“The bond of trust between patient and physician has always been the essential ingredient in medicine, assuring that the patient receives individual attention and the best possible medical care. Yet often lost in the seemingly endless debate over the Affordable Care Act is how the health-care bureaucracy, with its rigid procedures and regulations, undermines trust and degrades care. In my pediatric ophthalmology practice, I have experienced firsthand how government limits a doctor’s options and threatens the traditional doctor-patient bond.”

“Early evidence suggests that emergency rooms have become busier since the Affordable Care Act expanded insurance coverage this year, despite the law’s goal of reducing unnecessary care in ERs.”

“Healthcare reform has largely ignored the poor. The healthcare safety net has far too many holes, and the Affordable Care Act builds on a flawed system of health insurance. Lower income families, especially those enrolled in Medicaid, have a difficult time finding doctors who will accept their coverage. Insurance is of little value if doctors will not work with your insurer.”

“State officials disclosed a $300 million shortfall in state revenue collections Monday, putting the state’s stellar bond rating in jeopardy — and placing new pressure on lawmakers and Gov. Terry McAuliffe to break their budget deadlock.”

“Indiana Gov. Mike Pence said Monday President Barack Obama’s health care law must be repealed but urged his fellow conservatives to offer alternatives to the president’s policies. The Republican governor introduced his state proposal that he says would act as an alternative to Medicaid. In a speech to the American Enterprise Institute, Pence said his plan would help expand health coverage for low-income residents but provide more flexibility to allow people to manage their own health care needs.”

“I have been a huge fan of the popular Healthy Indiana Plan since it was conceived by former Gov. Mitch Daniels in 2008 as a way to expand sensible health coverage to uninsured Hoosiers.

Daniels’ successor, Gov. Mike Pence, is unveiling his own 2.0 version of the Healthy Indiana Plan (HIP) during a talk at the American Enterprise Institute today, but the plan already is getting a great deal of pushback from conservatives. The original HIP program relies largely on state funding, but the new version will draw primarily on federal funding by expanding Medicaid, an option granted to the states under the Supreme Court’s rewriting of the ACA.”

“From the beginning of my tenure as governor in 2013, we have been saying no to ObamaCare in Indiana. We refused to set up a state-based exchange, and we have said we will not expand traditional Medicaid. We have a better alternative in a program that offers Indiana’s working poor the chance to get insurance and control their own health care.”

“Surgery patients covered by Medicaid arrive at the hospital in worse health, experience more complications, stay longer and cost more than patients with private insurance, a new study has found.”

“Indiana Gov. Mike Pence on Thursday said he wants to use Medicaid funding under the federal health-care law to expand coverage in his state, but that any expansion of it would have to come on his own terms.

The proposal is the latest from a small group of mostly Republican governors pursuing alternative ways to tap billions of dollars in federal Medicaid money available under the Affordable Care Act. Most GOP governors are refusing the additional federal money outright, while those who have wanted to expand Medicaid faced objections from GOP-led legislatures.”

“Opponents of Obamacare’s Medicaid expansion have traditionally argued that it will significantly burden state budgets and provide people with substandard health coverage. A new academic paper suggests what may be the strongest argument yet against the expansion: that it will keep many beneficiaries in poverty because it creates strong disincentives for work.”