For the first time, a top Obama Administration official has acknowledged the possibility that states may opt out of the Medicaid expansion from the Affordable Care Act. In a letter to state governors, Health and Human Services Secretary Kathleen Sebelius writes that the Supreme Court ruling means that states could reject the expansion of Medicaid up to 133% of the federal poverty line for all adults under the age of 65 without risking their existing Medicaid funds. However, she writes, “the Court’s decision did not affect other provisions of the law.”
Sebelius went about selling the benefits of expansion, including the fact that the federal government would pick up all the costs of the newly eligible beneficiaries from 2014 to 2016, and eventually 90% of the costs, or that states can design their own benefit packages. “Ultimately,” Sebelius concludes, “I am hopeful that state leaders will take advantage of the opportunity provided to insure the poorest working families with the unusually generous federal resources while dramatically reducing the burden of uncompensated care on their hospitals and other health care providers.”
Sebelius also writes that anyone who would be eligible for the Medicaid expansion who finds themselves ineligible because of the state’s refusal will not have to pay the tax penalty under the individual mandate. There are hardship exemptions in the law for people who cannot afford coverage, and Sebelius says that she would exercise authority under HHS to ensure that these low-income Americans would not get hit with a penalty.
This is basically all Sebelius can do. With the stick of taking away other Medicaid funding removed, all she has is carrot. And so she’s selling the benefits, in the form of the large federal participation and the benefits to the health industry in terms of reducing uncompensated care, which eventually spills over into aiding state budgets.
Over time, budget wonks like Peter Orszag say, states will opt into the expansion, because it’s just such a good deal. I won’t reiterate Orszag’s argument, because we’ve heard it ad nauseum. One thing he doesn’t grapple with, and almost no one trying to sell this narrative does, is that existing eligible Medicaid beneficiaries will come out of the woodwork, and would be covered at the old federal matching rates – roughly 57%. This would add a large new burden on the states, and will give them a reason to reject the expansion.
But what really has many state leaders worried is something called the “woodwork effect.” When big parts of the health law go into force in 2014, they worry it will bring out of the woodwork the millions of people who are already eligible for Medicaid but aren’t already enrolled.
When some people look to see if they can get health insurance through one of the health exchanges, they may discover a cheaper option. “They will find out that they’re actually eligible for Medicaid,” says Bruce Lesley, president of First Focus, an advocacy group for children and families.
But many of those people signing up for Medicaid won’t be members of the newly eligible expansion group, whose bills will be largely paid by the federal government. They’ll be regular old Medicaid beneficiaries, and states will have to pay up to half their costs.
Goldsmith says what has state officials most worried is how easy it will be for these currently eligible but unenrolled Medicaid recipients to sign up.
“It won’t be an in-person visit, it won’t be a ‘bring six forms of ID,’ ” he says. “There will be an expedited — lubricated, if you will — process to get people onto the rolls, and I think that’s the part that’s giving state budget officers serious indigestion at this point.”
So by ignoring this aspect, the “good deal” liberals seriously harm their argument. The Trojan horse of old eligibles streaming into the program will be highlighted, as will the budget costs therein. That’s why the “good deal” narrative will fail.
If you must make a wonkish argument to support expansion, how about the fact that covering people with health care is great for economies. People in stable situations with their health can spend more on necessities, can use health care services which supports the health industry, and can stimulate increased employment. Any large provision of federal dollars into an economy will have a macroeconomic impact, and studies show this to have a large economic multiplier, up to $2 for every $1 spent. The difference between the states which cover their low-income citizens and the states which don’t will offer a kind of natural experiment on this front. And I think the evidence shows that the states that cover will do better on the economic front.
The Republican Governors Association has asked for a timeline on when states have to inform the federal government of their participation in the expansion. Sebelius did not answer that question. But it would be good to have, to give us a sense of who’s in and who’s out.




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Thanks. DDay. Sounds like an admission from the GOP governors that they have no faith in their ability to bring good paying jobs to their states.
On what planet is Orszag a liberal?
His main accomplishment in government was being largely responsible for undersizing the stimulus,
and then cashing out for a seven figure salary at a TBTF bank,
where his duties seem to consist of writing neoliberal op-eds.
Who was it that said; “I’ve had enough of state’s rights,” after the civil war? States have done real well in protecting the welfare and the rights of their citizens?
Ask Rep. John Lewis! He can tell you how state’s protected the welfare and rights of the citizens. Like protection of people from voter fraud by requiring state issued ID, when your 85, no license no birth certificate, but you killed plenty of fascist Nazi bastards and are a war hero.
This is “cancer” inflicted on our society by political scumbags who like the fascists Nazi scum have no problem brown shirting Americans, to protect their profit their business models, which no longer provide value, for the money spent…
“Sebelius also writes that anyone who would be eligible for the Medicaid expansion who finds themselves ineligible because of the state’s refusal will not have to pay the tax penalty under the individual mandate. ”
“So much for equal treatment/protection under the law!”
