Obamacare

ObamaCare's Medicaid Expansion Means Paying More For Less

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The wrong prescription.

Avik Roy makes a frequently overlooked point: Numerous studies suggest that Medicaid, the federal-state partner program that provides health coverage to low-income individuals, produces sub-par health outcomes. And that's not only when compared with private insurance. In numerous studies looking at health outcomes for patients with specific maladies, Medicaid recipients fare worse or no better than those who have no insurance at all. And the cost for those outcomes is enormous; in 2008, according to the National Association of State Budget Officers, Medicaid accounted for more than a fifth of total state spending.

Care to take a guess where fully half of the health insurance expansion in ObamaCare comes from? That's right: According to the CBO's projections, 16 million individuals are expected to enter Medicaid by the end of the decade. In some cases, that means that individuals who were previously on private health insurance will end up being shifted to Medicaid. And more broadly, it means that, thanks to the new health care law, taxpayers will be dramatically expanding their commitment to a struggling, government-run health insurance system that in many cases provides demonstrably worse patient outcomes.

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  1. Considering I haven’t been in the waiting room of a geriatric disease specialist in the last year or so, I had no idea that was a real Time cover. Yikes.

    1. The Time cover alt-txt is racist.

    2. It’s still better than this Time cover.

      1. That’s gruesome. Time is doing horror better than anything the SyFy Channel can come up with at this point.

        1. Dude, you know you’d hit it with at least two of those women.

      2. Does anyone besides doctor’s office waiting rooms actually buy Time or any of the other weekly news magazines anymore?

        1. My father-in-law.

          1. I shit on a copy of Time once.

        2. My housemate’s father is a doctor, so he gets it at the same super discounted doctor rate.

        3. Only when I have several hours to kill in an airport or plane.

  2. “ObamaCare’s Medicaid Expansion Means Paying More For Less”

    +1

  3. You should be fined for not having insurance because if you have an emergency and go to the emergency room, then you do not have the money for the bill, it gets charged to everyone else. Get medical insurance for your entire family at the best price from http://bit.ly/chE6zp By contributing to the pool and doing your part, overall costs come down. Its like stores that have to charge more because of all the theft. People go to the hospital and then not pay, it gets charged to everyone else.

  4. I’m torn between “Bush’s fault” and “market failure” for this one.

    1. How about “Bush’s Market Failure Fault”?

  5. This isn’t possible!!! I SPECIFICALLY remember Nancy Pelosi saying about Obamacare that our rates would stay the same but our benefits would go up…..she..she.. she couldn’t have LIED, could she?!?!?!?

    1. She said we could go pursue the arts without worrying about money too!

      1. I cant wate to start my righting cerear

      2. Long live the pan flute!!! Now pay me to play you tax payer bitches!

      3. I’m a musician who also works a day job. I don’t show up at my 9-5 just for the insurance. I need the money. It’s like she thinks that if I was getting “free” health insurance from the gov’t instead of paying for it through my employer I could quit my job and become a musician full-time. That is one of the stupidest things I’ve ever heard.

        Wait….wasn’t it Pelosi who said that unemployment benefits create jobs? Why was it ok to make fun of W when dumbass words fell out of his mouth but you can’t make fun of Pelosi for some stupid shit like this?

          1. Did you mean sexiest? I’m flattered!

  6. What’s scary is some of the quotes attributed (by Daniel Henninger in 7/15 WSJ) to the “recess appointed”
    Dr. Donald Berwick to head the Centers for Medicare and Medicaid Services:

    “I cannot believe that the individual health care consumer can enforce through choice the proper configurations of a system as massive and complex as health care. That is for leaders to do.”

    “You cap your health care budget, and you make the political and economic choices you need to make to keep affordability within reach.”

    “Indeed the Holy Grail of universal coverage in the U.S. may remain out of reach unless, through rational collective action overriding some individual self-interest, we can reduce per capita costs.”

    Dr. Berwick seems to have a new definition for triage, and maybe “death panels” is not such a stretch!

    1. “Indeed the Holy Grail of universal coverage in the U.S. may remain out of reach unless, through rational collective action overriding some individual self-interest, we can reduce per capita costs.”

      And what if individuals refuse to go along with the rational collective action?

      1. Do you have any dogs?

    2. Goddammit, it’s like they’re trying to make Beck look prescient or something.

      Let’s pick out the important words here:

      “I cannot believe that the individual… can… choice…. That is for leaders to do.”

      “US… collective… overriding…individual.”

      What
      The
      Fuck?

      He’s giving those conservative retards who send me rabid conspiracy mails ammunition!

  7. thanks to the new health care law, taxpayers will be dramatically expanding their commitment to a struggling, government-run health insurance system that in many cases provides demonstrably worse patient outcomes.

