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Talking about taxi drivers, I finally found a worse investment that mine. The value of a taxi medallion in NYC runs in the area of $110,000 - $130,000. In 2011, they were selling for $1,000,000 or more.The former taxi drivers have already been displaced by the Uber drivers....now despite how quote fantastic end quote the economy is doing there is an over abundance of Uber drivers and they are making way less than they did several years ago....

I am learning (first year of Medicare) that there are payment phases with Part D.Zero or low costs for all our meds too (Optum, Costco, CVS)
The good news is that starting in 2025, drug costs will be capped at $2,000, so exposure isn't unlimited.
It's a very interesting topic and can appear convoluted. Couldn't an argument be made that we (the public) transfer more of our money to the government than we did years ago?@bee I'm not sure I like the wording, "government transfers." I take it as a gift from the gov., which most of it isn't. VA Benny's all earned as is my SS monthly check.
Bottom line, we pay more today in public transfers to local, county, state, and federal governments so they can orchestrate these transfers out.
How does Medicaid financing work?
Medicaid financing is shared by states and the federal government with a guarantee to states for federal matching payments with no pre-set limit. The percentage of costs paid by the federal government varies for specific services and types of enrollees and depending on whether the costs are for medical care or program administration.
The federal share of spending for services used by people eligible through traditional Medicaid, which includes individuals who are eligible as children, low-income parents, because of disability, or because of age (65+), is determined by a formula set in statute. The formula is designed so that the federal government pays a larger share of program costs in states with lower average per capita income. The resulting “federal medical assistance percentage” or “FMAP” varies by state and ranged from 50 percent to 78 percent for FFY 2023 (Figure 5).
States can use provider taxes and IGTs (intergovernmental transfers) to help finance the state share of Medicaid. States have some flexibility to use funding from local governments or revenue collected from provider taxes and fees to help finance the state share of Medicaid within certain limits and rules. Provider taxes are an integral source of Medicaid financing, comprising approximately 17% of the nonfederal share of total Medicaid payments in SFY 2018 according to the Government Accountability Office (GAO). All states (except Alaska) have at least one provider tax in place and many states have more than three (Figure 8). The most common provider taxes are on nursing facilities (46 states) and hospitals (44 states). As of July 1, 2022, 32 states including DC also reported at least one provider tax that is above 5.5% of net patient revenues, which is close to the maximum federal safe harbor or allowable threshold of 6%. Federal action to lower that threshold or eliminate provider taxes, as has been proposed in the past, would therefore have financial implications for many states.
The most common Medicaid provider taxes in place in FY 2022 were taxes on nursing facilities (46 states), followed by taxes on hospitals (44 states), intermediate care facilities for individuals with intellectual disabilities (33 states), and MCOs7 (18 states).
https://kff.org/report-section/medicaid-budget-survey-for-state-fiscal-years-2022-and-2023-provider-rates-and-taxes/
@msf
My wife and I have been with Traditional Medicare and a medicare supplemental plan over 7 years and have never had to communicate an appeal, request authorization, denied coverage, or received a bill during that time. I can see any doctor who accepts Medicare anywhere in the country.
I choose the peace of mind that I’ve experienced with Traditional Medicare and Supplemental plan even though it costs me more in the short term; and even though the supplemental plan increases each year, I know there will be no surprises with accessing the health care, I or my wife needs.
I'm really not in a rush to change brokerages and Schwab's been mostly decent otherwise (not as good as the old TDA), but I'll look. It's been ages since I explored IBKR (back when I was futures trading 15 years go) but when I get some time I'll take a gander.Rick,
Many days my account balances at Schwab are wrong by a few percentage points. I stopped worrying about $$ reflected. I just hope that someone is not salami slicing my accounts slowly because I would not detect it as I do not check the History often. The big corporations have won the game of desensitizing me to their deliberate incompetence.
IBKR patrons talk highly about it. May be it is time to check them out?
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