Put Obamacare Out of its Misery

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– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

BCBS VP: Obamacare prices will rise as much as 80% next year.

CBO: ACA benchmark silver plan to spike average 15% in 2019

“Obamacare premiums in Florida could increase by nearly 17 percent next year.”

Blame Obamacare’s forcing the individual market to bear the cost of pre-existing conditions – not Trump – for Obamacare prices tripling in 6 years

New Jersey becomes second state to impose Obamacare-type individual mandate on residents

ACA’s profit margin limitations backfire, raise healthcare costs.  Insurers happy to pay higher bills because can bake them into premiums. #TheyWereWrongAboutEverything

Obamacare torpedoed retention rates in individual market; enrollees two-third’s more likely to drop coverage than before ACA became law.

Escalating out-of-pocket maximums disqualify half of Obamacare plans from incorporating HSAs

California to eliminate hospitals from ACA network if don’t meet arbitrary goals. C-sections 23.9% – huh? #Rationing

Boosting short-term plans with guaranteed-renewal will save consumers 70% and keep people who develop expensive illnesses out of the ACA risk pool

Almost 12 million Americans are on welfare this year because of Obamacare.  Progressives view this as a triumph. No, it’s a tragedy and it’s unsustainable.

‘Conservative’ work requirements backfire, enable Virginia to pass Medicaid expansion

Virginia Medicaid expansion already $47 million worse than advertised; legislators to return to statehouse to increase the Medicaid reimbursement rate

California Assembly passes bill to cover illegal immigrants on Medicaid; will cost billions; bill heads to state senate. #TheInsanityContinues

Feds tinker with North Carolina’s Medicaid FMAP match rate, which blows $40 million hole in state budget. #MoreMedicaidQuicksand

“Report: Nearly 17 cents of each state revenue dollar goes to Medicaid, 4.5 cents more than 2000”. #Unsustainable

Oklahoma in for more Medicaid cuts as fiscal woes deepen. #Unsustainable

Montana looking at cuts after Medicaid expansion throws state budget into the red. Expansionistas promised savings. What savings?

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program



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Pin the Hikes on the Donkey, not the Elephant

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– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Obamacare blew up long before Trump took office – individual market premiums doubled 2013-2017

ACA carriers in Oregon request price hikes up to 16%, 8 times the rate of inflation

Vermont Obamacare insurers ask for rate increases averaging up to 10.9%

Drop-off in number of Obamacare enrollees worse than previously thought.

Healthy young people leaving Obamacare, leaving older sicker risk pool. None dare call it a death spiral.

The Left suddenly loves the term ‘death spiral’ now that they think they can blame Obamacare price hikes on Trump

Beware attempts to re-brand and resuscitate hated Obamacare individual mandate as a reduction in tax form standard deduction

Separation of Powers – dismissal of appeal in Obamacare subsidy case leaves intact principle the executive can’t spend money Congress hasn’t appropriated

Obamacare was wrong to cut PSA tests and mammograms; cutting tests has led to later diagnoses and worse outcomes for breast and prostate cancer patients. #TheyWereWrongAboutEverything

Nutritional labeling has actually led consumers to increase the calorie content of their meals in some instances. Way to go, Obamacare! #TheyWereWrongAboutEverything

Obamacare may be driving some self-employed back to jobs with employer coverage.  So much for playing the violin, Nancy. #TheyWereWrongAboutEverything

ACA in a nutshell: “Our politicians did such a great job of taking care of the 10 percent that didn’t have medical insurance and ruining it for the other 90 percent.”

Massachusetts insurers blame Obamacare tax for big losses

Obamacare contraceptive mandate shot down by yet another court; can’t be enforced against 4 Christian universities in Oklahoma

CMS warns states it will not approve lifetime limits on Medicaid. #HotelCalifornia

Maine’s Governor defends against lawsuit by asking: how can we implement voter-approved Medicaid expansion if the legislature won’t appropriate the money for it?

Medicaid expansion will blow up in Virginia like it has everywhere else – cost overruns, attempts to cut back benefits, shoving the truly needy to the back of the line, etc.

