The Medicaid expansion is not such a good deal for states or the poor

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Article Highlights

  • In the wake of the Supreme Court decision, states should not rush to expand eligibility for Medicaid.

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  • States can’t be certain that federal support promised in the #ACA will be available, & a better deal might be possible.

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  • Adding millions more to Medicaid rolls will exacerbate existing problems of access to providers.

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Editor's note: This article appeared in the February 2013 issue of the Journal of Health Politics, Policy and Law.

Abstract:

In the wake of the Supreme Court decision, states should not rush to expand eligibility for Medicaid. They cannot be certain that the federal support promised in the Patient Protection and Affordable Care Act will remain available and policies to reduce federal spending might change the terms that the PPACA offered the states. Adding millions more to Medicaid rolls will exacerbate existing problems of access to providers. A more humane policy would give everyone — even the poor — a choice of health plans.

 

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