    Hurray!

  8. “I cannot believe that the individual health care consumer can enforce through choice the proper configurations of a system as massive and complex as health care. That is for leaders to do.”

    These are the words of a man who expects to one day have an heroic bronze statue commemorating his contributions to the Collective.

    1. … and his heroic sacrifices on the Malabar Front.

      1. Doubleplusgood!!!!

  9. Probably one of my favorite lies that Obama and Pelosi were telling not just during the health care bill promotion but also during Obama’s campaign was the one about how everyone will have healthcare equal to what federal employees already have. Of course the media took this at face value and never called them out, but did anyone really ever believe that the guy working at McDonalds will get the same coverage and access as a US Senator?

    There is just so much bullshitting going on whenever the conversation includes Democrats and Healthcare it’s tough to really say that any one thing isn’t actually untrue.

    Just wait for the Berwick death panels. They’re coming next.

    1. did anyone really ever believe that the guy working at McDonalds will get the same coverage and access as a US Senator?

      Were I the guy working at McDonalds, I would get the Exact. Same. Coverage.

      So just STFU.

  10. “Yes sir, Medicare is a financial train wreck with hundreds of billions of dollars in unfunded liabilities and is expected to approach a trillion dollars in the coming decades. What’s that, sir? Yes sir, I’ll add those additional 16 million people to it right away. A very wise decision, sir.”

    1. Sub-standard healthcare ain’t cheap.

      1. That’s because it’s free.

        Duh!

  11. “Indeed the Holy Grail of universal coverage in the U.S. may remain out of reach unless, through rational collective action overriding some individual self-interest, we can reduce per capita costs.”

    Translation: “Everything will work out great if basic human nature ceases to function. And that’s bound to happen any time now!”

    1. Where is that quote from?

      1. It’s in the pull quotes from creech’s post.

        1. Ah, thanks. Missed that.

        1. Jesus Christ. It’s like this guy read Atlas Shrugged and was really, really impressed by the villains.

          “That Wesley Mouch is my kind of guy!”

          Whenever I start to think Rand was really overdoing it, some government asshole makes a statement to prove me wrong.

          1. And as a added bonus, Berwick looks completely deranged in the accompanying photo.

          2. I can’t decide which is more depressing: Atlas Shrugged or the newspaper.

        2. Holy fuck. Remind me not to get sick for the next 40 years.

  12. I cannot believe that the individual health care consumer can enforce through choice the proper configurations of a system as massive and complex as health care. That is for leaders to do.

    So I guess my having done research into all available health plans and successfully choosing the one best suited for my family was just a figment of my fucking imagination.

    Oh. And fuck you for calling me an idiot, asshole.

  13. But if Democrats want all sick people to live, and all Republicans want sick people to die quickly, what do libertarians want sick folks to do?

    1. what do libertarians want sick folks to do?

      Whatever they want?

  14. Shitty results, high price. If you knew nothing more than this about Medicaid, you’d conclude it was run by government.

  15. As I suggested the other day: Kill medicaid and move it’s recipients into the subsidized insurance pools.

    1. Or kill Medicaid & give everybody cash equivalent. They can figure out for themselves if they want health or cash.

      1. And how many of those screaming about a lack of health coverage would blow that cash on just about anything other than health coverage?

        I’ll set the bar at 95%.

  16. “…Numerous studies suggest that Medicaid…” – Where are these “studies”? Why aren’t they cited? are they rigorous studies, or, just more partisan hacks (like you) trying to convince people without quantitative and verified data?

  17. If only there was some cost-effective way to provide health care to everyone (that ‘insurance’ is NOT health care should be obvious to even the most impenetrably dense by now) – some sort of universal health care, if you will.

    What we really need is a single-payer health care system: excluding the corporate health insurers entirely is the only way out of this mess. We would need a bit more than $900 billion per year to fully fund a US single-payer system – $900 billion per year in total, not $900 billion in addition to our current government spending on health care.

    In 2007, the combined Federal, State, and local government expenditure on health care was $1035.7 billion. So, we can fully nationalize health care under a US single-payer solution, and cut government health care spending by about $100 billion per year at the same time. No additional taxes would be needed.

    Additionally, adopting a US single-payer health care system will free up more than $1.2 trillion per year in private funds no longer needed to pay for – largely illusory – private health insurance. These funds would be better spent on nearly anything else.

    The bottom line is that we are already paying for universal health care – we just are not receiving it.

    1. Additionally, adopting a US single-payer health care system will free up more than $1.2 trillion per year in private funds no longer needed to pay for – largely illusory – private health insurance. These funds would be better spent on nearly anything else.

      ???????????????????????????

    2. ^this guy gave an email address @ftc.gov, btw.

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