“Even with ObamaCare set to inflate the Medicaid rolls, reimbursement rates are falling further. When the NBER investigated Oregon’s program, the state paid doctors 90% of Medicare rates — more than most other states. But since then, Oregon, as well as nearly half its peers, has cut payments. More doctors will doubtless leave the program as a result. This supply problem is one reason the NBER study specifically cautioned against extrapolating its results to model ObamaCare’s expansion of Medicaid. Under ObamaCare, one in four Americans will be covered by Medicaid at a total cost of nearly a trillion dollars. They may receive subpar care — or may not even be able to get an appointment with a doctor. But as the NBER report shows, at least they’ll have a ‘general sense of improved well-being.'”