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Thread: Florida Governor to Sue Obama Administration Over Medicaid Expansion

  1. #21
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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by ernst barkmann View Post
    you have not a clue of what you are talking about, not a clue......explain federalism.....this is the second time i have asked.

    Jesus Christ. Federalism is a system of government where there are essentially 2 layers of gov. The federal government and the state governments. The federal government has certain powers and responsibilities allocated to it while the states have all other remaining powers.

    But go ahead tell me how I mediciaid expansion "has nothing to do with federalism"...
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  2. #22
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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by ludin View Post
    while the Medicaid expansion looks good on paper and was parroted as that it really isn't a great deal for states.
    No its way beyond the "paper stage" now..

    ol states only have to pay a max of 10%. that is of the new people that meet the requirements.
    if a person signs up for Medicaid and they would have qualified for the old system then they get put under the old system and the state still has to pay the old rate.
    No.... Its the program as a whole... Not just new, not just old, the whole entire program.
    so if you have 1m people sign up and 50+% of them would have qualified under the old Medicaid system that is a massive expense to the state.
    the states that expanded Medicaid are running into this very issue. they are seeing large enrollments of people and quite a few of them qualify under the
    old system which is not covered by federal dollars.

    also the whole 10% thing doesn't cover old enrollee's just new ones.
    overall it was a horrible deal for states. yet it was passed off as this great thing just another lie from the Obama administration.

    just another massive transfer of wealth.
    Again. No. The federal government covers the portion indicated of the program as a whole....

    "Contrary to claims made by some of the health reform law’s detractors, the law’s Medicaid expansion does not impose substantial financial burdens on states. The additional state Medicaid spending that CBO expects to result from the expansion equals 2.8 percent of what states would have spent on Medicaid in the absence of health reform. Moreover, CBO expects the expansion to result in 17 million more people being covered, which will significantly reduce state costs for uncompensated care and related programs. In short, the federal government will pick up the overwhelming share of the costs of the Medicaid expansion, making it a favorable deal for states."
    http://www.cbpp.org/cms/?fa=view&id=3161

    But hey its not just good for the uninsured, its also good news for the economy!
    "The Medicaid expansion is projected to generate increased state economic activity, such asincreases in state output, Gross State Product (GSP) and state and local revenues. Similar toprevious finding, a review of economic analyses of the Medicaid expansion show that Medicaid funds willdirectly support health care providers as individuals gain insurance and better access to health care services.However, since the federal government pays for the entire cost of coverage for newly eligible beneficiaries forthe first three years, a new surge of federal funds will flow into states with relatively little additional state costs.Studies show, therefore, that new funds as a result of the Medicaid expansion are anticipated to have anoticeable and sustained increase in state economic activity. Regardless of the economic impact model used, allof the studies analyzed anticipate positive increases to state output and Gross State Product (GSP). Themagnitude of the impact depends on the level of current and anticipated new Medicaid funding and theeconomic conditions within the state.The Medicaid expansion is expected to have a positive effect on jobs and earnings. Theseeconomic models also show the implications for jobs. Again, given the increase in spending and the influx ofnew federal funds that will filter through state economies, the studies show increases in employment. Anumber of studies also show increases in salaries and earnings tied to new jobs. " https://kaiserfamilyfoundation.files...to-the-aca.pdf


    http://aspe.hhs.gov/health/reports/2...dExpansion.pdf
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  3. #23
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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by Fletch View Post
    Interesting, but one could easily say that Obamacare is the result of a president screwing over the interests of his citizens in the interest of protecting an ill-thought out personal political ideology.
    I am sure some believe that.... but that debate is over. Its now the law of the land.

    What we now have are Governors that are failing to respect the rule of law by capriciously denying their citizens benefits that are prescribed by law because of the chose to throw a personal tantrum.

    As a sidebar, as much as you don't like healthcare reform, it was 1) desired by the electorate prior to the election of 2008 and 2) the plan as implemented was not crafted by the White House, but by Congress, based largely on a template that had right-wing roots....

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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by ludin View Post
    yep because if he expands Medicaid then FL will need a state income tax to pay for the difference as it will add billions to the state Medicaid rolls.
    I like not having to pay state income tax.
    Scott is spending billions deepening the Port of Miami for supertankers that will never come but he's worried about the 10% the State will pay for Medicaid in a few years?
    The idea that we would need an income tax for that is asinine and untrue..

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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by JANFU View Post
    Basically, FLA is suing because Fed contributions to their Low Income Pool program, which helps compensate hospitals for indigent care, is ending.

    IOW, the republicans in FLA are whining because they will stop receiving a govt handout from the Feds
    Quote Originally Posted by matchlight View Post
    Justice Thomas' opinions consistently contain precise, detailed constitutional analyses.
    Quote Originally Posted by jaeger19 View Post
    the vast majority of folks that need healthcare are on Medicare.. both rich and poor..

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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by TheDemSocialist View Post
    No its way beyond the "paper stage" now..


