14 Comments
User's avatar
Merrill Goozner's avatar

Ah yes, nostalgia for making America great, like before the new deal with its 33% unemployment rate and one-third of the nation ill-housed, ill-clothed, and ill-fed with vast swaths of the mid west reeling from the Dust Bowl, a man made environmental disaster.

Expand full comment
J'Net's avatar

Bottom line. You take away medicine from the seriously ill, they die. You take away medical support from this nations elderly, they die. Defunding Medicaid is a crime against humanity.

Expand full comment
Diane Lee's avatar

Thank you for the great article 🙏💙

Expand full comment
Michael Hertz's avatar

Is there any reason the Dems are not running ads in the Red States to raise awareness of what is being proposed?

Expand full comment
Winston Smith London Oceania's avatar

If such reason exists, it's not a good one.

Expand full comment
Marti Mullen's avatar

Certain people, and one in particular, who will remain nameless, can’t give up what should be the well debunked idea of welfare queens. But, then his brain is probably fossilized along with his views.

Expand full comment
Winston Smith London Oceania's avatar

You assume he has a brain. IMHO that's debatable.

Expand full comment
Winston Smith London Oceania's avatar

I guess this is what they mean by "own the libs". The more cruelty they inflict, the more they enjoy it. Isn't that the definition of "sadism"?

Expand full comment
User's avatar
Comment removed
Feb 27
Comment removed
Expand full comment
Merrill Goozner's avatar

In a health insurance system based on the idea employers provide coverage, covering those who work at companies that fail to meet that responsibility require government assistance. That's why the Affordable Care Act (not the Biden administration) expanded Medicaid, which the Supreme Court made optional for the states. Rolling that back would eliminate millions of workers from the ranks of the insured, raise the level of uncompensated care, and raise everyone's premiums and every other employers' costs. That's why expanding Medicaid to cover the working poor is "common sense." As for cuts off projections, that's what the CBO does and every budgeteer does. To pretend that a dollar in ten years is going to be worth what a dollar is worth today is absurd -- the very opposite of "common sense."

Expand full comment
User's avatar
Comment removed
Feb 27
Comment removed
Expand full comment
Bill H (AZ)'s avatar

You keeping us in suspense?

Expand full comment
User's avatar
Comment removed
Feb 28
Comment removed
Expand full comment
Bill H (AZ)'s avatar

George:

I have watched the cost of healthcare grow over the last few decades. I( (I had the funds then) I should have invested in the healthcare industry.

The percentages of increase in cost are phenomenal. One drug which I am familiar with is Rituxan. According to the ICER, the cost of Rituxan from the fourth quarter of 2016 to the fourth quarter of 2018 was 17%. Allow me to put this into a dollar amount for you. One dose, is an ~$30,000 which is 2020 pricing.

There appears to be no limit on what healthcare costs in the US that one might find in Europe or Canada and even Mexico. We have a dilemma. Do we whack Medicaid and its availability which already is stiff on prices or do we start to look to the costs of healthcare in the US? I vote for the latter. It is a bigger gain rather than going after people who can least afford it which is going to be the outcome as it has been so in the past.

In 2017, our president with the orangish face passed a tax bill under reconciliation which has yet to pay for itself. $2 trillion reduction in revenue. The 2001 and 2003 Repub tax breaks are problematic also. And you wish to go after Medicaid? Yes, it has some issues which can be refined. Those are small in comparison to the tax breaks. Yet, you wish to whack them rather than work to lower the commercial costs of healthcare. The common sense is to go after the industry pricing rather than the users. Sermon done.

By the way . . . I get four does or Rituxan which Medicare and Supplemental pay for today. The VA and I are having discussions about my 2+ years in and out of Camp Lejeune.

Expand full comment
User's avatar
Comment removed
Feb 28
Comment removed
Expand full comment
User's avatar
Comment removed
Feb 28
Comment removed
Expand full comment
Merrill Goozner's avatar

It is true that most states tax providers and then use the money to pay their share of Medicaid. This raises the "cost" line for providers, which raises state submissions to the Feds, which in turn raises the Fed match. In short, it's a way of switching some state taxation to federal taxation (no state has 100% federal match). But the important thing to remember about this alleged "scam" is that it doesn't raise spending one dime. If the Republicans remove this "loophole," all they will be doing is switching from federal taxation to state taxation and/or put the onus on the states to cut benefits and/or people from the Medicaid rolls. That's not "common sense." That's a cruel political maneuver to pretend they're offsetting the tax breaks they're going to give to big corporations and the rich.

Expand full comment
Bill H (AZ)'s avatar

Merrill:

Exactly,

"If the Republicans remove this 'loophole,' all they will be doing is switching from federal taxation to state taxation and/or put the onus on the states to cut benefits and/or people from the Medicaid rolls. That's not 'common sense.' That's a cruel political maneuver to pretend they're offsetting the tax breaks they're going to give to big corporations and the rich."

And some states will cut benefits more than others.

Expand full comment