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Modern Healthcare - - Opinions Editorials -

“In a case the U.S. Supreme Court is likely to hear this fall, the Obama ad­min­is­tra­tion has taken a wrong turn by claim­ing that Med­i­caid ben­e­fi­cia­ries are with­out legal re­course if states cut Med­i­caid pay­ments to providers. With­out the threat of a law­suit, more states may try to bal­ance their bud­gets by tak­ing an ax to Med­i­caid rates and re­duc­ing ac­cess to care, and with a dif­fer­ent ad­min­is­tra­tion in the White House, they might well get away with it. … This stand will hurt the coun­try’s poor­est cit­i­zens in cash-strapped states. Med­i­caid’s equal-ac­cess pro­vi­sion was an ef­fort to pre­vent states from hol­low­ing out the en­ti­tle­ment over time.”

—St.Peters­burg (Fla.) Times “McKin­sey & Co. made it­self the White House’s pub­lic en­emy num­ber—well, we’ve lost count—af­ter re­leas­ing a sur­vey last month show­ing that nearly one in three busi­nesses may drop in­surance cov­er­age as a re­sult of the new health­care law. The real of­fense of the man­age­ment con­sul­tants seems to be ac­cu­rately por­tray­ing re­al­ity. … If enough work­ers split … pri­vate cov­er­age will soon erode and cease to ex­ist as an op­tion. Mean­while, start-ups are con­stantly en­ter­ing and ex­it­ing the mar­ket, and the ones with fewer ben­e­fits and li­a­bil­i­ties will gain a com­pet­i­tive ad­van­tage. Busi­nesses with fewer than 50 em­ploy­ees also aren’t sub­ject to any ‘play or pay’ penal­ties. … Oba­macare’s par­ti­sans claim none of this will hap­pen be­cause of the so­cial norm the­o­ries of be­hav­ioral eco­nom­ics. ... But that as­sumes ut­ter ir­ra­tional­ity—that work­ers won’t take a cheaper deal when they see it and busi­nesses won’t try to com­pete against their ri­vals.”

—Wal­lStreetJour­nal “When Repub­li­cans took over the House of Rep­re­sen­ta­tives in Jan­uary, it seemed all you heard was the chant, ‘Re­peal and re­place.’ What they wanted re­pealed and re­placed was the Affordable Care Act—which they de­ri­sively called Oba­macare. It was a sure­fire ap­plause get­ter at Repub­li­can gath­er­ings. ... To the fury of the more zeal­ous GOP back­benchers, the House lead­er­ship is less and less in­clined to waste time and en­ergy on health­care re­vi­sions that face cer­tain death in the Se­nate.”

—Knoxville (Tenn.) News-Sen­tinel

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