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> Medicaid is not something anybody wants Tell that to the people in states with Republican governors who won't expand Medicaid to cover them... > in many way

> Medicaid is not something anybody wants Tell that to the people in states with Republican governors who won't expand Medicaid to cover them... > in many ways is worse than the ER as a measure of last resort for acquiring care What are you talking about? If you are in an emergency and on Medicaid you can go to the ER[1]. ERs give great care, they are just expensive. Medicaid is not expensive, so if their patients are getting ER quality care that is an amazing deal. [1] https://www.medicaid.gov/medicaid/cost-sharing/out-of-pocket-costs/index.html https://www.medicaid.gov/medicaid/cost-sharing/out-of-pocket... Not only can you go, you won't be charged unlike almost all private insurance plans. > Out of pocket costs cannot be imposed for emergency services, family planning services, pregnancy-related services, or preventive services for children.

zanny 9y ago
The partial medicaid expansion coverage of the ACA isn't actually putting people on medicaid, it is subsidizing private insurance at a percentage of cost. If you hit 100% of the ACA subsidy you are in medicaid territory, if you are up to 4x poverty you get a diminishing % of your insurance bill paid by the state. My Dad has a $750/month plan but only pays $150 because of the medicaid subsidy in PA from the ACA for his income bracket.
- jonknee 9y ago
  How it works depends on the state because a lot of Republican governors wanted to stick it to Obama and poor people by not expanding Medicaid as intended under the ACA. That said, the Medicaid expansion definitely puts people on Medicaid! That's a big part of the reason why it's politically suicidal to repeal the ACA. http://www.kff.org/medicaid/issue-brief/what-coverage-and-financing-at-risk-under-repeal-of-aca-medicaid-expansion/ http://www.kff.org/medicaid/issue-brief/what-coverage-and-fi... > Between Summer 2013, just prior to the ACA, and September 2016, there was a net increase in Medicaid and CHIP enrollment of 15.7 million people.

zanny 9y ago

The partial medicaid expansion coverage of the ACA isn't actually putting people on medicaid, it is subsidizing private insurance at a percentage of cost. If you hit 100% of the ACA subsidy you are in medicaid territory, if you are up to 4x poverty you get a diminishing % of your insurance bill paid by the state. My Dad has a $750/month plan but only pays $150 because of the medicaid subsidy in PA from the ACA for his income bracket.

jonknee 9y ago
How it works depends on the state because a lot of Republican governors wanted to stick it to Obama and poor people by not expanding Medicaid as intended under the ACA. That said, the Medicaid expansion definitely puts people on Medicaid! That's a big part of the reason why it's politically suicidal to repeal the ACA. http://www.kff.org/medicaid/issue-brief/what-coverage-and-financing-at-risk-under-repeal-of-aca-medicaid-expansion/ http://www.kff.org/medicaid/issue-brief/what-coverage-and-fi... > Between Summer 2013, just prior to the ACA, and September 2016, there was a net increase in Medicaid and CHIP enrollment of 15.7 million people.