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States Resist Medicaid Growth
Washington Post ^ | October 5, 2009 | Shailagh Murray

Posted on 10/05/2009 6:30:11 AM PDT by La Lydia

The nation's governors are emerging as a formidable lobbying force as health-care reform moves through Congress and states overburdened by the recession brace for the daunting prospect of providing coverage to millions of low-income residents. The legislation the Senate Finance Committee is expected to approve calls for the biggest expansion of Medicaid since its creation in 1965. Under the Senate bill and the House proposal, a state-federal insurance program targeted mainly at children, pregnant women and disabled people would effectively become a Medicare for the poor, a health-care safety net for all people with an annual income below $14,404.

Whether Medicaid can absorb a huge influx of beneficiaries is a matter of grave concern to many governors...

"I can't think of a worse time for this bill to be coming," said Tennessee Gov. Phil Bredesen (D)... "I'd love to see it happen. But nobody's going to put their state into bankruptcy or their education system in the tank for it."...

Lawmakers are wary about imposing a huge new burden on an imperfect program that serves one of the most challenging segments of the population...Among the 11 million people the nonpartisan Congressional Budget Office estimates will sign up for Medicaid under the new rules, many are single adults and parents who have gone for years without health coverage....

...congressional Democrats are sufficiently alarmed about the potential impact that they already are seeking special protections for their states.

Even Senate Majority Leader Harry M. Reid cut a deal with Senate Finance Committee Chairman Max Baucus (Mont.) to ensure that the federal government would pay the full cost of expanding Medicaid in Reid's state, Nevada.

(Excerpt) Read more at washingtonpost.com ...


TOPICS: Business/Economy; News/Current Events; Politics/Elections
KEYWORDS: agenda; healthcare; medicaid; obama; socialism; socialized; socializedmedicine; statesrights
So they are going to get around the problem of paying for all this by shifting it to the states (except for Reid's Nevada). Can you say "unfunded federal mandate"? This is only going to get worse. The Emergency Medical Treatment and Active Labor Act already requires nearly all emergency rooms to accept and stabilize any patient regardless of the patient's ability to pay, but does not provide adequate reimbursement for indigent patients. This unfunded mandate is what gets illegal aliens into the hospital on the taxpayers' dime.
1 posted on 10/05/2009 6:30:12 AM PDT by La Lydia
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To: La Lydia

no one is without healthcare in this country....most county hospitals take up the slack ....i pay a hosp tax here


2 posted on 10/05/2009 6:50:13 AM PDT by dalebert
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To: dalebert

Yes. And your hospital tax is probably double what it should be because of that unfunded federal mandate.


3 posted on 10/05/2009 6:55:41 AM PDT by La Lydia
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To: La Lydia

you bet it is right along with my school tax


4 posted on 10/05/2009 6:59:10 AM PDT by dalebert
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To: dalebert

Your school tax is set by federal mandate, not the state or city you live in?


5 posted on 10/05/2009 7:07:08 AM PDT by La Lydia
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To: La Lydia

no its set by state and city to fulfill mandates....all the more reason to pay attention to local and state elections.


6 posted on 10/05/2009 7:09:52 AM PDT by dalebert
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To: La Lydia

except Reid’s Nevada.....that sounds good...what makes him exempt


7 posted on 10/05/2009 7:14:07 AM PDT by dalebert
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To: dalebert

I think we are talking about two different things. An unfunded federal mandate is a federal law that requires state, localities or individuals to spend money for a specific purpose, but does not supply any money (funds) for that purpose. There is a federal law saying that hospital emergency rooms have to take in, for instance, illegal aliens, but there is no federal funding to pay for the care that the feds have mandated. I don’t know of any federal mandate regarding a specific expenditure by public schools. Are you saying that your state imposes an unfunded mandate on your local schools, without supplying the funds?


8 posted on 10/05/2009 7:18:30 AM PDT by La Lydia
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To: La Lydia

not sure....remember states fighting fed mandates in schools so thought they had them....our scholl tax is huge and i expect thats what will happen with health care


9 posted on 10/05/2009 7:32:08 AM PDT by dalebert
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To: dalebert

I don’t know where you live, but where I live, the schools are also supplying free breakfast and lunch to a large number of the kids. That tends to drive up the costs of an “education,” and drives up taxes.


10 posted on 10/05/2009 7:34:23 AM PDT by La Lydia
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To: La Lydia

FOR SURE! And, the bonds floated...costly additions to your property taxes.


11 posted on 10/05/2009 8:27:14 AM PDT by Achilles Heel
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To: La Lydia

yes free carb food to kids that need brain food then they complain about childhood obesity....we have that...they put all the kids on it so they can get more grant money


12 posted on 10/05/2009 11:56:46 AM PDT by dalebert
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To: La Lydia

in fact i wish they would spend more time teaching and less time looking for gov dollars


13 posted on 10/05/2009 11:57:43 AM PDT by dalebert
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