Friday, December 9, 2022
Hawai'i Free Press

Current Articles | Archives

Thursday, March 14, 2013
Medicaid Expansion Is the Wrong Move
By NCPA @ 1:59 PM :: 3066 Views :: Health Care

Medicaid Expansion Is the Wrong Move

NCPA March 14, 2013

The Affordable Care Act ("ObamaCare") encourages states to expand Medicaid to all individuals earning less than 138 percent of the federal poverty line. Medicaid, which is already struggling to provide care to its current beneficiaries, needs reform, not expansion, says Nina Owcharenko, director of the Center for Health Policy Studies at the Heritage Foundation.

  • By 2021, 46 percent of all Americans will be dependent on the government for their health care.
  • In 2010, state and federal spending on Medicaid exceeded $400 billion for over 60 million Americans.
  • Under ObamaCare, the federal government would cover 100 percent of the cost of expanding Medicaid; this enhanced federal funding would gradually decline to 90 percent in 2020.

When the Supreme Court struck down the Medicaid mandate of ObamaCare, it made the expansion of Medicaid optional for states. Since then, governors and state legislators have been debating whether their state should expand coverage.

  • Proponents argue that expansion provides states with an influx of new revenue and results in savings as the cost of uncompensated care declines with expanded coverage.
  • However, Medicaid expansion will result in states spending money they would not have previously spent as eligibility expands and reimbursement decreases.
  • With Medicaid already consuming 23 percent of state budgets, expanding coverage could mean a decrease in other important state priorities like education, emergency services, transportation and criminal justice.

While even the Obama administration admits that entitlement spending is unsustainable, Medicaid expansion will exacerbate the country's deficit imbalance.  An alternative solution would reduce the burden on the Medicaid system, which is already spread too thin.

  • Rejecting Medicaid expansion would reduce state reliance on federal funds.
  • Scaling back existing eligibility would restore Medicaid as a safety net program.
  • Allowing each state to create its own non-Medicaid state-based approach would give states the control they need to address the needs of their citizens.

Additionally, Congress could level the playing field by eliminating the federal matching funds under ObamaCare and instead offer block grants to each state to develop state-specific approaches.

Source: Nina Owcharenko, "Why the Obamacare Medicaid Expansion Is Bad for Taxpayers and Patients," Heritage Foundation, March 5, 2013.

Links

TEXT "follow HawaiiFreePress" to 40404

Register to Vote

2aHawaii

808 Silent Majority

ACA Signups Hawaii

Alliance Defending Freedom

Aloha Pregnancy Care Center

American Council of Trustees and Alumni

AntiPlanner

Antonio Gramsci Reading List

A Place for Women in Waipio

Astronomy Hawaii

Back da Blue Hawaii

Ballotpedia Hawaii

Better Hawaii

Broken Trust

Build More Hawaiian Homes Working Group

ChinaTownWatch.com

Christian Homeschoolers of Hawaii

Cliff Slater's Second Opinion

DVids Hawaii

FIRE

Fix Oahu!

Frontline: The Fixers

Genetic Literacy Project

Grassroot Institute

Habele.org

Hawaii Aquarium Fish Report

Hawaii Aviation Preservation Society

Hawaii Catholic TV

Hawaii Christian Coalition

Hawaii Cigar Association

Hawaii Coalition Against Legalized Gambling

Hawaii ConCon Info

Hawaii Credit Union Watch

Hawaii Crop Improvement Association

Hawaii Debt Clock

Hawaii Defense Foundation

Hawaii Family Forum

Hawaii Farmers and Ranchers United

Hawaii Farmer's Daughter

Hawaii Federalist Society

Hawaii Federation of Republican Women

Hawaii Future Project

Hawaii Gathering of Eagles

Hawaii History Blog

Hawaii Homeschool Association

Hawaii Jihadi Trial

Hawaii Legal News

Hawaii Legal Short-Term Rental Alliance

Hawaii Matters

Hawaii's Partnership for Appropriate & Compassionate Care

Hawaii Public Charter School Network

Hawaii Rifle Association

Hawaii Shippers Council

Hawaii Smokers Alliance

Hawaii State Data Lab

Hawaii Together

HIEC.Coop

HiFiCo

Hiram Fong Papers

Homeschool Legal Defense Hawaii

Honolulu Navy League

Honolulu Traffic

House Minority Blog

Imua TMT

Inouye-Kwock, NYT 1992

Inside the Nature Conservancy

Inverse Condemnation

Investigative Project on Terrorism

July 4 in Hawaii

Kakaako Cares

Keep Hawaii's Heroes

Land and Power in Hawaii

Legislative Committee Analysis Tool

Lessons in Firearm Education

Lingle Years

Malulani Foundation

Managed Care Matters -- Hawaii

Malama Pregnancy Center of Maui

MentalIllnessPolicy.org

Military Home Educators' Network Oahu

Missile Defense Advocacy

MIS Veterans Hawaii

NAMI Hawaii

Natatorium.org

National Christian Foundation Hawaii

National Parents Org Hawaii

NFIB Hawaii News

No GMO Means No Aloha

Not Dead Yet, Hawaii

NRA-ILA Hawaii

Oahu Alternative Transport

Obookiah

OHA Lies

Opt Out Today

OurFutureHawaii.com

Patients Rights Council Hawaii

PEACE Hawaii

People vs Machine

Pritchett Cartoons

Pro-GMO Hawaii

P.U.E.O.

RailRipoff.com

Rental by Owner Awareness Assn

ReRoute the Rail

Research Institute for Hawaii USA

Rick Hamada Show

RJ Rummel

Robotics Organizing Committee

Save Dillingham Airfield

School Choice in Hawaii

SenatorFong.com

Sink the Jones Act

Statehood for Guam

Talking Tax

Tax Foundation of Hawaii

The Real Hanabusa

Time Out Honolulu

Trustee Akina KWO Columns

UCC Truths

US Tax Foundation Hawaii Info

VAREP Honolulu

Waagey.org

West Maui Taxpayers Association

What Natalie Thinks

Whole Life Hawaii

Yes2TMT