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program


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More Price Hikes Coming

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

More Obamacare price hikes coming – Virginia up to 64%, Maryland average 30%, rest of the country can expect the same.
+ https://www.washingtonpost.com/news/wonk/wp/2018/05/07/marylands-obamacare-insurers-request-30-percent-premium-hike-for-2019/?noredirect=on&utm_term=.790267d15e2b
+ http://www.charlotteobserver.com/opinion/article210686554.html

Obamacare prices to jump 34% for benchmark plans, sparking $10 billion jump in cost of subsidies. #ItsNotWorking

What happened to all the brave talk about ACA premiums not going up and the market stabilizing next year?  Ha ha ha ha ha! #ItsStillNotWorking

Consensus reached: “ACA’s cost-containment mechanisms are failing, and the net effect of the law has been to make our national healthcare affordability problem worse than it was.”

Blahous red pill: “the ACA is pushing our health costs upward.” So much for ‘bending the cost curve down.’ #FoolMeWithDazzlingRhetoric

Short-term non-ACA plans can reduce number of uninsured by 1.7M, reduce premiums by 68%, and save federal taxpayers $686M.

Price advantage of short-term over ACA plans widens; “30-year-olds could pay 80 percent less for short-term plans than for bronze plans”

Burdensome Obamacare calorie count rule goes into effect; pizza shops hope for reprieve.

Trump rescission seeks to cut $800M from Obamacare innovation center

Obamacare’s fatal flaw: “trying to shoehorn people who are almost by definition uninsurable into the traditional insurance markets”

Expanded association health plans could cut Obamacare enrollment 10%. Brick by brick, let’s tear Obamacare down.

Farm bill seeks to boost agriculture-related association health plans, escape hatch from Obamacare.

Trump admin rejects lifetime limits on Medicaid in Kansas. #HotelCalifornia

Medicaid expansion goeth before the fall: Louisiana to close hospitals, cut Medicaid programs to the elderly and disabled to cope with billion-dollar budget disaster

Another Medicaid expansion #ConJob – only 42,000 thought eligible in Alaska, but enrollment has soared past 200,000.

California Dems seek to expand Medi-Cal to illegal alien adults. Enrolling quadruple the number of people expected under Medicaid expansion wasn’t enough, apparently.

650,000 seriously injured and disabled languish on waiting lists because money getting diverted to childless able-bodied adults under Medicaid expansion. #GiantSuckingSound

Medicaid expansion depresses hospital operating margins. The problem: low reimbursement rates. Whodathunkit? #ToldYouSo

Medicaid expansion through state referendum? Sure, let the people vote themselves the treasury plus what we’re borrowing from the Chinese. What could possibly go wrong? #BreadAndCircuses

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program


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Hooray for Short-Term Insurance!

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Short-term insurance provides needed relief from Obamacare; longer terms and renewability would make it better still.

Alabama joins 20-state coalition mounting latest constitutional challenge to Obamacare in court

Trump admin plans to trim back rule requiring health providers and insurers to serve transgender people, striking a blow for getting rid of unnecessary coverage in Obamacare plans.

Obamabot wakes up: “my premiums have shot through the roof. My deductibles have gone from $2,000 to $4,000 to $8,000 this year.”

Obamacare community organizer runs away after being asked about the ‘keep your doctor’, ‘save $2,500’ lies.  They won’t answer tough questions because they can’t
Liked on Twitter by Michelle Malkin

Medicaid expansion dead for the year in Kansas

Kansas Medicaid hits the wall, seeks to impose a three-year lifetime cap on Medicaid benefits but Washington delays decision. #HotelCalifornia

States happy with Medicaid expansion? Ha! Arkansas seeks to roll back eligibility to 100% FPL and terminate retroactive coverage

Medicaid expansion drains state budgets without improving health outcomes for recipients.

“expanding Medicaid eligibility is a costly mistake in the long run”

Medicaid expansion will eventually bankrupt Virginia and make Medicaid fraud even worse.