    No.... Its the program as a whole... Not just new, not just old, the whole entire program.
    Again. No. The federal government covers the portion indicated of the program as a whole....
    no it doesn't. the 10% is only for NEW enrollies. If the person would have qualified under the old system then the state has to enroll them and the 40/50 or whatever the split is takes affect. the cbpp isn't calculating in the this fact. just like you ignored it.

    the 90/10 split only covers the Medicaid expansion. the states are continuing to pay the 60/40 splits for old patients and if new people signing up meet the criteria for the old system then they are charged for that.
    Daily Briefing primer: ACA's Medicaid expansion | The Advisory Board Daily Briefing

    From 2014 to 2017, the federal government will pay for 100% of the difference between a state's current Medicaid eligibility level and the ACA minimum. Federal contributions to the expansion will drop to 95% in 2017 and remain at 90% after 2020, according to the ACA.

    it doesn't cover the WHOLE program just the expansion. So if you sign up and were eligible under the old system then you get put into that and the state wracks up the 60/40 cost. the federal government will only cover the expansion part not the legacy system.

    But hey its not just good for the uninsured, its also good news for the economy!
    "The Medicaid expansion is projected to generate increased state economic activity, such asincreases in state output, Gross State Product (GSP) and state and local revenues. Similar toprevious finding, a review of economic analyses of the Medicaid expansion show that Medicaid funds willdirectly support health care providers as individuals gain insurance and better access to health care services.However, since the federal government pays for the entire cost of coverage for newly eligible beneficiaries forthe first three years, a new surge of federal funds will flow into states with relatively little additional state costs.Studies show, therefore, that new funds as a result of the Medicaid expansion are anticipated to have anoticeable and sustained increase in state economic activity. Regardless of the economic impact model used, allof the studies analyzed anticipate positive increases to state output and Gross State Product (GSP). Themagnitude of the impact depends on the level of current and anticipated new Medicaid funding and theeconomic conditions within the state.The Medicaid expansion is expected to have a positive effect on jobs and earnings. Theseeconomic models also show the implications for jobs. Again, given the increase in spending and the influx ofnew federal funds that will filter through state economies, the studies show increases in employment. Anumber of studies also show increases in salaries and earnings tied to new jobs. " https://kaiserfamilyfoundation.files...to-the-aca.pdf
    lol parroting obamacare misnomers is not facts.
    neither is posting the left wing cbpp.

    as i said you don't care about facts or impact that expanding Medicaid will have on the state. if FL expands Medicaid just wait for the income tax to pay for it.

    Medicaid expansion is hugely bad for the state and the fact that they stepped into a wide hole in the ground without reading the fine print is exactly why you should read before you pass it.

    rick scott should sue the SCOTUS already ruled on this and said that the federal government cannot cut funding to force states to expand Medicaid.
    once again we see Obama breaking the law and doing his own thing.
    Last edited by ludin; 04-19-15 at 05:05 AM.

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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by iguanaman View Post
    Scott is spending billions deepening the Port of Miami for supertankers that will never come but he's worried about the 10% the State will pay for Medicaid in a few years?
    The idea that we would need an income tax for that is asinine and untrue..
    so how do you expect to pay for the multi billion dollar addition to Medicaid of which some of that won't be covered by expansion money?

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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by upsideguy View Post
    I am sure some believe that.... but that debate is over. Its now the law of the land.

    What we now have are Governors that are failing to respect the rule of law by capriciously denying their citizens benefits that are prescribed by law because of the chose to throw a personal tantrum.

    As a sidebar, as much as you don't like healthcare reform, it was 1) desired by the electorate prior to the election of 2008 and 2) the plan as implemented was not crafted by the White House, but by Congress, based largely on a template that had right-wing roots....
    actually they are respecting the rule of law please see the SCOTUS ruling on this issue.

    the federal government can not only not force states to expand but they can't punish them by taking away federal dollars for programs.
    so scott is following the rule of law Obama as usual is not.

    no it wasn't desired. the majority of people and still the majority of people hate obamacare what lala land are you coming up with this?
    no had nothing to do with right wing roots. and no Obama had a huge part to play in this.

    it was his big huge accomplishment and it has turn into nothing but a disaster.

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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    Quote Originally Posted by ludin View Post
    actually they are respecting the rule of law please see the SCOTUS ruling on this issue.

    the federal government can not only not force states to expand but they can't punish them by taking away federal dollars for programs.
    so scott is following the rule of law Obama as usual is not.
    The feds aren't punishing anyone. ACA is reducing the fed pgm which reimburses hospitals that provide care to the uninsured. The program is ending for states that do not expand Medicaid *and* for states that do expand Medicaid.
    Last edited by sangha; 04-19-15 at 07:35 AM.
    Quote Originally Posted by matchlight View Post
    Justice Thomas' opinions consistently contain precise, detailed constitutional analyses.
    Quote Originally Posted by jaeger19 View Post
    the vast majority of folks that need healthcare are on Medicare.. both rich and poor..

  10. #30
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    Re: Florida Governor to Sue Obama Administration Over Medicaid Expansion

    along with most hospitals, supports the idea
    Of course, because expanding medicaid makes it easier for them to get their money. The way it is now they get it, but it's a lot harder.

    This is what baffles me about the people who are dead set against ACA and expanding medicaid. The tax payers and people with health insurance are paying for the uninsured now anyway. An uninsured person shows up in the ER and the hospital treats them the hospitals are going to get their money from someone. If not ACA, or medicaid, then from other taxpayers funded programs or they'll pad the bills of the people with health insurance.

    As long as there is a law saying hospitals HAVE to treat people w/o health insurance the tax payers and people with insurance are going to pay, one way or the other. ACA just makes it easier for the hospitals to get their money.
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