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View Diary: Some Republican governors may not accept Medicaid expansion (30 comments)

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  •  Are the federal funds needed for the transitional (1+ / 0-)
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    support to the expanded state medicaid already in place?

    If not, this is a major vulnerability of our program, as the House Republicans have already indicated their intent not to fund it.  And, even progressive blue states are not in a position to provide for the funding of those whose incomes are below the penality threshold, which I seem to remember was set at 400% of the poverity level.  

    We need to get to work focusing on these implementation details because the GOP is going to exploit every opportunity to undermine the APA's success.  And, then blame Democrats for any failure.  

    Do I remember correctly that most of the additional coverage for the 39 million people we intend to add to covered population is expected to come from these expanded state medicaid coverage?    

    The means is the ends in the process of becoming. - Mahatma Gandhi

    by HoundDog on Sat Jun 30, 2012 at 06:56:58 AM PDT

    •  Separate things (3+ / 0-)
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      glorificus, kayebee, HoundDog

      The penalty has nothing to do with the Medicaid expansion.  Which covers up to 133% of the poverty level.  I'm not sure of the figures of how many will be covered by the Medicaid expansion and how may will be covered if they purchase subsidized coverage.

      “The country tried everything Romney says, and it brought the economy to the brink of collapse”

      by Paleo on Sat Jun 30, 2012 at 07:01:54 AM PDT

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      •  I thought the Medicaid expansion was our coverage (0+ / 0-)

        plan for those up to 400% of the poverty level.  

        Because the "federal assisstence" to those that can not afford to buy full health care policy is in the form of tax credits, which do no good for those that don't owe the $7,000 or more it would take to get a family policy.

        So, my understanding is that our APA coverage plan for those families earning less than $60,000 has been these state based Medicare expansions to include those up to 400% of the poverty level.

        This would appear to be a substantial fraction of those not currently covered.  

        There are some "free-riders" who can afford coverage but decide not to get it, but this is not the majority, by my understanding.

        So, if substantial numbers of states opt-out we would seem to have a large hole in our coverage plans.  But, at least, we will generate the hard data, and be able to focus news coverage on the fact that it is the GOP who are denying these Americans the health coverage they would get, if they lived in other states.  

        My thought is why wait for these people to suffer, and our plan to appear to be in shambles?  Could we get proactive enough to put a pre-emptive full court press on the obstructionist GOP politicians who would be resonsible for keeping vast numbers of middle class and poor citizens off of our ACA coverage plan?

        The means is the ends in the process of becoming. - Mahatma Gandhi

        by HoundDog on Sat Jun 30, 2012 at 01:01:47 PM PDT

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        •  Firstly, the Medicaid expansion is up to (1+ / 0-)
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          133% of poverty. The 400% is for the exchanges.

          Secondly, the tax credits get figured into your paycheck. If you have one, of course.

          Free riders in Massachusetts are about 1% of the population.

          You are correct about holding the Right's feet to the fire in states that opt out. Hospitals and doctors will be furious, and even some ordinary citizens understand that covering the poor saves them money, either in taxes or insurance payments, that currently goes to ER expenses. Some might even notice that the Medicaid expansion will stop the 20-year slide in the number of ERs.

          Hands off my ObamaCare[TM]

          by Mokurai on Sat Jun 30, 2012 at 01:40:38 PM PDT

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