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simon_says
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06 Jul 2012, 9:56 pm

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I heard 15 states are already balking at expanding their Medicaid programs and are planning not to do it. States will not get as much money as you think. The Federal government has this marvelous habit of creating these plans involving tax dollars then either not funding them or cutting the funding after a couple of years to barely nothing leaving the states with the funding burden. This is why these states do not trust the Federal Government.


Wait, I'm seeing a vision. Red states? My god, I'm a psychic!

There are estimates that many states will save money as they can wind down some of their own assistance programs. Arizona took the medicaid bait for just a 57% federal payout in 1982. They finally took it because people wanted it. At 100%/90% things will go faster.

You can bet that states don't like money. I'll bet that they do. We'll see what happens.



Joker
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06 Jul 2012, 9:57 pm

So no liberal will answer my question.



ooOoOoOAnaOoOoOoo
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06 Jul 2012, 9:59 pm

They like money, yes. Do they trust the feds to provide it? Many of them do not. And with Republicans and Democrats, it's not a sure, consistent deal. Republicans are known for deciding, on a whim, to cut programs. This is what will undercut Medicaid expanding. There's already talk of Republicans stopping the funding for Obamacare if Romney wins the election. This is what Republicans do. If they don't like something, they simply stop paying for it. They will do the same with Medicaid, eventually.



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ooOoOoOAnaOoOoOoo
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06 Jul 2012, 10:18 pm

Joker, it just depends on who the opinion is coming from.



simon_says
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06 Jul 2012, 10:25 pm

Some may not trust the feds, or trust their currently strapped state budgets, but more likely it's just pure political grandstanding.

It could also be an effort to drive the poor from their states. The heart of the uninsured problem is in the red states. These are poorer states without strong unions where a larger % of people have no insurance. They have the "bossman" culture. They take what they get and have lower expectations. Just as after Katrina you had politicians hoping the poor would leave for other states.

I'm sure there are many possible motives. But money is money and it's a powerful lure. Everyone joined medicaid and no one has left.



ooOoOoOAnaOoOoOoo
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06 Jul 2012, 10:29 pm

simon_says wrote:
Some may not trust the feds, or trust their currently strapped state budgets, but more likely it's just pure political grandstanding.

It could also be an effort to drive the poor from their states. The heart of the uninsured problem is in the red states. These are poorer states without strong unions where a larger % of people have no insurance. They have the "bossman" culture. They take what they get and have lower expectations. Just as after Katrina you had politicians hoping the poor would leave for other states.

I'm sure there are many possible motives. But money is money and it's a powerful lure. Everyone joined medicaid and no one has left.

That's very optimistic. The state least likely to accept any funding isn't in the south though. I bet it will be Wyoming. The state I live in has enough poor people, they might be able to persuade the ultra conservative politicians to do something. Hard to tell which way it will go.



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06 Jul 2012, 10:31 pm

ooOoOoOAnaOoOoOoo wrote:
Joker, it just depends on who the opinion is coming from.


QFT.



simon_says
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06 Jul 2012, 10:32 pm

The first state to say no way was Florida. Run by a far right wing nutjob. The least popular governor in the country.



ooOoOoOAnaOoOoOoo
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06 Jul 2012, 10:36 pm

simon_says wrote:
The first state to say no way was Florida. Run by a far right wing nutjob. The least popular governor in the country.

Florida already decided now way? That's a disservice to many Floridians.



Joker
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06 Jul 2012, 10:38 pm

simon_says wrote:
The first state to say no way was Florida. Run by a far right wing nutjob. The least popular governor in the country.


Idk about that the Governor in North Carolina isn't that great.



ooOoOoOAnaOoOoOoo
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06 Jul 2012, 10:39 pm

Well, the far right absolutely hates Medicaid with a passion. If they had their way, they would do away with it altogether.



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06 Jul 2012, 10:41 pm

ooOoOoOAnaOoOoOoo wrote:
Well, the far right absolutely hates Medicaid with a passion. If they had their way, they would do away with it altogether.


Hmm you're right but they won't do away with Social Security for some reason :?



ooOoOoOAnaOoOoOoo
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06 Jul 2012, 10:47 pm

Joker wrote:
ooOoOoOAnaOoOoOoo wrote:
Well, the far right absolutely hates Medicaid with a passion. If they had their way, they would do away with it altogether.


Hmm you're right but they won't do away with Social Security for some reason :?

They have to use it to fund Medicare.



simon_says
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06 Jul 2012, 10:50 pm

States can say what they like now. But that temptation is there year after year. Down in the polls? Say you're for the medicaid expansion. Primary, general election or whatever. Someone will need a boost sometime and it's an easy button to push. Democrats will run on it every election. So will some Republicans in a tight spot.



ooOoOoOAnaOoOoOoo
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06 Jul 2012, 10:56 pm

simon_says wrote:
States can say what they like now. But that temptation is there year after year. Down in the polls? Say you're for the medicaid expansion. Primary, general election or whatever. Someone will need a boost sometime and it's an easy button to push. Democrats will run on it every election. So will some Republicans in a tight spot.

Thing is, the Medicaid expansion might not help them in the polls. The Medicaid expansion will not benefit the majority of people, so it's an easy target.