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Old 09-17-2014, 12:28 AM
 
Location: Wasilla, Alaska
17,823 posts, read 23,442,152 times
Reputation: 6541

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Quote:
Originally Posted by lycos679 View Post
Good grief! It absolutely was about the Medicaid provision. Did you not even read the link I provided? When the ACA was passed Medicaid was expanded and provisions were included that granted funding to the states that expanded Medicaid. Additionally, the ACA said that a state that declined to expand Medicaid coverage would be ineligible for all Medicaid funding. Consequently, several states filed suit. When the SCOTUS heard the arguments they agreed with the states and declared the Medicaid ineligibility provision to be unconstitutional - that's where the whole choice to accept Medicaid came from. However, SCOTUS did not declare the entire Medicaid program to be unconstitutional and specifically said that federal funds may be used to expand healthcare. If Medicaid was unconstitutional the SCOTUS would not have said the federal gov. has the authority to offer funds for healthcare.



The opinion of the SCOTUS, as it relates to the Medicaid provision, was that federal funds may be used to expand healthcare accessibility. I provided you with the full text of their opinion and even pointed out the page where they addressed Medicaid.
No, that was not their decision. Their decision was that nothing they ruled would conflict with their prior decision on the ACA. Congress has the constitutional authority to levy taxes, and there is currently nothing the States can do to prevent Congress from levying taxes. States may, however, opt out of any federal program, but that does not mean they can prevent Congress from levying a tax.
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Old 09-17-2014, 12:41 AM
 
Location: Chesapeake Bay
6,046 posts, read 4,814,474 times
Reputation: 3544
Quote:
Originally Posted by Glitch View Post
No, that was not their decision. Their decision was that nothing they ruled would conflict with their prior decision on the ACA. Congress has the constitutional authority to levy taxes, and there is currently nothing the States can do to prevent Congress from levying taxes. States may, however, opt out of any federal program, but that does not mean they can prevent Congress from levying a tax.
They certainly can opt out of the expanded Medicaid. But in doing so, they have pretty much shot themselves in the foot. By refusing expanded Medicaid their hospitals are running into real problems.

Many hospitals in all states received additional fed funding. But with the passage of ACA, this direct funding is going away and additionally, some Medicare funding for them is also being reduced with the expectation that the expanded Medicaid would make up any differences. So those states that refused now have some tough funding issues ahead. Do they accept expanded Medicaid or see their hospitals close?

The bet? They'll fold. They are already in the process of doing so now. You know the old saying, money talks BS walks.
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Old 09-17-2014, 11:50 AM
 
Location: Wasilla, Alaska
17,823 posts, read 23,442,152 times
Reputation: 6541
Quote:
Originally Posted by Weichert View Post
They certainly can opt out of the expanded Medicaid. But in doing so, they have pretty much shot themselves in the foot. By refusing expanded Medicaid their hospitals are running into real problems.

Many hospitals in all states received additional fed funding. But with the passage of ACA, this direct funding is going away and additionally, some Medicare funding for them is also being reduced with the expectation that the expanded Medicaid would make up any differences. So those states that refused now have some tough funding issues ahead. Do they accept expanded Medicaid or see their hospitals close?

The bet? They'll fold. They are already in the process of doing so now. You know the old saying, money talks BS walks.
Speaking of BS, Alaska does not participate in any of the ACA exchanges, refused the expansion of MedicAid, and is in no danger of having any hospitals closed. Like all other bad legislation enacted by Democrats, the ACA will be short-lived. I fully expect the ACA will be repealed by a GOP controlled Congress before Obama leaves office, and there will not be a damn thing he can do to prevent it.
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Old 09-17-2014, 05:55 PM
 
9,470 posts, read 6,966,152 times
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Quote:
Originally Posted by Weichert View Post
Nope, the majority rules.

No, it doesn't. 535 elected people write the rules.
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Old 09-17-2014, 06:25 PM
 
Location: Chesapeake Bay
6,046 posts, read 4,814,474 times
Reputation: 3544
Quote:
Originally Posted by Glitch View Post
Speaking of BS, Alaska does not participate in any of the ACA exchanges, refused the expansion of MedicAid, and is in no danger of having any hospitals closed. Like all other bad legislation enacted by Democrats, the ACA will be short-lived. I fully expect the ACA will be repealed by a GOP controlled Congress before Obama leaves office, and there will not be a damn thing he can do to prevent it.
The US is composed of far more than the state of Alaska.
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Old 09-17-2014, 06:58 PM
 
Location: Wasilla, Alaska
17,823 posts, read 23,442,152 times
Reputation: 6541
Quote:
Originally Posted by Weichert View Post
The US is composed of far more than the state of Alaska.
You can keep the lesser-49 States. Alaska is all that exists, as far as I am concerned.
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