States that refused to participate in this expansion would risk losing federal funding for their current Medicaid programs. However, the Supreme Court ruled the federal government could not withdraw existing Medicaid funding to punish states for not expanding their programs, thus giving states the choice to opt out of the expansion. More than a few states have expressed intentions of doing so.Is Medicaid Expansion Good for the States?
Though the Supreme Court upheld most of President Obama's Patient Protection and Affordable Care Act, it did strike down a key provision in healthcare law's expansion of Medicaid. Under the original legislation, Medicaid—the joint state-federal government health insurance program for lower-income Americans—would be expanded to cover those making 133 percent of the poverty level. States that refused to participate in this expansion would risk losing federal funding for their current Medicaid programs. However, the Supreme Court ruled the federal government could not withdraw existing Medicaid funding to punish states for not expanding their programs, thus giving states the choice to opt out of the expansion. More than a few states have expressed intentions of doing so.
The federal government would pick up the tab for most of the Medicaid expansion when it is implemented in 2014, but states would be required to pay for 10 percent of it by 2020. Though a countrywide expansion would provide coverage for some 17 million Americans who otherwise do not qualify for Medicaid, some states, including Florida, Mississippi, Colorado, and Pennsylvania, say that paying for even 10 percent of the expansion is too much for their tight budgets.
While taking care of those least able to take care of themselves should be a priority there are already enough resources at the governmental level to provide care for those in need. The better way to provide additional care to those who need it would be to go through the private sector which has proven to be able to maximize the use of the resources they are provided for the care of the disadvantaged.
For one it adds yet ANOTHER burden onto the load of taxpayers whose burden is ALREADY high enough as it is. They don't need another tax, much less one being used to support someone else. Number two.....it may not even matter......there are doctors and hospitals that rather than deal with all the BS that is going to come with this healthcare "reform" next year, will instead not even be accepting medicaid at all! So even if you have medicaid, you still may not get treatment and may be turned away!
So no I don't see Medicaid expansion as good for the States at all.
America doesn't need to be a welfare state. People need jobs, not free health insurance. Those who can't get a job like extremely disabled citizens who are unable to work should be taken care of with Medicaid. However, Americans who can't find jobs don't need to be on welfare rolls. Companies such as McDonald's and Wal-Mart hire people all of the time. Americans need to get working to take care of their families, not sit around and wait for the government to bail them out. America wasn't founded by lazy people.