Entire ACA upheld by Supreme Court

[slotdirt]

Lots of states have said they won't accept the Medicaid expansion; too bad Riot's list doesn't include many of them.

[Riot]

Originally Posted by slotdirt

Lots of states have said they won't accept the Medicaid expansion; too bad Riot's list doesn't include many of them.

Can you list the other ones? I've just listed the ones where I've seen the govs come out publicly and said they will not.

Kentucky, thank goodness, has a Democratic governor who has already instructed the state to start creating our exchanges - much to the displeasure of our KY Republican senators Rand Paul and Mitch McConnell, who would prefer to have our poorest people continue to be uninsured and not receive health care.

Found two more:

Republican Gov. Scott Walker of Wisconsin
Republican Gov. Terry Brandstadt of Iowa.

Too bad, poor people of those states - your governor denies you health care. And too bad, insured citizens of those states - you will continue to personally pay for these uninsured (freeloaders) in your ER costs and insurance premium costs.

[slotdirt]

You list Louisiana, where the only thing the Governor has said is that he'll take the new Medicaid population only if he can block grant the entire program. You also list New Jersey, where while Gov. Christie has criticized that portion of the law, also hasn't said definitively whether he wouldn't take the new population or not.

Arkansas has a Democrat governor, so there's that.

[Riot]

Originally Posted by slotdirt

You list Louisiana, where the only thing the Governor has said is that he'll take the new Medicaid population only if he can block grant the entire program. You also list New Jersey, where while Gov. Christie has criticized that portion of the law, also hasn't said definitively whether he wouldn't take the new population or not.

Arkansas has a Democrat governor, so there's that.

A bunch of them came out immediately and said they would refuse it, but the pressure is on, as their citizens are angry - the citizens don't want to keep paying for the uninsured freeloaders, when the ACA will instead insure them and pay the majority of the cost across states.

Glad to hear Jindal is changing his mind - one of the poorest and least-insured health care states. I've only read that Christie has said no so far.

[Danzig]

Originally Posted by slotdirt

You list Louisiana, where the only thing the Governor has said is that he'll take the new Medicaid population only if he can block grant the entire program. You also list New Jersey, where while Gov. Christie has criticized that portion of the law, also hasn't said definitively whether he wouldn't take the new population or not.

Arkansas has a Democrat governor, so there's that.

beebe has said he's open to expansion, but i'm figuring that the ledge isn't. it's odd how many down here are 'democrats' but then when you start talking to many citizens here, they're actually very conservative minded. anti-abortion, anti-civil rights, pro-gun, fiscally conservative....the only thing democratic that i know of is they're often pro-union.

You're talking about state exchanges versus the Medicaid expansion. One can set up one without tackling the other. They're not mutually exclusive. Jindal's statement above is that he's not going to set up an exchange, which was well within his rights as a state governor before the Supreme Court ever acted on the law

yeah, arkansas already said months ago they weren't going to set up an exchange. it's not a requirement, the feds will have one set up. and the scotus removed the medicaid funding rule, so states are free to do as they wish there. they can't be coerced.


i have a webinar upcoming that talks about changes from aca. ought to be interesting.

[Riot]

Originally Posted by Danzig

yeah, arkansas already said months ago they weren't going to set up an exchange. it's not a requirement, the feds will have one set up. and the scotus removed the medicaid funding rule, so states are free to do as they wish there. they can't be coerced.
.

Actually, what the SCOTUS said was that if a state refuses to expand Medicaid under the ACA, they cannot lose all their current Medicaid funding - only the ACA funding. Losing all their federal Medicaid money was the incentive to expand the program.

That's right - if your state doesn't want to be "coerced" into letting the feds pay for expanding healthcare to the currently poor and uninsured in your state, you will continue to personally pay for those uninsured in your premium costs, doctor and ER costs.

Such a choice, hum?

[Riot]

Found this update, today:

Six governors say they will opt out of Medicaid. How long will they hold out?
Ezra Klein WonkBlog
Posted by Sarah Kliff on July 9, 2012 at 4:56 pm

http://www.washingtonpost.com/blogs/...they-hold-out/

If you live in one of the dark-red states, below, citizens will continue to pay for uninsured freeloaders and the poor, as the Gov. has refused the ACA Medicaid expansion the feds will provide:



http://www.advisory.com/Daily-Briefi...caid-expansion

[bigrun]

[Riot]

TPM2012
GOP Governors Split On Whether To Implement Obamacare
Benjy Sarlin June 29, 2012, 10:54 AM 11403

http://2012.talkingpointsmemo.com/20...-obamacare.php

Their best shot at eliminating the Affordable Care Act gone, Republican governors say the next step is to ensure Mitt Romney and a Republican Senate have another chance to axe it in Congress. In the meantime, though, the ACA is the constitutionally sound law of the land and each state has to figure out how to actually implement it.

Louisiana Gov. Bobby Jindal (R), in a press call with fellow Gov. Bob McDonnell (R) of Virginia, offered up a pretty simple approach: Just pretend the law doesn’t exist.

“We’re not going to start implementing Obamacare,” Jindal said flatly. Under his watch, Louisiana will not set up any of the required state heath care exchanges where, starting in 2014, Americans will be able to buy subsidized private health insurance.

McDonnell was more cautious. “There’s still some uncertainty at this point as to what the right course is,” he said. McDonnell also said he would be “evaluating the case.”

[Danzig]

Originally Posted by slotdirt

Lots of states have said they won't accept the Medicaid expansion; too bad Riot's list doesn't include many of them.

yeah, too bad i can't see the list.

[Riot]

Originally Posted by Danzig

yeah, too bad i can't see the list.

How's that high horse, Lady Disdain?

[slotdirt]

You're talking about state exchanges versus the Medicaid expansion. One can set up one without tackling the other. They're not mutually exclusive. Jindal's statement above is that he's not going to set up an exchange, which was well within his rights as a state governor before the Supreme Court ever acted on the law.

[Riot]

Originally Posted by slotdirt

You're talking about state exchanges versus the Medicaid expansion. One can set up one without tackling the other. They're not mutually exclusive. Jindal's statement above is that he's not going to set up an exchange, which was well within his rights as a state governor before the Supreme Court ever acted on the law.

Yes, I agree. Yes, talking about the Medicaid expansion, not the state exchanges. Jindal has said he won't participate in either that I've seen - I've not seen him say anything different yet about Medicaid, as you've said, although I hope he does change his mind.

I hope they all change their minds. They are going to be in trouble with the exchanges, however, as those take time to set up, and these govs are delaying that.

If the govs don't set up the exchanges, the Feds will just give the state a federally-run exchange. But if the Gov. declines the Medicaid expansion, the citizens of the state will continue paying for the uninsured "freeloaders" as they are now. And those poor people will remain without health care.