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Saturday, May 25, 2013

How refusing Obamacare hurts the poorest of the poor

Posted By on Sat, May 25, 2013 at 6:42 AM

David Ramsey illustrated this point yesterday. If Arkansas's adoption of Obamacare through the so-called private option falls apart, the poorest of the state's poor would be left with no health coverage, while some subsidies would be provided for people with higher income. Belatedly, some staunch opponents of expanded health coverage have evinced concerns about this.

It's a national problem, particularly in states accounting for more than half the U.S. population that have refused to expand Medicaid. See Texas, Florida, Louisiana and more.

The New York Times reports on the broader picture this morning.

The refusal by about half the states to expand Medicaid will leave millions of poor people ineligible for government-subsidized health insurance under President Obama’s health care law even as many others with higher incomes receive federal subsidies to buy insurance.

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Speaking of Obamacare, Medicaid Expansion

  • Conflicting opinons on Affordable Care Act

    July 22, 2014
    A D.C. Circuit Court of Appeals panel has ruled 2-1 that participants in federally operated health insurance exchanges in 34 states cannot qualify for federal subsidies. These are the states, including Arkansas, that didn't set up their own health insurance marketplaces and left it to the government. It will be a while before the ruling has an impact, if ever. /more/
  • Faith and facts: Tax-cutting and Obamacare

    July 14, 2014
    Arkansas political campaigns this year, from the Republican side, are all about the beauty of tax cuts and the horrors of Obamacare. You have to ignore some inconvenient facts to accept the sales pitches. /more/
  • Obamacare: The more the Kochs rant, the more people sign up

    July 10, 2014
    The louder the opposition to Obamacare, the more people sign up. Or so a new analysis indicates. /more/
  • The amazing drop in expected Medicare costs

    July 9, 2014
    More bad news for the Obamacare naysayers. There's been a dramatic drop in expected Medicare spending — $50 billion in savings this year against costs predicted four years ago. /more/
  • Innovation in health care under Obamacare includes single-payer experiment

    July 9, 2014
    Cheryl Smith, recruited from Utah to run Arkansas's health insurance marketplace, told legislators yesterday that they sky was the limit the state could take on seeking waivers for "innovative" ways to deliver coverage under the Affordable Care Act. She mentioned a single-payer experiment in Vermont, but — sadly — didn't suggest that here. /more/
  • Jobs, market, health security looking up: What an Obamanation

    July 3, 2014
    Economic indicators are looking strong and 6 million more people have health security thanks to new insurance coverage under the Affordable Care Act. How good would things be if we didn't have such a terrible president. (Snark intended.) /more/
  • Five carriers will sell policies on Arkansas Health Insurance Marketplace in 2015; all expected to sell statewide

    July 2, 2014
    The Arkansas Insurance Department today announced that five companies plan to sell health insurance plans on the Arkansas Health Insurance Marketplace in 2015, the second year for the regulated marketplace created by the Affordable Care Act. The issuers that have filed are Arkansas Blue Cross Blue Shield, the national multi-state Blue Cross Blue Shield, Celtic Insurance Company (selling in Arkansas as Ambetter), and two companies owned by the parent company QualChoice Holdings: QualChoice Life and Health Insurance Company, Inc. and QCH Health Plan Inc. /more/
  • Tom Cotton: "Mark Pryor thinks that faith is something that only happens on Sunday mornings."

    July 2, 2014
    In an interview with KNWA in Fayetteville, Rep. Tom Cotton commented on Sen. Mark Pryor's faith in response to a question about the Supreme Court's ruling in the Hobby Lobby case: "Barack Obama and Mark Pryor think that faith is something that only happens at 11:00 on Sunday mornings. That's when we worship but faith is what we live every single day." Pryor called it a "deeply personal attack...for him to question my faith is out of bounds." The Pryor campaign called on Cotton to apologize. /more/
  • State-appropriated funding for Obamacare guides ends; outreach will depend on private funding

    July 1, 2014
    Today, the first day of the new fiscal year, marks the end of state-appropriated funding for more than 500 outreach workers known as In-Person Assistant (IPA) guides, charged with education, outreach, and enrollment help for the new insurance options available under the Affordable Care Act. The Arkansas Insurance Department has closed contracts with the 27 organizations tasked with hiring and overseeing 537 guides throughout the state. The change comes because of an amendment to the private option adopted in last year's fiscal session. In some cases, workers will be laid off and those guide positions will simply end; in other cases, organizations may seek private funding to continue the guides' work or may continue to employ the guides themselves, adding the positions within their own scope of work. /more/
  • Tom Cotton declines to take stance on state minimum wage and private option

    July 1, 2014
    At a press conference today, Rep. Tom Cotton declined to take positions on two big issues likely to get a lot of political attention in Arkansas in the coming months. He wouldn't say where he stood on the state minimum wage hike, saying he was going to focus on "what I can accomplish in Washington for Arkansas families" and continued to dodge questions about his stance on the private option. /more/
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More by Max Brantley

  • Governor candidates talk about hog farms in Northwest Arkansas

    Hog farming and the private option were among the points of disagreement in a joint appearance today by gubernatorial candidates Mike Ross and Asa Hutchinson.
    • Jul 22, 2014
  • Conflicting opinons on Affordable Care Act

    A D.C. Circuit Court of Appeals panel has ruled 2-1 that participants in federally operated health insurance exchanges in 34 states cannot qualify for federal subsidies. These are the states, including Arkansas, that didn't set up their own health insurance marketplaces and left it to the government. It will be a while before the ruling has an impact, if ever.
    • Jul 22, 2014
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