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House Republicans are lining up to repeal the Affordable Care Acton Wednesday, but GOP governors in the South have a real plan to gut the law.
Govs. Rick Perry in Texas and Rick Scott in Florida have both said they won’t expand Medicaid to more of the working poor in their states — rejecting a central part of the law designed to cover 15 million more Americans.
The governors can do it because the Supreme Court ruled last month that states can opt out of the expansion without paying a penalty.
Unlike the symbolic votes in the House this week, the governors’ tough talk has real-world consequences: Texas and Florida are among five hell-no states, meaning 3 million of the potential Medicaid beneficiaries — or about 1 in 5 nationwide — won’t get coverage through President Barack Obama’s health care law, according to a POLITICO analysis of data compiled by the Urban Institute. The governors of Mississippi, Louisiana and South Carolina also have said Washington can keep its Medicaid money and the new requirements that come with it.
“The bottom line here is that Medicaid is a failed program,” Perry said in a Monday appearance on Fox News. “To expand this program is not unlike adding a thousand people to the Titanic.”
Its only going to hurt their hospitals and other medical care providers. If you are uninsured and show up at a hospital with something like cancer, that hospital will typically have a department whose sole responsibility is to see if you qualify for medicaid, and if so, to get you enrolled. The reason being of course is that they want to be reimbursed for the heath care they provide you. Obamacare, like Romneycare, eliminates the provisions of medicaid that reimbursed providers for uninsured patients. Instead, both programs extended the eligibility for medicaid to include more of the working poor. By refusing to accept the medicaid expansion - that is paid for by the federal government, those states that do so will only hurt their own hospitals.
Its only going to hurt their hospitals and other medical care providers. If you are uninsured and show up at a hospital with something like cancer, that hospital will typically have a department whose sole responsibility is to see if you qualify for medicaid, and if so, to get you enrolled. The reason being of course is that they want to be reimbursed for the heath care they provide you. Obamacare, like Romneycare, eliminates the provisions of medicaid that reimbursed providers for uninsured patients. Instead, both programs extended the eligibility for medicaid to include more of the working poor. By refusing to accept the medicaid expansion - that is paid for by the federal government, those states that do so will only hurt their own hospitals.
'Bout time....
Assuming they actually go through with it, it should be a great boon for them....
These people will end up getting cared for.... IN OTHER STATES. That means these people will likely be LEAVING Texas, Florida, etc.... on a permanent basis, which I'm sure will also likely reduce those state's burden for OTHER social welfare programs.
But presumably a lot of these people wouldn't be able afford insurance anyway? , government or otherwise.
True, so what they'll do is to relocate to a neighboring state where they can still get Medicaid coverage. Let's see if I can explain it a little better this way....
Fred loses his job and goes on state aid (in Texas). Suddenly he gets sick, but since he doesn't have a job, he doesn't have health insurance. He goes to the state, but they tell him that they're not accepting any new Medicaid patients. Fred and his wife have to leave Texas and move to Arkansas where he CAN get Medicaid. Not only doesn't Texas end up paying for the Medicaid bill, but once Fred and his wife leave Texas they don't pay for his welfare either.
No Tigger, he just keeps using the ER as many of the uninsured currently do. A lot more keeps folks in a state, family for one, than medicaid. Someone is paying for his healthcare one way or another. Don't judge other's willingness to cut and run by your own willingness to flee this country...
Speak for your own state.
If only more people, and especially the federal government, actually started taking this approach more on MULTIPLE issues.
No Tigger, he just keeps using the ER as many of the uninsured currently do. A lot more keeps folks in a state, family for one, than medicaid. Someone is paying for his healthcare one way or another.
I don't see how the benefit outweighs the detriment of maintaining programs that don't work efficiently. Government-funded medical programs (Medicaid/Medicare/SCHIP) all pay out less than the actual cost of service, thereby driving up the prices everybody else is expected to pay. So the capable but un-insured and the insured (via their carrier) pay more.
And those programs (and the ACA) do NOTHING to address the actually cost of health care.
So we expand and add more people to government healthcare and then what? See prices continue to rise as costs continue to rise and even more people utilize a system that underpays for service? Makes a **** load of sense...
I see no reason states should be mandated to take part in any system of entitlement that results in a heavier burden on the rest of the system, especially when their hands are tied to implement policies that would drive down health costs because the fed won't do anything on the national level other than keep pushing for an even more distorted cost-to-payout ratio.
But the reason why we're continuing with this broken healthcare system is because of constant objection to a single-payer universal system.
Single payer isn't an answer to medical costs either, Sam. People are already strained...higher taxes to cover a program that doesn't pay out at the actual cost of care provided is still a broken system.
Its only going to hurt their hospitals and other medical care providers. If you are uninsured and show up at a hospital with something like cancer, that hospital will typically have a department whose sole responsibility is to see if you qualify for medicaid, and if so, to get you enrolled. The reason being of course is that they want to be reimbursed for the heath care they provide you. Obamacare, like Romneycare, eliminates the provisions of medicaid that reimbursed providers for uninsured patients. Instead, both programs extended the eligibility for medicaid to include more of the working poor. By refusing to accept the medicaid expansion - that is paid for by the federal government, those states that do so will only hurt their own hospitals.
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