Two predictions: First, the people hurt by the refusal to expand Medicaid will be the sickest, most vulnerable and poorest in these states. And make no mistake about it: People will die when cash-strapped hospitals are forced cut back on services, personnel and access. This is not hyperbole. This must be understood.
David M. Zechman, CEO and President of Ozarks Medical Center
Second: All of these states that are now so boldly rejecting Medicaid expansion money will eventually fold when the public comes to grasp how much this ideology is costing them. It might take a year. It might take longer. Bank on it.
Even vociferous Texas, with close to 30% of its population uninsured, will join the expansion in some way, shape, or form. That much was made clear earlier this month when Dallas-based Tenet Healthcare Corp. acquired Vanguard Health System and its considerable holdings in the Lone Star State.
Like hundreds of his colleagues, David M. Zechman, CEO and President of Ozarks Medical Center, in West Plains, MO, finds himself caught in the middle of an ideological war between state lawmakers who are hostile to the Patient Protection and Affordable Care Act and federal bureaucrats charged with implementing its reforms.