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Report: Obama Health Law a Good Deal for States
http://news.yahoo.com/report-obama-health-law-good-deal-states-184545955.html
States will receive more than $9 in federal money for every $1 they spend to cover low-income residents under President Barack Obama's health care law, according to a nonpartisan analysis released Monday.
Expanding Medicaid to cover about 20 million more low-income people will cost over $1 trillion nationally from 2013 to 2022, said the joint report from the Kaiser Family Foundation and the Urban Institute. But the analysis found that states will pay just $76 billion of that, a combined share of roughly 7 percent. The feds will pay the other $952 billion.
Republican governors have resisted the Medicaid expansion, saying it adds an unacceptable burden to already strained budgets. And the Supreme Court handed the governors a victory this summer, ruling that states are free to reject the Medicaid deal.
Medicaid is one of the two main ways that Obama's law expands coverage to most of the 50 million uninsured U.S. residents. As a broader Medicaid safety net picks up more low-income people, new health insurance markets called exchanges will offer subsidized private coverage to the middle class. Both parts of the strategy take effect in 2014, at the same time that most Americans will be required to carry health insurance or pay a fine.
The new analysis was unlikely to change the minds of state leaders who have already rejected the Medicaid expansion, but it may help shape the debate in a majority of states still on the fence.
States will receive more than $9 in federal money for every $1 they spend to cover low-income residents under President Barack Obama's health care law, according to a nonpartisan analysis released Monday.
Expanding Medicaid to cover about 20 million more low-income people will cost over $1 trillion nationally from 2013 to 2022, said the joint report from the Kaiser Family Foundation and the Urban Institute. But the analysis found that states will pay just $76 billion of that, a combined share of roughly 7 percent. The feds will pay the other $952 billion.
Republican governors have resisted the Medicaid expansion, saying it adds an unacceptable burden to already strained budgets. And the Supreme Court handed the governors a victory this summer, ruling that states are free to reject the Medicaid deal.
Medicaid is one of the two main ways that Obama's law expands coverage to most of the 50 million uninsured U.S. residents. As a broader Medicaid safety net picks up more low-income people, new health insurance markets called exchanges will offer subsidized private coverage to the middle class. Both parts of the strategy take effect in 2014, at the same time that most Americans will be required to carry health insurance or pay a fine.
The new analysis was unlikely to change the minds of state leaders who have already rejected the Medicaid expansion, but it may help shape the debate in a majority of states still on the fence.
In one capacity or another, I have probably worked for your billionaire friend. I wear many hats in the JH valley..... Anyways, I get what you're saying about Papa John and this friend. Is their lifestyle going to change because of this? Doubtfully...very doubtfully.
But you mentioned something that has me intrigued and I'd bet you can probably clear this up. (I am not trying to be a smart *** (dumb ***) but am trying to figure this all about....) You mentioned that we are the only industrialized nation without universal health care. Obviously that is correct. You went on to say that we have the most expensive health care in the world and it isn't the best health care in the world.
Here's were I get knotted up and need help getting this. Everyone has heard the horror stories from some and the praises from others regarding universal health care. Perhaps I read too much into what you said or completely missed the bus, but to me it sounded like you were saying that we were going to drive the cost of health care down by lessening the cost??? Is that what we were getting at?
How are we going to better health care? This is what I cannot wrap my head around? And maybe because I am employed with benefits, this stuff doesn't apply to me, but medicare will eventually apply to me.
Can you shed some light on that for me, please? (Again, I am not being a smart ***. This is a serious inquiry.)
But you mentioned something that has me intrigued and I'd bet you can probably clear this up. (I am not trying to be a smart *** (dumb ***) but am trying to figure this all about....) You mentioned that we are the only industrialized nation without universal health care. Obviously that is correct. You went on to say that we have the most expensive health care in the world and it isn't the best health care in the world.
Here's were I get knotted up and need help getting this. Everyone has heard the horror stories from some and the praises from others regarding universal health care. Perhaps I read too much into what you said or completely missed the bus, but to me it sounded like you were saying that we were going to drive the cost of health care down by lessening the cost??? Is that what we were getting at?
How are we going to better health care? This is what I cannot wrap my head around? And maybe because I am employed with benefits, this stuff doesn't apply to me, but medicare will eventually apply to me.
Can you shed some light on that for me, please? (Again, I am not being a smart ***. This is a serious inquiry.)
"As I do not feel it is my job to provide healthcare to people that could afford it but choose not to have it...."
But, the truth is as it is now we are all paying for it. Those emergency room costs get passed right down the line and you and I are picking up the tab.
Am I the only one who has noticed the incredible increases in healthcare costs over the last decade? Really, how long can we afford those types of increases? A few years ago I saw a 20% increase and two years ago it was a 15% increase and last year only a 4% increase for which I felt extremely grateful.
But, the truth is as it is now we are all paying for it. Those emergency room costs get passed right down the line and you and I are picking up the tab.
