Zach Smith | Arkansas news, politics, opinion, restaurants, music, movies and art

Zach Smith 
Member since Apr 21, 2014

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Recent Comments

Re: “The private option is not dead but it's in real jeopardy

Once more with feeling...

It is not "federal money" it is taxpayer money. The federal government is ded broke, they don't have a single dime of money left in the federal budget to "pay for" Medicaid expansion.

Arkansas could not afford to expand Medicaid on their own if the federal government wasn't involved. And if Arkansas can't afford to expand Medicaid alone, they can't afford to expand it using Arkansas money that gets laundered through Washington DC and sent back with strings attached, either.

0 likes, 6 dislikes
Posted by Zach Smith on 11/07/2014 at 5:39 PM

Re: “Tom Cotton would repeal the private option — and cut more out of Medicaid, ARKids on top of that

Block granting Medicaid is a fantastic way to reform bloated government spending while improving delivery. The feds don't know anything about the local needs of Arkansas, the way Medicaid is currently delivered is a joke. The Feds say you can spend this much on this need and that much on that need, and if you need more on this than that too bad.

For example, over half of all Medicaid spending goes toward long-term care of the indigent elderly. The Feds say they will cover Nursing Homes, but not Assisted Living. So someone that is healthy other than a problem with mobility either sits home with nothing, or they go into a nursing home at $7,000+ per month on the taxpayer dime. Going into a $1,500 per month assisted living facility is not allowed by the Feds.

Under a block grant program, Arkansas could decide that they are going to move all the indigent seniors that don't actually need round-the-clock supervision by a registered nurse at a steep price tag OUT of nursing homes into Assisted living where they belong, dramatically reducing costs and freeing up money for other priorities. It gives states flexibility and allows them to spend money where it's needed most and save money where it's being wasted.

The hard-core statists will insist that blowing half your budget on unnecessary spending is better because the total dollar amount is a bit higher than under a block grant, but most people know better.

1 like, 1 dislike
Posted by Zach Smith on 10/16/2014 at 1:54 PM

Re: “Tom Cotton continues to avoid taking stance on private option

The question that Arkansas voters need to ask themselves is simply this. Can Arkansas afford to pay for the Private Option out of their own state bugdet if the federal money goes away?

The Democrats are trying to pull a shell-game here. They take tax dollars from Arkansas taxpayers, send them to Washington, launder the money through ObamaCare, then send it back to Arkansas with strings attached. The program costs the same amount whether Arkansas taxpayers pay for it in-state, or launder the money through Washington first.

If they can't afford this program using Arkansas money, they can't afford it with Washington money either. The program is unaffordable, which is why the feds had to guarantee to pay for all of it for 3 years then 90% thereafter to get ANY state to accept it.

0 likes, 6 dislikes
Posted by Zach Smith on 05/14/2014 at 4:28 PM

Re: “How Tom Cotton talks when he talks about Obamacare

All Tom needs to do is tell everyone benefiting from ObamaCare to stand on one side of the room, and everyone that has paid payroll taxes into Medicare or ever expects to receive Medicare benefits on the other side of the room. Then explain that the benefits of ObamaCare are being paid for by looting the Medicare trust fund, and we can't double count the money. Then have the two sides rush each other and have a battle royale, whichever side wins gets to keep their perks, and the other won't be around to worry about losing theirs anymore.

1 like, 3 dislikes
Posted by Zach Smith on 04/21/2014 at 6:27 PM


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