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View Diary: Medicaid enrollments surging under Obamacare, and that's a good thing (56 comments)

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  •  Er, glad they're getting coverage (2+ / 0-)
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    mbradshawlong, Be Skeptical

    But those aren't the kind of numbers the law needs for the private markets to be sustainable?

    That basically shows that younger, healthier people are not at all attracted to the new insurance - yet. Which means premiums will skyrocket.

    •  Or, that younger, healthier people (10+ / 0-)

      are in shit jobs and qualify for Medicaid.

      "The NSA’s capability at any time could be turned around on the American people, and no American would have any privacy left, such is the capability to monitor everything. [...] There would be no place to hide."--Frank Church

      by Joan McCarter on Tue Oct 29, 2013 at 10:52:37 AM PDT

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      •  Which isn't great either... (2+ / 0-)
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        a2nite, Be Skeptical

        Just saying, if it ends up that Medicaid coverage skyrockets and only sick people sign up on the exchanges, the Republicans will have devastating talking points.

        •  No, it's not (12+ / 0-)

          But I'm not ready to have that panic yet. There's still quite a bit of time, and if you look at the Romneycare experience, you can expect the bulk of the enrollments at the end of the open enrollment period.

          For the larger goal of bringing down overall costs in the system, having people covered any way they can be is critical.

          "The NSA’s capability at any time could be turned around on the American people, and no American would have any privacy left, such is the capability to monitor everything. [...] There would be no place to hide."--Frank Church

          by Joan McCarter on Tue Oct 29, 2013 at 10:58:53 AM PDT

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          •  The Medicaid Expansion (1+ / 0-)
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            Be Skeptical

            Per the SCOTUS ruling, aren't states free to discontinue their participation in the Medicaid expansion? And what happens when the federal share of the Medicaid expansion decreases?

            It definitely needs time, especially since it's barely working. But I'm afraid if the big result is just a ballooning Medicaid, is that sustainable? Or will you see states run away from the Medicaid expansion?

            •  Medicaid (2+ / 0-)
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              JBraden, Cedwyn

              Nebraska refuses to expand Medicaid. And that really hurts people who make less than the poverty level and don't qualify for subsidies. Like my daughter. However, you can appeal a subsidy determination, and not being eligible for Medicaid solely due to your state not expanding is one of the reasons.

              If my daughter can get the medical care and medication she needs for a chronic condition, she'll have an easier time working. Which could lead to a full-time (not part-time) job with health insurance. Which is good for everyone. Literally.

        •  Jobs, jobs, jobs. (2+ / 0-)
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          a2nite, Aquarius40

          What happened while you were at the tea party?

          That's the devastating talking point.

          Only gun owners can control their guns and they say oopsie way too much. I lost it, I forgot it, it just went off. Support Gun Kill Speed Limits and Gun Ownership Speed Limits.

          by 88kathy on Tue Oct 29, 2013 at 11:06:02 AM PDT

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          •  Heh, that's true (2+ / 0-)
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            88kathy, Be Skeptical

            The best thing is the Republicans have no agenda.

            But the law really is counting on a critical mass of people participating in the exchanges, not just in Medicaid.

            Although I'm still a fan of Medicare for all, then we wouldn't have to worry about private insurers having a profitable pool of customers.

      •  Medicaid also differs State by State-a lot- which (1+ / 0-)
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        was made clear to me when I moved from Texas to Washington State where many more things were covered, like dental up until a few years ago, but in this State it still covers more.

        Under Medicaid I've also had fifteen 'procedures' done on my throat in the last five or six years at no cost to me which is a great thing as I could never have afforded to have even one done and if I were forced to go into the clutches of the insurance corporations, meaning I had to come up with the money, none will/would be done.

        Which is why I say  that I want absolutely nothing to do with the ACA, nothing, nada, zilch, as I have nothing but contempt for the vulture insurance corporations who make their fortunes on what they don't provide.
        Their stocks soared when that captive market was handed to them in Congress and as someone that lived for many years in Canada (with a lot of family there) it looked like nonsense from the beginning to be paying anyone but those involved in care-giving, not some vulture that does nothing more than act as a gatekeeper to medical care.

        This monster ACA was written/designed by the medical industries, pharma, insurance, etc.,on the Senate floor Sen. Baucus praised Liz Fowler (Exec of Wellpoint) as the author, and everyone knows that the corporate concerns are profit not care, care is provided by those in that profession, insurance by those involved/concerned with 'profit'.
        Yes the same Max Baucus that had single payer advocates arrested at his hearing where they were not allowed to testify and with Vermont moving towards single payer(-with no help via the ACA in fact it was that legislation that blocked it from introduction until now) people will some day be free of these vampire industries.

        without the ants the rainforest dies

        by aliasalias on Tue Oct 29, 2013 at 11:42:10 AM PDT

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    •  Medicaid expansion has nothing to do (1+ / 0-)
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      with the private insurance markets though.

      •  Medicaid uses private payers (3+ / 0-)
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        manyamile, tofumagoo, Be Skeptical

        Much in the same way that Medicare Advantage (or Medicare + or whatever it is they're calling it this year) does, many state Medicaid plans have contracted with private payers to administer their benefits. Thus many of the new Medicaid recipients will be managed and have the same networks, etc, as the private market patients.

        Boycott Russian vodka, Russian caviar and all things Russian. LGBT oppression cannot be allowed to stand.

        by CPT Doom on Tue Oct 29, 2013 at 11:31:19 AM PDT

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      •  But so far that's all that's working (1+ / 0-)
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        Be Skeptical

        I was noting that those numbers show Medicaid is all that's working so far. So I don't see why that in itself is a good thing, per the diary.

        Here's the problem: states can run away from the Medicaid expansion (per the SCOTUS ruling that upheld the ACA), and that may be very likely when the feds begin shifting more costs to them if that ends up being hugely popular but the private markets are a mess.

        Now there's time of course, but if middle income people can't buy affordable insurance on the market, and at the same time state budgets are crushed by an unexpectedly large infusion of new Medicaid patients, the whole law could unravel.

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