizes some indians