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Old 06-13-2013, 12:57 PM
 
Location: The 12th State
22,974 posts, read 58,475,137 times
Reputation: 14917

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Quote:
Originally Posted by Winter_Sucks View Post
The clowns running NC should read this study.

Expanding Medicaid Is Best Financial Option for States | RAND
Let's stick to the topic outline in the OP shown above.

This thread is about NORTH CAROLINA lets keep this thread on topic please.

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Old 06-13-2013, 01:39 PM
 
540 posts, read 1,086,856 times
Reputation: 547
No, the "idiots" (as posted by the original poster) running this state have it exactly right. Expanding an already failing Medicaid system makes no sense whatsoever. Medicaid can barely keep up with demand at this point, is a major strain on the financial status of the state, and fewer and fewer physicians are accepting it because reimbursement rates are too low to stay in business. This is as much true in North Carolina as any other state.

North Carolina should heed the study results in Oregon that showed that there was no benefit to mortality rates to comparable socioeconmially positioned Oregonians as to whether they were placed on Medicaid or left uninsured. What's notable about this is that 21% of the lower socioeconomic classes do have private insurance, which is notably superior in outcome relative to medicaid.

By expanding medicaid, employers have even more reason and incentive to dump private insurance for their least productive employees and allow them to be picked up by the medicaid system, with its already inferior results.

Only 10 states: New York, Maine, Delaware, Hawaii, Iowa, Maryland, Massachusetts, Vermont, and Wisconsin are projected to have reduced loads on their budgets by expanding Medicaid. And this assumes that unfunded liabilities of the states decline under Medicaid expansion. This has not proven to be true in others states that expanded Medicaid in the past, including Maine.

To blindingly charge forward and demand to expand Medicaid without even first knowing the expenses of healthcare purchased in the healthcare exchanges would seem quite foolhardy, in my estimation.

I'd be curious to see a single example of a federal program that actually came in at or under budget, moreover. Should North Carolina wrap this milstone around its neck with the faith that it will float?

Based on data from the Urban Institute, the state of North Carolina would incur an additional 1.7 billion dollars in expenses by 2022 by expanding medicaid.
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Old 06-13-2013, 04:08 PM
 
Location: Wake Forest CSA
334 posts, read 760,576 times
Reputation: 376
Quote:
Originally Posted by J. Pederman View Post
Yes, the federal government picks up the tab for Arkansas' health care. You've repeated this several times now. And it's a needless derail. This thread is about Medicaid expansion in NC, not Arkansas. Please attempt to stay on topic, thanks.
Federal government? You mean the taxpayer.
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Old 06-13-2013, 10:42 PM
 
3,099 posts, read 4,123,528 times
Reputation: 2544
I love it that the minority of rightwing states are not getting federal benefits by refusing to expand Medicaid, while the progressive and moderate (sane) states are shrewdly accepting the expanding benefits. The rightwing states are not even smart enough to realize they are paying for the rest of the country's expansion while not getting any of the benefits. Like Mitt Romney, those rightwing states aren't too good at math. I feel sorry for poor people in those unenlightened states, but otherwise I think it's hilarious, and serves them right.
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Old 06-14-2013, 05:28 AM
 
564 posts, read 751,497 times
Reputation: 683
Quote:
Originally Posted by Tarheelhombre View Post
I love it that the minority of rightwing states are not getting federal benefits by refusing to expand Medicaid, while the progressive and moderate (sane) states are shrewdly accepting the expanding benefits. The rightwing states are not even smart enough to realize they are paying for the rest of the country's expansion while not getting any of the benefits. Like Mitt Romney, those rightwing states aren't too good at math. I feel sorry for poor people in those unenlightened states, but otherwise I think it's hilarious, and serves them right.
Those same sane states in which many have significant budget problems and will have to figure out how to cover a huge bill once they have to start picking up a portion of the cost. Have you seen any one of those states show a long term budget and how they expect to pay the added cost? Of course not. They just figure that someone else will deal with it later on, just like they are dealing with the pension obligations. Tell me again as to isn't that great at math.

There is no free lunch.
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Old 06-14-2013, 05:32 AM
 
Location: Cary, NC
33,439 posts, read 58,033,344 times
Reputation: 32213
Quote:
Originally Posted by janster100 View Post
Those same sane states in which many have significant budget problems and will have to figure out how to cover a huge bill once they have to start picking up a portion of the cost. Have you seen any one of those states show a long term budget and how they expect to pay the added cost? Of course not. They just figure that someone else will deal with it later on, just like they are dealing with the pension obligations. Tell me again as to isn't that great at math.

There is no free lunch.
"There is no free lunch."

No there isn't. But convincing enough voters that there is a free lunch for them is a tried and true way to stay in office with one's face in the trough.
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Old 06-14-2013, 07:17 AM
 
Location: Wake Forest CSA
334 posts, read 760,576 times
Reputation: 376
Quote:
Originally Posted by Tarheelhombre View Post
I love it that the minority of rightwing states are not getting federal benefits by refusing to expand Medicaid, while the progressive and moderate (sane) states are shrewdly accepting the expanding benefits. The rightwing states are not even smart enough to realize they are paying for the rest of the country's expansion while not getting any of the benefits. Like Mitt Romney, those rightwing states aren't too good at math. I feel sorry for poor people in those unenlightened states, but otherwise I think it's hilarious, and serves them right.
They are not paying a cent. This will be deficit spending. Your grandchildren will be picking up the tab.
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Old 06-14-2013, 09:25 AM
 
910 posts, read 1,164,106 times
Reputation: 594
Quote:
Originally Posted by Rdanville View Post
They are not paying a cent. This will be deficit spending. Your grandchildren will be picking up the tab.
Joke's on them then, I done sold them to a white slaver in China.
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Old 06-14-2013, 12:50 PM
 
11,314 posts, read 7,315,255 times
Reputation: 4479
Quote:
Originally Posted by netbrad View Post
Why don't you look at California with their 150% insurance rate increases and say that again with a straight face. The GA is looking out for the financial well being of the state. There are too many unknowns and federal strings attached if they accept the expansion.
You really should try reading the article before commenting. This has nothing to do with rate increases, it has to with the Medicaid expansion and how much it will cost North Carolina every year for not expanding coverage.
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Old 06-14-2013, 07:47 PM
 
540 posts, read 1,086,856 times
Reputation: 547
Quote:
Originally Posted by Winter_Sucks View Post
You really should try reading the article before commenting. This has nothing to do with rate increases, it has to with the Medicaid expansion and how much it will cost North Carolina every year for not expanding coverage.
This is disupted. Again, other studies note that expansion would increase prices substantially as federal payout is reduced.
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