Medicaid expansion provider tax proposed in Virginia is $300 million tax increase jacking up the cost of healthcare

Medicaid expansion is not a ‘moral imperative’; “it is a legal action designed to plunder from taxpayers”

Maine’s Governor still waiting for Medicaid expansionistas to show him full funding without tax hikes or taking from the state’s surplus fund.

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program




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Ruination, Thy Name is Northam

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Smooth-talking @GovernorVA unaware of stress tests showing effect on budget if Medicaid expansion blows up like in other states. He filibusters & falsely claims no state is reversing MedEx when Ark & Mass have asked to roll it back. (at 24:00) #LIAR

Massachusetts and Arkansas trying to roll back Medicaid expansion from 138% to 100% FPL – have to ask Washington ‘pretty please’

Medicaid expansion supporters charged with felonies for forging signatures on petition to put expansion on November ballot. #TheScurrilousLeftWillTryAnything

“Medicaid Expansion Bill Stopped in Idaho” – would have slammed people with private insurance onto dysfunctional Medicaid

#UnicornsAndRainbows report from Louisiana officials ignores fact people dropping Obamacare exchange coverage to enroll in Medicaid expansion, thus costing state subsidy dollars

If Medicaid expansion so great, why does this Ohio gubernatorial candidate want to end it?

Arizona Medicaid hits the wall, asks Washington pretty please if it can end retroactive coverage for recipients

GAO: Medicaid improper payments, including fraud, spiked to $37 BILLION last year

Comrades, this Obamacare turkey, #ItsNotWorking – so let’s ramp up the coercion with auto-enrollment

Obamacare victims, thy name is legion: “we lost the ability to see the doctors we want to see…. My wife and I ended up having to find new primary care physicians, and every specialist.”

Cost of satisfying the Obamacare Pepperoni Police: $5,000 annually per pizza place, as Trump admin poised to implement calorie count rule.

Obamacare call center contractor accused of $100 million wage theft. #ObamacareCaChingCaChing

Trump admin’s 4 new exemptions will save millions of people from Obamacare individual mandate penalty next year (one/no insurer, no abortion-free plan, no specialty care plan)

Push in states for reinsurance is latest example of how Obamacare has failed.

“Anthem sees increased profits after selling fewer ObamaCare plans”

Despite the dazzling rhetoric about ‘bending the cost curve’, the bottom line on Obamacare is “healthcare costs are so absurdly high that millions of Americans are no longer going to see their doctors.”

The high cost of Obamacare: “the nationwide increase in premiums will cost the taxpayers $10 billion more in subsidies this year.”

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program


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Obamacare Will Drive You to Drink, Literally!

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Obamacare has increased risky drinking. We knew Obamacare was good for something, we just didn’t know what.

Obamacare prices to jump 34% for benchmark plans, sparking $10 billion jump in cost of subsidies. #ItsNotWorking

15 states had increases exceeding 40% for the lowest cost silver ACA plan. #ThankYouObamacareGeniusMasterminds

Cost of Coverage: The #ObamacareInflectionPoint – “a huge discontinuity between 2013 and 2014, when ObamaCare went into effect. The total leapt from less than $10,000 to more than $15,000”
+ https://aapsonline.org/aaps-news-april-2018-safe-kickbacks/

Obamacare enrollment dropped 400,000 from last year. #DeathSpiral

Latest budget bill applies Hyde Amendment to Obamacare; blocks federal ACA dollars from paying for abortions

CMS doesn’t know how many people try to re-enroll in Obamacare outside of enrollment period after failing to pay their premiums

Ohio seeks waiver to end ACA individual mandate, not just zero out the penalty

Iowa threads the needle with grand-fathered farm bureau plans, takes another brick out of Obamacare

Labor Department rule will expand association health plans – escape hatch from Obamacare for small businesses

New rules allow states to pick insurance plan essential benefits, expand ACA hardship exemption. More bricks torn out of Obamacare, hurray!

New rules facilitate sale of ACA-noncompliant short-term plans, allow exemptions for counties down to one insurer or abortion-covering insurers

30 conservative leaders say replace Obamacare with block grants to states

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program


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Obamacare Genius Masterminds Were Wrong about Everything

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

“We know what works,” Obama said. No, you don’t. And you were wrong about medical bankruptcies and electronic health records, too. #TheyWereWrongAboutEverything

Medical problems cause 4% of bankruptcies, not half. Elizabeth Warren, you lied.

