By:
John R. Graham
06/05/11 6:24 PM
Congress remains gridlocked on many important issues but not every politician is afraid to challenge the unsustainable growth of Medicaid. Consider S. 1031, by Sen. Tom Coburn.
This measure would increase local control over Medicaid spending and improve the incentives that have led politicians to trap ever more low-income citizens in poverty and the poor access to care that characterizes this top-heavy system.
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‘The U.S. government is not going to be able to afford Medicare and Medicaid on its current trajectory. ... The notion that somehow we can just keep on doing what we’re doing and that’s OK, that’s just not true.”
These are not the words of Rep. Paul Ryan, the budget-slashing Wisconsin Republican who chairs the House Budget Committee, but rather those of President Barack Obama from a news conference in June 2009.
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Keith Hennessey, a seasoned hand at congressional-executive branch negotiations, delivers a firm and I think irrefutable verdict on Barack Obama’s budget strategy: “The president’s new strategy guarantees two more years of fiscal stalemate and poisons the well on the most important policy question facing American policymakers: how to permanently solve the long-term fiscal problem caused by the unsustainable growth of Social Secur
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With the 2011 budget battle seemingly resolved, the Medicare battle has begun.Medicare, more than any other program, including Social Security, threatens to wreck our federal finances.
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By:
John R. Graham
04/10/11 4:05 PM
Rhode Island, the smallest state, is wielding big influence against federal control of health care. Other states would do well to take notice.
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By:
Deroy Murdock
03/31/11 10:44 PM
A newly elected governor just persuaded his dysfunctional state legislature to close a multibillion-dollar deficit, keep taxes in check and limit annual Medicaid spending. Unfortunately for Californians, it wasn’t Jerry Brown.
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Yesterday's Washington Post mentions a new effort at cost savings in Arizona -- they want to be released from Obamacare's Medicaid requirements. Gov. Jan Brewer, R, is requesting a waiver that would allow the state to cover only the very poorest families who have children:
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Our healthcare system has significant problems. No one - right or left - doubts that. Coverage and care are frankly just too expensive. On this we can all agree. But why? Cost, after all, is a merely a symptom of what ails American healthcare. The DiseasesThere are five major healthcare pathologies in this country:
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Even Obamacare’s biggest cheerleaders won’t be able to ignore Medicare chief actuary Richard Foster forever. Based on current law, Foster says, seniors who rely on Medicare will replace Medicaid recipients at the bottom of the health care ladder as early as 2019, five years after the individual mandate kicks in. That’s when the fees Medicare pays to providers will be slashed below Medicaid rates, which are already well below market prices.
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