Governors and state legislatures in their states have rejected the Medicaid expansion, following a Supreme Court ruling that allowed them to do so. The scenario highlights two conflicts: one between Democratic cities and their Republican-leaning state capitals; the other between local officials steeped in the practical reality of governing, and state officials for whom Medicaid opposition has been much more philosophical. From the former camp, these numbers recently released by the Urban Institute and the Robert Wood Johnson Foundation illustrate the disparate impact of Obamacare in cities benefiting from the Medicaid expansion and those that ( for now ) are not: Urban Institute/Robert Wood Johnson Foundation The number of non-elderly poor newly covered in Atlanta under Obamacare would have increased by about 60 percent had Georgia embraced the Medicaid expansion. Instead, it will increase by less than 10 percent. That’s a difference of about 46,000 people. In Houston, the state decision not to expand Medicaid will leave about 165,000 people without care who would be eligible otherwise (or if they lived in, say, New Mexico).
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Another View | Health Care – Obamacare’s big fail
This means lowering costs, improving outcomes and creating higher quality health care services. Yet none of this can be achieved by simply putting a health insurance card in everyone’s hands. It can be achieved by encouraging innovation and empowering patients and families to make the choices that work best for them. In order for these things to flourish, entrepreneurs need the freedom to create products and treatments that address the needs of patients. Similarly, people need to be able to choose the health care that best fits their unique needs. Under Obamacare, government regulation and red tape restrain both innovators and individuals doctors, health care providers, bureaucrats and even patients are too busy filling out paperwork. This system doesn’t help anyone, especially Wisconsinites.
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