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Reluctance in Some States Over Medicaid Expansion
NYT ^ | June 29, 2012 | Nati Harnik

Posted on 07/01/2012 6:54:58 PM PDT by upchuck

Republican officials in more than a half-dozen states said they opposed expanding Medicaid, even though the federal government would pick up all the costs in the first few years and at least 90 percent of the expenses after that.

While upholding the most hotly debated part of the health care overhaul law — a requirement that most Americans have health insurance or pay a penalty — the Supreme Court said in its ruling on Thursday that states did not have to expand Medicaid as Congress had intended — leaving a huge question mark over the law’s mechanism for providing coverage to 17 million of the poorest people.

In writing the law, Congress assumed that the poorest uninsured people would gain coverage through Medicaid. Now, poor people who live in a state that refuses to expand its Medicaid program will find themselves in a predicament, unable to obtain either Medicaid or subsidies.

That potential gap will probably lead to ferocious statehouse battles in the coming year, as states weigh whether to accept billions of dollars in federal aid to pay for expanded coverage. The health care industry, sensing the skepticism in some states, is preparing a campaign to persuade state officials to accept the money for coverage of the uninsured.

But already, governors in Kansas, Nebraska and South Carolina, among other states, have said they would have difficulty affording even the comparatively small share of costs that states would eventually have to pay.

...

In South Carolina, Rob Godfrey, a spokesman for Gov. Nikki R. Haley, said, “We’re not going to shove more South Carolinians into a broken system that further ties our hands when we know the best way to find South Carolina solutions for South Carolina health problems is through the flexibility that block grants provide.”

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


TOPICS: Crime/Corruption; Culture/Society; Government; Politics/Elections
KEYWORDS:

1 posted on 07/01/2012 6:55:02 PM PDT by upchuck
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To: l8pilot; 2A Patriot; 2nd amendment mama; 4everontheRight; 77Jimmy; A Strict Constructionist; ...
South Carolina
Ping

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2 posted on 07/01/2012 6:56:20 PM PDT by upchuck (FACEBOOK... Share pointless stuff with friends you don't know. Beg for intrusion into your life.)
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To: upchuck
even though the federal government would pick up all the costs in the first few years and at least 90 percent of the expenses after that. And exactly where is the Federal Government going to get this money to pay to "90% of expenses after that"????? From taxes on Martians?
3 posted on 07/01/2012 7:02:11 PM PDT by Aria ( 2008 wasn't an election - it was a coup d'etat.)
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To: upchuck
...even though the federal government would pick up all the costs in the first few years and at least 90 percent of the expenses after that.

By "federal government" I take it the author means the U.S. taxpayers. The "federal government" doesn't have any money. All the money it spends it has to steal from We The People.

4 posted on 07/01/2012 7:03:17 PM PDT by FlingWingFlyer (Dude! Where's my Constitution?!)
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To: upchuck
Related:

High Court Ruling Will Provoke States to Nullify ObamaCare

5 posted on 07/01/2012 7:05:16 PM PDT by upchuck (FACEBOOK... Share pointless stuff with friends you don't know. Beg for intrusion into your life.)
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To: upchuck

I have some suggestions. They could get a job and pay for their own insurance. Congress could use the funding they already receive for cell phones and internet for them for this purpose. Instead of these poor people using their government provided debit/credit card for vacation trips or non-essential items use it to pay for insurance.

Everyone I know has had to establish priorities for diminishing incomes. It’s time that Congress and these “poor people” did also.


6 posted on 07/01/2012 7:05:34 PM PDT by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
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To: Grams A

Think of all the money that would be made available for health care by simply abolishing the Earned Income Tax Credit.

This is a particular peeve of mine because I know personally of a woman who takes her kids to Disney World every year with that money. I’m talking about an air plane trip of several hundred miles and spending the week.

The rest of the year she spends going to “pay day loan sharks” and hitting up her elderly parents for money.


7 posted on 07/01/2012 7:15:41 PM PDT by Graybeard58
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To: upchuck

The states that do offer expanding Medicaid are most likely the blue ones. People will jump on the bandwagon for low cost Medicaid and further burden the system. Plus if they allow the amnesty illegals to have access then lookout for a raging flood—not even the Feds will cover all of it. States will be left holding the bill.


8 posted on 07/01/2012 7:19:45 PM PDT by tflabo (Truth or tyranny)
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To: Grams A

You got that right. I lost all sympathy way back for the fattest “poor people” in the world, fat people in my town who drive SUVs and babble on cell phones and sit up in their section 8 houses watching “true crime” shows all day and can’t wait for the government babysitter to begin in September. I’m sick to death of it and them. They have no shame, they think it’s cute that they get over on “the government”. They understand full well where all this “government” money is coming from, they just don’t care, and the Democrats who pander to them know it too. Just keep loading the cart up, morons, with the best will in the world the productive won’t be able to pull all these freeloaders much longer and then we can all go down.


