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Rebuking Mr. WilsonFollow

#52 Sep 16 2009 at 3:51 PM Rating: Excellent
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BrownDuck wrote:

Attitudes like that merely enable the abuse, though. It stands to reason that if you're going to knowingly introduce a benefit program into the same environment that has been proven easily abused in the past, then you should at least give an honest effort to plug some of the holes. Simply saying "it will not be available for illegal immigrants" is not useful to anyone. It's nothing but rhetoric. I'd like to see what provisions are being considered to prevent any new program from being abused like the many that came before it.

Prior to the Deficit Reduction Act of 2005, for example, in many states it was perfectly acceptable to enroll someone in the medicaid program so long as they checked a box that said something to the effect of "I certify that I am a citizen of the U.S." and signed the bottom of the document. The DRA introduced stricture requirements for proof of citizenship to curb some of that abuse. That's what I'm asking about here.


Except there was no evidence that people without legal immigration status were accessing medicaid in a substantial way. There is an assumption of abuse of many entitlement programs and government aid but there just isn't much research data supporting that assumption. It's the same with the fears of multiple generations being on welfare. There isn't much evidence that many people on welfare stay on for their whole adult life and generations of a family remain dependent on the system--but it's part of the mythology and so things like TANF were created, responding to an imagined issue, but not based on any real numbers or statistics.

These assumptions make for bad policy making that is more about empty rhetoric than actually discussing real abuses in the system.

You say that you "know" that immigrants are abusing the health care system. You don't know. You have unsubstantiated suspicions that they are. You can't base policy decisions on what you think you know but can't offer any proof of it occurring in any significant way.


Edited, Sep 16th 2009 8:41pm by Annabella
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Turin wrote:
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#53 Sep 16 2009 at 4:50 PM Rating: Good
I have watched little CSPAN (which covers the house) but actually saw a member centured (I don't know the exact term). Obviously, as the article states, this has not happened during a presidential speech.

Of course since he broke the rule he should face the punishment and move on. It's a nonissue.

As for the actual content: of course it is illegal for the undocumented to be here. Many have forged documents. Many of them work very hard and pay into the system. We're already paying for their health care, and they are paying into the various systems to help pay for it.

Saying that what is already happening will continue is no argument for or against the change.

I have yet to see any valid argument against any of the myriad systems of health care presented as alternatives to our own. And this is yet another.

It's like saying we can't build a new highway since people speed on the old highways. Yes, people speed, and yes, it is illegal - but if you are demanding complete obedience to the law before any new project can be undertaken, that is insane. You'll never do anything.

If they want to improve the unforgability of documents, that is a totally unrelated issue. I think it is one we have made great strides on and can continue to improve. It is well known how to do this.

Lastly, as I always point out, 18,000 people per year under the age of 65 die due to lack of health care - which would be easily remedied by a vastly cheaper system. How exactly do you allow these people to die - and pay more to do so - and then argue that some people will cheat the new system?

People and corporations cheat in the existing system - it's just that when people cheat it costs us some money, and when corporations cheat it costs us lives.

By lowering litigation punishments, we have made it vastly more profitable to do the latter.

#54 Sep 16 2009 at 6:12 PM Rating: Decent
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BrownDuck wrote:
However, the issue at hand here is one of fraud, not broken legislation.


No. It's broken legislation. The norm when handing out free stuff is that people will lie to get it. This means that any legislation which hands out free stuff must include both rules defining who should receive it, and a mechanism for ensuring that those rules are followed.


Saying: "We're going to give out free lunches, but not to anyone who can afford their own lunch" with no provision to define that criteria or mechanisms to determine who meets it is the same as saying "We're going to give out free lunches to everyone who walks up and says they need it". Absent any mechanism to determine qualification, then everyone qualifies.


Putting a single line in saying "only people working here legally get these benefits" is meaningless if there is no mechanism for determining if someone is working here legally. As I pointed out in the other thread, when last the conservatives attempted to do something as simple as cross reference social security numbers on W-4 forms with the names in the social security database to give some kind of starting point to finding people working here illegally, it was met with resounding cries of racism and anti-immigrant.

