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 Post subject: Florida to expand Medicaid under health overhaul
PostPosted: Wed Feb 20, 2013 10:03 pm 
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Gov. Rick Scott announced plans Wednesday to expand Medicaid coverage to roughly 900,000 more people under the federal health overhaul, a surprise decision from the vocal critic of President Barack Obama's plan.

Scott said he will ask the Legislature to expand the program under a bill that would expire in three years, after which it would require renewed legislative support. He's the seventh Republican governor so far to propose expanding the taxpayer-funded health insurance program.

Scott said he would support the expansion as long as the federal government pays 100 percent of the increased costs, which is the deal offered to states by the Obama administration for the first three years. After that, the federal government said it would pay 90 percent of the cost for the additional enrollees.

The governor said he gained new perspective after his mother's death last year, calling his decision to support a key provision of the Affordable Care Act a "compassionate, common sense step forward," and not a "white flag of surrender to government-run healthcare."

"Before I ever dreamed of standing here today as governor of this great state, I was a strong advocate for better ways to improve healthcare than the government-run approach taken in the President's healthcare law. I believe in a different approach. But, regardless of what I - or anyone else - believes, a Supreme Court decision and a presidential election made the President's healthcare mandates the law of the land," Scott said at a news conference.

The governor said he still worries that the president's plan could "lead to less patient choice, worse care, and higher costs" but he can't "in good conscience deny the uninsured access to care." Scott stressed he won't simply deny new Medicaid recipients health insurance after the three years are up, but said he will spend that time measuring how the expansion impacts healthcare costs, quality and access.

Scott, a former CEO of the HCA hospital chain, entered politics in 2009 running national cable TV commercials criticizing the president's plan. Florida led the way in challenging the ACA in a lawsuit that went all the way to the Supreme Court. Scott also made the rounds on conservative talk shows repeatedly expressing concern that expanding Medicaid would put too much of a strain on Florida taxpayers.

At one point, he said the expansion would cost $26 billion over the next decade, but the state's health care agency slashed its estimate to $3 billion after backlash from lawmakers over how the initial figure was calculated. After Obama was re-elected, Scott toned down his rhetoric, signaling he wanted to work with federal health officials. He even flew to Washington to meet with Health and Human Services
Secretary Kathleen Sebelius last month to discuss the expansion.

Florida lawmakers must still sign off on Scott's decision, and the Legislature doesn't meet until next month.

"I am personally skeptical that this inflexible law will improve the quality of healthcare in our state and ensure our long-term financial stability," Florida House Speaker Will Weatherford said.

Angry conservatives said Scott owes his support base an explanation.

"I am flabbergasted. This is a guy who, before he was a candidate for governor, started an organization to fight 'Obamacare' in the expansion of medical entitlements. This is a guy who said it will never happen on his watch. Well, here it is," said Slade O'Brien, Florida director of the conservative group Americans for Prosperity.

Scott's announcement came hours after federal health officials said they plan to approve the state's longstanding request to privatize its Medicaid program statewide if they agree to beef up transparency and accountability measures. He said that decision signaled that feds were willing to work with the state to give them the flexibility they need.

The other six GOP governors who plan to expand the program are the leaders of Michigan, Ohio, Arizona, New Mexico, Nevada and North Dakota. So far 21 states plus Washington, D.C., plan to expand their Medicaid programs under the health care law. Fourteen states have said they'll turn it down, although the debate is still going in several of them. Another 15 are weighing options


Looks like Gov. Rick Scott and other members of the GOP are going with the the OLE "If You Can't Beat Them, Join Them" stance

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Wed Feb 20, 2013 10:21 pm 
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Dancer wrote:
Looks like Gov. Rick Scott and other members of the GOP are going with the the OLE "If You Can't Beat Them, Join Them" stance
More like "you gotta pass it to see whats in it" then react accordingly.

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 12:02 am 
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Location: Summerdale, PA
PA's already gearing up for it.

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 11:16 am 
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I believe the thinking here is that since the fed. is paying for 90% (for three years) of the expansion the state taxpayers will be footing most of the bill for all of the other states that decided to go along with it, but they wouldn't be getting any benefit from it. It's actually a lose/lose situation for taxpayers, if we decide not to do it we miss out on the money from the fed. and the people who might benefit from it won't have the option (it's another freebie for them), if we do decide to do it then the state taxpayers have to come up with the other 10% for the first three years and then either continue the program with the state taxpayers footing 100% of the bill or drop the program and kick all of those who were covered under it out on the street.
So Obamacare is forcing all taxpayers to pay for another entitlement no matter what, and this is just the beginning of the Obamacare surprises, there are many more to come, and they will all cost you and I more money.
You didn't really think the heath insurance companies were going to cover 27 million people who cannot now afford healthcare for free did you ?
This is just common sense folks, there ain't no free lunches.


