Stressed States Weigh Ending Medicaid

jkom51November 22, 2010

Pursuant to carrie630's discussion thread titled "Another question about depleting assets" wherein there was some confusion between Medicare and Medicaid, this appeared in the WSJournal today, and is excerpted:

Some States Weigh Unthinkable Option: Ending Medicaid

WSJournal November 22, 2010

"Huge budget shortfalls are prompting a handful of states to begin discussing a once-unthinkable scenario: dropping out of the Medicaid insurance program for the poor.

Elected and appointed officials in nearly a half-dozen states, including Washington, Texas and South Carolina, have publicly thrown out the idea. Wyoming and Nevada this year produced detailed studies of what would happen should they withdraw from the program. Wyoming found that Medicaid accounts for 63% of the state's nursing-home revenue.

The idea of abandoning Medicaid as a solution is so extreme that even proponents don't expect any state will follow through, but officials are floating the discussions because dire budgetary pressures have forced them to at least look at even the most drastic options.

Medicaid, begun in 1965 and jointly funded by federal and state dollars, is the nexus of care for the neediest Americans, and a huge payer to hospitals, nursing homes and doctors. Medicaid enrollment totaled 62 million nationwide in 2007, the most recent data available.

But Medicaid has become one of the biggest items on state budgets, and states complain they don't have enough flexibility to pare it without losing their federal matching funds. The federal government, on average, covers 57% of the cost of the program for states. In exchange, states must keep Medicaid open to all who qualify.

Some states, in particular those led by Republicans, are calculating whether they'd be better off giving up the federal funding and replacing Medicaid with a narrower program of their own. Texas Gov. Rick Perry has proposed that his state get out of Medicaid in favor of a state-run system unburdened by federal mandates�including the one that prohibits states from reducing eligibility for the program if they want to qualify for the federal matching funds. "

Here is a link that might be useful: WSJ subscribers only: full article link

Thank you for reporting this comment. Undo

This is a shame because all they really have to do is cut out the more extravagant stuff at the top. No more transplants, sexual reassignments, etc. All the stuff so many people howl about as being "rights". Our technology is waaaay out in front of our philosophy and clearly beyond our ability to pay. Call it "rationing" or whatever you want. There isn't enough money on earth or in heaven to pay for what everybody demands. Tough choices. They need to be made.

    Bookmark   November 22, 2010 at 7:25PM
Sign Up to comment
More Discussions
Severe dementia in several weeks
This is my first post to Caregivers. I'm not comfortable...
Medicare and Fully Electric Hospital Beds
I have a prescription from my mom's doctor for a fully...
Medicare & Lidocaine Patches
My 90 y.o. mom has been using Lidocaine patches for...
Any suggestions for boosting energy?
My 90 year old mom is still pretty sharp but she is...
Caretaker of a different sort...
Hi all, new to this forum, but not garden web. Reading...
Sponsored Products
Lifestyle Solutions Cottage Futon Frame Chair Size Satin White
Beyond Stores
Keyser Rocking Chair - Bentley Daisey Yellow
Joybird Furniture
67" Atley Acrylic Tub - Wood Frame
Signature Hardware
Designer Eco-friendly Pet Door Mat
Grandin Road
Sherpa Tote Around Town Boston Pet Carrier - Medium - Tweed 94279 - 94279
$73.99 | Hayneedle
Dogleg Diner Pet Bowl
$99.50 | FRONTGATE
Gel Memory Foam 4'' Mattress Topper
$169.99 | zulily
Single Bowl 23-inch Stainless Steel Undermount Kitchen Sink
People viewed this after searching for:
© 2015 Houzz Inc. Houzz® The new way to design your home™