A coerce punitive financial penalty. The New American Life Tax!!!!!
State based corporate scum buggery…. BULLSHIT!!!!!!!
We need to federalize Medicaid.
My daughter was working school project concerning TSA.
I came across this tidbit…
http://en.wikipedia.org/wiki/Transportation_Security_Administration
Congress is full of fuckheads who simply pick and choose logic in one scenario while embracing bullshit in another.
“The agency’s proponents… argued that only a single
payer systemagency would better protect Americans from state based health insurance corporation abuse under contract law to screw the consumer, taxpayer, governed, subscriber, patient, and the Republic.”So it is logical to protect America under one agency when it comes to flying but not when it come to servitude to health insurers, hence healthcare services?
Sounds like the Mafia monopoly! I got a deal you can’t refuse!
FUND it with a WALL STREET TRANSACTION TAX.
Since “wall street” is the proximate cause of stress leading to health issues, make the self serving greedy bastards pay for the damage they inflict.
Corporations have to much fucking power and it is time to take the fuckers down and render corporation subordinate to man and government….. Not man and government owned by corporations. Jefferson would be proud. Fuck America’s enthroned corporate scum!!! Yes that’s you Mr. Diamond and your dysfunctional lot of financial bloodletting parasites…..
((applause))
“State based corporate scum buggery….”
Because federal scum buggery is so much more comforting and equitable?
Why the vicious judge didn’t mandate the states in medicaid? i don’t see miss Sebelius talking about that.
Here we go again talking about “unusually generous federal resources”.
Take money from the working man and give it to someone else and you become generous.
At what point can we just move beyond the concept of “insurance” and actually deal with healthcare.
What I dont actually get is why the “Job Creators” are for a single payer/MediX for all. They could save sooooo much money by not having to worry about paying for health insurance.
Maddow brought it up the other day but Ive been saying it for years. Employer Health insurance was simply a perk that somehow morphed into a necessity.
My perosnal feeling on so many issues is that if it effects ALL Americans then it shouldnt be left up to the states. Marriage Equality, Abortion, Health care aned education — the only thing that will save our eductation system is for the Fed to take over from local govs…but i digress. Someone in Vermont shouldnt have more or less rights and privalges of citenzenship than someone in Utah.
Anyway. The most ridiculous part of this story IMO is Sebelious saying that poor people dont have to worry about the penealty if your state is screwing you. PFFFFFFT! Can you imagine?
I did not see “Feds” caving in the skulls of Americans wanting to register to vote, in segregationist states? Fuck no. Just bigots acting like fucking animals?
My issue is with “corporations” engaging in scum-buggery after buying a law? Fuck you……
True, but even before that, the reason health insurance even came into being is so that doctors and hospitals could get paid the big bucks.
DING DING DING…….
Now your taking the discussion in the direction it should go….. Well done! Opposed the the fuck head at comment #9
Doctors are totally against it.
Now if only there were a way to change a program that uses taxpayer dollars to help the poor (and our economy, and our society) into a program that just transfers the money to corporations………
Oh, wait, there is.
WellPoint. Where have we heard that name before?
/s
….while maintaining tax exempt status as public charities? What a sweet deal. NO wonder they fight change at every intersection protecting a sweet deal, while the insured is ignorant of the underlying tax structure upon which they operate, all determined by the IRS. I wonder how much money these corporations have thrown at congress, to buy tax exempt status then deemed a public charity, which now gets your money, or you pay a punitive financials penalty? Its utter fucking bullshit and unequal protection for all Americans when pitted against corporations. America’s Servitude to health insurers, bought with campaign contributions. Jefferson would be fucking livid!
TAX WALL STREET!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Tax left-handed people!
“which no longer provide value, for the money spent…”
thats a GREAT point and a great way of putting it. In America in the 21st century, it dosent matter what you buy or how much you spend. It could be something from the vast made-in-the-far-east junk pile, or some “financial product” bank services insurance etc., – it dosent matter. YOU ARE GETTING RIPPED OFF AT ANY PRICE.
I always thought that the insurance industry was the result of the government takeover of the Mafia’s protection racket.
It is the point.
good one………
??? That holds true for every such transaction, including non-governmental ones. From the receiver’s perspective, it’s free money.
Unless you’re referring about one of the funding mechanisms for the ACA, the so-called “Cadillac Plans” which is atrocious, and really IS a tax on working people to so that everyone can have crappy insurance.
-stewartm
Even in TR’s day?
According to Jonathan Cohn, the reason medicine became more expensive and increasingly out-of-reach of ordinary pocketbooks is that it became more science-based and less folk remedy, starting in the 1920s. You’re reversing cart and horse, health insurance wasn’t created just to pay hospitals and doctors more, the price increases came first, and then “the Blues” was created as a way to still pay for it.
