Mainers Vote To Expand Medicaid Under Obamacare

https://www.huffingtonpost.com/entr...64be4b07eb511819f87?ncid=inblnkushpmg00000009

Mainers Vote To Expand Medicaid Under Obamacare

The expansion will extend health coverage to 70,000 low-income people.

Maine residents on Election Day voted to extend Medicaid coverage to an estimated 70,000 of their neighbors by overwhelmingly approving a ballot initiative 59 percent to 41 percent with two-thirds of precincts reporting their vote tallies, according to The Associated Press via the Portland Press Herald.

The outcome of the vote on Maine’s Question 2 is a win for those low-income Mainers who had been unable to access health coverage through the program, called MaineCare in the Pine Tree State, and a political loss for Gov. Paul LePage (R), who led the public opposition to the ballot initiative after vetoing five bipartisan bills to achieve the same outcome since 2013.

The decision by Mainers to extend health coverage to about 70,000 people ― which is more than live in Portland, the largest city in the state ― stands in contrast to efforts at the national level by President Donald Trump and the GOP to repeal the Affordable Care Act and significantly scale back programs that help people get covered.

Maine now joins 31 states and the District of Columbia that have expanded Medicaid under provisions of the Affordable Care Act.

That law called for a nationwide Medicaid expansion to anyone earning up to 133 percent of the federal poverty level, which is about $16,000 for a single person and $33,000 for a family of four. The Supreme Court, however, ruled in 2012 that states could opt out of the expansion.

After Maine’s vote, there are still 18 states that haven’t adopted the policy, and more than 2 million people are uninsured as a consequence.

The effort to put Medicaid expansion on the ballot in Maine began on Election Day a year ago. Since then, Mainers for Health Care, a coalition of groups supporting expansion, waged a statewide public awareness, outreach and advertising campaign to win over voters. LePage and his allies did the same through a political action committee they founded called Welfare to Work.

The Maine Medicaid expansion won the endorsements of dozens of organizations in the state, including the Maine Hospital Association, the Maine Medical Association, the Maine State Nurses Association and the state chapters of national organizations like the American College of Physicians and the American Nurses Association.

Medicaid expansion became the law of the land in Maine with the outcome of Tuesday’s vote, but the benefits won’t be available to eligible residents until the middle of next year at the soonest, Robyn Merrill, a spokeswoman for Mainers for Health Care and executive director of the legal aid organization Maine Equal Justice Partners, said in an interview before Election Day.

The Maine legislature now must develop a plan to pay for the state’s share of the cost of Medicaid expansion. Under the Affordable Care Act, the federal government pays at least 90 percent of the expense and states must pick up the rest.

Medicaid expansion may go before voters in Idaho and Utah next year, as advocates are currently in the process of gathering signatures to get the question on the ballot in those two states.


 
59% is overwhelming support. Utah and Idaho were watching this referendum closely. I think organizers there think it’s safe to move forward with their initiatives.
 
Going to be difficult to pay for. Better to get people working with good jobs that have affordable healthcare benefits. That would require the slave masters to parts with some of their jewels. Infrastructure plan is the only answer. Everything else has failed and will continue to fail.
 
Going to be difficult to pay for. Better to get people working with good jobs that have affordable healthcare benefits. That would require the slave masters to parts with some of their jewels. Infrastructure plan is the only answer. Everything else has failed and will continue to fail.
I agree in the main with this but perhaps to say 'everything else has failed and will continue to fail' is somewhat of an overstatement. Putting people to work by investing in infrastructure is certainly one thing that will greatly help, but lets not forget the importance of correcting the flaws in our public education system. That's the single most important thing we can do to assure future social stability and prosperity, and that too will put people to work.

Underlying everything however is the essential requirement of universal access to affordable healthcare. And that means a total overhaul of U.S. healthcare is unavoidable. Costs must come down, and that will be impossible if we blindly insist on maintaining our present, government protected medical cartel.

We got where we are today in medical care by piecemeal alterations, each constrained by the insistence that the cartel be protected. At some point we will be forced to wake up and accept reality. Healthcare spending is non-discretionary and therefore inelastic. A satisfactory free market solution is precluded under those conditions. All advanced economies, including the U.S. economy, are 'mixed economies'. All other advanced nations have recognized the non-discretionary nature of healthcare spending and adjusted their mix accordingly. We don't have quite the right mix yet. Revamping U.S. healthcare will go further than anything else we might do to correct that problem.
 
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Going to be difficult to pay for. Better to get people working with good jobs that have affordable healthcare benefits. That would require the slave masters to parts with some of their jewels. Infrastructure plan is the only answer. Everything else has failed and will continue to fail.
Feds pay 90 %, shouldn't be to difficult for Maine to pay for 10 %
 
Going to be difficult to pay for. Better to get people working with good jobs that have affordable healthcare benefits. That would require the slave masters to parts with some of their jewels. Infrastructure plan is the only answer. Everything else has failed and will continue to fail.

What infrastructure plan do you speak of?

You act like this congress and president are capable of doing anything of significance. They’ll be lucky to avoid prison. Have you not noticed Trump has either corrupted or neglected most of the government?

I will say this about infrastructure having a chance, Transportation is one of, if not the only department where there is a respectable and capable secretary. So there is that.
 
What infrastructure plan do you speak of?

You act like this congress and president are capable of doing anything of significance. They’ll be lucky to avoid prison. Have you not noticed Trump has either corrupted or neglected most of the government?

I will say this about infrastructure having a chance, Transportation is one of, if not the only department where there is a respectable and capable secretary. So there is that.
The infrastructure plan that both dems and repubs have been talking about for years and years. It's the only real job creating plan we have left that will grow the real economy. If done correctly it would change the landscape, literally, and put millions of people to work for decades to come. Before some nitwit asks how does it get paid for, let me say, who gives a fuck. How does anything get paid for? They make it up. Isn't like someone has to write a check for a trillion. Just do it. Tax revenues will increase dramatically as the project goes on. This is low hanging fruit and they can't even get started. Pathetic.
 
Source?





https://www.huffingtonpost.com/entr...64be4b07eb511819f87?ncid=inblnkushpmg00000009



"The Maine legislature now must develop a plan to pay for the state’s share of the cost of Medicaid expansion. Under the Affordable Care Act, the federal government pays at least 90 percent of the expense and states must pick up the rest."




"https://www.kff.org/medicaid/issue-...w-does-it-work-and-what-are-the-implications/

For those that expand, the federal government will pay 100 percent of Medicaid costs of those newly eligible from 2014 to 2016.5 The federal share gradually phases down to 90 percent in 2020 and remains at that level thereafter."
 
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