Modern Healthcare - - OPINIONS EDITORIALS -

“It’s the slow sea­son, a drowsy sum­mer be­tween the pri­maries and for­mal nom­i­na­tion in a month. Why not take a quick trip over­seas, stocked with pho­toops and for­eign flags? Mitt Rom­ney is show­ing why not in a se­ries of road trip gaffes. … The GOP con­tender dug him­self in deeper by not­ing that Is­rael spends far less on health­care than the United States. Don’t go there, gover­nor, be­cause Is­rael has univer­sal cov­er­age and re­quires res­i­dents to buy cov­er­age—con­di­tions at odds with Repub­li­can doc­trine and his 2012 cam­paign po­si­tions.”

—San Fran­cisco Chron­i­cle “The Con­gres­sional Bud­get Of­fice pre­dicted that states with a large num­ber of poor peo­ple would not ex­pand their Med­i­caid pro­grams as re­quired by the health­care re­form law now that the Supreme Court had made ex­pan­sion op­tional. And a Har­vard study un­re­lated to the court de­ci­sion made it clear that a fail­ure to ex­pand Med­i­caid would likely doom thou­sands of low­in­come peo­ple to death or poor health. … Some crit­ics, mostly con­ser­va­tive Republicans, con­tend that Med­i­caid does not im­prove the health of ben­e­fi­cia­ries and may even harm them. The new study should lay that ca­nard to rest. State of­fi­cials who want to save money by not ex­pand­ing Med­i­caid will be harm­ing their most vul­ner­a­ble res­i­dents, and will most likely shift the cost of any emer­gency care they need to safety net in­sti­tu­tions, tax­pay­ers and char­i­ties.

—New York Times

“State of­fi­cials who want to save money by not ex­pand­ing Med­i­caid will be harm­ing their most vul­ner­a­ble res­i­dents.”

“On the ever-length­en­ing fi­asco list, the ‘ex­change’ prob­lem is one of the worst. Congress told states to build these bu­reau­cra­cies that will dis­pense health in­sur­ance sub­si­dies and reg­u­late cov­er­age, but by and large the states aren’t do­ing so. ... The ex­changes do not merely sub­si­dize but must ver­ify who is el­i­gi­ble by in­come and res­i­dency, po­lice com­pli­ance with the in­di­vid­ual man­date and re­port scofflaws to the In­ter­nal Rev­enue Ser­vice; reg­u­late in­sur­ers and en­force price con­trols; and pe­nal­ize busi­nesses that don’t in­sure their em­ploy­ees. All this is a vast, com­plex, ex­tremely tech­ni­cal and ex­pen­sive undertaking that the states can barely han­dle, even if they wanted to.”

—Wall Street Jour­nal

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