Although Florida lawmakers have made it known they have no intention of going along with an expansion of Medicaid under the federal health care law, legislative leaders say they’re open to crafting an alternative that would find some way to expand health care coverage to many more uninsured as the law envisions.
Medicaid and Medicare
Florida lawmakers say they want to pursue an alternative plan, possibly expanding Healthy Kids, that would use federal money to help uninsured low-income people get coverage through private insurers. Democrats are not entirely opposed.
The state’s share would only be a fraction of the $55 billion overall expansion cost, with the federal government paying the rest. Under the law better known as Obamacare, Washington would pay 100 percent of the expansion costs during the first three years and gradually reduce that share to 90 percent in 2020.
Only a few hours after Florida’s chief economist said the state can’t afford to leave billions of federal dollars sitting on the table, the House committee on the Affordable Care Act voted to do exactly that.
None of his years of reporting had prepared Charles Ornstein for this moment, this decision–whether, and when, to let his mother die. In fact, he began to question some of his assumptions about the health-care system.
Long-term care insurance is expensive, but the costs of long-term care are far more so. The experiences of local residents and businesses contending ding with reality almost everyone will eventually face illustrate the dilemmas of aging in a society with a meager safety net. A special report.
The announcement was a dramatic move for the Republican governor, who launched his political career as an outspoken critic of President Obama’s efforts to overhaul the health-care system. The announcement also shifts the focus of the contentious Medicaid debate squarely to the Legislature, which would have to approve any expansion.
Car insurance costs go down when drivers drive responsibly for a few years. A similar approach to health care could help bring costs down, but first, Milissa Holland argues, people must take responsibility for their own health and lifesrtyles–and the way they seek out medical help: the ER is usually not the answer.
People leaving medicare Advantage for traditional Medicare are have higher levels of significant health problems, fueling concerns that the private plans cater to more profitable, healthy beneficiaries but don’t provide the most attractive care for the very ill.
Backers of early childhood education and an expansion of Medicaid were disappointed, educators were guardedly happy about raises, and others applauded more money for prevention services to keep youths out of the juvenile justice system, plus $145,360 for juvenile health and mental health.