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	<title>Comments on: A Not So Class Act</title>
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	<description>Insights on Health Care Reform &#124; NCPA</description>
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		<title>By: Tom H.</title>
		<link>http://www.john-goodman-blog.com/a-not-so-class-act/comment-page-1/#comment-47924</link>
		<dc:creator>Tom H.</dc:creator>
		<pubDate>Wed, 04 Nov 2009 15:03:45 +0000</pubDate>
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		<description>What&#039;s one more Ponzi scheme. The government is very skilled at running Ponzi schemes.</description>
		<content:encoded><![CDATA[<p>What&#8217;s one more Ponzi scheme. The government is very skilled at running Ponzi schemes.</p>
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		<title>By: Devon Herrick</title>
		<link>http://www.john-goodman-blog.com/a-not-so-class-act/comment-page-1/#comment-47906</link>
		<dc:creator>Devon Herrick</dc:creator>
		<pubDate>Tue, 03 Nov 2009 21:59:48 +0000</pubDate>
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		<description>I wonder which criteria would be used to approve benefits?  With long term care insurance, to receive benefits seniors must become institutionalized. That&#039;s something no senior wants -- thus few are willing to draw benefits unless they have to.  

However, every senior probably believes they would benefit from a little home-based care (who wouldn’t want in-home help with cooking, cleaning, bathing, etc.). The government has never been good at utilization management (just look at Medicare spending).  I would expect utilization of home-based services to skyrocket as seniors seek to draw benefits earlier than clinically needed.</description>
		<content:encoded><![CDATA[<p>I wonder which criteria would be used to approve benefits?  With long term care insurance, to receive benefits seniors must become institutionalized. That&#8217;s something no senior wants &#8212; thus few are willing to draw benefits unless they have to.  </p>
<p>However, every senior probably believes they would benefit from a little home-based care (who wouldn’t want in-home help with cooking, cleaning, bathing, etc.). The government has never been good at utilization management (just look at Medicare spending).  I would expect utilization of home-based services to skyrocket as seniors seek to draw benefits earlier than clinically needed.</p>
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		<title>By: Ken</title>
		<link>http://www.john-goodman-blog.com/a-not-so-class-act/comment-page-1/#comment-47905</link>
		<dc:creator>Ken</dc:creator>
		<pubDate>Tue, 03 Nov 2009 21:49:29 +0000</pubDate>
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		<description>This is a truly awful idea.</description>
		<content:encoded><![CDATA[<p>This is a truly awful idea.</p>
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		<title>By: Stephen C.</title>
		<link>http://www.john-goodman-blog.com/a-not-so-class-act/comment-page-1/#comment-47903</link>
		<dc:creator>Stephen C.</dc:creator>
		<pubDate>Tue, 03 Nov 2009 21:44:27 +0000</pubDate>
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		<description>This would be a foot in the door to a big, big Ponzi scheme.</description>
		<content:encoded><![CDATA[<p>This would be a foot in the door to a big, big Ponzi scheme.</p>
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