“Obamacare program meant to save money cost government $384 million” (Accountable Care Organizations – ACOs) #TheyWereWrongAboutEverything

Hospital uncompensated care expense going UP not down in Medicaid expansion states

Court blows away Obamacare anti-conscience mandate, wipes out billions in fines for group of Catholic employers in HUGE victory over Obamacare

More people ‘going naked’, fed up with rising premiums and deductibles, shrinking networks. Thanks, Obamacare, you’re a big help.

Obamacare’s fabled drop in the uninsured rate is starting to reverse

Stupid Obamacare to cause more pain, rate hikes right before November elections

Iowa legislature passes bill to allow sale of noncompliant non-Obamacare plans, Guv eager to sign

Does Obamacare still send a tingle up your leg?  You’re awfully quiet, lately.  Tired of defending the indefensible, are we? Ha Ha Ha Ha Ha !

Nice try, Brookings, but you failed to show Medicaid expansion not a financial disaster. Citing figures from before states even had to start paying anything is just lame.

California has as many as 450,000 people enrolled in Medicaid expansion who are clearly ineligible or who might not be eligible, costing the state a billion dollars.  https://californiahealthline.org/news/thousands-mistakenly-enrolled-during-states-medicaid-expansion-feds-find/

Medicaid will grow so fast it will “crowd out virtually every other category of spending” within 10 years.

Virginia finance secretary lies, claims Medicaid expansion needed to keep state’s AAA bond rating, but S&P says expansion not a factor.

Kansas House turns back yet another attempt at Medicaid expansion.

Medicaid expansion enrollment in West Virginia already almost double what was projected for 2020

Maine Governor insists legislature show him $60 million in real budget savings before he will implement voter-approved Medicaid expansion

Maine official excoriates booking phantom ‘savings’ from Medicaid expansion when the reality is cost overruns in expansion states.

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program


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Not so Affordable After All

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Ohio town drops employee health insurance because Obamacare made it UNAFFORDABLE

Stupidity of the Obamacare Genius Masterminds – didn’t foresee narrow networks problem they were creating, but it’s a real problem

“ObamaCare’s reinsurance program did not reduce premiums by a single penny”; good thing fight over abortion killed ACA subsidies in the budget bill

Insurers: we don’t want cost sharing subsidies because they will reduce our other subsidies. Huh? What a stupid law.

Effort to reimpose individual mandate fails in Connecticut. Ha ha ha ha ha!

“It was inevitable from the beginning that Obamacare would, thanks to its design, devolve into what it is has now become: a heavily subsidized high-risk pool for low-income enrollees.”

Max Baucus told us the purpose of Obamacare is radical leftist income redistribution – not healthcare – and that’s exactly what it is.

Diverting people to primary care instead of the ER does NOT reduce healthcare costs; in fact it INCREASES them. #TheyWereWrongAboutEverything

Another piece of Obamacare bites the dust – “health insurance providers fee” imposed on states as condition to receive Medicaid funds

It’s getting sillier. Let’s expand Medicaid and keep everybody off of it. (“Medicaid Expansion’s Troubled Future”)

New Hampshire Medicaid expansion spirals out of control; legislation introduced to cut back eligibility

Louisiana Medicaid expansion continues to blow past estimates: > 460K enrolled v. estimated 300K; costs to state more than double hi-end projection ($2.91B v. $1.4B)

“Michigan Medicaid expansion ‘out of control’” – 680,000 signed up, far exceeding original estimate of 470,000

Medicaid cheerleader calls it a ‘health insurance program’. Let’s be real clear about this: Medicaid is WELFARE, not health insurance.

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program




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Obamacare = Death

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

ACA Hospital Readmission Reduction successfully reduced hospital readmissions by 0.9% but the mortality rate rose by 5%. 5,400 die. #TakeYourMoralSuperiorityAndShoveIt

At least 21,904 people already on waiting lists have died in Medicaid expansion states since Obamacare began.

