Hospitals in Show-Me State Play the Shame Card

John Commins, for HealthLeaders Media , September 18, 2013

Dillon is picking his words carefully. That's because Missouri's hospitals did not create this "preconception" that they now have to overcome. In coarser terms, the report shows that refusing Medicaid expansion dollars hurts rural whites as much if not more than it hurts urban blacks.

The data also show that most of these blacks and whites who could be served by the Medicaid expansion are holding down jobs that provide no health benefits. These people are not the "moochers" and "takers" that some would have us believe. Their common denominator is poverty.

"The low Medicaid eligibility level being $9.59 a day for income just tells you that even adults with children would have a very hard time being eligible," Dillon says.

There is some hope that Missouri elected officials are coming around. The Missouri House and Senate have each formed interim committees to examine the Medicaid expansion to see if they can find a compromise proposal during the 2014 session. Dillon says many lawmakers understand what is at stake.

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2 comments on "Hospitals in Show-Me State Play the Shame Card"

R Daniel King (9/19/2013 at 12:56 PM)
Missouri Hospital Association is acting like the unions did in supporting ObamaCare that no one ever read. Today, the "shame" is on the unions because their membership is going pay and pay. Expanded Medicaid, like ObamaCare, is a dead program spending, taxing, regulating and cutting. Once the MHA membership witness the expanded control Medicaid has over hospitals and physicians they will change their tune like the unions have. We do know from decades of Hawaiian history that employer health insurance mandates can achieve three outcomes. First, a state can achieve 98% coverage. Second, the effort will destroy small businesses who survive by cutting full-time employees to part-time resulting in Hawaii's present 90% coverage. Third, that even with federal funds (QUEST program) to "share" in covering the cost of the chronically ill and hard to insure 2% of the population, the effort is unsustainable. ObamaCare along with expanded Medicaid are two dead programs subsidizing, taxing, regulating and destroying economies. The unions are just the first canary signaling the death of ObamaCare. The question is how many states are going to economically die with it?

Dr J (9/18/2013 at 4:25 PM)
The elected officials in the states that passed on billions of federal dollars will eventually have to answer for their decision... meanwhile the taxpayers in those states that rejected federal funds might take comfort in knowing that their federal tax dollars are being used to fund hospitals and healthcare for lower income people in all the other states who agreed to accept federal funds and expand Medicaid.




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