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Old 06-07-2013, 01:02 PM  
gblowfish gblowfish is offline
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The Spite Club

Interesting op-ed piece by Paul Krugman in yesterday's NY Times ( or Pravda as some of you here in the DC call it.) About states rejecting federal funding to expand Medicaid in 2014. Interesting stuff:

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http://www.nytimes.com/2013/06/07/op...club.html?_r=0

By PAUL KRUGMAN
Published: June 6, 2013

House Republicans have voted 37 times to repeal ObamaRomneyCare — the Affordable Care Act, which creates a national health insurance system similar to the one Massachusetts has had since 2006. Nonetheless, almost all of the act will go fully into effect at the beginning of next year.

There is, however, one form of obstruction still available to the G.O.P. Last year’s Supreme Court decision upholding the law’s constitutionality also gave states the right to opt out of one piece of the plan, a federally financed expansion of Medicaid. Sure enough, a number of Republican-dominated states seem set to reject Medicaid expansion, at least at first.

And why would they do this? They won’t save money. On the contrary, they will hurt their own budgets and damage their own economies. Nor will Medicaid rejectionism serve any clear political purpose. As I’ll explain later, it will probably hurt Republicans for years to come.

No, the only way to understand the refusal to expand Medicaid is as an act of sheer spite. And the cost of that spite won’t just come in the form of lost dollars; it will also come in the form of gratuitous hardship for some of our most vulnerable citizens.

Some background: Obamacare rests on three pillars. First, insurers must offer the same coverage to everyone regardless of medical history. Second, everyone must purchase coverage — the famous “mandate” — so that the young and healthy don’t opt out until they get older and/or sicker. Third, premiums will be subsidized, so as to make insurance affordable for everyone. And this system is going into effect next year, whether Republicans like it or not.

Under this system, by the way, a few people — basically young, healthy individuals who don’t already get insurance from their employers, and whose incomes are high enough that they won’t benefit from subsidies — will end up paying more for insurance than they do now. Right-wingers are hyping this observation as if it were some kind of shocking surprise, when it was, in fact, well-known to everyone from the beginning of the debate. And, as far as anyone can tell, we’re talking about a small number of people who are, by definition, relatively well off.

Back to the Medicaid expansion. Obamacare, as I’ve just explained, relies on subsidies to make insurance affordable for lower-income Americans. But we already have a program, Medicaid, providing health coverage to very-low-income Americans, at a cost private insurers can’t match. So the Affordable Care Act, sensibly, relies on an expansion of Medicaid rather than the mandate-plus-subsidy arrangement to guarantee care to the poor and near-poor.

But Medicaid is a joint federal-state program, and the Supreme Court made it possible for states to opt out of the expansion. And it appears that a number of states will take advantage of that “opportunity.” What will that mean?

A new study from the RAND Corporation, a nonpartisan research institution, examines the consequences if 14 states whose governors have declared their opposition to Medicaid expansion do, in fact, reject the expansion. The result, the study concluded, would be a huge financial hit: the rejectionist states would lose more than $8 billion a year in federal aid, and would also find themselves on the hook for roughly $1 billion more to cover the losses hospitals incur when treating the uninsured.

Meanwhile, Medicaid rejectionism will deny health coverage to roughly 3.6 million Americans, with essentially all of the victims living near or below the poverty line. And since past experience shows that Medicaid expansion is associated with significant declines in mortality, this would mean a lot of avoidable deaths: about 19,000 a year, the study estimated.

Just think about this for a minute. It’s one thing when politicians refuse to spend money helping the poor and vulnerable; that’s just business as usual. But here we have a case in which politicians are, in effect, spending large sums, in the form of rejected aid, not to help the poor but to hurt them.

And as I said, it doesn’t even make sense as cynical politics. If Obamacare works (which it will), millions of middle-income voters — the kind of people who might support either party in future elections — will see major benefits, even in rejectionist states. So rejectionism won’t discredit health reform.

What it might do, however, is drive home to lower-income voters — many of them nonwhite — just how little the G.O.P. cares about their well-being, and reinforce the already strong Democratic advantage among Latinos, in particular.