If we're unwilling to do something that simple and obvious to check to see if someone's working, two pieces of information the government already has and which require not a single additional intrusion into anyone's privacy, it's ridiculous to even speculate that any alternative mechanism will be put in place. The language is there just to point to and say it's there. Everyone knows that not only will it not be enforced, but any attempt to enforce it will be strongly opposed by the same party which is insisting that the language is sufficient and we shouldn't worry about it.


It's broken legislation.

Quote:
It's ridiculous to not pass a reform bill simply because the potential exists for fraud. That's the case with pretty much any legislation in existence.


It's not the potential for fraud. It's a guarantee of fraud. That's the problem.


Quote:
One thing I'd like clarification on, though, is what existing regulations (or new ones) would apply to any new government benefit program where proof of citizenship or legal immigration is concerned.


I'm not sure what you're asking. Right now, if you are an illegal immigrant, you just make up a social security number and say you're a citizen and it's almost impossible for the employer to know if you're lying or not. This is part of why this is such a hot issue for conservatives. We've been down this road already with existing laws. Sure. On paper, it's illegal to hire someone who isn't here legally, and it's illegal for any government agency to give benefits to someone who isn't here legally. We have rules saying they can't get jobs and benefits, but without enforcement, they are meaningless. And when conservatives bring this up, the liberals just point to the laws and insist that it's illegal so what can they do?


Um... We have an opportunity to *not* lump yet another benefit out there with no way to restrict it. So conservatives are taking the "we're not going to let you lie to us again" approach. We're not going to fall for the "But it says right there that illegals can't get this!" bit. That language clearly doesn't work with existing benefits, so it'll clearly not work with this. Pretending that it will is deceptive at the very least...
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#55 Sep 16 2009 at 6:16 PM Rating: Good
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Quote:

I'm not sure what you're asking. Right now, if you are an illegal immigrant, you just make up a social security number and say you're a citizen and it's almost impossible for the employer to know if you're lying or not. This is part of why this is such a hot issue for conservatives. We've been down this road already with existing laws. Sure. On paper, it's illegal to hire someone who isn't here legally, and it's illegal for any government agency to give benefits to someone who isn't here legally. We have rules saying they can't get jobs and benefits, but without enforcement, they are meaningless. And when conservatives bring this up, the liberals just point to the laws and insist that it's illegal so what can they do?



No, they ask if there is actually proof that this is happening in a systemic way--whether research has actually indicated this is a problem or if you are critiquing a government program based on empty rhetoric and what you think the problem should be.
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#56 Sep 16 2009 at 6:36 PM Rating: Decent
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Annabella, Goblin in Disguise wrote:
Except there was no evidence that people without legal immigration status were accessing medicaid in a substantial way.


None? Or you just didn't bother to check, so there's none you have personally seen?

I'm going to go to the far end of the political dial here and link a FactCheck.org page. This page is specifically refuting far inflated claims about the cost of illegal immigrants. In the midst of the claims, is one stating that illegal immigrants account for 2.5 Billion dollars in medicaid. Factcheck confirms that this matches the CIS numbers, and does not refute them except to state that most of this is to cover costs for US born children of illegal immigrants (a whole controversy by itself IMO).

Um... Regardless of why, it's still clear that there is a cost to medicaid as a result of our lax immigration enforcement and it's not tiny.


Quote:
There is an assumption of abuse of many entitlement programs and government aid but there just isn't much research data supporting that assumption.


There's lots of research, but it's usually just dismissed out of hand by those with a political agenda which does not benefit from it.


I'm more than willing to acknowledge that there's politics involved on both sides of this. Can you?

Quote:
You say that you "know" that immigrants are abusing the health care system. You don't know. You have unsubstantiated suspicions that they are. You can't base policy decisions on what you think you know but can't offer any proof of it occurring in any significant way.


And why don't we "know"?

How about you go write your congressman and senators and insist that they allow for actual auditing of social security numbers to determine how many people are working illegally? Then insist that they correlate those numbers to medicaid claims as well? If you demand such numbers first, then surely you'd support measures to collect them, right?