Am I the only one who has noticed the incredible increases in healthcare costs over the last decade? Really, how long can we afford those types of increases? A few years ago I saw a 20% increase and two years ago it was a 15% increase and last year only a 4% increase for which I felt extremely grateful.
I hope that by expanding the pool with lower risk members we can better control and hopefully lower the costs. Personally I would like a single payer system but that probably won't fly for quite some time.
I think we are on a speedy path to making that single payor universal a reality sooner rather than later. People obstructing this law will make sure that happens. :)
How are we going to pay for this?
I'm struggling to understand the financial implications behind the "how".
If we can/could find a way to pay for this program (ACA, Obamacare, WhatEverYouWantToCallIt), I'm fine with it, one way or the other, but without a solid funding proposal, I can't get on board.
I get it... it's going to help 20million insuranceless folks get healthcare. Great. How very noble and awesome that is for those 20million people. But for the other 280 million of us left holding to bag (paying the bill), where's the $$$ coming from?
We can ask the "rich" to bear a portion of the burden, by all means. But I though that a tax'hike on them was going towards paying down the debt/yearly-deficit.
Mike said... "We'll find the money - we always do", okay, he's correct... but WHERE?
In case no one else has noticed, we're kinda all stretched a little thin right now.
Anyone???
I'm struggling to understand the financial implications behind the "how".
If we can/could find a way to pay for this program (ACA, Obamacare, WhatEverYouWantToCallIt), I'm fine with it, one way or the other, but without a solid funding proposal, I can't get on board.
I get it... it's going to help 20million insuranceless folks get healthcare. Great. How very noble and awesome that is for those 20million people. But for the other 280 million of us left holding to bag (paying the bill), where's the $$$ coming from?
We can ask the "rich" to bear a portion of the burden, by all means. But I though that a tax'hike on them was going towards paying down the debt/yearly-deficit.
Mike said... "We'll find the money - we always do", okay, he's correct... but WHERE?
In case no one else has noticed, we're kinda all stretched a little thin right now.
Anyone???
U.S. Spends Far More for Health Care Than 12 Industrialized Nations, but Quality Varies
U.S. Spending Linked to Higher Prices and Greater Use of Medical Technology, Not More Doctor Visits or Hospital Stays
May 3, 2012
"May 3, 2012, New York, NY—The United States spends more on health care than 12 other industrialized countries yet does not provide "notably superior" care, according to a new study from The Commonwealth Fund. The U.S. spent nearly $8,000 per person in 2009 on health care services, while other countries in the study spent between one-third (Japan and New Zealand) and two-thirds (Norway and Switzerland) as much. While the U.S. performs well on breast and colorectal cancer survival rates, it has among the highest rates of potentially preventable deaths from asthma and amputations due to diabetes, and rates that are no better than average for in-hospital deaths from heart attack and stroke.
Higher prices and greater use of technology appear to be the main factors driving the high rates of U.S. spending, rather than greater use of physician and hospital services, finds study author David Squires, senior research associate at The Commonwealth Fund. His report, Explaining High Health Care Spending in the United States: An International Comparison of Supply, Utilization, Prices, and Quality, presents analysis of prices and health care spending in 13 industrialized countries.
U.S. health care spending amounted to more than 17 percent of gross domestic product (GDP) in 2009, compared with 12 percent or less in other study countries. Japan’s spending, which was the lowest, amounted to less than 9 percent of GDP....."
http://www.commonwealthfund.org/News/News-Releases/2012/May/US-Spends-Far-More-for-Health-Care-Than-12-Industrialized-Nations-but-Quality-Varies.aspx
U.S. Spending Linked to Higher Prices and Greater Use of Medical Technology, Not More Doctor Visits or Hospital Stays
May 3, 2012
"May 3, 2012, New York, NY—The United States spends more on health care than 12 other industrialized countries yet does not provide "notably superior" care, according to a new study from The Commonwealth Fund. The U.S. spent nearly $8,000 per person in 2009 on health care services, while other countries in the study spent between one-third (Japan and New Zealand) and two-thirds (Norway and Switzerland) as much. While the U.S. performs well on breast and colorectal cancer survival rates, it has among the highest rates of potentially preventable deaths from asthma and amputations due to diabetes, and rates that are no better than average for in-hospital deaths from heart attack and stroke.
Higher prices and greater use of technology appear to be the main factors driving the high rates of U.S. spending, rather than greater use of physician and hospital services, finds study author David Squires, senior research associate at The Commonwealth Fund. His report, Explaining High Health Care Spending in the United States: An International Comparison of Supply, Utilization, Prices, and Quality, presents analysis of prices and health care spending in 13 industrialized countries.
U.S. health care spending amounted to more than 17 percent of gross domestic product (GDP) in 2009, compared with 12 percent or less in other study countries. Japan’s spending, which was the lowest, amounted to less than 9 percent of GDP....."
http://www.commonwealthfund.org/News/News-Releases/2012/May/US-Spends-Far-More-for-Health-Care-Than-12-Industrialized-Nations-but-Quality-Varies.aspx
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