Лениво мне снова объяснять, да и отвечать ни вы ни кто другой не обязан. Не имея своего четкого мнения о происходящей медицинской реформе мне хотелось увидеть не лозунги, но факты. В частности, меня не убедила уверенность некоторых, что с введением всеобщего налога лично их медобслуживание хоть как-то ухудшится. Улучшится ли - я лично тоже не знаю, но, судя по беспомощности противников реформы, она, наверное, таки неплоха. ИМХО. Этот вывод я сделал исключительно для себя.
Ваши выводы безпочвенны - это не выводы, а заблуждения.
Выводы здесь:
The law requires states to offer Medicaid to everyone making less than 138 percent of the poverty line — just over $30,000 for a family of four. In exchange, the federal government covers the cost of the expansion for the first three years — and 90 percent thereafter.
Sounds like a great deal for the states. But the
administrative expenses involved in expanding the program will increase Medicaid costs for most states — even during the period when the government foots the bill, according to a new survey conducted by the Government Accountability Office.
Further, the federal “gifts” are only for the “newly eligible.”
States would still have to pay for their share of the cost of coverage for those who were eligible for Medicaid before the passage of Obamacare but hadn’t enrolled. An estimated 14 million people fall into this category.
Thanks to the individual mandate, many of these previously eligible people will come “out of the woodwork” to sign up for Medicaid and comply with the law. That would add billions of dollars to already strained state budgets.
It’s this “woodwork effect” that scares states most. And it’s why several states have opted out of the expansion.
Texas Governor Rick Perry says he won’t be party to “bankrupting my state in direct contradiction to our Constitution.” Indeed,
Texas would face $27 billion in additional costs through 2023.
Even a number of Democratic governors — in Delaware, North Carolina, Missouri, Kentucky, Montana, and West Virginia — have not yet decided whether to expand Medicaid in line with Obamcare’s dictates.
Virginia Governor Bob McDonnell has said that his
state “simply cannot afford this expansion.” The Old Dominion would have to add 400,000 people to its Medicaid rolls.
If Virginia — which recently announced a $129 million surplus — can’t afford it, then
how can states with huge deficits, like New York ($982 million) or Illinois ($43.8 billion)?
The rising number of states saying, “Thanks, but no thanks,” to Obamacare’s Medicaid money led the CBO to revise its estimate of the law’s costs. The agency estimates that the opt-outs will reduce federal spending by $289 billion.
Some of the folks that would have been eligible for Medicaid will seek coverage in the exchanges — where it’s 50 percent more expensive than under Medicaid.
As a result, federal spending on subsidies for the exchanges will rise by $215 billion.
But only a third of those eligible for Medicaid under Obamacare’s intended expansion of the program will qualify for subsidies on the exchanges. The remaining two-thirds have incomes that are too low, according to the law.
That puts the Obama Administration in the uncomfortable position of subsidizing health coverage for the middle class — while leaving those with lower incomes to fend for themselves.
All told, the Supreme Court decision makes Obamacare $84 billion cheaper — a paltry 7 percent of the law’s total cost. Six million fewer people will be enrolled in Medicaid, and three million more will hit the exchanges. The three million remaining will be added to the uninsured rolls.
http://www.forbes.com/sites/sallypipes/ ... -pretty/2/