More disabled people are dying because of Medicaid expansion, but that’s OK – WE LOVE OBAMACARE!

Virginia House Republicans Can’t Answer Hard Questions About Medicaid Expansion (the Truth Squad demands answers and you should, too)

Nullification of Obamacare in Idaho proved a bridge too far, but the fight goes on.

IRS starting to send employer mandate deficiency letters for 2015 and the fines are staggering. Firms facing financial ruin.

“Premiums for ACA health insurance plans could jump 90 percent in three years”. #ItsNotWorking and it ain’t ever gonna work.  Pull the plug!

“Poll: Americans Oppose Obamacare Insurer Bailouts Even If They Would Reduce Premiums”

“Demand for Short-Term Health Insurance Has Steadily Grown Since Implementation of the ACA”. Half say they would be uninsured without it.

Washington State insurance commish sabotages Trump administration’s boost to short-term insurance.

How did Obamacare drive up premiums? Let me count the ways…..

Liberal states foundering in their quixotic quest to revive the individual mandate at state level

‘Cost-sharing subsidies would lower premiums 20%’.  Translation: Obamacare hides the true cost of insurance.

CMS refuses to allow Arkansas to return its expanded Medicaid eligibility back to 100% of FPL. #HotelCaliforniaYouCanNeverLeave

Obamacare’s narrow networks cause delays in care, causing higher costs and worse outcomes

Maine’s voter-mandated Medicaid expansion a net loser; higher costs than savings. Good luck finding $61.9 million.

Maine administrator: ‘OK, learn your lesson the hard way. We expanded Medicaid pre-ACA and got $750M deficit and facilities closed.’

Idaho legislature right to reject Medicaid expansion; plan was a crony deal to stick taxpayers with insurance costs and create subsidized customers

Virginia House Republicans proceeding with Medicaid expansion in face of known danger it will blow up the budget. #Irresponsible

Virginia Republicans, wake up! White House and both houses of Congress are all looking to cut Medicaid expansion funding.

More than half of enrollees in Indiana’s super-duper Medicaid expansion fail to pay ‘skin-in-the-game’ premiums. So much for ‘conservative’ lipstick on statist pig.

Deconstructing the Single Payer Narrative (tweets & analysis) –

– legalize true catastrophic insurance
– return Medicaid to a poverty program (100% FPL)



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Virginia House Republicans Can’t Answer Hard Questions About Medicaid Expansion

After successfully resisting Medicaid expansion for four years, Republicans in the Virginia House have done an about-face and now support it.  While the issue is pending, the Obamacare Truth Squad is sending one hard question a day about Medicaid expansion to Del. Chris Jones who, observers say, is the prime mover behind the switch.  His responses, or lack thereof, appear below: 

4/5/18 – Provider Tax: Wading into Quicksand with Cement Overshoes – Joe Biden said it best: the provider tax is a scam. At root, it is a way for states to pull more money out of Washington. Thus, relying on provider taxes has real consequences:

1) The national debt is $21 trillion and growing.  At some point, the party has to come to an end. This means that Medicaid expansion is not on a sound actuarial footing.  Why do you insist on building on quicksand?

2) Provider taxes make states more dependent on the federal government than they already are.  Virginia is already far too dependent on federal dollars.  Northern Virginia is dependent on the federal government for employment.  The Tidewater area is dependent on the U.S. military.  Why do you want to make Virginia’s budget even more dependent on the federal government and add to the risk we will face financial calamity when Washington is forced to stop spending like a drunken sailor?

3)  What happens if Washington doesn’t approve of Virginia’s provider tax?  Would you leave Virginia taxpayers on the hook for all the goodies stuffed into the House budget in expectation of free money from Washington, or would you amend the budget to take those items out?   The same question pertains if Washington does away with provider taxes altogether (President Obama twice proposed this); changes the allowable provider tax rate; repeals Medicaid expansion (as has been discussed in both houses of Congress and the White House); or converts Medicaid to a block grant – how do you answer?

