ObamaCare Revealed: The “Good”, the “Bad” and the “Ugly”

ACA Title II, Sec. 2201. Enrollment simplification and coordination with state health insurance exchanges: “Bad” – Streamlining is not always good. This provision requires a streamlining and simplification of eligibility for Medicaid, both the categorically eligible and the CHIP eligible. This makes it easier to qualify for Medicaid while Medicaid itself has almost bankrupted the states. It is a program that has a historical compound growth rate of almost 10% per year since 1965. It’s out-of-control and we are adding millions more people to its roles. Is that very wise? I don’t think so. Get Medicaid under fiscal and programmatic control then add more people to it. Not the other way around. “Streamlining” means reducing the potential obstacles to coverage, for example whether the individual is really eligible for the program. No discernible improvement in population health status and no discernible improvement in long term health cost control.

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