To: KLP who wrote (120972 ) 6/20/2005 6:53:10 AM From: Lane3 Respond to of 793820 one that most probably no one who works for the Government can get turned down for... No, actually that's not the case. You have to qualify and, even when you qualify, your rates are based on your health. (As you fill out the application, they ask, for example, if you use one of those three footed canes. If you do, forget it.) My sense of this program is that it's the same as one you can buy on your own, it's just the the government organizes it and encourages participation by making it available and using payroll deductions for premiums. It's different from their approach to health insurance, which is treated as part of the compensation package. When the program was first offered just a few years ago, there were insurance companies advertizing to us feds that they could give us a better deal. I opted for the federal program primarily for the convenience of payroll deductions and because I though it might provide a layer of protection against any hanky panky by the insurance company when I got older and less able to look out for myself.With the plan you chose, did you have the ability to increase your payment for more coverage per day at a later time? Yes.Both of us were rejected for previous and present health issues.... I don't have a sense of how tough their screening is. I was already retired when the program started so I didn't pick up any stories around the water cooler. I know two people with controlled diabetes, one primary and one spouse, that were accepted.My bad. It was well hidden. I didn't notice it either until your question caused me to go back and look.If so, shouldn't the amount per person be applied evenly by the Feds I'm on shaky ground here as I don't know much about the details of this program. But I would speculate that what happens is at least in part a function of matching funds. I think that makes sense because otherwise states would have an incentive to go cheap and let the federal program carry the weight. Or one state may want to cover a lot of different needs with small payments and another state may opt to cover a few needs fully and not cover others at all. An obvious example of differences in coverage might be that some states may cover abortions or acupuncture and others not so, even though it's a federal program, individual benefits vary by state. Maybe with long term care, some states pay for home care and other pay only for nursing home care because they think that's a better use of their funds or because they don't have the resources to regulate or audit a lot of individual variations. I wonder if that will ever happen? I doubt it. I was struck the other day by this wording in a Post editorial: "Medicaid has evolved from a welfare program to a safety net compensating for some of the failings of the health care system." Once programs are considered "safety net" rather than "welfare," even the conservatives/Republicans support them. That label changes everything.washingtonpost.com