PLEDGE NOW
Fighting Medicaid Expansion

With Wade Goodwyn in for Tom Ashbrook.

States push back on the implementation of the Obama health care law – rejecting the expansion of Medicaid.

In this July 12, 2012 photo, two women wait in an exam room at Nuestra Clinica Del Valle, in San Juan, Texas. About 85 percent of those served at the clinic are uninsured. Texas already has one of the nation’s most restrictive Medicaid programs, offering coverage only to the disabled, children and parents who earn less than $2,256 a year for a family of three. Without a Medicaid expansion, the state’s working poor will continue relying on emergency rooms _ the most costly treatment option _ instead of primary care doctors. The Texas Hospital Association estimates that care for uninsured patients cost hospitals in the state $4.5 billion in 2010. (AP)

In this July 12, 2012 photo, two women wait in an exam room at Nuestra Clinica Del Valle, in San Juan, Texas. About 85 percent of those served at the clinic are uninsured. Texas already has one of the nation’s most restrictive Medicaid programs, offering coverage only to the disabled, children and parents who earn less than $2,256 a year for a family of three. Without a Medicaid expansion, the state’s working poor will continue relying on emergency rooms _ the most costly treatment option _ instead of primary care doctors. The Texas Hospital Association estimates that care for uninsured patients cost hospitals in the state $4.5 billion in 2010. (AP)

The U.S. Supreme Court has given the green light to President Obama’s health care plan with one caveat: you can’t coerce the states into expanding Medicaid coverage for the poor.

And even though the federal government is picking up the tab for the first 3 years, some Republican governors are saying no. That would mean millions of poor Americans won’t get insurance.

This hour, On Point: the politics of expanding, or not expanding Medicaid insurance for the poor.

-Wade Goodwyn

Guests

Noam Levey, national healthcare reporter for the Los Angeles Times.

John Otto, he represents the 18th District in the Texas House of Representatives. You can find his recent op-ed on expanding Medicaid here.

Judith Solomon, vice president for Health Policy at the Center on Budget and Policy Priorities.

Michael Tanner, a senior fellow at the Cato Institute, he specializes in health care policy.

From The Reading List

Forbes “Obamacare takes these incentives to their logical conclusion. Under Obamacare, starting in 2014, everyone with income below 133 percent of FPL will be eligible for Medicaid. For the first three years of the expansion, federal taxpayers will pick up the full cost of the expansion.”

Austin Chronicle “If Perry actually thought he would be preventing the federal law from taking effect, he was dead wrong. On June 28, the U.S. Supreme Court upheld the 2010 PPACA, and the individual mandate that conservatives detest survived. However, Perry found comfort in one part of the ruling: The law initially required that states expand Medicaid coverage to more people, under threat of having their existing Medicaid funding withheld.”

New York Review of Books “Furthermore, these states already have among the highest numbers of citizens with no health insurance. Twenty-five percent of non-elderly Texans have no health insurance, for example, compared to the national average of about 18 percent.   If the Obama Medicaid reforms were fully implemented, 15 to 17 million of the nation’s 50 million without health insurance would be covered.  In a report just issued in late July, however, the non-partisan Congressional Budget Office estimates that the Medicaid expansion will only cover some ten million more, or a full third fewer than anticipated, because of the rejection of the plan by large states like Florida and Texas and others who have not yet formally announced their intentions.”

Los Angeles Times “Nearly half a century after President Lyndon Johnson signed Medicaid into law, conservative critics of the massive government health insurance program for the poor are readying a new push to dramatically scale it back if Republicans control the White House and Congress next year.”

Please follow our community rules when engaging in comment discussion on this site.
ONPOINT
TODAY
May 2, 2016
A man walks on the rail tracks of a train station turned into a makeshift camp crowded by migrants and refugees, at the northern Greek border point of Idomeni, Greece, Friday, April 29, 2016. Many thousands of migrants remain at the Greek border with Macedonia, hoping that the border crossing will reopen, allowing them to move north into central Europe. (AP Photo/Gregorio Borgia)

A top former US diplomat says refugees and tribalism are pulling Europe apart and that the US needs to get involved- to help Europe by helping refugees.

May 2, 2016
ADVANCE FOR MONDAY, MAY 2, 2016 AND THEREAFTER - In this April 19, 2016 photo, Laurie Millan, a para-professional and tutor, works with a student during an after school tutoring session at San Francisco International High School, in San Francisco. While some districts in numerous states have discouraged migrant minors from Central America from enrolling in their schools, the school accommodated its youths by rewriting young-adult novels at a basic level to spark the newcomers' interest in reading.  (AP Photo/Jeff Chiu)

Is grit the secret sauce that drives success? More important than both talent and intellect? We’re talking the power and limits of grit.

RECENT
SHOWS
Apr 29, 2016
Screengrab from the #MorethanMean video produced by Sarah Spain and Julie Dicaro. Scroll down to view the video.

Women pushing back. A video by two female sports reporters about online harassment goes viral.

 
Apr 29, 2016
Republican presidential candidate Sen. Ted Cruz, R-Texas, joined by former Hewlett-Packard CEO Carly Fiorina waves during a rally in Indianapolis, Wednesday, April 27, 2016, when Cruz announced he has tapped Fiorina to serve as his running mate. (AP Photo/Michael Conroy)

Trump and Hillary wins. Bernie lays off. Cruz chooses Carly. Beyonce drops “Lemonade.” Our weekly news roundtable goes beyond the headlines.

On Point Blog
On Point Blog
‘Embedded’: How Violent Gangs Are Terrorizing El Salvador
Thursday, Apr 14, 2016

NPR’s Kelly McEvers on her reporting in El Salvador for the podcast Embedded, and how gang killings brought San Salvador’s bus service to a halt.

More »
Comment
 
That Cheap Dress On Facebook? It Isn't Worth It
Monday, Apr 11, 2016

Know those shockingly cheap clothes you see advertised on Facebook? There’s a catch.

More »
Comment
 
The Boston Globe Imagines — And Rejects — A President Trump Front Page
Monday, Apr 11, 2016

The Boston Globe editorial page imagines — and rejects — President Donald Trump.

More »
Comment