Replies to post #178295 on Tornado Alley (PROG)

[F6]

fuagf -- agree with Pelosi's take -- and fair is fair, what makes sense makes sense -- all the Court said is that if a state fails to implement the Medicaid expansion, the feds can't cut off all the state's Medicaid funding -- where Medicaid is, after all, already a long-standing major program in place routinely significantly funded by the feds -- just can't use that sledgehammer cuz a state has some wingbutt who won't implement the expansion running the joint -- but the expansion is funded 100% by the feds in the first couple of years then over a few years goes down to something like 80% or 90% from there, a level of support well above any other such arrangement such as existing Medicaid -- if a state doesn't implement, it just doesn't get that money it would have gotten for implementing -- and keep in mind, implementing will offload back into the insurance system costs now effectively/largely borne by the state as the effective last-resort payor for otherwise uncompensated healthcare given to uninsured within its borders -- so net-net, even when the state is ultimately sharing at say 20% of the cost, it's still gonna be nicely ahead of the game