“To consider what the expansion of Medicaid under ObamaCare might do to the states, take a look at Massachusetts and Tennessee. In 2006, Massachusetts overhauled its entire health-care system, including a significant expansion of Medicaid. This expansion is costing the state far more than expected. Gov. Deval Patrick approved a record-setting $9.6 billion to cover its share of Medicaid costs last July. It wasn’t enough. He’s already gone back to the legislature twice, adding almost $600 million in additional funds.”

“This month, Jan Brewer of Arizona became the first governor to request what most of the states really need — a waiver from HHS freeing the states from an Obamacare provision known as the maintenance of effort requirements. This is a mandate that forces states to maintain their current Medicaid rolls until 2014 for adults and 2019 for children. If the states trim programs, they end up forfeiting all of Medicaid’s federal matching funds.”

“Beginning in 2014, the Patient Protection and Affordable Care Act, signed into law in March 2010, is expected to significantly extend health-insurance coverage in New York by increasing Medicaid enrollment and offering federal subsidies for the purchase of private health insurance. However, there is no guarantee that the newly insured will be able to access the health-care system in a timely fashion as new demand for services outstrips physician supply.”

“One way to think about all this is to see the ACA as a sham of sorts. Long before the passage of the bill public opinion polls consistently showed over many years that the average voter was willing to pay only $100 or so to insure the uninsured. If you think about it, everything that has come out of the White House and other administration officials is consistent with that finding. ObamaCare, we are being told, is one big free lunch. No one’s premium will be higher. No one’s wage will be lower. Millions of people are supposed to benefit and no one is acknowledged to be the slightest bit worse off because of it.”

“GOP committee members repeated their warnings that the law will drive doctors away from treating older Americans, ruin people’s ability to keep their current health care, undermine the free enterprise system and place health care in the hands of what one called ‘unelected bureaucracies.’ These were arguments they and GOP House colleagues made last month when the chamber voted to repeal the entire law – a step the Senate has refused to take.”

“So, even though states can’t afford their current Medicaid obligations, ObamaCare forced an extension of existing eligibility standards until 2014. Arizona is especially affected because it has some of the most generous Medicaid eligibility standards in the country. Rather than allow states like Arizona to cut back to the level of other states, ObamaCare freezes in existing disparities. Beginning in June 2011, Arizona’s share of its Medicaid program will increase by $700 million. The annual cost of this mandate is almost $1 billion.”

“A generation ago, New York governor Mario Cuomo was an Italian-American facsimile of Barack Obama: an unapologetic, eloquent spokesman for modern liberalism. Many on the Left regret to this day that he didn’t run for President in 1992, leaving the field instead to a centrist named Bill Clinton.
Last month, Mario’s son, Andrew, was installed into the Governor’s Mansion in Albany. And Andrew is getting some pretty lavish praise from…National Review and the Wall Street Journal?”

“Most fundamentally, the system we are proposing requires Washington to abandon most of the command-and-control aspects of the law as written. It steers away from nanny-state paternalism by assuming, recognizing and reinforcing the dignity of all our citizens and their right to make health care’s highly personal decisions for themselves.”

“What would you call a health-insurance program that has worse health outcomes for cancer and heart disease than Medicare or private insurance, that pays doctors and specialists so little that they often refuse to see patients, and that’s driving state budgets into bankruptcy? If you’re the Obama administration, apparently, you call it a success and make it the cornerstone of the Patient Protection and Affordable Care Act, the health-care-reform legislation passed in March 2010 that is better known as Obamacare.”

“Compared to last year’s report, the new CBO figures predict faster growth of healthcare spending in terms of GDP. The 2010 outlook predicted healthcare spending in 2020 would represent 6.8 percent of the GDP… The CBO report also projects faster growth in Medicaid enrollment in light of the healthcare reform law. The 2010 report projected that 76 million people will be enrolled in Medicaid in 2020, while the new report predicts the number will be closer to 97 million in 2021.”