The Pardu

The Pardu
Watchful eyes and ears feed the brain, thus nourishing the brain cells.

Saturday, October 19, 2013

Affordable Care Act: State Exchanges, Federal Web Page, Medicaid Expansion And GOP Governors

A quick look at state exchanges. GOP strategy severely crippled a digital tools that, in developed according to the ACA could serve millions and would have performed and "end-around" against current problems with the federal government site.

Obama Facts Dot Com
state health insurance exchanges

Will My State Run Their Own Health Insurance Exchange?

We have compiled a list below as to where the states stand in regards to the status their health insurance exchange, which branch of Government will run the exchange, the structure of the exchange and what type of exchange they run.

Over the past three years, Republican governors have been stead-fast and subservient-robotic in refusing to both setup state enrollment exchange websites and more tragically, those same governors refused to accept medicaid expansion.

Let's focus for a bit of Medicaid Expansion.

In July of this year, we found a close to even split between Expanding/Leaning toward expansion vs .Unclear/Undecided/Leaning against expansion.

Governors who continue to refuse Medicaid Expansion are simply, and selfishly, perpetrating a serious disservice to people who may have cast votes to place them in office.   One can make a case the recalcitrant governors are committing crimes against humanity (in their respective states).

The Kaiser Family Foundation offers visuals that illustrate the point.

The five (5) million plus coverage gap is particularly disturbing based on the very construct of Medicaid Expansion.  The expansion was developed with the express purpose of providing coverage for the poor who cannot afford insurance premiums 

ObamaCare Facts Dot Com
ObamaCare Medicaid Expansion is one of the biggest milestones in health care reform. ObamaCare's Medicaid expansion expands Medicaid to our nations poorest in order cover nearly half of uninsured Americans. The law previously required states to cover their poorest or lose federal funding to Medicaid (federal funding covers 90-100% of the costs) until the supreme court ruling on ObamaCare. State's can now opt-out of Medicaid Expansion leaving millions of poor working families without coverage. 
States opting out of the expansion of Medicaid under ObamaCare is projected to drive up insurance costs drastically (check out the facts below), while saving the States relatively small amounts, if anything at all. Join the ObamaCare Facts Mailing List to keep up to date on Medicaid Expansion vote in your state.
The SCOTUS in 2012 re-affirmed the constitutionality of the ACA, but the conservative Court carved-out wiggle room for GOP governors, some of which won elections in 2010 via the Koch Tea Party movement.  Most GOP governors are paving the way for Koch efforts to stifle the ACA. It appears loyalty to the party and the Kochs (who have spent $200 million fighting the ACA) is more critical to the governors than people who cast votes. Unless, the GOP has data indicating the chronically poor may not stand as a reliable voting bloc. Only 60% of eligible voters voted in the 2012 general election. The figure was slightly up from previous general elections. It is possible the GOP ignores the impact of the following graphic based on knowing something about voters in their districts. 

The graphic illustrates why GOP governors in Arizona and Indiana decided to accept Medicaid Expansion. Decisions to forgo expansion seems illogical, deranged and insensitive. We are, however, referencing GOP governors; a temporary mental lapse on my part.

Where is the need for the ACA most prevalent?

Care Barriers

2009 Wiki image
Percentage of people without health insurance coverage by state, according to the United States Census Bureau(2009).[1]
“People in the coverage gap are likely to face barriers to needed health services or, if they do require medical care, potentially serious financial consequences,” the commission concluded in the report. “Further, the safety net of clinics and hospitals that has traditionally served the uninsured population will continue to be stretched in these states.” 
Mississippi leads the nation in the percentage of uninsured adults in the coverage gap with 37 percent, followed by Alabama with 36 percent, Louisiana at 34 percent and South Carolina at 33 percent. 
With 1 million uninsured in Texas, the state has the largest number of people without access to health insurance, representing a fifth of U.S. citizens without coverage. Florida has the second highest.
"Qu'ils mangent de la brioche" Translated and mis-attributted as "Let them eat cake!"

The phrase is commonly mis-attributed to Marie Antoinette

Additional source: Bloomberg,  Addictinginfo

GOP Recap: 

  • $60 plus million wasted on House of Oz repeal ACA votes,
  • $24 Billion wasted during the GOP Federal government shutdown,
  • Federal shutdown damage to the Us economy long-term, 
  • GOP governors refusing to setup ACA state exchanges and refusal to expand Medicaid subsidized by the Feds at the 93% level.
Should we bother to ask about a common thread among the bullet-ed items?  The common thread is: "people."

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