-stewartm
BTW, thanks….
Are you a paid shill? If not, give us a citation to support your claim.
Or are you one of the misinformed and are you going to refer to this study about the ACA:
which Slate had an informative story about:
http://www.slate.com/blogs/weigel/2012/07/09/about_that_83_percent_of_doctors_hate_obamacare_so_much_they_might_quit_poll.html
Let me quote from that story:
“About That “83 Percent of Doctors Hate Obamacare So Much, They Might Quit” Poll
By David Weigel
Posted Monday, July 9, 2012, at 5:12 PM ET
“Eighty-three percent of American physicians have considered leaving their practices over President Barack Obama’s health care reform law, according to a survey released by the Doctor Patient Medical Association.”
My comment: What is the “Doctor Patient Medical Association”? Republican right-winger members include Kathryn Serkes and Mark Schiller, who, if you don’t know, are partly responsible for the “Death Panels” hysteria, claiming that the ACA would kill off the sick elderly.
“The survey was conducted by fax and online from April 18 to May 22, 2012. DPMAF obtained the office fax numbers of 36,000 doctors in active clinical practice, and 16,227 faxes were successfully delivered… The response rate was 4.3% for a total of 699 completed surveys.”
END QUOTE
My comment: If you’ve never had the pleasure of a statistics class, let me boil this down for you. A response rate of 4.3% is so low that the poll is totally invalid and NOTHING can be interpreted because of a lack of information.
It’s YOUR move Alan1tx
Are left-handed people taxed way too low in comparison with their incomes? Are left-handed people demonstrably accountable for the world’s economy being in the crappers? Are left-handed people in their greed for money and power responsible for millions losing their jobs, their health care, their homes?
I thought not.
-stewartm
To be generous to “AlanTx”, I do rather suspect that many-high paid specialists would resist any downward pressure on their incomes. Our specialists are paid a LOT more than corresponding specialists in countries with truly universal health care; our general practitioners are paid about the same.
Of course, if we did something about the high debts incurred in school beforehand, maybe we could reach a win-win accommodation.
-stewartm
You’re right. The companies run by the “job creators” would save soooo much money.
But a truly universal health care system would require the “job creators” themselves to pay higher taxes. (BTW, I’d like to go beyond single payer, but to include a “public option” of free hospitals and clinics, similar to Britain’s NHS, which also puts downward pressure on health care providers, and also use the power of eminent domain against Big Pharma to threaten to strip any company of its patent rights over any drug being marketed for excessive profit, to pull drug prices down too).
So–given the choice between what’s good for the companies they run, vs what’s good for THEM personally, which do you think they choose?
-stewartm
FWIW…. about 10 years ago between lay-offs I worked at a “pretigous” university. Meaning it was geared for the likes of Mitt Romney. Anyway. I encountered many students in the Law/Medical programs day to day.
The vibe I got was that none of the Med people cared 2 shits about medicine or people. It was more about income. They were just looking for the best ROI for their eduction. They could easily have switched to an MBA or JD since medicine had nothing to do with their life’s calling.
Those very profitable “STATE BASED” not profit tax exempt health insurance corporations, Blues, considered public charities???
If med schools had more openings and were more affordable, they would probably attract more students with values other than the money. Just another way the elites look after their own.
Its called brown shirting. Al allows himself to be played….
Originally, yes, Blue Cross was a non-profit insurance provider.
-stewartm
BLUES are still tax exempt.
Before 1920, doctors didn’t know enough about diseases to really provide much useful care to sick people and therefore they didn’t charge very much. Only a few big employers offered health insurance; everyone else paid out of their own pockets. Most patients were treated in their homes.
When doctors began learning more about diseases and effective treatments, they started charging more – more than most people could afford. They also needed to treat people in hospitals to take advantage of new medical technology, which further added to the costs. Couple that with the start of the Great Depression, and the situation was even worse.
To help ease the healthcare problem, Baylor Hospital in Dallas created a system – which eventually became Blue Cross – to help people pay their hospital bills. As science, medicine, and hospitals grew more sophisticated and more successful, more people turned to hospitals and doctors for care – and costs continued to rise. Blue Shield insurance for doctors’ services started gaining ground in the late ’30s as a way for doctors to protect their interests and their payments.
In the early days, the “Blue” system – a nonprofit organization – charged everyone the same premium. However, when private, for-profit insurers entered the market, they charged premiums based on:
•Age
•Gender
•Health status
•Pre-existing medical conditions
These private insurers ended up insuring the healthiest people and avoiding the sickest ones, which meant more profit for the company. The Blues had no choice but to follow their lead.
Interestingly, each time the subject of national health insurance was mentioned, it was soundly trounced, even though most other developing countries were heading that way. Doctors, through the American Medical Association, were able to stave off government control of health insurance.