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Mandate waiver for some low-income people

InTheLight

InTheLight

Well-Known Member
Site Supporter
Under ObamaCare low income people were going to have medical insurance via an expansion of Medicaid. According to the article (reading between the lines), in states where Republican governors decide not to expand Medicare to cover low income people, they will not have any coverage. Meaning they will continue to go to the ER for treatments and our insurance costs will go up even faster than they would under ObamaCare.

I predict these states that decide not to expand the Medicare program will eventually cave in and accept the money.
 
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targus

New Member
Since we are hearing that 83% of doctors are considering leaving the profession rather than be subject to Obamacare...

How many will instead choose to move to a state the opts out?
 
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freeatlast

New Member
Texas is one of the states opting out. In Texas we have a problem that many states do not have. 40% of the population is Hispanic many with low income and no insurance except for their children which are already covered. 25% of the population is illegal. To take the Feds up on their plan would bankrupt the state paying for all these new people coming on board under the new plan. Now that we are opting out the Feds have to set up a plan and pay for it all themselves. This is the right choice for Texas under an forced socialist law. Florida is another state that it is the right thing to opt out.
 
InTheLight

InTheLight

Well-Known Member
Site Supporter
freeatlast said:
Now that we are opting out the Feds have to set up a plan and pay for it all themselves.
Click to expand...

I see that you confused....again.

States can opt out of the expanded Medicaid coverage for low income people. By doing so they will be denying Medicaid insurance coverage for hundreds of thousands of people who currently don't qualify for Medicaid and don't have health insurance. If states do this they are turning down millions of federal Medicaid dollars. The feds are not going to have to set up a plan and pay for it all by themselves because the plan is Medicaid and it's already set up.

States can opt out of setting up an insurance exchange where people who don't get health insurance from their employer can go and buy insurance. If states opt out of setting up their own exchange citizens of that state will be able to buy insurance from the exchange the federal government sets up.
 
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mandym

New Member
The Federal money that is to cover the state exchanges is only partial. And while it may cover the majority of it it still leave the states responsible for some of it. Add to that the Fed will only cover the exchanges for about 5 years I believe it is. Then the brunt of the costs will be left to the states.

The fact is the country cannot afford the exchanges. The money is not there without seriously raising state taxes. I seriously doubt the states rejecting the exchanges will ever change their minds. And neither should they.
 
InTheLight

InTheLight

Well-Known Member
Site Supporter
mandym said:
The Federal money that is to cover the state exchanges is only partial. And while it may cover the majority of it it still leave the states responsible for some of it. Add to that the Fed will only cover the exchanges for about 5 years I believe it is. Then the brunt of the costs will be left to the states.

The fact is the country cannot afford the exchanges. The money is not there without seriously raising state taxes. I seriously doubt the states rejecting the exchanges will ever change their minds. And neither should they.
Click to expand...

Is it possible that you are conflating the Medicaid expansion with the creation of insurance exchanges?

Medicaid expansion is fully funded by the feds at first and then drops down to 90% funding levels after several years.

Insurance exchanges will be set up by the states using (mostly) federal money. But if the state opts out of creating an exchange, citizens of the state may use the federally created insurance exchange.
 
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freeatlast

New Member
InTheLight said:
I see that you confused....again.

States can opt out of the expanded Medicaid coverage for low income people. By doing so they will be denying Medicaid insurance coverage for hundreds of thousands of people who currently don't qualify for Medicaid and don't have health insurance. If states do this they are turning down millions of federal Medicaid dollars. The feds are not going to have to set up a plan and pay for it all by themselves because the plan is Medicaid and it's already set up.

States can opt out of setting up an insurance exchange where people who don't get health insurance from their employer can go and buy insurance. If states opt out of setting up their own exchange citizens of that state will be able to buy insurance from the exchange the federal government sets up.
Click to expand...
No the feds will set up a program and it will be paid totally by them. The proper way to go is for the state to reject the program.
 
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