The reason we don't know, and the reason there is so little data is because politicians on the Left have successfully blocked any attempt to collect that data and correlate them. Using that lack of data to argue that they must be right should be laughable.


If there's a lack of data, then we shouldn't do anything which makes assumptions about the data, right? Maybe it's the conservative in me, but to me this means that we should not pass health care legislation which assumes that the benefits we're creating would not be abused unless we can show that they wont. A lack of data means we don't pass the proposed new benefits.


Your "side" needs to prove their case, not insist that we should do what they want to do because we can't prove it's a bad idea. That's kind of a backwards way of doing things, don't you agree? The default should be to do nothing and make no changes. If you want to propose a change, you need to prove that the change you want to make is a good one. And you need to have the numbers to do that.
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#57 Sep 16 2009 at 6:39 PM Rating: Decent
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Annabella, Goblin in Disguise wrote:
No, they ask if there is actually proof that this is happening in a systemic way--whether research has actually indicated this is a problem or if you are critiquing a government program based on empty rhetoric and what you think the problem should be.


See my more recent post.

The burden of proof should be in the other direction. It's insane to do it the other way around.


It should be common sense that if you provide something free and don't have any mechanism to check if people are lying to get the free stuff, that you're going to get a lot of people lying to get the free stuff. Maybe the difference between a liberal and a conservative is that we don't need complex and expensive research studies to tell us the obvious?
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#58 Sep 16 2009 at 6:50 PM Rating: Good
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gbaji wrote:
I'm going to go to the far end of the political dial here and link a FactCheck.org page.


You're linking a third party?! That's a sign of lesser intelligence! For shame.
#59 Sep 16 2009 at 7:04 PM Rating: Good
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Quote:

The burden of proof should be in the other direction. It's insane to do it the other way around.


Why? You are making unproven claims about abuses that you are saying is happening and dismissing evidence that has been presented to the contrary. Let me get together some of the information that I've had about welfare abuses and immigration based on the history of social science research class that I'm taking--the one that reviews every major study about government aid and poverty. It's stuff that is from journals but you know, I'll put it together over the weekend, unless I wander off.

But the fears about illegal immigrants abusing the system has always been much ado about nothing. It's just nativism used as a political tool for large corporate interests.

Edited, Sep 16th 2009 11:05pm by Annabella
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#60 Sep 16 2009 at 7:06 PM Rating: Decent
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CBD wrote:
gbaji wrote:
I'm going to go to the far end of the political dial here and link a FactCheck.org page.


You're linking a third party?! That's a sign of lesser intelligence! For shame.


For numbers, names, dates, etc? Absolutely. I said as much earlier.

You get that ideas are different than quantitative values, right? I don't just point to a site which makes the same argument I'm making and say that I'm right because this site agrees with me. Just as I didn't in this case.


And I picked a site I view as biased in the liberal direction specifically to avoid someone saying I was cherry picking the data.
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#61 Sep 16 2009 at 7:09 PM Rating: Decent
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Annabella, Goblin in Disguise wrote:
Quote:

The burden of proof should be in the other direction. It's insane to do it the other way around.


Why? You are making unproven claims about abuses that you are saying is happening and dismissing evidence that has been presented to the contrary.


You have presented no evidence to the contrary

I just linked to a site stating that 2.5 Billion dollars a year of medicaid money is provided to illegal immigrants.


Why are you pretending that you've presented evidence and I haven't?
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#62 Sep 16 2009 at 7:15 PM Rating: Good
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gbaji wrote:
For numbers, names, dates, etc? Absolutely. I said as much earlier.

You get that ideas are different than quantitative values, right? I don't just point to a site which makes the same argument I'm making and say that I'm right because this site agrees with me. Just as I didn't in this case.


And I picked a site I view as biased in the liberal direction specifically to avoid someone saying I was cherry picking the data.


I've noticed that you have issues with light-hearted comments. You also tend to seem like a douchebag when you try to make light-hearted comments. You just aren't a fun person.
#63 Sep 16 2009 at 7:22 PM Rating: Good
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gbaji wrote:
Annabella, Goblin in Disguise wrote:
Quote:

The burden of proof should be in the other direction. It's insane to do it the other way around.