Rationally, in other words, Republicans should accept defeat on health care, at least for now, and move on. Instead, however, their spitefulness appears to override all other considerations. And millions of Americans will pay the price.
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Old 06-07-2013, 01:23 PM   #2
petegz28 petegz28 is offline
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Kugman's a ****ing idiot
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Old 06-07-2013, 01:43 PM   #3
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lame op-ed is lame
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Old 06-07-2013, 01:43 PM   #4
Baby Lee Baby Lee is offline
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Did I see that Pauly has added 'derp' to his op-ed lexicon?

appropriating [errently] South Park neologisms passes for scholarly effort?

EDIT - http://nymag.com/daily/intelligencer...ng-origin.html
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Last edited by Baby Lee; 06-07-2013 at 02:11 PM..
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Old 06-07-2013, 02:07 PM   #5
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Originally Posted by gblowfish View Post
Interesting op-ed piece by Paul Krugman
yeah no

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Old 06-07-2013, 02:23 PM   #6
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Kugman's a ****ing idiot
Yup!
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Old 06-07-2013, 02:24 PM   #7
BucEyedPea BucEyedPea is offline
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Quote:
Originally Posted by gblowfish View Post
Rationally, in other words, Republicans should accept defeat on health care, at least for now, and move on. Instead, however, their spitefulness appears to override all other considerations. And millions of Americans will pay the price.
It's not spitefulness and they can just defund it if they had the balls. They have the power of the purse and if exchanges don't all get set up, a return to congress for funds is needed.
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Old 06-07-2013, 02:30 PM   #8
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Originally Posted by Baby Lee View Post
Did I see that Pauly has added 'derp' to his op-ed lexicon?

appropriating [errently] South Park neologisms passes for scholarly effort?

EDIT - http://nymag.com/daily/intelligencer...ng-origin.html
All the cool Nobel winners are using derp mode now.
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Old 06-07-2013, 02:37 PM   #9
Baby Lee Baby Lee is offline
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All the cool Nobel winners are using derp mode now.
I'm starting to think that Matt and Trey are the most plugged-in of all contemporary social commentators. I'm talking verging on overshadowing Norman Lear of generations past. Inspiring passionate followers on par with Jon Stewart with a broader base, for nearly as long as The Simpsons have been around. Injected so much into the zeitgeist, on par with Seinfeld at least. Summating the essentials of so many issues and controversies more succinctly and aptly than anyone else. All with a laid back '**** it' it's potty humor savoir faire.
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Old 06-07-2013, 02:49 PM   #10
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Originally Posted by Baby Lee View Post
I'm starting to think that Matt and Trey are the most plugged-in of all contemporary social commentators. I'm talking verging on overshadowing Norman Lear of generations past. Inspiring passionate followers on par with Jon Stewart with a broader base, for nearly as long as The Simpsons have been around. Injected so much into the zeitgeist, on par with Seinfeld at least. Summating the essentials of so many issues and controversies more succinctly and aptly than anyone else. All with a laid back '**** it' it's potty humor savoir faire.
That's how I feel. I think South Park is the best satire of my generation. People look beyond it because it's a cartoon and often in the gutter, but at it's best it's really sharp and biting satire.

It's like reading a Moliere playlet where he lampoons the norms of his day; it's that good in my opinion.
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Old 06-07-2013, 04:17 PM   #11
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Give krug credit. He is still highly paid and never right. Amazing.
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Old 06-07-2013, 05:27 PM   #12
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ok, krugman has left wing views which make him a despicable excuse for a human, i get that...

but what about the issue of rejecting medicaid expansion, will it hurt the poor or not?

will it hurt the economies of the states rejecting it or not?

it's the issues that are raised that are important not your political opinion of the author...
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Old 06-07-2013, 06:23 PM   #13
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Interesting op-ed piece by Paul Krugman...
You're a liar.
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Old 06-07-2013, 07:15 PM   #14
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Old 06-07-2013, 07:27 PM   #15
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Quote:
Originally Posted by go bowe View Post
ok, krugman has left wing views which make him a despicable excuse for a human, i get that...

but what about the issue of rejecting medicaid expansion, will it hurt the poor or not?

will it hurt the economies of the states rejecting it or not?

it's the issues that are raised that are important not your political opinion of the author...
Ok ill bite....

Why is it my responsibility for every"poor" person? Why are all the poor not responsible for being poor?


Is it ok for states who are not totally ****ed like california or Illinois to say its gone far enough and no we will not pay for every slacker who wants a handout?
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