IGX

Since the creation of Medicaid in 1965, the program has excluded payment for institutions of mental disease (IMDs) for beneficiaries 21 and over. Most residential treatment facilities for mental health and substance-use disorders with more than 16 beds did not qualify for Medicaid reimbursement. At the time Medicaid was created, states were responsible for the care of people with severe mental illness and the federal government did not want to supplant the state funding with federal Medicaid dollars. In April, the CMS finalized a policy allowing Medicaid managed-care plans to pay the facilities for short-term stays lasting 15 or fewer days in a month.

In all, 11 states and the District of Columbia participated in the program, which kicked off in July 2012 and was supposed to end December 2015. However, state officials notified participating hospitals in April that the program was over because the funding was exhausted early. “Suddenly the funds just stopped, and we might not even get paid for some of the services we've already provided,” said Dr. Azfar Malik, CEO of CenterPointe Hospital, a psychiatric facility in St. Charles, Mo. Providers suspect the money ran out because millions more people enrolled in Medicaid beginning in 2014, when many states expanded eligibility under the Affordable Care Act. A CMS spokeswoman declined to comment on why the demonstration ended early.

Testiclaw wrote:It's nuts that mental health treatment, care, and medication, can be financially-exclusive.

We talk a lot about mental health in this country. Whether it's a large cause for mass shootings is pretty argued, but, the fact that such care is out of reach is not.

It's sad.

nafod wrote:I'm pretty sure the majority of mass shooters didn't fall in the category of nuts prior to the shooting. I think the Va Tech shooter is the counter-example to that.

Turdacious wrote:

nafod wrote:I'm pretty sure the majority of mass shooters didn't fall in the category of nuts prior to the shooting. I think the Va Tech shooter is the counter-example to that.

And Adam Lanza and James Holmes and Micah Johnson and John Ladue...

nafod wrote:I'm pretty sure the majority of mass shooters didn't fall in the category of nuts prior to the shooting. I think the Va Tech shooter is the counter-example to that.

The ideal people to identify a potential mass shooter are the people around the guy. I've checked The American Rifleman a few times to see if they have any kind of a monthly mental health/decision making column to help teach gun owners what to look for as signs of trouble in other gun owners or even themselves for suicide or just plain bad decisioneering, and what active steps to intervene. I've never seen one, but my data set is small.

Schlegel wrote:

nafod wrote:I'm pretty sure the majority of mass shooters didn't fall in the category of nuts prior to the shooting. I think the Va Tech shooter is the counter-example to that.

The ideal people to identify a potential mass shooter are the people around the guy. I've checked The American Rifleman a few times to see if they have any kind of a monthly mental health/decision making column to help teach gun owners what to look for as signs of trouble in other gun owners or even themselves for suicide or just plain bad decisioneering, and what active steps to intervene. I've never seen one, but my data set is small.

Don't know about in their publications but they appear to endorse the general idea.


https://www.washingtonpost.com/opinions ... story.html

Turdacious wrote:Where is your data on crimes prevented by a gun owning citizen vs stupidity deaths?

nafod wrote:
I get the sense that the NRA and gun rags would never, ever do this, because they'd be worried that it would be viewed as an admission that guns are dangerous and maybe people aren't always so smart in using them. They've got their regular column of how a citizen with a gun prevented a crime, but a shit-ton more kill themselves and others through stupidity. It'd save lives to shift their position on this. Maybe they already do, and I'm not reading the right magazine. But finding a gun fuck-up to dissect is a target-rich environment.

Shooting Illustrated wrote:With all things regarding firearms in the spotlight right now, it is even more important that we be very conscious of all aspects of gun safety. Don't ever be afraid to speak up over a safety issue. It helps protect our sport and, more importantly, it helps protect the rest of our shooting friends and family.

Turdacious wrote:Where is your data on crimes prevented by a gun owning citizen vs stupidity deaths?

nafod wrote:

Turdacious wrote:Where is your data on crimes prevented by a gun owning citizen vs stupidity deaths?

Here's the source I was looking for.

http://www.gunviolencearchive.org/

Number of accidental shooting incidents for 2016 is 1,200 or so
http://www.gunviolencearchive.org/repor ... l-shooting

Number of defensive use incidents is 800 or so
http://www.gunviolencearchive.org/reports/defensive-use

Sua Sponte wrote:

nafod wrote:
I get the sense that the NRA and gun rags would never, ever do this, because they'd be worried that it would be viewed as an admission that guns are dangerous and maybe people aren't always so smart in using them. They've got their regular column of how a citizen with a gun prevented a crime, but a shit-ton more kill themselves and others through stupidity. It'd save lives to shift their position on this. Maybe they already do, and I'm not reading the right magazine. But finding a gun fuck-up to dissect is a target-rich environment.

