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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review April 28, 2014 / 28 Nissan, 5774

Medicaid, the Next Obama Disaster

By Bruce Bialosky




http://www.JewishWorldReview.com | President Obama is doing his victory dance, telling us how his health care plan has become a success because his more than his targeted number (8 million) clicked their desire to have health insurance on a website. We will soon see how many are real policyholders, and later we will see their real costs as everything shakes out with co-pays and renewals next year. What we do know is that Medicaid is a pending disaster waiting to happen.

When the Obamacare registration period started we were regularly hearing about all those new Medicaid sign-ups. Then we did not hear about it. There are a few reasons for that. Some believe it was because some of the sign-ups were actually people who had insurance plans cancelled as part of the Obamacare realignment. Michael Tanner of the Cato Institute told me the Obama Administration had put out a figure (8 million) that was shot down by every source as preposterous. He states the real figure is somewhere between 1.1 million and 1.8 million new sign-ups, and Tanner tells me his source on those numbers is legit. Now the Administration claims the figure is three million new sign-ups, bringing the total Medicaid recipients to 61 million.

So is that a good thing? Since Obamacare was supposedly established to address the now estimated 46 million uninsured Americans and one could presume that some just did not have the resources to pay for their own insurance, the answer would seem to be yes. Until you look at the facts.

Jason Fodeman, a physician and adjunct scholar at The James Madison Institute, did just that. His detailed policy study looked at Medicaid in Florida. Florida may not be a microcosm of the other 49 states, but as the third most populace state it certainly can be perceived as a reasonable indicator. Florida is one of the 21 states that rejected expanding Medicaid with federal tax dollars allegedly picking up 90% of the tab.



Some Governors have been running around stating they are being smart bringing tax dollars back to their states that would be taken by other Governors. There are two problems with their analysis. First, the government is not returning tax dollars to the states to pay for new Medicaid participants. That is because the funds used to cover these transfers are coming from debt financing. It would be different if we had a balanced budget, but anyone taking these additional dollars is helping to build the national debt.

Second, Michael Tanner made a very important point on which we are not focusing. The matching federal dollars at 90% are for new enrollees whose income exceeds the poverty line. Up until the implementation of Obamacare, someone getting Medicaid had to be at or below the poverty line. The new rule is that your income can be up to 138% of the poverty line thus expanding the amount of people eligible for Medicaid. The states have gone out and attracted new enrollees, but many of the new sign-ups are from people who previously were eligible under the old rules. The feds are not picking up 90% of those people and thus the state will get stuck with the tab for those new participants.

As Fodeman points out in his study, Florida is already spending $21 billion a year on Medicaid. The rate of growth in the cost of the program over the last 12 years has been five times faster than general revenues have grown and currently eats up 30% of the Florida budget. What Fodeman does not point out is that it is quite obvious Medicaid is squeezing out other necessary state obligations. To encourage more people to sign up would further squeeze funding for education, prisons, road repair and other basic needs. The national budget for Medicaid was $431 billion with just 58% ($251 billion) coming from the federal budget. That means states are already bearing $180 billion before any new enrollees.

The biggest issue remains who is going to service the medical needs of these new participants. Obamacare deals only with demand and not supply. With new people availing themselves of health insurance, there needs to be more doctors, nurses, and hospitals. There are currently no more and all indications are the program is driving many doctors into retirement, further worsening supply.

Medicaid is even worse. In 2011, 31% of all doctors refused new Medicaid patients because of poor reimbursement rates. Fodeman states "Given that many of the current patients with Medicaid are struggling to find a provider, it raises the question of where hundreds of thousands of potential new Medicaid patients would find care." In addition Fodeman cites in a Kaiser study stating "In 2008, Florida's Medicaid reimbursements averaged 63 percent of Medicare fees for all services, and 55 percent of Medicare fees for primary care." With comparable pay rates like this why would any doctor take on a Medicaid patient?

In the past a vicious cycle has occurred. As more people signed up for Medicaid, politicians decided to squeeze payments to save tax dollars. The lower payments caused more medical providers to stop accepting new patients because they were losing money on each new patient. Adding more participants will just exacerbate the existing methodology.

Medicaid will be a forerunner of what will happen to the rest of Obamacare. Stuffing more people into a medical system with fewer doctors and no additional hospitals or nurses will lower the bar for everyone. Since the people who receive Medicaid are not writing the checks, their complaints may go unheard. But wait until the people who are writing the checks suffer the same consequences. Then you will be able to hear the screaming across the country. That is what happens when you let a bunch of lawyers take over your medical care.

Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

Comment by clicking here.

Bruce Bialosky is the founder of the Republican Jewish Coalition of California and a former Presidential appointee.


Previously:


04/21/14 President Hope abandons it
04/14/14 The Great Divide in America
04/07/14 Banks Play Ball with Government to Hand Over Your Assets
03/24/14 To Frack or Not to Frack, That is the Question
03/17/14 Doing Right While Being So Wrong
03/10/14 Los Angeles: The Next Failed Government?
03/03/14 Dems, How Much Will You Take?
02/24/14 NCAA Juicing Basketball
02/17/14 Thank You President Obama for Freeing Me
02/10/14 What Jack Kennedy Wrought
02/03/14 Women Need To Have Equality
01/27/14 Our Smartest President?
01/20/14 And When I Die
01/13/14 Congressional Extortion
01/06/14 Why Obamacare Cannot Succeed
12/30/13 Why Judge Was Incorrect in NSA Case
12/09/13 The Real Reaction to Obamacare
12/09/13 How to Secure a Proper Iranian Agreement
12/03/13 Frontline/ProPublica's Misguided Attack on The Assisted Living Industry, Part 2
12/02/13 Frontline/ProPublica's Misguided Attack on The Assisted Living Industry, Part 1
11/25/13 Obamacare --- Big Business Gets Screwed Again
11/18/13 Shocking News: Dems Want New 'Revenues'
11/11/13 Do You Want A Nationalized Drug Industry?
11/04/13 Obamacare Schadenfreude
10/28/13 The Second Biggest Issue in America
10/21/13 The New Welfare State





© 2013, Bruce Bialosky

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