Why? You are making unproven claims about abuses that you are saying is happening and dismissing evidence that has been presented to the contrary.


You have presented no evidence to the contrary

I just linked to a site stating that 2.5 Billion dollars a year of medicaid money is provided to illegal immigrants.


Why are you pretending that you've presented evidence and I haven't?


You are generalizing about liberals and saying that there has been no testing. There has been extensive research about governmental programs and issues of abuse, over years in multiple sites. They've been dismissed out of hand by politicians and then you come and tell me that liberals have never examined anything or studied the abuses. They have. Conservatives tend to ignore social science research, even when the numbers supported republican president's **** Nixon's negative taxation proposal (which was very progressive).

I told you I'd get the research this weekend. Jesus, gbaji.

But the information your link was refuting that stated claim. Did you actually read what they said? They said the claim was not accurate b/c most of the 2.5 billion was for US born children who are citizens. Your use of that as evidence is stupid since your criticism was more about immigration policy concerning children of illegal immigrants born in the US and their ability to become citizens than about fraudulent use of medicaid funds by illegal immigrants.





Edited, Sep 16th 2009 11:28pm by Annabella
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#64 Sep 16 2009 at 8:07 PM Rating: Decent
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Annabella, Goblin in Disguise wrote:

I told you I'd get the research this weekend. Jesus, gbaji.


Then please hold off on claiming that you already have done so.

Quote:
But the information your link was refuting that stated claim. Did you actually read what they said? They said the claim was not accurate b/c most of the 2.5 billion was for US born children who are citizens.


Yes. I said that in my post. I also pointed out that this touches a much larger issue that's somewhat out of the scope of this particular discussion. One can argue that if we had more strict immigration enforcement, these children would not be born in the US, and would not be costing us that 2.5 Billion dollars. One can also argue that if our immigration laws did not have a loophole which allowed someone to enter the US illegally, have a child there, and grant the child automatic US citizenship and thereby allow the illegal immigrant the right to stay here in some kind of nebulous limbo status due to the desire not to separate children from parents, we'd also not incur that 2.5 Billion dollar cost.


Many conservatives view that as a problem with our immigration laws, so arguing that this 2.5 Billion doesn't count because it's spent as a result of said loophole doesn't really carry much weight with them. To a conservative, this is still money we're spending for someone who is here illegally. I'll fully acknowledge that this is a complex issue and not as simplistic as it seems, but it would be nice if you'd acknowledge that this does not mean we get to pretend that the money being spent isn't actually costing us anything.

Also, "most of" is not a quantitative figure, is it?


The point I was going after was that factcheck did not refute the dollar amount. That they excuse it after the fact and in a way which most conservatives don't believe constitutes a valid excuse is spin and/or bias on their own part and in no way changes the "facts" of the issue. If you believe that it's ok to spend 2.5 Billion for medical care for children born in the US to illegal immigrants, then you'll be fine with that explanation. If you don't, you wont. Thus, that assessment is purely subjective.


The 2.5B number is *not*. You said that there "was no evidence that people without legal immigration status were accessing medicaid in a substantial way".

The children are minors. Their parents are the ones "accessing medicaid". They are here illegally. Just because we allow this nebulous legal status to exist does not mean we can just ignore the costs that result. The children aren't the ones filling out the forms. The parents are.


Quote:
Your use of that as evidence is stupid since your criticism was more about immigration policy concerning children of illegal immigrants born in the US and their ability to become citizens than about fraudulent use of medicaid funds by illegal immigrants.


Some of us consider it fraudulent to enter the US illegally, pop out a baby, and use it as a ticket to get free services and bypass the normal immigration process. Some of us think that this part of our immigration law should be changed. And, more relevant to this discussion, it's a stunning example of yet another process in which the law says that something is illegal, but does not adequately prevent people from using loopholes in said law to avoid it.


