Sunday, March 10, 2013

Many left behind as Wyoming continues its opposition to Medicaid expansion

Wyoming is one of those Obamacare-hatin' states that have (thus far) refused Medicaid expansion.

This snippet by Virally Suppressed on Daily Kos seemed to be relevant to the issue:
With the implementation of the Affordable Care Act, Medicaid expansion and mental health parity law all taking place at the present, it is difficult to anticipate where we will end up in ten years time. It is a fairly safe bet that Federal spending on mental health will continue to rise at a lightning pace due to the nature of the Medicaid expansion, which places a minimum of 90 percent of the costs on the Federal government while extending comprehensive mental health care to tens of millions of low income Americans. It is also more than likely that the health gap in this country will become exacerbated by this new legislation, an idea which seems counterintuitive considering the entire point of the Affordable Care Act is to reduce barriers to health care and create a more egalitarian health system. However, thanks to the infinite wisdom of The Supreme Court, state governments have been given an irresponsible amount of power in their legal right to refuse Medicaid expansion and essentially tell their constituencies that they will have to forgo medical care because of an ideological tiff between two political parties who don't have their best interest in mind. This latitude which has been given to state governments and which is arguably in violation of the supremacy clause of the Constitution, will create a two-tiered mental health system in which the healthy get healthier and sick continue to be ignored by the system that is supposed to be protecting them. Thus far, 24 states (and DC) have said that they will be participating in Medicaid expansion, while 14 states have stated that they will not be taking part. Of those 14 states, only 3 are in the top half of the nation's health rankings and 5 rank among the bottom 10. It looks like some states are replacing old state funding with Federal funding, while other states aren't replacing old state funding with anything.
Read the rest here.

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