This Is What Texas Stands to Spend, and Gain, with Obamacare

Categories: Healthcare

demon perry.jpg
Governor Rick Perry vows that the Medicaid expansion prescribed under Obamacare won't come to Texas, the state with the highest rate of uninsured in the country. He fears it would render Lone Star State health care a mere "appendage" of the federal government.

The feds, of course, would pick up nearly all of the tab on new Medicaid enrollees, who aren't patrons of any health care system, Lone Star or otherwise, unless you count ER visits and uncompensated care. Ultimately, lawmakers will make the call on whether to expand Medicaid to cover some 2,359,000 additional Texans.

That comes to 300,000 uninsured Dallas County residents covered. So, Texans should know how much it all costs, with the expansion, without the expansion, and without the Affordable Care Act at all. Thankfully, the nonpartisan Kaiser Family Foundation put together a state-by-state analysis.

Because nearly a quarter of Texas' population is uninsured, we stand to gain the most -- but it'll cost. To give you an idea how much, Texas would spend roughly $159 billion on Medicaid between 2013 and 2022 without Obamacare. If neither Texas nor any other state expands Medicaid, Texas would spend about $163 billion over the same period -- a 2.5 percent increase from baseline levels.

If Texas chooses to implement the Medicaid expansion, we would spend nearly $169 billion between 2013 and 2022 -- a 6.1 percent increase from baseline spending. That is what we pay.

What we get is a $1.7 billion reduction in medical bills uninsured Texans don't pay over the same period. With the Medicaid expansion, some 2,359,000 uninsured Texans get covered. Without it, we get only an additional 550,000 covered. And in the absence of Obamacare, 7,355,000 Texans remain one health crisis away from insolvency.

It's worth noting that the Kaiser study didn't have the data to evaluate other factors that could result in gains for Texas. For example, it doesn't account for impoverished and medically needy adults who would qualify for Medicaid with or without the expansion. The feds would cover most of that cost, taking the burden off of the state. Nor does it account for additional revenue resulting from increased federal expenditures.

Texas Tribune put together a nifty, interactive map using Kaiser data.


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37 comments
ajain31
ajain31

Hello Friends,


Governor Rick Perry millions of under-privileged poor Texans who do not have any Health Coverage will be covered under The Affordable Care ACT (ACA) expansion of MEDICAID! 


My Physician wife's practice is partly dependent on MEDICAID and its viability. Please allow the expansion of MEDICAID to occur in Texas under The Affordable Care ACT. 


[b] FACT: If states choose to expand Medicaid, the federal government will cover 100 percent of the costs from 2014 to 2016. The feds' contribution will begin to decrease in 2017, but will never be less than 90 percent, under the ACA. [/b]


That's why I created a petition to Governor Rick Perry, Texas Governor, The Texas State House, The Texas State Senate, and Governor Rick Perry, which says:


"Please ACCEPT the FREE EXPANSION of MEDICAID under The Affordable Care ACT."


Will you sign this petition? Click here:

http://signon.org/sign/accept-free-expansion?source=c.em.cp&r_by=7268737


Thanks!


Ajay Jain

ajain31@gmail.com

Twitter Handle ajain31

Mobile: 214-207-9781

albert.finney000
albert.finney000

There's always the slim chance that the AHCA, pitched as "new and improved", will, like this comment system, totally suck. After all, the assurance that nothing will change with my current health care, including costs and benefits, has proved to be a total lie. That's not encouraging.

smithjosh
smithjosh

Obamacare is cost shifting.  Implementing a state exchange will cost some-greater-than-zero number of dollars.  It will also expose taxpayers to the individual mandate, further raising taxes on Texans.  It also kicks into effect the employer mandate which will cost employers some amount of money either in penalties or increased contributions to increased coverage plans and extra administrative fees attached to them.  The best thing the Texas legislature can do is not implement the exchange or expand medicaid.  ObamaCare is the biggest shell game in town.  Every objective analysis to date, be it CBO, The White House's own OMB, or <insert independent fact-based group here> has come up with the same conclusion.  ObamaCare's own worst enemy is ObamaCare.

CitzenKim
CitzenKim

This is a plausible scenario.  Man loses wife to illness; wife could have been saved with proper medical care but they could not afford if without insurance.  Man thinks about Perry doing everything he can to prevent expanded health care in Texas so that he can pander to his tea party base for 2016 Presidential run.  Man assassinates Perry during campaign appearance.

Perry should consider he is screwing with people's lives. This is more than just politics.

anon
anon

My work is in the process of having everyone sign up for our 2013 heath care benefits package. I now pay 58% more than last year, my coverage and co-pay do not change, and we also lost our free vision package that has been offered for the last 5 years.

albert.finney000
albert.finney000

One result of the "Affordable" Health Care Act is that my insurance has gone up 33%, and my options are more constricted. At least they didn't call it the "Free" healthcare act, that would probably quadruple my cost. Liberals have such a way with words.

albert.finney000
albert.finney000

@smithjosh - it's almost as though it was designed to fail so that the original desired policy - single payer, would be the only way to fix the mess. Most Top Democrats are on record as desiring single-payer, at least until the idea seemed less popular than they had assumed. Kinda like when "liberal" became more representative of leftism and socialism than founders-style liberalism, lotsa folks became "progressives".

everlastingphelps
everlastingphelps topcommenter

@CitzenKim And when Obamacare cuts to Medicare do the same thing, are you going to claim that an Obama assassination was justified?  I'm not.

