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View Diary: Handful of states still debating Medicaid expansion (12 comments)

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  •  Of all the things (1+ / 0-)
    Recommended by:
    Willa Rogers

    I am unhappy about in the ACA, the Medicaid expansion is top of the list.

    We should be getting rid of Medicaid, not expanding it. It was already a system in deep trouble without having millions more people dumped into it. We shouldn't have a cut-rate third-tier health care system for poor people. And especially not one that leaves those people at the mercy of state governments.

    Where the government is paying for care, there should be one level of care for everyone.

    •  I generally agree with you... (2+ / 0-)
      Recommended by:
      Alexandra Lynch, Kimbeaux

      ...that Medicaid serves as medical apartheid. At least PPACA raises provider reimbursement rates for Medicaid to parity with those under Medicare (although I think the funding is only provided for the first year).

      On the other hand, compulsory Medicaid might result in so many people enrolled in it that expanded Medicare becomes a reality through political pressure and demand.

      But the waivers for Indiana and Oklahoma appear to be pretty destructive: Oklahoma's further entrenches for-profit insurance and privatization by providing Medicaid recipients with vouchers for the federal exchanges (think Ryan plan for Medicare, only for Medicaid) and the Indiana waiver serves a fraction of those eligible for Medicaid under PPACA and requires cost-sharing from those least able to afford it.

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