thereisnospoon
Gold Member
Too late. Obamacare installs permanently the federal government as the middle man.All this can be done by keeping revenue and resources within the States to manage themselves with less federal bureaucracy as the middle man.
Instead of taxpayers paying more and more TO the federal govt, and then having to FIGHT politically to get it back.
BYPASS the feds/middle man, deduct taxes for directly INVESTING in these hospitals, schools, facilities and programs, and TAKE BACK control of resources and management
directly through each state.
That's less politics, less backlog and complication through federal administrations,
and more direct democratic management of resources to meet local needs per State.
This can be done through Party, through medical schools and programs that already have established relationships with state and federal govt. And rework the system to be local.
Everyone will be happy.
The conservatives will have shifted control of resources back to people and states
to decide democratically.
And the liberals can cover diverse populations and needs through LOCALIZED representation, instead of having to fight politically at the very top of govt out of reach.
We could be working together on a win/win situation, left and right together,
and both get what we want out of the deal. Instead of targeting and blaming problems on the other groups, where nobody has control of the process or resources, and the federal govt keeps stepping in to impose control as a middle man/third party.
The states can solve their own problems by working directly with all given resources,
not depending on federal govt to come in and fight politically against each other!
4 Unexpected Benefits For States That Agree To Expand Medicaid
The decision to resist Medicaid expansion obviously has serious consequences for the low-income Americans who cant access insurance, and thats why activists have branded the fight over expansion as a moral issue. But there are additional impacts outside of health care, too. Agreeing to expand Medicaid can also benefit states in a range of other ways:
1. Preventing layoffs and creating new jobs.
The Mercy health system which is the sixth-largest Catholic health care system in the country announced this week that it will be forced to lay off 300 workers in multiple different states. Officials cited states refusal to expand Medicaid as one of the main reasons it can no longer afford to keep its current staffing level. On the other hand, multiple studies have projected that agreeing to accept the expansion will help states create thousands of new jobs in the health care sector to accommodate their growing population of insured residents.
2. Helping kids stay in school.
Expanding health coverage for low-income children can actually help them stay in high school, go to college, and complete a bachelors degree, according to a new report from the National Bureau of Economic Research. After Cornell and Harvard researchers examined the effects of Medicaid expansion in the 1980s and 1990s, they found that extending health insurance to poor kids can actually reduce economic and and educational inequality. Thats likely because of two factors: healthier kids tend to do better in school, and families that dont have to spend so much money on health costs are freed up to focus on helping their children succeed in school.
3. Raising household incomes.
Without insurance, medical bills can bankrupt a family. But when families have health care plans to help them cover the cost of their medications and procedures, theyre able to save the money they otherwise would have spent on those services. Theres already evidence that Obamacare could help save some struggling Americans from financial distress, and boost the poorest Americans personal incomes by five percent. But thats only if the coverage expansion is actually implemented.
4. Keeping hospitals open.
For some hospitals, the consequences of rejecting Medicaid expansion is even more dire than being forced to lay off staff. Many of the hospitals serving the poorest communities cant afford to stay operating without the funding from the expansion, including the financial boon from serving more patients who have insurance. Rural hospitals in states like Georgia, Tennessee, Virginia, and North Carolina are being forced to close. This isnt an unexpected consequence; hospital associations have lobbied hard for Medicaid expansion over the past year, predicting that failing to implement this Obamacare provision will cause them to close some of their facilities in impoverished areas.
4 Unexpected Benefits For States That Agree To Expand Medicaid | ThinkProgress