By Brian C. Joondeph
Medicaid expansion was heralded as “one of the biggest milestones in health care reform” by the ObamaCare website. The goal was to provide insurance coverage to low-income Americans, expanding the pool of insured.
States choosing to expand Medicaid take on additional costs due to more people on their Medicaid rolls. The federal government picks up additional costs for the first few years, meaning it won’t cost states anything extra. Initially at least.
That’s the bait.
Over time, however, the feds pay less of the expansion costs. By 2020, they will only cover 90 percent of the expansion cost, leaving the rest to the states. Assuming they keep their word on the 90 percent promise.
That’s the switch.....
For state governors, Medicaid expansion is a great deal. At least for those so myopic that they don’t see the bait and switch con game for what it is
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