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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 11:58 am 
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TheSeif wrote:
I believe the thinking here is that since the fed. is paying for 90% (for three years) of the expansion the state taxpayers will be footing most of the bill for all of the other states that decided to go along with it, but they wouldn't be getting any benefit from it. It's actually a lose/lose situation for taxpayers, if we decide not to do it we miss out on the money from the fed. and the people who might benefit from it won't have the option (it's another freebie for them), if we do decide to do it then the state taxpayers have to come up with the other 10% for the first three years and then either continue the program with the state taxpayers footing 100% of the bill or drop the program and kick all of those who were covered under it out on the street.
So Obamacare is forcing all taxpayers to pay for another entitlement no matter what, and this is just the beginning of the Obamacare surprises, there are many more to come, and they will all cost you and I more money.
You didn't really think the heath insurance companies were going to cover 27 million people who cannot now afford healthcare for free did you ?
This is just common sense folks, there ain't no free lunches.

~~~"federal government pays 100 percent of the increased costs, which is the deal offered to states by the Obama administration for the first three years. After that, the federal government said it would pay 90 percent of the cost for the additional enrollees."~~~ Hell we can afford it ,Dancer how many pennies a day is that ???

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 4:14 pm 
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Newspolice wrote:
Dancer how many pennies a day is that ???


I asked that same question on another topic at least one week ago and I still haven't received an answer. Exhale NP before you pass out.


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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 4:16 pm 
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TheSeif wrote:
I believe the thinking here is that since the fed. is paying for 90% (for three years) of the expansion the state taxpayers will be footing most of the bill for all of the other states that decided to go along with it, but they wouldn't be getting any benefit from it. It's actually a lose/lose situation for taxpayers, if we decide not to do it we miss out on the money from the fed. and the people who might benefit from it won't have the option (it's another freebie for them), if we do decide to do it then the state taxpayers have to come up with the other 10% for the first three years and then either continue the program with the state taxpayers footing 100% of the bill or drop the program and kick all of those who were covered under it out on the street.
So Obamacare is forcing all taxpayers to pay for another entitlement no matter what, and this is just the beginning of the Obamacare surprises, there are many more to come, and they will all cost you and I more money.
You didn't really think the heath insurance companies were going to cover 27 million people who cannot now afford healthcare for free did you ?
This is just common sense folks, there ain't no free lunches.



This is exactly how they want it, it was designed that way. They put you in a position so that either way you choose, you lose.


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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 9:31 pm 
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Posts: 5733
Newspolice wrote:
Dancer how many pennies a day is that ???

Newspolice it way to early to make calculations. The official yes and no's are incomplete at this time.

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 9:31 pm 
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Posts: 1121
Newspolice wrote:
TheSeif wrote:
I believe the thinking here is that since the fed. is paying for 90% (for three years) of the expansion the state taxpayers will be footing most of the bill for all of the other states that decided to go along with it, but they wouldn't be getting any benefit from it. It's actually a lose/lose situation for taxpayers, if we decide not to do it we miss out on the money from the fed. and the people who might benefit from it won't have the option (it's another freebie for them), if we do decide to do it then the state taxpayers have to come up with the other 10% for the first three years and then either continue the program with the state taxpayers footing 100% of the bill or drop the program and kick all of those who were covered under it out on the street.
So Obamacare is forcing all taxpayers to pay for another entitlement no matter what, and this is just the beginning of the Obamacare surprises, there are many more to come, and they will all cost you and I more money.
You didn't really think the heath insurance companies were going to cover 27 million people who cannot now afford healthcare for free did you ?
This is just common sense folks, there ain't no free lunches.

~~~"federal government pays 100 percent of the increased costs, which is the deal offered to states by the Obama administration for the first three years. After that, the federal government said it would pay 90 percent of the cost for the additional enrollees."~~~ Hell we can afford it ,Dancer how many pennies a day is that ???


I stand corrected, I read it wrong. In any case it's an expansion of Medicaid that taxpayers will be paying for whether it be federal or state taxes.


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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Thu Feb 21, 2013 9:50 pm 
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Dancer wrote:
Newspolice it way to early to make calculations. The official yes and no's are incomplete at this time.
In other words, 'You gotta pass it to see whats in it'!

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Fri Feb 22, 2013 5:44 pm 
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PublicByProxy wrote:
'You gotta pass it to see whats in it'!

Ok PublicByProxy ..We agree

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Fri Feb 22, 2013 6:37 pm 
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jadiff wrote:
I asked that same question on another topic at least one week ago and I still haven't received an answer.

Please repeat the question

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Sat Feb 23, 2013 5:05 pm 
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Scared R guvs in D states taking the peoples' $ to give back to them in order to buy votes.

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 Post subject: Re: Florida to expand Medicaid under health overhaul
PostPosted: Sun Feb 24, 2013 11:17 am 
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From an article about Dr. shortages in Florida and health exchanges

Quote:
Sen. Joe Negron, R-Stuart, who chairs the Senate committee studying the AFA, said lawmakers have heard concerns about a potential physician shortage, but he said he did not believe that would be a "determining factor" in the committee's decision over whether to expand Medicaid.

One reason, he said, is the responsibility for coverage may soon be falling to private health insurance companies or physician groups.

The federal government this week gave Florida preliminary approval of a plan that would put most of Florida's current 3.3 million Medicaid recipients — and any added via expansion — in some form of managed care, either HMOs or doctor-run networks, by 2014. In order for HMOs or the provider service networks to get state-approved contracts, they must prove they can provide "adequate" care, which means patients must be able to see a doctor in a reasonable time.

"It's their responsibility to have network adequacy," Negron said of the private providers. "So, they'll be responsible for making sure people can get care with network physicians."

http://articles.sun-sentinel.com/2013-02-22/news/fl-doctor-shortage-medicaid-expansion-if-florida-20130222_1_medicaid-expansion-new-medicaid-patients-florida-medical-association


So the answer to DR shortages is to give insurance companies more control over your access?

Isn't this a chief complaint of single payer proponents?

Why would those people want to hand more power to insurance companies?

Suspicious.

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