Wednesday, January 9, 2013

Why Medicaid expansion makes sense

Posted By on Wed, Jan 9, 2013 at 9:35 AM

medicaidgraf.jpg

Too bad John Brummett wrote his Wednesday Democrat-Gazette column behind the pay wall, where it will be read by only a few thousand on-line subscribers and the print subscribers who occasionally read further on-line.

It recapitulates Gov. Mike Beebe's explanation earlier this week of why Medicaid expansion makes sense. It will solve a shortfall in the current Medicaid program, primarily spent on nursing home care and health insurance for children. But that's not the driving reason to do it. The driving reason is that it will plug a coming health insurance gap for low-income working people, who fall in the neverland between private insurance and the coming insurance exchanges to be established under federal health legislation. We illustrated this enormous and punishing gap in our Big Picture feature a few weeks back. David Ramsey followed up the next week.

Beebe said, as has been said here repeatedly, that it makes no sense for ideologues in Arkansas to say the federal budget should be improved by poor Arkansas pushing to the front of the line to give up the relative pittance it will receive to benefit its working poor. That decision will hurt us, but won't contribute anything to the cause of reduced health care. Some of the care will be given by hospitals as indigent or no-pay care anyway. It will be built into the rates of paying customers, both at the hospital and in insurance. "Savings" for anyone are a mirage.

Writes Brummett:

For us to decline the expansion would be to close some of our hospitals, conspicuously deny insurance to our working poor people and perpetuate an unsustainable system of uncompensated care.

And it would accomplish diddly in regard to the federal deficit.

If you’re still opposed, then you’re simply stubborn or I need to go back and shorten some of these words and sentences.

It’s not a matter of ideology, which, in this case, only gets in the way of profound logic.

Logic? Republican majority? We'll soon see if those are mutually exclusive conditions.

Tags: , , ,

Favorite

Speaking of...

Comments (4)

Showing 1-4 of 4

Add a comment

 
Subscribe to this thread:
Showing 1-4 of 4

Add a comment

More by Max Brantley

  • An all-star open line

    Here's the Thursday open line and today's video roundup. Also a reminder to check this year's Arkansas Times Academic All-Star Team.
    • Apr 28, 2016
  • Critic asks Highway Department to tell truth: No park in 10-lane freeway plan

    A Little Rock developer and critic of the 10-lane freeway expansion for Interstate 30 says the HIghway Departemnt should make clear a park proposal it featured at a public hearing Tuesday night is only a pipe dream. It won't be part of their project.
    • Apr 28, 2016
  • More »

Readers also liked…

Most Shared

  • Finalists named in UALR chancellor search

    The University of Arkansas System has announced the three finalists in the search for a successor to Joel Anderson as chancellor of the University of Arkansas at Little Rock.
  • Post found at Parkin at UA for dating

    A portion of a post unearthed last week by Parkin Archeological State Park archeologist Dr. Jeff Mitchem was taken to the University of Arkansas at Fayetteville over the weekend for studies to determine whether it is actually the remains of a cross erected by DeSoto in 1542.
  • The top 20: Segregation of the affluent

    Thomas Edsall writes about the segregation — by education, geography and other markers — of the people in the top fifth of the income scale in the U.S. He quotes from a recent academic research paper:
  • 2016 All-Star nominees

    Here are the students nominated to be Academic All-Stars. They are listed by their hometowns, as indicated by mailing addresses.
  • Low tactics every day: Walmart education

    State Education Commissioner Johnny Key fired Baker Kurrus as Little Rock superintendent last week because he ventured off the reservation when he presented data to the state Board of Education on the damaging impact of charter schools on the district, which the state now runs. Kurrus was questioning proposed expansions of two charter schools already draining easier-to-educate children from the LRSD.

Most Viewed

Most Recent Comments

Blogroll

Slideshows

 

© 2016 Arkansas Times | 201 East Markham, Suite 200, Little Rock, AR 72201
Powered by Foundation