More questions about the provider tax:

4)  According to the regulations, provider taxes must be broad-based.  In stark contrast, the provider tax currently under consideration in Virginia only applies to private acute care hospitals, not all hospitals or all healthcare providers.  Why do you expect Washington to approve Virginia’s proposed provider tax when it only applies to private acute care hospitals, not all hospitals?  Has Washington ever approved such a narrowly-drawn provider tax before?

5)  There can be no direct correlation between the provider tax and the Medicaid payment amount, according to the regulations.  However, Virginia plans to use the tax to pay the state’s share of Medicaid expansion.   How does this not run afoul of the ‘no correlation’ rule?

6)  What happens to the budget if enrollment explodes way past projections in Virginia as it has everywhere else?  Wouldn’t the provider tax be overwhelmed, thus forcing the state to cover the ballooning costs some other way?

7)  Have you gamed out what would happen in Virginia if our experience tracks what happened in Connecticut?  There, the provider tax situation changed over time – the tax burden on hospitals was increased and the amount paid back to them was decreased because of other state budget pressures.  The hospitals very quickly became big losers.   You can’t guarantee the same thing won’t happen here.  How would you propose to solve the hospitals’ provider tax-induced problems under the Connecticut scenario?

8) Why do you want to raise the cost of healthcare with provider taxes?  What are the systemic consequences of doing so, and how are you planning for them?

4/4/18 – How does Medicaid expansion increase the supply of healthcare providers in SW Virginia when the reimbursement rate is less than the cost of service?  How does Medicaid expansion keep rural hospitals open if hospitals lose money on every Medicaid patient that walks in the door?  If helping rural hospitals is the goal, wouldn’t it make more sense to help them directly (as the Thomas Jefferson Institute has proposed)?  What alternatives to Medicaid expansion have you actually considered to increase the supply of medical services in SW Virginia?  What bills have you patroned?  NO RESPONSE

4/3/18 – The Medicaid expansion proposal in the House budget would set up a premium assistance program for individuals between 100-138% of FPL whereby they would “obtain health insurance coverage through a private health insurance plan.”  This is essentially the ‘Arkansas plan’ put forth in Virginia by former Senator Watkins some years ago, which was soundly rejected.  Because this plan became such a financial disaster in Arkansas, that state has been trying to scale it back to 100% of FPL, thus far without success (CMS has deferred action on Arkansas’ request).  In addition, the House budget language proposes ‘skin-in-the-game’ premiums from program recipients based on a sliding scale.  However, the experience of other states shows that most of the people don’t pay their premiums (see here and here).  How can you justify trying to bring the Arkansas plan to Virginia when it is a known financial disaster, Arkansas has already confessed error and is desperately trying to get out of it, and skin-in-the-game premiums are just so much pie-in-the-sky?  And what happens to your budget projections when you factor in that most people won’t pay their premiums?  NO RESPONSE

4/2/18 – Maine’s Republican Governor is demanding that the state legislature “show me the money” before implementing Medicaid expansion there.  State officials say it is “reckless” to assume that expansion would save the state money given the enrollment explosions and cost overruns in other states.  They refuse to book the phantom savings you tout here in Virginia (e.g., putting inmates on Medicaid).  Aren’t you being reckless by counting your chickens before they’re hatched?  Why isn’t Maine’s cautious approach correct?  NO RESPONSE

3/30/18 Quicksand – Medicaid expansion supporters sound pretty sure of themselves but, fact is, they were wrong about everything:

Diverting people to primary care instead of the ER does NOT reduce healthcare costs; in fact it INCREASES them. #TheyWereWrongAboutEverything

‘Medicaid expansion caused the number of ER visits to go up.’  Huh?  Expansion was supposed to bring the number down.  #TheyWereWrongAboutEverything

Greedy hospitals lost their bet that Medicaid expansion would bring them riches; reimbursements lower than expected, bad debt rising again.