Didn't have to look too long or too hard for this. Two days ago. An NRE publication. https://www.shootingillustrated.com/art ... /speak-up/

You can also take an NRA course where you will be regaled. They are good courses. Then again, unlike climbing, kayaking, motocrossing, there's not much in the way of decision making in weapons handling.

nafod wrote:
The aviation literature (magazines, books, etc.) and others like rock climbing and kayaking all have articles and columns about risk, decision making, and postmortems on f$%-ups. What went wrong, what to learn, how to not do that again. How to recognize bad decisions in yourself and others. How to intervene, hopefully without violating anyone's rights. These communities police themselves, so to speak, through public shaming, at a minimum because it is simply the right thing to do.

I get the sense that the NRA and gun rags would never, ever do this, because they'd be worried that it would be viewed as an admission that guns are dangerous and maybe people aren't always so smart in using them. They've got their regular column of how a citizen with a gun prevented a crime, but a shit-ton more die through stupidity. It'd save lives to shift their position on this. Maybe they already do, and I'm not reading the right magazine. But finding a gun fuck-up to dissect is a target-rich environment.

nafod wrote: I went to the American Rifleman site and looked, and browsed last time I was at Barnes & Nobles. Step in the right direction. A small step.

The handling is the easy part, seems to me. Like don't stick your finger in a spinning prop, sort of duh.

I'm talking about decisions like my friend is despondent over his girlfriend dumping him after he got fired, and wants to borrow my glock. I'm despondent and want to caress my glock. Or should I slap leather with some thugs or just drop the wallet. Not shoot the pig in the head with a .22 because maybe the round will just bounce off instead of penetrate (don't ask me how I know about that one) or etc.

Sua Sponte wrote:

nafod wrote: I went to the American Rifleman site and looked, and browsed last time I was at Barnes & Nobles. Step in the right direction. A small step.

The handling is the easy part, seems to me. Like don't stick your finger in a spinning prop, sort of duh.

I'm talking about decisions like my friend is despondent over his girlfriend dumping him after he got fired, and wants to borrow my glock. I'm despondent and want to caress my glock. Or should I slap leather with some thugs or just drop the wallet. Not shoot the pig in the head with a .22 because maybe the round will just bounce off instead of penetrate (don't ask me how I know about that one) or etc.

Why do you feel this is an NRA responsibility?

nafod wrote: It is a gun community responsibility (or ought to be) and NRA is a leader in this community.

Sua Sponte wrote:

nafod wrote: It is a gun community responsibility (or ought to be) and NRA is a leader in this community.

Whoa, now, that smacks of that "it's YOU people" prejudice. I've gave some concrete examples that kill, maim and destroy peoples lives more than do guns. Are automotive accidents a car community (whatever that is) responsibility? No, we all know that when some jackass kills somebody because he drives too fast, is drunk, is dicking with her cell phone, that all car drivers don't have the responsibility and never fear that their horsepower or privilege to drink will be infringed upon nor will their unlawful cellphone use be taken seriously. No, in that case "it's the fault of THOSE people, they're not like us just cause they have the same things we do. THOSE people are irresponsible why should I lose MY privileges"

NRA ain't my leader.

Sua Sponte wrote:Are automotive accidents a car community (whatever that is) responsibility?

NHTSA is responsible for reducing deaths, injuries and economic losses resulting from motor vehicle crashes. This is accomplished by setting and enforcing safety performance standards for motor vehicles and motor vehicle equipment, and through grants to state and local governments to enable them to conduct effective local highway safety programs.

NHTSA investigates safety defects in motor vehicles, sets and enforces fuel economy standards, helps states and local communities reduce the threat of drunk drivers, promotes the use of safety belts, child safety seats and air bags, investigates odometer fraud, establishes and enforces vehicle anti-theft regulations and provides consumer information on motor vehicle safety topics.

NHTSA also conducts research on driver behavior and traffic safety, to develop the most efficient and effective means of bringing about safety improvements.

We have a toll-free Vehicle Safety Hotline to provide recall information, receive SAFETY complaints and provide consumers with a wide range of information on vehicle safety. The Hotline operates from 8am-10pm Eastern Time, Monday-Friday. Calls during non-business hours connect to an automated answering service. A Spanish-speaking operator is available from 8am-10pm.

Sua Sponte wrote:As a matter of fact, shouldn't universities be offering incoming courses on first aid, water and wilderness survival, weapons handling, self-defense....aren't these parts of producing a well educated student body?

nafod wrote:

Sua Sponte wrote:As a matter of fact, shouldn't universities be offering incoming courses on first aid, water and wilderness survival, weapons handling, self-defense....aren't these parts of producing a well educated student body?

They are all offered here through formal courses and student groups (except I don't know of a firearms course or group), just not mandated.