9 posted on 07/01/2012 7:26:28 PM PDT by mrsmel (One Who Can See)
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To: Graybeard58

One of my clients pays her full-time young, single Hispanic secretary $20/hour. She has no FWT deducted from her check. She attends a local community college and takes two courses but all of that cost is refunded to her. She also bought a fairly expensive house three years ago with no money down. Happened to see her tax refund from last year - $5,612.

Right now she is taking her fourth vacation so far this year in New York City.

Never been able to figure out any logic for giving money back to people when they didn’t pay anything in.


10 posted on 07/01/2012 7:41:04 PM PDT by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
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To: upchuck

This whole idea is idiotic! Not unlike most Federal mandates/rules!

They promise to give you enough money to provide for the poor for Medicaid. Medicaid expands because they now understand that they can be enrolled.

People visiting Doctors (that take Medicaid) expand enormously.

Fees to Doctors for Medicaid continue to fall - Normal.

Doctors that take Medicare/Medicaid opt out of the system.

Shortage of Doctors to attend to Medicare/Medicaid recipients causes costs to rise.

Government decreases payments to Doctors of Medicare and Medicaid. More Doctors opt out.

Panel of Doctors that oversee Medicare and Medicaid limit choices to patients.

England Health system intact as desired! Objective achieved! Less Government costs at patients expense.

All of you idealistic idiots will get what you ask for!


11 posted on 07/01/2012 7:58:20 PM PDT by Deagle (nOT Get a)
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To: upchuck

This whole idea is idiotic! Not unlike most Federal mandates/rules!

They promise to give you enough money to provide for the poor for Medicaid. Medicaid expands because they now understand that they can be enrolled.

People visiting Doctors (that take Medicaid) expand enormously.

Fees to Doctors for Medicaid continue to fall - Normal.

Doctors that take Medicare/Medicaid opt out of the system.

Shortage of Doctors to attend to Medicare/Medicaid recipients causes costs to rise.

Government decreases payments to Doctors of Medicare and Medicaid. More Doctors opt out.

Panel of Doctors that oversee Medicare and Medicaid limit choices to patients.

England Health system intact as desired! Objective achieved! Less Government costs at patients expense.

All of you idealistic idiots will get what you ask for!


12 posted on 07/01/2012 7:58:40 PM PDT by Deagle (nOT Get a)
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To: upchuck; ding_dong_daddy_from_dumas; stephenjohnbanker; DoughtyOne; Gilbo_3; NFHale; Impy; LMAO; ...
RE :”Republican officials in more than a half-dozen states said they opposed expanding Medicaid, even though the federal government would pick up all the costs in the first few years and at least 90 percent of the expenses after that.

Here's a challenge to deal with. Massive handouts renamed as ‘coverage’.

13 posted on 07/01/2012 8:39:35 PM PDT by sickoflibs (Romney is a liberal. Just watch him closely try to screw us.)
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To: sickoflibs

Sorry, that is not sufficient to explain to the masses.

Let’s try free benefits to the masses...(Yeah I hear in the background).

But you have to pay for it (lots of groans)

Congress but it will be tax free and help the poor (Everybody claps).

But wait, who will pay for it?

Congress silent...

Folks screwed again...


14 posted on 07/01/2012 8:54:21 PM PDT by Deagle
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To: sickoflibs

What this really means is that:

Way too many people think that the Federal Government spending has no consequences (ie. just free money).

All spending by the Federal Government has no affect on the local government spending.

All of this and these ideas are bullshit! When the electorate wakes up and figures out that they are the moneybags for Federal spending - well, maybe we will simply wake up!

Until them - Vote Democrat, you know that they will provide you with benefits without cost - ha. Only jobs, businesses, and other profit making businesses will suffer...heh.

Most of America is composed of such IDIOTS!!!


15 posted on 07/01/2012 9:01:25 PM PDT by Deagle
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To: upchuck

Here is how they plan to ‘expand’ Medicaid:

Bye-Bye Medicaid Asset Test
http://www.freerepublic.com/focus/f-bloggers/2901479/posts


16 posted on 07/01/2012 9:44:59 PM PDT by Lorianne (fedgov, taxporkmoney)
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To: upchuck

Here is how they plan to ‘expand’ Medicaid:

Bye-Bye Medicaid Asset Test
http://www.freerepublic.com/focus/f-bloggers/2901479/posts


17 posted on 07/01/2012 9:45:18 PM PDT by Lorianne (fedgov, taxporkmoney)
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