Obamacare’s high deductibles and Medicaid Expansion-induced reimbursement cuts have put hospitals in financial distress.  #TheyWereWrongAboutEverything

Hospitals losing money on Medicaid expansion patients, resort to cost-shifting. #ToldYouSo

Previous NY Medicaid expansion caused MORE racial disparity in access to cancer surgery

Cost shifting by Medicaid expansion patients to ACA exchange customers becoming unsustainable

Medicaid expansion crowds out private insurance by 15-50%

Managed care was supposed to be magic bullet for Iowa Medicaid, but losses climb to $450 million

“La. AG says Medicaid expansion has ‘exacerbated’ the state’s opioid crisis” – prescriptions doubled.

Question: if you succeed in expanding Medicaid, who do you expect to clean up your mess?

3/29/18 – Drag on the Economy: It’s been known for some time that, despite all the cheerleading, Medicaid expansion is a DRAG on the economy, not a boost.  Here are 4 stories from 2017 (I’m happy to supply more upon request):

Medicaid expansion DESTROYS hospital jobs; it does not create them

Medicaid expansion discourages work; promises of ‘job creation’ never materialize

Labor-force participation is dropping in Medicaid expansion states http://www.richmondregister.com/opinion/obamacare-public-policy-malpractice/article_04064f86-006e-11e7-b1d7-6b3b1649976e.html

The only way to actually pay for Medicaid expansion is to raise taxes.

How can you push Medicaid expansion when it will so clearly HARM Virginia’s economy?

3/28/18 – Administrative Nightmares – I’ve heard that DMAS will not be able to handle the influx of Medicaid expansion enrollees and will push it to the counties.  Where is the funding in the budget to reimburse the counties for this and how was the number derived?  Second, Virginia has done next to nothing to verify Medicaid recipient eligibility thus far (remember the James O’Keefe sting video at the Richmond Medicaid office?). California has as many as 450,000 people enrolled in Medicaid expansion who are clearly ineligible or who might not be eligible, costing the state a billion dollars.   Where is the funding in the budget bill for eligibility verification and how was the number derived?  Third, how many state and federal dollars will be spent to administer the work requirement?  Will it be less or more than the $374 million Kentucky will need to implement its work requirement over two years?  Liberal critics say implementing a work requirement will be an administrative nightmare.  How do you know they’re wrong?  NO RESPONSE

3/27/18 – Bill Bolling in his recent editorial urged Medicaid expansion along the lines of the way it was done in Kentucky.  The Kentucky plan contains a work requirement, as does the Virginia House GOP plan.  GOP Medicaid expansion supporters claim this ‘conservative reform’ will reduce enrollment to manageable levels.  However, Kentucky officials say even with work requirements, premiums, lock-out periods, anti-fraud provisions, and everything else they got in their Medicaid work requirements waiver, expansion enrollment will still be at least 437,521 in 2020, compared to the 188,000 maximum they initially expected.  In light of Kentucky’s actual experience, not Bill Bolling’s romanticized view of it, what empirical basis do you have for believing that the Virginia House GOP work requirement will keep enrollment in check?  Isn’t a work requirement just ‘conservative’ lipstick on a statist pig?  With so many exceptions in the Virginia House GOP work requirement, what basis do you have for believing it will do much of anything at all?  NO RESPONSE

3/26/18 – Inferior Health Outcomes: What about the studies that consistently show that patients on Medicaid have the worst health outcomes of any group in America—far worse than those with private insurance and, in some cases, worse than those with no insurance at all?  NO RESPONSE

3/23/18 – From Virginians for Quality Healthcare (VQH): What is Virginia’s capacity to absorb 300,000 new enrollees? Where would these Virginians get medical care? Will they compete with the traditional Medicaid population for health care? Are there enough physicians in Virginia who accept Medicaid patients? Where are these individuals located, and would they have access to facilities where they live? Are new facilities needed? What kind of wait times will these new enrollees encounter to receive care?  NO RESPONSE

3/22/18 – Contrary to popular belief, Medicaid expansion makes emergency room use go UP, not down. And, no, it doesn’t decline after a supposed initial rush.  Here are just 3 of the most recent reports documenting this:

More evidence Medicaid expansion makes ER use go UP, not down.

