“There is no way to spin these results as anything but a rebuke to those who are pushing states to expand Medicaid. The Obama administration has been trying to convince states to throw more than a trillion additional taxpayer dollars at Medicaid by participating in the expansion, when the best-designed research available cannot find any evidence that it improves the physical health of enrollees.”
“Cary Pigman, a Republican lawmaker in the state House of Representatives, sees uninsured patients every shift as an emergency room doctor in a rural part of central Florida, where nearly 30 percent of residents lack coverage. With a week remaining in Florida’s legislative session, Dr. Pigman might be expected to be sympathetic to hospitals and other groups urging the Republican-dominated legislature to accept $50 billion in federal money over a decade to extend coverage to 1 million poor Floridians. But that’s not the case.”
“Illinois Medicaid Director Julie Hamos is warning that there won’t be enough doctors to treat the expected surge next year of new Medicaid patients unless more physicians participate in the health care program for the poor… About 1.2 million uninsured people in Illinois are expected to gain some form of health insurance coverage on Jan. 1 under the landmark overall of health care. About half of those people will be newly eligible for Medicaid.”
“House Speaker Will Weatherford, R-Wesley Chapel, said today he agrees with the decision by his chamber’s select committee on the Affordable Care Act that voted 10-5 _ along party lines _ to reject the expansion of Medicaid in the state under the federal health care law. Here is Weatherford’s statement:”
“For states, it’s the medium to long-term fiscal picture that presents the biggest worry. The long-term politics of federal budgeting make short-term state policy choices rather dicey: Who knows what Congress will do as the cost of government health programs rise and the already bad budget situation grows worse? Cost shifting to states may not be inevitable, but it’s quite likely, which means that even if expanding Medicaid is essentially free now, it almost certainly won’t be in the future.”
“On Wednesday Florida Republican Rick Scott became the latest GOP Governor to volunteer to shoulder some responsibility for ObamaCare, which has liberal sages gloating about a resistance-is-futile shift in the GOP. The media don’t want to discuss the substance, only the politics, so allow us to report how the flippers are justifying their flips.”
“Gov. Scott Walker announced Wednesday that he won’t propose expanding Medicaid services in Wisconsin, joining other Republican governors who have decided to reject federal money for covering more low-income residents under the health care overhaul law. Instead, Walker outlined a hybrid approach that would allow more adults into the state health program, which he said would help cut the state’s uninsured rate of 14 percent in half.”
“The Obama administration is late in implementing several provisions of the federal health overhaul intended to improve access to care and lower costs. The programs, slated to take effect Jan. 1, were supposed to increase fees to primary care doctors who treat Medicaid patients, give states more federal funding if they eliminate Medicaid co-pays for preventive services and experiment with changes to how doctors and hospitals are paid by Medicare.”
“Months since the Supreme Court ruling that made the Obamacare Medicaid expansion optional, the state costs associated with expansion still remain highly uncertain—making expansion a dicey course for states and their budgets.
Indeed, states should not lose sight of the fact that the original Medicaid expansion was coercive for a reason.”
“The fundamental flaws in our system are familiar: perverse incentives that encourage excess treatment, high prices, poor service (even dangerous sloppiness), incomprehensible complexity and a flawed safety net. But to all such problems the new health-care law has the same two answers: more insurance and Medicaid and more top-down cost control.”