Welcome to the Illinois Health Matters Blog

What health reform means for the people of Illinois

A blog by IllinoisHealthMatters.org

Tuesday, July 25, 2017

The Myth of Expansion and Wait Lists

Pence; Cruz; people waiting for services.
When you're trying to get your bill passed, it makes all the difference to make sure you have a "common sense" message that stresses that, without the bill, a certain horrible thing is bound to occur.

Such is the case for those leaders saying that Medicaid expansion funds are being spent at the expense of the people with disabilities on wait lists for Medicaid services.

"Obamacare has put far too many able-bodied adults on the Medicaid rolls, leaving many disabled and vulnerable Americans at the back of the line." said Vice President Mike Pence at the National Governor’s Association meeting, adding “It’s true, and it’s heartbreaking,” The same argument was made by Sen. Ted Cruz earlier this year.

As with many a faulty argument, its simplicity makes it sound valid. But if you know how Medicaid works, it's a lot like saying "red is a color, and blue is a color, so red is blue." (We wish!)

It’s true that there are Medicaid wait lists for people with disabilities.

And it's true that states have expanded Medicaid.

But there's no connection between funds spent to cover the new Medicaid expansion group and the wait lists experienced by people who were already previously eligible for Medicaid.

Wait lists exist for certain programs due to how those programs were initially constructed. In Illinois, Medicaid began covering services for adults with developmental disabilities in the late 1990s; children were covered in 2007. Both programs were created using Medicaid waivers which, by their very nature, allow states to limit enrollments based on a variety of factors – mostly they do it to keep costs down and better track program performance. Illinois’ waivers were created with wait lists in place years before the ACA became law.

The Kaiser Family Foundation did a comprehensive analysis of this very issue, looking at the impact of Medicaid expansion on state wait lists for home and community-based services. You know what they found? In 2015, the first year of expansion, more non-expansion states had increases in their wait lists than expansion states. And the rate of increase in wait lists was 2.5 times higher in non-expansion.

So, contrary to the "common sense" argument, the exact opposite is true: States that failed to expand their Medicaid programs saw less federal funding enter their state budgets, and thus had to bear a greater share of their Medicaid costs – leading to service reductions, cuts to provider payments, and limits on the types and amount of care provided and, yes, longer wait lists.

The threat to home and community-based services – and other Medicaid programs – is not Medicaid expansion. It is the proposed cuts to Medicaid that will undo all the health care gains, vital programs, and economic benefits brought about by 50 years of state-federal partnership in Medicaid, and enhanced by the Affordable Care Act.

4 comments:

  1. Thank you for sharing such great information. It has help me in finding out more detail about Medical Insurance!

    ReplyDelete
  2. Don’t think of anything else just contact Dr Abalaka and purchase some of his herbal medication and your depression will go away. This was my state of mind when my doctor told me that i will not be able to conceive due to the Fibroid that was rolling in my family life and when i decide to reach out to the priest, and the Priest told me what to do in other to get the medication. Eventually I receive all the Herbal medications that cure my Fibroid and give me the chance to become a proud mother: Dr Abalaka is a great spiritualist, He did it for me, you can contact Dr on (dr.abalaka@outlook.com). If you are suffering from the following gynecology disease::
    Fibroid
    High Blood Pressure (herbs to reduce your BP within 7days)
    Diabetes
    Infection, regular body pains
    Blockage from the fallopian Tube
    Cyst from the ovaries
    Unpleasant smell from the virginal
    Irregular menstruation
    Weakness of the penis (not able to have sex with your partner or inability to satisfy your partner sexually)
    Watering sperm (low sperm count) not able to get woman pregnant.
    Infertility for easy Conception.......
    Erectile dysfunction treatment
    Skin diseases, Toilet infection and bad body odor…….Etc..
    Get your ex back
    Happiness in relationship
    Command respect in the society
    Enlarge your Penis/breast with no side effect
    Impotent solution
    Obesity solution
    Romanticism solutions
    Cancer of the blood
    Sickle cell
    Epilepsy
    Lupus disease
    Insomnia
    Parkinson disease
    General consultation
    Those are the things he does, You can simply contact the spiritualist Dr Abalaka on (dr.abalaka@outlook.com) to get his Herbal Medication to cure your disease and put yourself on a motherhood side of life..

    ReplyDelete
  3. Wow am so excited, my boyfriend and I have been getting into little arguments which then later escalated. A lot of which are my fault but I never thought I would lose him because we are in love. He told me yesterday that he loves me but is done. That the fights keep hurting him too much. I can’t believe I hurt him like that and would love nothing more than another chance to prove to him and myself that I will cut out my insecurities that I’ve brought into this relationship. I did all i could to end this fight between us, didn’t work so i had to seek the help of a spell caster who i met online and promised to help me bring him back into my life in 2 days time. i wasn’t really sure about this, but i was really desperate that i had to do all that the spell caster asked me. it was on the second day at 5pm on Friday, i had a knock on the door and to my greatest surprise, it was my boyfriend, the first thing he said, was that he has forgiven me and he will never leave me again, Am so full of joy for what this spell caster and to this product page and graphic love spell coz it really help and work for me, i also want the world to benefit from this. if you need his help you can reach him for any thing on relationship problem, getting your ex back save and protect your marriage life with your soul mate contact him now for he is so powerful and real. Urgently email him now on happylovespell2@gmail.com for more info Visit or view on his web site at Web site:http://happyspelltemple.webs.com/ Also for quick option on how to help with a love spell add him up on Whats-app +2348133873774

    ReplyDelete
  4. Your site is actually awe-inspiring. I've discovered numerous brand new points. The right path associated with setting up can also be intriguing. You've chosen really amazing subject. We valued this.
    advantage plans 2018

    ReplyDelete