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Old 11-01-2013, 08:49 PM  
Msmith Msmith is offline
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Why doesn't the state of Kansas expand the Medicate?

The Fed would like to hand out the money 100% for the expanded Medicaid the first three years. Now there are bunch of people lost their Medicaid coverage and couldn't get a decent plan in the Exchange.

I am sure the governor, and the 26 Republican governors, has reasons. But what is it?

Last edited by Msmith; 11-01-2013 at 08:59 PM..
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Old 11-01-2013, 11:12 PM   #16
2bikemike 2bikemike is offline
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First, i hope those projections weren't brought to us by the same folks who projected their massive tax cuts last year would have no impact on the budget and we are already down 19% y/oy.

Second, the taxpayers of kansas will be paying federal taxes into the expansion for all of the participating states and not getting anything back thanks to these choices.

The missing element there is to figure what the economic impact is of being drained 90% of that figure is every year out of the states economy. I think i have read that no economists unless they are truly crazy think that the economic impact of the 90% federal monet coming in wouldnt greatly outweigh the complained of state portion.

970.1 mil over ten years is 97 mil a year. Hell, brownback has already lost that in just the first couple of months of his experimental tax plan.[/quote]

I have no knowledge of your tax cuts and what was projected or by whom.
As far as the tax payers paying for the federal expansion is you will be paying either way. On what you get back I would assume the powers to be would have weighed the costs and came to the conclusion accepting the medicaid expansion would hurt the state more in the long run.

Both State and Federal are trying to end up with the best deal financially for them.
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Old 11-02-2013, 02:51 AM   #17
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when it's all said and done, 20 years from now Obama will be looked at as one of the worst presidents in history. and people who voted for him, will lie to others when asked if they voted for him.
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Old 11-02-2013, 06:08 AM   #18
Msmith Msmith is offline
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Cosmo, you are a strong supporter for ObamaCare. Do you think what the governor did is wrong by not accepting the Fed money?
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Old 11-02-2013, 07:49 AM   #19
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Quote:
Originally Posted by 2bikemike View Post

I have no knowledge of your tax cuts and what was projected or by whom.
As far as the tax payers paying for the federal expansion is you will be paying either way. On what you get back I would assume the powers to be would have weighed the costs and came to the conclusion accepting the medicaid expansion would hurt the state more in the long run.

Both State and Federal are trying to end up with the best deal financially for them.
Yes and their assumptions were preposterous and rejected by all responding economists. They assumed that 9 dollars coming into the state were economically worse than 10 dollars leaving it. That's not exactly rocket science there.
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Old 11-02-2013, 08:05 AM   #20
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Would Congress be the one to authorize lowering the federal contribution?

Each state sends Representatives and Senators to Congress.

The only party likely to want to lower the federal contribution to Medicaid to the states would be the GOP.
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Old 11-02-2013, 08:22 AM   #21
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The Fed would like to hand out the money 100% for the expanded Medicaid the first three years. Now there are bunch of people lost their Medicaid coverage and couldn't get a decent plan in the Exchange.

I am sure the governor, and the 26 Republican governors, has reasons. But what is it?
The GOP is bound and determined to oppose Obamacare whether it serves rational best interest of the people or not.

The Supreme Court ruled that the Obamacare mandate was not unconsitutional. But the Supreme Court ruled another part of the case, that states had to accept Medicaid expansion or lose all federal contribution to Medicaid, to be impermissible for some reason that is not easy to recall or explain.

So deciding not to expand Medicaid became the one way for state government to oppose Obamacare. Some GOP majority legislatures and governors see the expansion as a rational choice. A lot of GOP majority legislatures and governors have not really put much thought into opposing it.

Any chance of repeal of the ACA was lost when Obama was re-elected. Nearly every state will go with some form of the Medicaid expansion in the next couple of years after people live with the decision not to have it.

If Hillary Clinton, or any other caucasian Democrat, is elected in 2016, any state that has not expanded Medicaid by then will expand Medicaid in their 2017 legislative session.
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Old 11-02-2013, 10:51 AM   #22
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Cosmo, you are a strong supporter for ObamaCare. Do you think what the governor did is wrong by not accepting the Fed money?
Don't mistake arguing against the bullshit put out there as "strong" support. Yes I think the governor is wrong.
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Old 11-02-2013, 07:37 PM   #23
CrazyPhuD CrazyPhuD is offline
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Well first major issue, the states that didn't expand medicaid didn't cause people to lose their medicaid coverage. They never had it in the first place, this program was an expansion to add more people to medicaid.

Frankly the rationale behind this is fairly straight forward if you think about what the expect the long term costs to be. While the short term costs don't look bad, they are realistically a suckers bet. First three years looks great in that the Feds pay 100% and then 90% after. The problem is that no one should expect the 90% payment levels to be maintained. Afterall why should one group of medicaid patients be subsided more than another. Considering that current medicaid patients are subsidized 50-75% by the feds it's likely that the long term state costs for the expansion will also be 25-50% not the 10% claimed. After all it's not like the current administration is particularly known for keeping promises(realistically no politician is).

This fiscal burden is compounded by the fact that most if not all states can't run a deficit, they MUST pay for everything that year, which means with significant additional costs they have to either raise taxes or cut other services. All for a program that you don't support. Would you do it?

Then there's the final issue, frankly the expansion of medicaid is the roadmap to a single payer system. Why? It starts with a modest expansion today, but what happens when obamacare made insurance so expensive that middle class families that could have afforded their own insurance before now can't? Why not expand medicaid just a little further to cover that group(and then just a little further for the next group and so forth).

While there's no guarantee that they would use medicaid to support a single payer system, one can see the roadmap where they could. Again when you don't support the program and it adds cost to your budget why would you do it? They are the ones who will lose their jobs over raising taxes or reducing services all to fund a program that is far less popular in their states.
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Old 11-02-2013, 08:21 PM   #24
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Liberals mad that a state in these times would be wary of adding a $100m tab to its budget. ESP a small state such as this. But then: we are taking about the same fools who think welfare benefits are "stimulus"
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Old 11-02-2013, 08:23 PM   #25
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Old 11-02-2013, 09:11 PM   #26
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Old 11-02-2013, 10:09 PM   #27
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Have you ever heard of a government program libs don't want to expand? Maybe homeland security.
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Old 11-02-2013, 11:09 PM   #28
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Have you ever heard of a government program libs don't want to expand? Maybe homeland security.
Especially one they can sell as funded by others. The biggest salesmen work for the state. Sad. Kansas should prodly stand with leaders who have principle.
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Old 11-03-2013, 07:23 PM   #29
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Old 11-03-2013, 07:29 PM   #30
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