MisterMean
MisterMean

@anon Every year I worked at "Happy Land" the costs increased.   Each year we had a new insurance provider as HR tried to find the lowest cost insurance provider.  Every year!    This was in the 90's.   This has been a growing trend since then.   So do not blame it on the ACA.

P. S.  "Happy Land" as I referred to my former place of work (legal IT) sarcastically -Happiness is work in your rear view mirror.

Myrna.Minkoff-Katz
Myrna.Minkoff-Katz topcommenter

@anon Obamacare has not even been implemented yet, so don't even try to blame it.

Joejoethedogfaceboy
Joejoethedogfaceboy

@albert.finney000 I'd love to hear the specifics.  What changed in your policy that necessitated the increased cost?  Do you have the same coverage, or does your new policy now cover an expanded list of services?  I work for a very large multi-national based out of Dallas, and my cost only increased this year by a couple dollars a month, which can be attributed solely to the usual "cost of living" adjustments that have occurred every year.

brantley.hargrove1
brantley.hargrove1

@everlastingphelps @CitzenKim The $716 billion in cuts I think you are referring to are cuts in future spending, not the current budget, which is something I think we can all agree is probably good. At least it is if you consider entitlement spending a problem worth addressing.

albert.finney000
albert.finney000

@Myrna.Minkoff-Katz @anon - Much of the costs of Obamacre were implemented before the "benefits", and I'm one if those lucky ones who get to give, not receive according to need, I get zero in benefits. But if it's called socialist medicine, people get mad for some reason.

everlastingphelps
everlastingphelps topcommenter

@Myrna.Minkoff-Katz @anon He's talking about his 2013 coverage, in which Obamacare will be implemented   The costs associated with covering additional 26 year old adults, the limits to Flexible Spending Accounts go into effect pushing more expenses into the system, and what may be the biggest expense, the mounds of red tape associated with the "electronic billing" BS go into effect in 2013.

anon
anon

Then why did it increase 58%? My employer is still covering 70%, and the benefits are the same.

albert.finney000
albert.finney000

@Joejoethedogfaceboy @albert.finney000 - I'd like to relate what I've been told typing on a phone to post to a pathetic cooment system which takes forever, but I'm tired. Maybe read some radical mag like national review or something.

albert.finney000
albert.finney000

@Myrna.Minkoff-Katz @albert.finney000 - My HR dept has hour-long sessions to explain WHY, my x-wife's law firm is heavily involved in the mess, and she has well explained WHY. But when Myrna patiently explains WHY NOT, well that just convinces me that the aforementioned are lying, or idiots, or both. Hint: when a bunch of politicians pushes through the most complex legislation ever in a matter of months, it's gonna be an expensive, dysfunctional mess, even if its done by democrats.

smithjosh
smithjosh

@Myrna.Minkoff-Katz @everlastingphelps 

Means testing social security will be a fundamental change in the bargain.  It will become a purely redistributive welfare scheme instead of a social insurance program.  

And Myrna, taxing the "1%" at 100% of their income wouldn't make a dent in the spending explosion in the last 12 years.  Class warfare is for people who are bad at math.

smithjosh
smithjosh

@Myrna.Minkoff-Katz I'm going to cut my cell phone expense by just paying part of the bill.  I wonder if AT&T will be ok with that and just keep my service on.

everlastingphelps
everlastingphelps topcommenter

@Myrna.Minkoff-Katz @everlastingphelps OBAMA CUT MEDICARE TO PAY FOR OBAMACARE.

It's a fact.  He knows it is a fact.  The CBO has confirmed it.  The director of Medicare confirmed it.  The only evidence against the fact that OBAMA CUT MEDICARE is that Obama lied and said, "nuh huh."  

Obama cut medicare to pay for Obamacare.  He did that, not the Republicans.  There wasn't a SINGLE Republican vote to cut medicare.

Myrna.Minkoff-Katz
Myrna.Minkoff-Katz topcommenter

@everlastingphelps 26-year olds have been covered for years, so don't blame that.  As for the other trivialities you mention, it hardly would amount to an increase of 58%; there will most likely be a reduction. 

Myrna.Minkoff-Katz
Myrna.Minkoff-Katz topcommenter

@anon You need to take that question to your employer.  There's a reason for that outrageous increase and it's not Obamacare.

albert.finney000
albert.finney000

@Myrna.Minkoff-Katz @Joejoethedogfaceboy - No, my company actually chose to INCREASE their percentage of cost. And my COL increases in the 9 years here have been in the 4-8 percent range. Trying to convince me that my reality is bogus while defending that which for me has been a proved so far to be a flat-out lie ain't gonna work, hon.

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