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Thread: Southern governors secede from Medicaid

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    Re: Southern governors secede from Medicaid

    Assuming they actually go through with it, it should be a great boon for them....

    These people will end up getting cared for.... IN OTHER STATES. That means these people will likely be LEAVING Texas, Florida, etc.... on a permanent basis, which I'm sure will also likely reduce those state's burden for OTHER social welfare programs.

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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Tigger View Post
    Assuming they actually go through with it, it should be a great boon for them....

    These people will end up getting cared for.... IN OTHER STATES. That means these people will likely be LEAVING Texas, Florida, etc.... on a permanent basis, which I'm sure will also likely reduce those state's burden for OTHER social welfare programs.
    But presumably a lot of these people wouldn't be able afford insurance anyway? , government or otherwise.

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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Red_Dave View Post
    But presumably a lot of these people wouldn't be able afford insurance anyway? , government or otherwise.
    True, so what they'll do is to relocate to a neighboring state where they can still get Medicaid coverage. Let's see if I can explain it a little better this way....

    Fred loses his job and goes on state aid (in Texas). Suddenly he gets sick, but since he doesn't have a job, he doesn't have health insurance. He goes to the state, but they tell him that they're not accepting any new Medicaid patients. Fred and his wife have to leave Texas and move to Arkansas where he CAN get Medicaid. Not only doesn't Texas end up paying for the Medicaid bill, but once Fred and his wife leave Texas they don't pay for his welfare either.

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    Re: Southern governors secede from Medicaid

    No Tigger, he just keeps using the ER as many of the uninsured currently do. A lot more keeps folks in a state, family for one, than medicaid. Someone is paying for his healthcare one way or another. Don't judge other's willingness to cut and run by your own willingness to flee this country...

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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Tigger View Post
    True, so what they'll do is to relocate to a neighboring state where they can still get Medicaid coverage. Let's see if I can explain it a little better this way....

    Fred loses his job and goes on state aid (in Texas). Suddenly he gets sick, but since he doesn't have a job, he doesn't have health insurance. He goes to the state, but they tell him that they're not accepting any new Medicaid patients. Fred and his wife have to leave Texas and move to Arkansas where he CAN get Medicaid. Not only doesn't Texas end up paying for the Medicaid bill, but once Fred and his wife leave Texas they don't pay for his welfare either.
    Texas will also have one less worker. That means one less person paying sales tax to the local and state government for the few goods and services he does pay for. Which means less tax revenue to local and possibly state goverents.

    It also means one less consumer to the small businesses who cater to him, such as grocery stores, clothing vendors and the like. That puts a burden on small business owners who definitely must pay various local, state, and federal taxes to operate.

    That means small businesses will have a more difficult time operating and some will close down. In which case they will be forced to flee the state. Which means even fewer tax revenues for local, state, and federal governments.

    And Texas isn't a state that can go without tax revenue. What do you think pays for the local police, state troopers, and federal agents trying to deal with gangs and Mexican cartels operating across the border?

    Without those enforcement agencies holding the cartels in check - and the tax revenues needed to give them a paycheck - Texas would quickly be a failed state itself.

    Or require military assistance itself, and thus ask the federal government for welfare and support.
    Also, we need to legalize recreational drugs and prostitution.

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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by notquiteright View Post
    No Tigger, he just keeps using the ER as many of the uninsured currently do. A lot more keeps folks in a state, family for one, than medicaid. Someone is paying for his healthcare one way or another. Don't judge other's willingness to cut and run by your own willingness to flee this country...
    What it will end up doing is keeping a lot of working poor people from getting health care -- the kind that ER's don't provide -- and it will cost in-state hospitals billions of dollars in uncompensated ER care that would have been picked up by Medicare. I can only imagine that a lot of these governors will change their tunes once the health care lobby gears up.
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

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    Re: Southern governors secede from Medicaid

    Elected leaders opting for personal partisan political posturings rather than look out for the people ...... perhaps it is the end times?
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by samsmart View Post
    Speak for your own state.
    If only more people, and especially the federal government, actually started taking this approach more on MULTIPLE issues.

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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Zyphlin View Post
    If only more people, and especially the federal government, actually started taking this approach more on MULTIPLE issues.
    That is true - though it depends on the issue.
    Also, we need to legalize recreational drugs and prostitution.

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    Re: Southern governors secede from Medicaid

    I don't see how the benefit outweighs the detriment of maintaining programs that don't work efficiently. Government-funded medical programs (Medicaid/Medicare/SCHIP) all pay out less than the actual cost of service, thereby driving up the prices everybody else is expected to pay. So the capable but un-insured and the insured (via their carrier) pay more.

    And those programs (and the ACA) do NOTHING to address the actually cost of health care.

    So we expand and add more people to government healthcare and then what? See prices continue to rise as costs continue to rise and even more people utilize a system that underpays for service? Makes a **** load of sense...

    I see no reason states should be mandated to take part in any system of entitlement that results in a heavier burden on the rest of the system, especially when their hands are tied to implement policies that would drive down health costs because the fed won't do anything on the national level other than keep pushing for an even more distorted cost-to-payout ratio.
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