Ohio boasts that it manages Medicaid costs well, helping it serve more people for each tax dollar spent. But the Republican replacement for Obamacare would give Ohio too little money to do that, a study released Monday shows.
The state would fall behind by $19 billion to $25.6 billion by 2025 because the new formula would not keep pace with cost increases, says the analysis by the Center for Community Solutions, a nonpartisan Cleveland-based think tank.
It is too early to predict whether Ohio would stop serving as many patients or cut back its Medicaid services. But unless it could make up those billions, it might have no other choice, healthcare advocates say.
It’s true that it’s too early to predict whether Ohio would stop serving as many patients or cut back its Medicaid services, though knowing how extreme our legislature has become, perhaps it’s ill-advised to consider that an either/or proposition. The Republican General Assembly in our fair Buckeye State could well do both.
Let’s dig into some more details about the pain coming down the pike.
- While Obamacare provided 100 percent of states’ Medicaid expansion costs until 2020 and then was supposed to pay 90 percent, the American Heath Care Act (Trumpcare) anticipates making it 63 percent, says the Center for Community Solutions. Other features of the bill would likely cut the number of people in Ohio’s expansion pool — now about 700,000, with an estimated third suffering from mental health or addiction issues. Regardless of the number of people left, the state would get less federal money to care for them.
- The American Health Care Act (Trumpcare) would change the funding formula for traditional Medicaid recipients, a group of about 2.3 million. The federal government now pays about 63 cents for every $1 spent on those patients in Ohio, many of them children, without any limits on total outlays. The new healthcare bill would change that agreement by capping the amount per patient.
I sure would like to know how many of the 2.8 million of my fellow Ohioans who voted for President Trump will fair under this new “plan.” I sure would like to know if they’re surprised. Because they shouldn’t be.
Remember when Donald Trump Tweeted this on May 7, 2015, “I was the first & only potential GOP candidate to state there will be no cuts to Social Security, Medicare & Medicaid. Huckabee copied me”? Later that month, he again asserted, ““I’m not going to cut Medicare or Medicaid. Every other Republican is going to cut.”
And then, in January 2017, he said, “We’re going to have insurance for everybody. There was a philosophy in some circles that if you can’t pay for it, you don’t get it. That’s not going to happen with us.”
Look kids, a known compulsive liar, lying, whoddathunk it?
It gets so much worse than Medicaid.
From the (FAKE!) New York Times Editorial Board:
The Congressional Budget Office said on Monday that next year 14 million fewer Americans will have insurance if the Affordable Care Act, or Obamacare, is repealed and replaced on the terms the president is seeking. That tally would rise to 21 million in 2020 and 24 million in 2026. By then, the total number of uninsured Americans would reach 52 million.
And for what? To give a gigantic tax cut to wealthy Americans.
Oh goodness me oh my, what’s this? Republicans putting tax cuts for their country club buddies over the health and well-being of millions of Americans? Next thing you know, lions will begin hunting antelope, killer whales will begin killing seals, spiders will eat mosquitos! I’m sure we’re all shocked, SHOCKED!
More from the (failing!) New York Times:
The outcome would be reduced premiums for young adults, essentially paid for by charging substantially higher premiums for older people — and higher deductibles and other cost-sharing for everyone.
At the same time, the plan provides a $600 billion tax cut over 10 years for wealthy Americans, because they would no longer be subject to the taxes that pay for the health care subsidies. When the tax cuts for the rich and the spending cuts to Medicaid are combined, they would result in deficit reduction of $337 billion by 2026. That’s a small fraction of the national debt in exchange for an enormous amount of human misery.
Grammy and Grandad had a good run, ladies and gents, it’s time they shuffle off this mortal coil sick and broke, because, well, $600 billion in tax breaks can get plenty of rich folk some great tee times at Spyglass Hill. Are you not entertained? Are you NOT ENTERTAINED?
D.C. DeWitt is a writer and man of sport and leisure. He has also written for Government Executive online, the National Journal’s Hotline, and The New York Observer’s Politicker.com. He is the Associate Editor of The Athens NEWS in Athens, Ohio. DeWitt can be found on Facebook and Twitter @DC_DeWitt.
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