Republicans convened and adjourned the governor’s special session within seconds Tuesday rejecting outright the governor’s call to expand BadgerCare.
Kapenga said GOP lawmakers should work to get more people off the state’s BadgerCare rolls by incentivizing them to work rather than expanding eligibility for the program.Excuse B: Some people don't NEED health care? Impossible to imagine, isn't it? Note, many low wage workers aren't offered insurance from their employer so they enroll in Medicaid. But taxpayer paid health insurance recipient Chris Kapenga isn't concerned:
“There are currently a lot of people on Medicaid who don’t need it. Let’s get people working, let’s get people into the job market. We’ve got employers who are screaming for people right now.”
The Medicaid Expansion Myth Creators: Republicans think tanks and business lobby studies coincidentally "prove" the evils of Medicaid Expansion. Both the Cato Institute and The National Federation of Independent Business (NFIB) advocated against Medicaid expansion:
Michael Tanner, a fellow at the Cato Institute, states that (MYTH) Medicaid expansion is costly for states and does not provide better access to healthcare for low income individuals. Tanner also argues that states will see greater costs.
The Common Wealth Fund study says that's not true. The odds greatly favor Wisconsin saving money with Expansion:
First, expanding eligibility allows states to cut spending in other parts of their Medicaid programs. Second, it allows states to cut spending outside of Medicaid — particularly on state-funded health services for the uninsured. Finally, expansion may increase state revenues due to taxes related to Medicaid expansion or taxes on the increased economic activity it triggers.
Myth: Medicaid Patients wait longer/Receive Worse Care? Really? Consider the source of the research; CROWE (The Center for Research on the Wisconsin Economy) is one of three Bradley-funded centers at the University of Wisconsin-Madison promoting the "free market." Health Care Finance:
Tanner also states that (MYTH) "Other studies show that, in some cases, Medicaid patients actually wait longer and receive worse care than the uninsured." (because doctors supposedly don't care about the patient because of lower fees, even though they are unaware of the patients insurance status)
A Medicaid patient was 4.6 minutes past their scheduled appointment time, compared to 4.1 minutes past for the privately insured. Plus, Medicaid patients compared to privately insured patients had wait times of 18 percent to 16.3 percent respectively.
The National Federation of Independent Business (NFIB) "Our small business members have looked at this issue from every perspective and believe expanding an underfunded, cumbersome, and poorly administered program like Medicaid would be irresponsible. The bottom line is this: Does anyone really believe that Washington will continue to pick up 90 percent of new costs after 2020?Kapenga said Republicans fear the federal government will reduce the amount of Medicaid reimbursement funds over time.“There’s going to be a reckoning with all this spending. It has to be paid back. It’s really a ploy to try to get states to get to pull into the system, they want to suck them into the system, and then over time, it’s a win for the federal government because they reduce their reimbursement rates and they start saving money.”
Myth: Assembly Speaker Robin Vos said it would make private plans more expensive.
By reducing the number of people without insurance, Medicaid expansion significantly reduces the amount of uncompensated care. Therefore, some states have chosen to reduce payments to health care providers for uncompensated care.I'm not sure any of this is still happening, but spending more money has never stopped Republicans from saying they're saving money:
Walker is also doling out $30 million from the general fund so hospitals won't lose money caring for the uninsured (the fed is giving $30 million as well).
The health insurance trade association America's Health Insurance Plans, spoke in support of Medicaid expansion in September 2016, saying "Medicaid is going to become the bigger issue [from the] affordability perspective. Medicaid expansion would pressure the country to address rising health costs.