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Old 10-24-2013, 05:49 PM
 
Location: Salisbury,NC
10,504 posts, read 4,379,331 times
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By moving the Fed. payment to Medicaid and then the Fed. govt. paying 100% for three? years and then the state is only on the hook for 10%.

The 1.5 Billion in the current State budget to cover Medicaid can then go to other areas. I saw this and was waiting for an excuse from the Gov. to take advantage of this.

If he follows through its a win win for the entire state.
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Old 10-24-2013, 07:00 PM
 
1,155 posts, read 1,919,368 times
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Well, think about it...NC is paying plenty in federal tax dollars, which are then being sent to other states for Medicaid payments. I don't think for one minute that doctors love Medicaid or Medicare reimbursement rates, but hospitals have to treat lots of these people anyhow. So, no Medicare expansion, how do hospitals get paid??? Just a guess, but they charge the rest of us more?? So, I'm guessing Gov. McCrorys friends in hospital admin have bent his ear on this issue. While I accept that some docs don't take Medicaid patients, I bet there are many who do, and they are also losing out.
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Old 10-24-2013, 07:18 PM
 
814 posts, read 966,428 times
Reputation: 999
Quote:
Originally Posted by Native_Son View Post
The decision NOT to expand was an attempt by small town teabaggers to spite Obama. But the Feds don't blink an eye.

They knew the only people getting screwed were North Carolinians.
I thought it was to bring some fiscal sanity to the state budget without having to accept a bunch of federal strings attached? Where do you think this federal money is going to come from? Look in the mirror for an answer.
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Old 10-24-2013, 07:38 PM
 
3,774 posts, read 6,990,604 times
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Quote:
Originally Posted by netbrad View Post
I thought it was to bring some fiscal sanity to the state budget without having to accept a bunch of federal strings attached? Where do you think this federal money is going to come from? Look in the mirror for an answer.
Refusing Medicaid expansion was "bringing fiscal sanity"?!? Oh brother. So EVERY OTHER state is insane? You're drinking the Kool-Aid. Spare me the fiscal responsibility BS. You've demonstrated only a very elementary understanding of the issue, with all due respect. We'd get a lot more than we give, and those federal dollars will be spent whether NC wants to act like an adult or not.

And that deficit is being made up somewhere. Try looking in the mirror, lol.
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Old 10-24-2013, 07:42 PM
 
1,155 posts, read 1,919,368 times
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Quote:
Originally Posted by netbrad View Post
I thought it was to bring some fiscal sanity to the state budget without having to accept a bunch of federal strings attached? Where do you think this federal money is going to come from? Look in the mirror for an answer.
Yeah so instead, our federal tax dollars will go to another state....Perfect!
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Old 10-25-2013, 07:36 AM
 
11,314 posts, read 7,316,395 times
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Quote:
Originally Posted by GCharlotte View Post
I'm just trying to understand the technicals but that usually is left out of politics in this forum. Seeing pushers on TV talking about how this money is "free" and then hearing about doctors and hospitals wanting more of it. The latter may be true I just know my doctor cut off taking new patients with Medicare so I assumed Medicaid would be in a worse position.

Or are these churn mills like the dental clinics that came up with all kinds of assembly line procedures? I just don't picture the average MD or hospital being excited about that prospect but looks like I need to read more.
Well, it's not free. Medicaid is payed with tax dollars. Most people who support expanding Medicaid say that we already pay into the system, so we should bring as much back to NC as possible. The federal government pays for 100% of the Medicaid expansion for the first 3 years and then they pay 90% after that. I think it's a smart move. Most of the opposition to expanding Medicaid seems to be ideological, not logical.
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Old 10-25-2013, 06:18 PM
 
5,150 posts, read 6,640,110 times
Reputation: 1438
Quote:
Originally Posted by Boss View Post
By moving the Fed. payment to Medicaid and then the Fed. govt. paying 100% for three? years and then the state is only on the hook for 10%.

The 1.5 Billion in the current State budget to cover Medicaid can then go to other areas. I saw this and was waiting for an excuse from the Gov. to take advantage of this.

If he follows through its a win win for the entire state.
So it's free money? No strings? No risk? Therefore the GOP opposition is out of spite for the poor? Or is it Bill of Rights which I never see them argue but is my main question.

In other words, do we do things because it is a "win" or is "good" because morally we should even if we feel it is illegal?

Is it the cause that matters more than the law?
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Old 10-25-2013, 06:21 PM
 
5,150 posts, read 6,640,110 times
Reputation: 1438
Quote:
Originally Posted by Native_Son View Post
Refusing Medicaid expansion was "bringing fiscal sanity"?!? Oh brother. So EVERY OTHER state is insane?
Every other? I'm used to you being colorful buy most of the time you're not this far off base. North Carolina is the only state not accepting the expansion?

And if all the other states jumped of a bridge should NC?
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Old 10-25-2013, 06:23 PM
 
5,150 posts, read 6,640,110 times
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Quote:
Originally Posted by MB1972 View Post
Yeah so instead, our federal tax dollars will go to another state....Perfect!
Not perfect but if you are given two bad choices do you always go with the least worst or do you sometimes make the "correct" decision and suffer?
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Old 10-25-2013, 09:35 PM
 
29,710 posts, read 27,143,552 times
Reputation: 18245
Quote:
Originally Posted by GCharlotte View Post
So it's free money? No strings? No risk? Therefore the GOP opposition is out of spite for the poor? Or is it Bill of Rights which I never see them argue but is my main question.

In other words, do we do things because it is a "win" or is "good" because morally we should even if we feel it is illegal?

Is it the cause that matters more than the law?
Morality and legality are two different things. The ACA, which includes Medicaid expansion, is the law of the land.

The GOP opposition is out of spite for Obama, plain and simple.
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