texas's response to obamacare

from the above source....

"Failing to expand Medicaid would squander the opportunity to pump tens of billions of dollars into our state economy and leave as many as 1.5 to 2 million of struggling Texans out in the cold without insurance coverage," she said in a statement.
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can someone explain to me how expanding Medicaid pumps money into an economy?.......unlike the federal government, the states can't simply print more money....therefore spending money on Medicaid requires increased taxes....taking money out of the economy on the left and putting it back on the right doesn't increase anything.......
 
PostmodernProphet said:
from the above source....



can someone explain to me how expanding Medicaid pumps money into an economy?.......unlike the federal government, the states can't simply print more money....therefore spending money on Medicaid requires increased taxes....taking money out of the economy on the left and putting it back on the right doesn't increase anything.......
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I thought money created jobs? Isn't that what the right wing always says?

In this case it's true. More doctors, nurses, clerks, etc., will be needed to take care of the influx of new patients. Expanded facilities will be needed, thus expanding employment opportunities in construction and planning.

This is sad because Texas has more citizens without insurance than any other state.
 
Howey said:
I thought money created jobs? Isn't that what the right wing always says?

In this case it's true. More doctors, nurses, clerks, etc., will be needed to take care of the influx of new patients. Expanded facilities will be needed, thus expanding employment opportunities in construction and planning.

This is sad because Texas has more citizens without insurance than any other state.
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1
 
It's pure election year posturing. The health exchange and medicare provisions of the ACA don't go into effect until 2014. So Perry is just posturing until after the election. If Obama wins and he's still Governor of Texas...he'll comply.
 
It doesn't "help the economy" any more than it makes you richer to take money from your left pants pocket and put it into your right pants pocket.

However, it is not a zero sum game. If the hospitals hire more doctors to take care of more patients, that will help the economy. Expanding the tax base is the way to go, this means more people in more jobs that are not government jobs. (You can't expand the tax base by taking money from the treasury only to receive only a portion of that money back, government jobs do not expand the tax base.) Of course, if the return on your investment is less than the money you outlay it is a net negative to the government coffers.
 
Damocles said:
It doesn't "help the economy" any more than it makes you richer to take money from your left pants pocket and put it into your right pants pocket.

However, it is not a zero sum game. If the hospitals hire more doctors to take care of more patients, that will help the economy. Expanding the tax base is the way to go, this means more people in more jobs that are not government jobs. (You can't expand the tax base by taking money from the treasury only to receive only a portion of that money back, government jobs do not expand the tax base.)
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Actually, it's pretty simple. The federal government pumps money into Texas. That helps the Texas economy. Period. Full stop.
 
General Buck Turgidson said:
Actually, it's pretty simple. The federal government pumps money into Texas. That helps the Texas economy. Period. Full stop.
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Obamatax does not pump more money into Texas. It is one of the problems with Obamatax. It demands the states expand a program that they are not providing more money for, an unfunded mandate. To ensure that the states would do it, it threatens to cut spending on Medicaid if they do not comply. The SCOTUS, however, decided that this was unconstitutional and some states are opting out of the unfunded mandate now that they can without fearing a cut in what the Feds already give them.
 
Damocles said:
Obamatax does not pump more money into Texas. It is one of the problems with Obamatax. It demands the states expand a program that they are not providing more money for, an unfunded mandate. To ensure that the states would do it, it threatens to cut spending on Medicaid if they do not comply. The SCOTUS, however, decided that this was unconstitutional and some states are opting out of the unfunded mandate now that they can without fearing a cut in what the Feds already give them.
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Actually, the federal government pays for 100% of the costs associated with the expansion of Medicare for 2014-2016, 95% in 2017, 94% in 2018, 93% in 2019 and 90% in 2020 and thereafter.

So it's a pretty good deal for the states, particularly in the early years. And, given the Supreme Court's ruling, it would be stupid for any state not to participate in 2014-2016 since the federal government cannot withhold funds from the state if they decline to participate thereafter.

So, yes, the federal government would pump money into Texas and no, there is no unfunded mandate.
 
General Buck Turgidson said:
Actually, the federal government pays for 100% of the costs associated with the expansion of Medicare for 2014-2016, 95% in 2017, 94% in 2018, 93% in 2019 and 90% in 2020 and thereafter.

So it's a pretty good deal for the states, particularly in the early years. And, given the Supreme Court's ruling, it would be stupid for any state not to participate in 2014-2016 since the federal government cannot withhold funds from the state if they decline to participate thereafter.

So, yes, the federal government would pump money into Texas and no, there is no unfunded mandate.
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You are conflating medicare with medicaid, and doing it poorly. There is a reason that Obama's pal Hickenlooper is trying desperately to find the money for the expansion, but has not yet found a way (we have a balanced budget amendment here and he can't just spend money he doesn't have)... If the US Government was giving him the cash for the expansion he'd have already done it.
 
Damocles said:
You are conflating medicare with medicaid, and doing it poorly.
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My mistake. Strike every "Medicare" from my post and insert "Medicaid" and then respond.

Also, it should be obvious from the context of this thread that I was talking about Medicaid, but whatever.
 
Don Quixote said:
"Rick Perry's Texas solution is to let Texans stay ill and uninsured," Acuna said in a statement.

http://news.yahoo.com/texas-governor-rejects-two-provisions-health-law-141205128.html
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If any states resisting the healthcare plan do not create insurance exchanges, the federal government plans to set them up. The exchanges are intended to extend health coverage to an additional 16 million people, while the Medicaid expansion would broaden eligibility requirements to cover another 16 million people.
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so... if the Feds want to force feed this, let them pay for it. I mean the ACA is going to reduce the deficit and save us all money on health care. Saint Obama has saved us.
 
General Buck Turgidson said:
Actually, the federal government pays for 100% of the costs associated with the expansion of Medicare for 2014-2016, 95% in 2017, 94% in 2018, 93% in 2019 and 90% in 2020 and thereafter.

So it's a pretty good deal for the states, particularly in the early years. And, given the Supreme Court's ruling, it would be stupid for any state not to participate in 2014-2016 since the federal government cannot withhold funds from the state if they decline to participate thereafter.

So, yes, the federal government would pump money into Texas and no, there is no unfunded mandate.
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Yup and that's why they'll comply with the ACA if Obama wins in 2014. Probably will have to even if Romney wins.
 
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