Facing the Medicaid fiasco..

[ironglow]

  When it comes to expanding Medicaid..Rick Perry tells the Feds to "stuff it"..
   Texas can likely afford to go it alone..with all the lucrative businesses & jobs moving to Texas from liberal persecuted states such as New York & California.
 
   http://www.realclearpolitics.com/articles/2013/02/22/rick_perry_not_backing_off_opposition_to_medicaid_expansion_117133.html

[mechanic]

The problem with these programs is the states get the funds via block grants, that are somewhat fixed.  By expanding the program per Fed guidelines, they run a very real risk of the costs FAR exceeding the grant, and pushing the whole into insolvency.
 
The same holds true for the health care "exchanges".
 
Ben

[magooch]

The first rule for Medicaid should be that you must be an actual citizen of the state and number two should be that a co-pay be required. 


I belong to an HMO where membership is required.  It is a very large HMO, has its own doctors and hospitals and your health care is based on pre-payment, but even there we have a small co-pay.  That's right, there are no Medicaid patients.