Obamacare genius masterminds wrong again: “California ER use jumps despite Medicaid expansion”

‘Medicaid expansion caused the number of ER visits to go up.’  Huh?  Expansion was supposed to bring the number down.  #TheyWereWrongAboutEverything

Why do you support Medicaid expansion when it INCREASES, not decreases, ER use?
What legislation have you introduced to counter the ill effects of Medicaid expansion on ER use?  NO RESPONSE

3/21/18 – “Earlier this month, President Trump released his budget for 2019, which cuts funding for Medicaid expansion, as do the House Republican and the Senate Graham-Cassidy proposals. The message is clear from both Congress and the White House — funding for Medicaid expansion program is unlikely to continue….” (article here).  In light of these facts, how can you justify your ‘damn the torpedoes, full speed ahead’ push to expand Medicaid in Virginia?  NO RESPONSE

3/20/18 – The bad news about Medicaid expansion keeps rolling in every day.  Because expansion spiraled out of control in New Hampshire, Republican lawmakers there recently introduced legislation to reduce the eligibility threshold from 138 percent to 100 percent of FPL for childless able-bodied adults. The enrollment of 54,000 healthy childless adults under Medicaid expansion forced New Hampshire to cut reimbursement rates to doctors and to deny adequate treatment to children and adults with developmental disabilities, brain disorders, and other chronic issues.  If the same thing happens after you expand Medicaid in Virginia, will you patron a bill to reduce the eligibility threshold?  How much will you reduce doctor reimbursement rates?  And how will you avoid giving the short end of the stick to the truly needy?  How is it responsible to proceed in the face of known dangers and the horrible experience other states are having with expansion if you don’t have answers to these questions?  NO RESPONSE

3/19/18 – In the American Spectator today: “A new study reveals that 21,904 Americans have died while withering away on Medicaid waiting lists in states that expanded the program under Obamacare. The victims were poor and disabled applicants herded to the back of the line to make room for able-bodied adults with incomes above the federal poverty level (FPL). Why would any state pursue such a cruel and unjust policy?”  NO RESPONSE

3/9/18 – With so many doctors leaving practice because of Obamacare, and others rejecting Medicaid patients, what makes you think these additional 400,000 patients will even be able to see a doctor?  NO RESPONSE

3/8/18 – How can you justify using the budget process for such major legislation?  Mike Thompson wrote in an article published yesterday in the Jefferson Policy Journal, “Expansion of Medicaid should be debated, experts brought into serious committee hearings, public debates hosted by various organizations, votes taken by the House and the Senate on their individual bills, and differences hammered out in a conference committee. The House agreed to this four short years ago.” NO RESPONSE

3/7/18 – How can you push Medicaid expansion when you don’t know whether the federal government will let Virginia terminate the program if it doesn’t work out?  There were opinions from think tanks early on that getting out of Medicaid expansion would not be legally possible.  Those fears were reinforced just this week when, nine months after the request was first made, CMS refused to allow Arkansas to return its expanded Medicaid eligibility back to 100% of FPL.  With Arkansas’ request put on hold, there is not a single instance of a state successfully getting out of Medicaid expansion.  What happens if federal funding dries up and Washington won’t let Virginia out of the program?  What happens to Virginia’s budget then, Del. Jones?  Can you think of a bigger disaster?  NO RESPONSE

3/6/18 – Stress Tests – Every single Medicaid expansion state has exceeded their enrollment projections by an average 110%, more than DOUBLE.  Where are the stress tests, i.e., the studies that show what happens to state expenditures in Virginia if enrollment doubles past expectations here?  If no such studies exist, how can you in good conscience push expansion without knowing what will happen to the state budget if your numbers are way off?  What programs will you cut and what taxes will you raise if Medicaid expansion explodes here in Virginia like it has everywhere else?  NO RESPONSE

3/5/18 – Exploding Enrollment – Every single Medicaid expansion state has exceeded their enrollment projections by an average 110%, more than DOUBLE.  How do you know the same thing won’t happen in Virginia?  NO RESPONSE

3/2/18   – Why is it a good idea to change Medicaid from a poverty program into a middle class entitlement?  NO RESPONSE



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