It's relevant because the same political forces in our country which prevent us from closing said loopholes, or at least codifying them in some legal manner, will undoubtably also prevent us from closing the loopholes in the proposed legislation. It absolutely calls into question the insistence by those on the Left that we don't need to define how we're going to prevent illegal immigrants from receiving free health care because somehow just because we said it's illegal for them to receive it, it wont happen anyway...


Sorry. I think that's wishful thinking. Actually, that's not correct. I believe wholeheartedly that those pushing this agenda know darn well that it wont be enforced but know that this benefits them politically to leave said loopholes open. They're banking on it and using the "but it says it's illegal" as cover for what we all know will happen.

Edited, Sep 16th 2009 9:08pm by gbaji
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#65 Sep 16 2009 at 8:20 PM Rating: Good
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Quote:
. I also pointed out that this touches a much larger issue that's somewhat out of the scope of this particular discussion. One can argue that if we had more strict immigration enforcement, these children would not be born in the US, and would not be costing us that 2.5 Billion dollars. One can also argue that if our immigration laws did not have a loophole which allowed someone to enter the US illegally, have a child there, and grant the child automatic US citizenship and thereby allow the illegal immigrant the right to stay here in some kind of nebulous limbo status due to the desire not to separate children from parents, we'd also not incur that 2.5 Billion dollar cost.


But none of it is actually addressing what the original point was--i.e. the issues of medicaid fraud by illegal immigrants.

Quote:

The point I was going after was that factcheck did not refute the dollar amount. That they excuse it after their own part and in no way changes the "facts" of the issue. If you believe that it's ok to spend 2.5 Billion for medical care for children born in the US to illegal immigrants, then you'll be fine with that explanation. If you don't, you wont.


No, gbaji, the factcheck article says very clearly that the 2.5 billion is mostly going for children who are legal US citizens. There is no "spin," there is refutation of an email that misrepresents what the study was saying and who they were defining as part of their sample group. They don't even address the other moneys that go for emergency medicaid, which is also legal for illegal immigrants and used for emergency care. And it certainly doesn't say there is widespread medicaid fraud, as much as you are trying to say it does. And try to stop making your argument morph into something different to cover your ***. Our views of immigration itself is a different matter than provisions about ensuring that people access government funded healthcare legally.

The entire article merely posits that most of the data on illegal immigrants use of government funding is inconclusive and inconsistent.


Edited, Sep 17th 2009 12:24am by Annabella
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Turin wrote:
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#66 Sep 16 2009 at 8:33 PM Rating: Excellent
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gbaji wrote:
If you believe that it's ok to spend 2.5 Billion for medical care for children born in the US to illegal immigrants

You mean "citizens", right? Because we have a word for children born in the United States. They're called "citizens".

Yeah, I think it's fine to spend $2.5 billion for medical care for citizens. Hell, make it $2.6 billion. I'm feelin' charitable.
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Wow. Regular ol' Joph fan club in here.
#67 Sep 16 2009 at 8:42 PM Rating: Decent
Jophiel wrote:
Yeah, I think it's fine to spend $2.5 billion for medical care for citizens.
Socialist. They wouldn't spend $2.5 billion for medical care for you.
#68 Sep 16 2009 at 8:47 PM Rating: Decent
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Quote:
It should be common sense that if you provide something free and don't have any mechanism to check if people are lying to get the free stuff, that you're going to get a lot of people lying to get the free stuff.


If you're a nihilist or hate people, I agree.

Now aside from that gbaji, your recent understanding of induction hasn't been super awesome, with that whole acorn thing, and the trend seems to continue here, considering what you think burden of proof is.
#69 Sep 18 2009 at 12:18 PM Rating: Good
Quote:
most of this is to cover costs for US born children of illegal immigrants (a whole controversy by itself IMO).


They are US citizens. Try to amend the constitution. Until that is seriously undertaken, there is no controversy.

By the way, I was wrong earlier, or at least dreadfully understated: about 45,000 people die each year due to lack of health care in the US, not 18,000.

http://www.cnn.com/2009/HEALTH/09/18/deaths.health.insurance/index.html?iref=mpstoryview

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