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Or states can just drop it when the feds stop sending the money.
They can't just like with the p/t unemployment and RTT.
They agreed to keep it when they took the money.
And once you give away "free stuff" you can't rescind it.
Why States Should Not Expand Medicaid | Galen Institute
The initial 100% federal match rate for the expansion population is very tempting, but the match rate starts to decline in three years and falls to 90% by 2020. In addition, the state must pay all added administrative costs as well as its higher share of coverage for other eligible citizens outside the expansion band who are not now enrolled but who would likely do so after the Affordable Care Act’s individual mandate triggers in 2014.
Medicaid spending will increase dramatically as the federal matching rate for the expansion population begins to drop. Adjusted for inflation, Medicaid spending has increased more than 250% since 1990. Expanding Medicaid would cost states an additional $118 billion through 2023, according to a recent congressional report. The additional spending surely would crowd out funds for education, transportation, parks, public safety, and other vital state needs.
Oh, I am not being the surrogate whiner for the states who went down this bad bargain road. Just pointing out how bad of a bargain it turned out to be.
Just like conservatives said five years ago. Remember all of the progressive shout down over this. No worries. Caring for fellow man. Heartless tea party. At least the Supremes' stopped the mandate for medicaid expansion.
Quote:
Originally Posted by HappyTexan
Well now states did have the option to say no.
And states knew going in that the Fed was not going to subsidize this expansion forever.
Just like the p/t worker unemployment and just like Common Core RTT..the Fed dangles 100% subsidy for a set amount of time and then the state has to take it over and keep it.
If the states agreed to it then they will just have to raise taxes to fund it.
They have no sympathy from me on this.
Because EVERYONE pays property tax (even renters), fuel tax, and tolls. NOT everyone pays federal income tax. The fact that some do while others don't is what makes it slavery of the ones who are forced to do so via threat of privately owned property seizure and/or imprisonment.
Institute a capitation tax (head tax), and all are treated equally under tax law, thus none would be enslaved for the benefit of others.
Huh? I have no idea what that is supposed to mean. Roads, schools, libraries are all paid for through some combination of taxes, I'm sure there is an income tax component in some of those. And if you don't want to pay income tax, then don't. You can probably start a fake home business and spend a few hundred on a CPA who will show you how to avoid income tax.
They can't just like with the p/t unemployment and RTT.
They agreed to keep it when they took the money.
And once you give away "free stuff" you can't rescind it.
Why States Should Not Expand Medicaid | Galen Institute
The initial 100% federal match rate for the expansion population is very tempting, but the match rate starts to decline in three years and falls to 90% by 2020. In addition, the state must pay all added administrative costs as well as its higher share of coverage for other eligible citizens outside the expansion band who are not now enrolled but who would likely do so after the Affordable Care Act’s individual mandate triggers in 2014.
Medicaid spending will increase dramatically as the federal matching rate for the expansion population begins to drop. Adjusted for inflation, Medicaid spending has increased more than 250% since 1990. Expanding Medicaid would cost states an additional $118 billion through 2023, according to a recent congressional report. The additional spending surely would crowd out funds for education, transportation, parks, public safety, and other vital state needs.
Good thing Millenials can afford the higher taxes.
There were charity hospitals until the early 1990s. Leeches didn't like their leechery revealed by using them.
Not sure where you got that from. The reality is the charity hospitals were mostly run by either County Governments or Catholics. Most of the Catholic charities were bought out by private for profit hospitals after operating in the red for decades, the County run clinics and hospitals have largely become to much of a financial burden for local governments. The few that remain are overburdened to the point that they have very high readmission rates because the release patients too early in order to make room for new patients waiting for a hospital bed.
So here in NC where their has been no expansion, Hospital costs are going up at a higher rate. It seems that a large # of people still have no coverage. With that ins. costs are going up at a higher rate then the national average. Rural hospitals are having to close. The cost (to the State) of Medicaid is going even higher as those increased rates affect the Medicaid users the most. Our politicians are trying to figure out a way to cut costs and are not able to find it. The GOP Legislature wanted to have less people on Medicaid and have just caused higher costs to the rest of us.
The failure to take the expansion will result in a higher cost to the individual in terms of higher policy costs, less access to healthcare.
So here in NC where their has been no expansion, Hospital costs are going up at a higher rate. It seems that a large # of people still have no coverage. With that ins. costs are going up at a higher rate then the national average. Rural hospitals are having to close. The cost (to the State) of Medicaid is going even higher as those increased rates affect the Medicaid users the most. Our politicians are trying to figure out a way to cut costs and are not able to find it. The GOP Legislature wanted to have less people on Medicaid and have just caused higher costs to the rest of us.
The failure to take the expansion will result in a higher cost to the individual in terms of higher policy costs, less access to healthcare.
The problem is NOT insurance. The problem is that the actual cost of care is skyrocketing.
Bring down the cost and the insurance becomes affordable on its own.
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