Impedementia

The only impediment to the Governor accepting the Federal funds on offer (since statutes adopted by a previous GOP controlled legislature makes it very clear that he may accept and spend federal funds on 45 day notice to the LB&AC) is the suggestion that those funds are for an additional optional group. However, Sibelius seemingly did not make expansion optional, it just found unlawful the remedy for failing to expand. Hence, it would appear that as the ACA still requires expansion, it would appear the Governor could either defy the law, or comply with it. It would seem that as the majority of the people in this State have made it clear that they wish him to comply with the law, and in as much as it would seem there is no legal impediment, there seems no reason why the Governor would not move ahead. Moreover, since the litigation to be brought by the Legislative majority would have to make it to the Supreme Court, and the State would have to pay both sides of the attorney fees, it is likely that this case could well cost Alaska millions, all for what the majority claims is not an attempt to block expanding Medicaid, lol. Really?

Of course one of the interests of the ACA is to provide a seamless continuity of coverage from all from poverty up. That means, that as you make more money, your insurance will begin to gradually cost more as you can afford it. The suggestion that someone would refuse to work simply to be able to obtain Medicaid smacks of the thinking of GOP apparatchiks who have historically failed to understand that if one drops supports completely at any threshold one undermines and renders the effect of the supports useless.

And as we all know, if Ohio Dan and Murky focused on sustaining the elevated Alaska rate and effected parity between Medicaid and Medicare, the minor issues the current disparity there raise would be resolved to the satisfaction of all… but of course, as long as they fail to resolve this, it provides a basis for their base to make noise about the repercussions of their sloth.

It is also ludicrous to complain about a lack of providers. There are a lack of providers because Medicaid and Medicare put downward pressure on otherwise unchecked provider costs. In fact, Alaska pays better than 48 other States and it is high time that medical providers checked their costs. Medicaid and Medicare are not the only insurers refusing to pay what providers are demanding, and other major insurers in the State are rejecting outrageously high medical fees. Ken Arrow demonstrated that Welfare economics do not respond well to market forces without a bit of arm twisting, and won a Nobel for that wink emoticon

Lastly, a comment about Alaska Policy Forum (the Boyler) If you are going to claim how easy it is to just “google” the support for the Medicaidclaims you make, then google them up yourself and offer a URL. Otherwise, any rational person will recognize that you are just shooting your mouths off (much as you did with the bogus testimony regarding the Medicaid Reform Advisory Commission that you pandered about as fact from the State. Alaska Policy Forum claims tax exemption as an adult education program, rofl…. and yet you can’t even manage to offer the URL which you claim you already know…. You are SUCH an embarrassment!

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