Want to know why Perry is against ACA? Anyone who plays in politics knows to follow the money. The money in this state is Republican. As you have largely (it sounds like) already surmised, it's the poor that get hurt. (and in a unrelated foot note, I've personally decided - after being a Republican for 20yrs - that the Republicans answer to that is "f*** the poor, they should get some money.")
Originally Posted by Luv4Fun
Yeah, but at some point, the "fuck the poor" argument only goes so far for two reasons. And Perry will eventually have to deal with both. First, hospitals and doctors are part of the Republican coalition in Texas. And they would dearly love to get more people in Texas insured because that's extra business (and money) for them. Right now, the 25+% of Texans who have no insurance get some care, but not all that they need. It's a great untapped market for the docs and hospitals.
Second, to the extent that the care that the unisured get is "uncompensated," that really means it's being paid for by a combination of 1) premiums paid by business who do provide health insurance for their employees (and individuals who pay for their own issuance); 2) docs and hospitals in reduced profit margins; and 3) direct government subsides. That cost is growing by leaps and bounds each year. I'm a businessman who owns two businesses and I'm sick of paying higher premiums because other businesses won't provide health insurance for their employees, or because people won't buy insurance for themselves or for their families. It places me, as an ethical businessman who takes care of my employees, at a competative disadvantage over those of my competitors who don't provide insurance. So Perry will eventually face pressure from both the health care industry, and from general businesses, to join in with other States when the ACA succeeds elsewhere (assuming it does at least partially succeed, as I expect it to).