Let me make this a simple economic argument after States have to pay the 10% share look at it this way. If YOU could invest each year $1 for a share of a promissory note and could do this for any amount lets say $100 and guarantee you will get back $1000 every year would you do it - yes or no. Then what is so hard States must come up with something in Florida around $510 million at some point to get back $5.1 billion in health care funding for those who otherwise be a drain by not paying their debts for medical bills at some point. Society pays one way or another just Medicaid offers a chance to head off worse financial impacts later while reducing the suffering of millions of people. And that money using Florida has a much larger economic impact in States in Florida its conservatively $30.5 billion a year. It makes no sense for States not to take this and run with it.
Concierge doctors offer limited services, if you don't have insurance, a concierge doctor isn't going to get you a colonoscopy, and the testing will be limited, and if you need hospitalization, your concierge doctor will tell you to go to the hospital, but you still have to pay the hospital.
Exactly - as tens of thousands of people go back to work after now getting medical attention this INCREASES the Nation's productivity and generates BILLIONS more in tax revenues. This while reducing welfare dependency. That is why we need more programs like ACA which benefit society in the long run.
For example my Health Care Budget is $1200 annually, $100 a Month and you can guess as a diabetic even with the Community Health Centers sliding fee scale how far that goes. I have to ration doctors visit once a month, drugs, not get tests even if $10 unless I plan for it and not see certain specialists since they don't have them in the CHC's here. People like me need Medicaid.
The government pays $2500 for every adult on Medicaid and the states average $1200 for every adult. The Expansion Says it will cover 100% for the first 3 years so this comes to $3700 for each new medicaid member. This is being paid by the tax payer. Since Medicaid is now managed by private health insurance companies, they take their 10% for profit plus their 10% for administration fees. They in turn pay a very small payment each month to a primary care doctor which doesn't require the member to actually receive medical care. If the member doesn't require medical services for that year, the provider of care gets paid regardless. Do you think this is a fair system to the tax payer that is footing the entire bill?
I is when you spend billions to make it happen you would have been better off just writing a check to those 5.8 million they could have bought their own insurance and had plenty left over
Sorry, being informed about a topic sometimes leads one to believe everyone else is too. No one has spent billions, that is an estimate of what it may cost in the future. Now you know...
Why we need more reform: http://www.npr.org/blogs/health/201...urt-in-states-that-skipped-medicaid-expansion Health Centers Hurt In States That Skipped Medicaid Expansion by PHIL GALEWITZ May 09, 2014 More than 1 million patients who use federally funded community health centers will remain uninsured because they live in 24 states that chose not to expand Medicaid under the Affordable Care Act, according to a study released Friday by researchers at George Washington University. Most of those patients live in the South, because every state in that region except Arkansas and Kentucky opted against expanding the federal-state program for the poor after the Supreme Court ruled in 2012 that it was optional. "These low-income patients already face significant challenges to obtaining health care," says lead author Peter Shin, director of the Geiger Gibson Program in Community Health Policy at George Washington University. "Our analysis suggests these patients will remain without access to affordable insurance, which will almost certainly lead to delays in care and the risk of more serious health conditions." Health centers in states that have expanded Medicaid are benefiting, as 2.9 million of their uninsured patients were projected to gain coverage in 2014 either through Medicaid or through buying subsidized private coverage on the new health insurance marketplaces, the report found. Officials at health centers in Colorado, Kentucky and other states that expanded Medicaid have seen their rates of uninsured patients fall dramatically this year. Gaining coverage helps health center patients get access to specialists along with prescription drugs, diagnostic tests and hospital care for little or no out-of-pocket costs. The coverage will also be a financial bonanza for health centers that are paid several times more from Medicaid than from the sliding scale fees they charge the uninsured. Nationally, about 1,200 community health centers provide primary care services to nearly 21 million patients at 8,000 sites. About 36 percent of their patients in 2012 were uninsured and 39 percent were on Medicaid. In the states that expanded Medicaid this year, the government and private insurance payments will lead to potential revenues of $2.1 billion in 2014 for the centers. That's money the centers can use to pay physicians and nurses and also to expand services. But in the states that opted against expanding Medicaid, the centers will lose about $569 million in extra Medicaid funding, the study found. Health centers in states that didn't expand Medicaid are unlikely to have money to grow and "as a result, access problems are likely to increase as the number of uninsured patients who seek care at health centers increases," the report said. And this is likely to exacerbate existing access problems, particularly in the South. The report showed that 35 percent of the 1.1 million community health center patients left struggling without insurance live in just five states Alabama, Florida, Georgia, Louisiana and Mississippi. "That is a huge resource loss for them," Shin said. If all 50 states had expanded Medicaid as the law's framers had intended, 5.2 million uninsured community health center patients out of a total of 7.5 million would have been covered, the report projected. Those that would have remained uninsured could not afford to buy coverage on the exchange, chose not to purchase it or were ineligible for Medicaid because of their immigration status. Further proof that ACA works to save lives!!!!
I appreciate the Community Health Centers its better than no care at all by a long shot. But this pointed out this lifeline is going to lose money and what will happen to my care without subsidized insulin therapy I will get infections more often and usually end up in the hospital with management I can avoid many complications. I'm not unique.
