dagblog - Comments for "Court holds that states have choice whether to join medicaid expansion"

Link to state-by-state

AmericanDreamer — Thu, 05 Jul 2012 19:12:28 +0000

Link to state-by-state interactive map at Center for American Progress, showing which states are committed to Medicaid expansion, which have declined, and which are uncommitted: http://www.americanprogress.org/issues/2012/07/medicaid_expansion_map.html

"More Republican State

AmericanDreamer — Wed, 04 Jul 2012 13:58:53 +0000

In reply to Well, there were GOP

"More Republican State Leaders Considering Opting Out of Medicaid Expansion", N.C.Aizenman and Sandhya Somashekhar, July 3 Washington Post online (July 4 print edition): http://www.washingtonpost.com/national/health-science/more-state-leaders-considering-opting-out-of-medicaid-expansion/2012/07/03/gJQADvMsLW_story.html?hpid=z1

Seems to me most blogging has

artappraiser — Tue, 03 Jul 2012 20:21:58 +0000

In reply to Do you mean different

Seems to me most blogging has been about the mandate/penalty/tax & commerce clause issue, as if that is the one that would be causing the most big problems down the road, and just shrugging at the Medicaid ruling. This article sure makes it sound like the Medicaid ruling is the one that is going to cause major problems for Federal law down the road.

Do you mean different

AmericanDreamer — Tue, 03 Jul 2012 18:35:34 +0000

In reply to Has the political blogosphere

Do you mean different consequences of the ACA ruling than the ones that have been getting the attention? When I read the comment I thought maybe there was a different SCOTUS decision you were referring to.

Has the political blogosphere

artappraiser — Tue, 03 Jul 2012 18:30:31 +0000

In reply to Court holds that states have choice whether to join medicaid expansion

Has the political blogosphere been freaking out over the wrong ruling?

The Medicaid ruling's ripple effect

By J Lester Feder and Darrell Samuelsohn, PoliticoPro, July 3, 2012

[....] It'll take many years — and many lawsuits — before the full effects of Roberts’s health care ruling are sorted out. Still, legal experts on both the right and the left agree that the door is now open for states to challenge everything from the Clean Air Act to No Child Left Behind and anti-discrimination protections [....]

Well, there were GOP

AmericanDreamer — Fri, 29 Jun 2012 12:57:16 +0000

In reply to I don't think the states will

Well, there were GOP Governors--Sanford in S. Carolina before he imploded--who made a big thing out of refusing the stimulus money at a time when unemployment was even higher in 2009. And there wasn't even any constitutional question as to whether Congress could lawfully have provided that. It's easy for me to see several Governors very publicly declining to expand thru Medicaid, using a similar tone to former Governor Sanford of "standing up" to the big bad federal government. They probably figure most of the folks who would have gained coverage through that provision wouldn't vote for them anyway.

I don't think the states will

trkingmomoe — Fri, 29 Jun 2012 06:53:10 +0000

In reply to Actually, whether one likes

I don't think the states will be able to refuse very long because it will have a blacklash and unintended problems in their state health care system.

Actually, whether one likes

AmericanDreamer — Thu, 28 Jun 2012 19:18:35 +0000

In reply to Confusing times Like asking

Actually, whether one likes or dislikes the decision or particular parts of the ruling, and whether one likes or dislikes ACA, the Supreme Court did resolve a great deal with this decision. They did not leave it unambiguous on the Medicaid expansion matter--states clearly will have authority not to participate in that part of ACA if that's what they decide to do. So criticizing them for leaving too much up in the air with this decision does not seem valid to me.

Confusing times Like asking

Resistance — Thu, 28 Jun 2012 19:11:34 +0000

In reply to So this may well become a

Confusing times

Like asking for "papers please" and not being able to do anything afterwards, if ICE ignores you.

Then allow the unidentified detainee, to sue the State, for being detained for too long, because ICE ignored the investigative process.

Clearly the federal government lost a large source of leverage

These justices of the SCOTUS are cowards.

Leaving to many unanswered questions and posing as a deliberative body. What a joke they are. losing all respect.

Clearly the federal

artappraiser — Thu, 28 Jun 2012 19:09:55 +0000

In reply to So this may well become a

Clearly the federal government lost a large source of leverage for expanding coverage with this decision

Yes, and the bigger the Medicare/Medicaid population, the more the feds can affect health care costs and health care practice.

I know people don't like to hear this argument, because it hurts the demonization narrative, but overall the private health insurance cos. really do basically follow the Fed lead on coverage, even using their codes for procedures and falling back on arguments like "well, Medicare/Medicaid doesn't cover this either."