Get all the facts. The federal money runs out in a few years. After that, the state has to fully fund the program. By refusing the money now, the state gets off the hook for far more libiality it can not afford later.
Originally Posted by OldButStillGoing
Eva, Old is right about one thing.
Get all the facts. The people around here who answer posts like this generally don't know them, are too lazy to look them up, use terrible sources that make up facts to fit an agenda or just make them up themselves. There are some notable exceptions to that, but you have to be careful. Just go look at the
AARP site or some other 3rd party that is reputable to find out. The ACA requires states to expand Medicare to cover many more Texans with basic health care. In return the Federal Government covers something like 90 to 100% for several years and then the portion covered by the Federal Government drops back gradually after 10 years to the standard ratio which (if I remember right) was around 70%.
The state doesn't pay for all of Medicare now and would never get stuck doing that in the future.
Texas already has the highest percentage of uninsured citizens of any state in the US, and a new study by the
US Department of Health and Human Services shows that
Texas has the worst healthcare of any state.
Perry's response to this problem? In a letter to
U.S. Health and Human Services Secretary Kathleen Sebelius, Perry said he will not implement an health insurance exchange (which is allowed under the law and OK, but stupid). Also, he will not expand
Medicaid to cover families earning below 133% of the Federal poverty level.
That leaves an estimated 1.5 million Texans eligible for expanded Medicaid coverage without healthcare and leaving an estimated
$13 billion in Federal funds to be distributed to other states.) Perry wrote, "I will not be party to socializing healthcare and bankrupting my state in direct contradiction to our Constitution and our founding principles of limited government."
Instead, he will keep doing what Texas has always done: Refuse to create an affordable health care system, and turn county hospitals, clinics and emergency rooms (the very most expensive way to deliver care) into the first and last line of medical care for many citizens. Unfortunately, as is well documented, that is pretty much the most expensive and ineffective way to provide health care. As the Federal study shows, Texas is classified as
"weak" in its preventative care provision. It also costs a lot more. Implementing Medicaid expansion would cost $6 billion a year, but the comptroller's office calculate Texas hospitals currently lay out
$10.2 billion in uncompensated care. By rejecting the Medicaid expansion, Perry seemingly will cost the tax payers more. Not so conservative after all.