Reforming Medicaid

I really like the three principles that Charles Blahous lays out as a framework for “forging a consensus” on the reform of Medicaid in his post at e21:

  1. Distinguish between problems created by the ACA and those that existed before.
  2. Distinguish between the ACA’s Medicaid eligibility expansion and its elevated federal match rate.
  3. Recognize that the ACA’s elevated match rate is a problem warranting correction.

Read the whole thing for the explanation and significance of those three bullet points.

Of course, to those I would add that the basic underlying problems are that health care costs are rising faster than incomes and that we’re importing workers at the same or higher rate than the rate at which we’re creating jobs. As long as those are the case we’re going to need to subsidize somebody’s health care and the proportion of those somebodies to the population will increase over time.

4 comments… add one
  • steve

    Rick Perry moment?


  • Huh?

    No, just airing my aggravation with both Republicans and Democrats. Republicans because they refuse to acknowledge the necessity of subsidies. Democrats because they can’t do arithmetic.

  • steve

    Sorry, was just noting the opening statement about 4 things, then you only listed 3. Not a bad article BTW.


  • Among the many reasons…

    Thanks for pointing that out. Corrected.

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