Welcome to the Illinois Health Matters Blog

What health reform means for the people of Illinois

A blog by IllinoisHealthMatters.org

Tuesday, July 25, 2017

The Myth of Expansion and Wait Lists

Pence; Cruz; people waiting for services.
When you're trying to get your bill passed, it makes all the difference to make sure you have a "common sense" message that stresses that, without the bill, a certain horrible thing is bound to occur.

Such is the case for those leaders saying that Medicaid expansion funds are being spent at the expense of the people with disabilities on wait lists for Medicaid services.

"Obamacare has put far too many able-bodied adults on the Medicaid rolls, leaving many disabled and vulnerable Americans at the back of the line." said Vice President Mike Pence at the National Governor’s Association meeting, adding “It’s true, and it’s heartbreaking,” The same argument was made by Sen. Ted Cruz earlier this year.

As with many a faulty argument, its simplicity makes it sound valid. But if you know how Medicaid works, it's a lot like saying "red is a color, and blue is a color, so red is blue." (We wish!)

It’s true that there are Medicaid wait lists for people with disabilities.

And it's true that states have expanded Medicaid.

But there's no connection between funds spent to cover the new Medicaid expansion group and the wait lists experienced by people who were already previously eligible for Medicaid.

Wait lists exist for certain programs due to how those programs were initially constructed. In Illinois, Medicaid began covering services for adults with developmental disabilities in the late 1990s; children were covered in 2007. Both programs were created using Medicaid waivers which, by their very nature, allow states to limit enrollments based on a variety of factors – mostly they do it to keep costs down and better track program performance. Illinois’ waivers were created with wait lists in place years before the ACA became law.

The Kaiser Family Foundation did a comprehensive analysis of this very issue, looking at the impact of Medicaid expansion on state wait lists for home and community-based services. You know what they found? In 2015, the first year of expansion, more non-expansion states had increases in their wait lists than expansion states. And the rate of increase in wait lists was 2.5 times higher in non-expansion.

So, contrary to the "common sense" argument, the exact opposite is true: States that failed to expand their Medicaid programs saw less federal funding enter their state budgets, and thus had to bear a greater share of their Medicaid costs – leading to service reductions, cuts to provider payments, and limits on the types and amount of care provided and, yes, longer wait lists.

The threat to home and community-based services – and other Medicaid programs – is not Medicaid expansion. It is the proposed cuts to Medicaid that will undo all the health care gains, vital programs, and economic benefits brought about by 50 years of state-federal partnership in Medicaid, and enhanced by the Affordable Care Act.

11 comments:

  1. Thank you for sharing such great information. It has help me in finding out more detail about Medical Insurance!

    ReplyDelete
    Replies
    1. Hello everyone i know there is someone somewhere reading this my name is Dena Cruz from Leicester city UK i want to share a great work of a spell caster called Priest Ade my husband and i had a fight which led to our divorce but when he left me a part of me left with him and i was to sad and cried all day and night i was searching something online when i saw people testifying about his great work and i just decided to give him a try i did everything told me to do and he assured me that after 24 hours my husband will come back to me,the next morning to my greatest surprised a car stopped outside my house and it was my husband i'm so happy he can also help you email him at ancientspiritspellcast@yahoo.com or ancientspiritspellcast@gmail.com WhatsApp +2347059715465

      Delete
    2. my name is Mark Godwin am here to share testimony of how i got back my relationship that was scattered for months. we got married for more than 7 years and have gotten three kids. things were going well with us and we are always happy. until one day my wife started behaving in a way i could not understand, i was very confused by the way she treat me and the kids. for months she did not come home again and she called me for a divorce, i asked her what have i done wrong to deserve this from her, all she was saying is that she want a divorce that she hate me and do not want to see me again in her life, i was mad and also frustrated and do not know what to do,i was sick for more than 3 weeks i want to be reunited back with my husband in 2016 blog of her intention towards me. i love my wife so much and can do anything for her. i told my brother and he told me to contact a spell caster, i never ain all this spell casting of a thing. i just want to try if something will come out of it. i contacted DR Alexzander through his website, for the return of my wife to me, he told me that my wife have been taken by another man, that he cast a spell on her that was why she hate me and also want us to divorce. then they told me that they have to cast a spell on her that will make her return to me and the kids, Dr alexzander cast the spell and after 1 week my wife called me and she told me that i should forgive her, she apologizes on phone and said that she did not know what happened to her. it was the spell that DR Alexzander cast on her that made her return back to me today,me and my family are now happy again. thank you Dr Alexzander for what you have done for me i would have been nothing today if not for HIS great spell. i want all my friends who are passing through all this kind of love problem of getting back their husband, wife , or ex boyfriend and girlfriend to contact {alexzanderhightemple@gmail.com or through his whatsapp number +2348075823891 Or call him with this phone number +2347068836760 if you need a supernatural great wizard to cast a spell for you. email Dr alexzander and you will see that your problem will be solved without any delay.These are the few things he also do for people. *do you need rapid and undeserved promotions in your offices or work? Dr alexzander can bring back lost lovers on 96hrs and can cast all kind of spell. Dr alexzander is a healer that is here on earth to solve your problems just as he did to mine.this is your chance to be helped quickly by Dr alexzander.his an expert in distance healing, court cases even if one is convicted. he can do all manner of spell that you may need in life.he can also make you conceive a child and win money through gambling and other things you may desire to have in life. contact him and be the next to share his good work to the world. alexzanderhightemple@gmail.com.

      Delete
  2. Don’t think of anything else just contact Dr Abalaka and purchase some of his herbal medication and your depression will go away. This was my state of mind when my doctor told me that i will not be able to conceive due to the Fibroid that was rolling in my family life and when i decide to reach out to the priest, and the Priest told me what to do in other to get the medication. Eventually I receive all the Herbal medications that cure my Fibroid and give me the chance to become a proud mother: Dr Abalaka is a great spiritualist, He did it for me, you can contact Dr on (dr.abalaka@outlook.com). If you are suffering from the following gynecology disease::
    Fibroid
    High Blood Pressure (herbs to reduce your BP within 7days)
    Diabetes
    Infection, regular body pains
    Blockage from the fallopian Tube
    Cyst from the ovaries
    Unpleasant smell from the virginal
    Irregular menstruation
    Weakness of the penis (not able to have sex with your partner or inability to satisfy your partner sexually)
    Watering sperm (low sperm count) not able to get woman pregnant.
    Infertility for easy Conception.......
    Erectile dysfunction treatment
    Skin diseases, Toilet infection and bad body odor…….Etc..
    Get your ex back
    Happiness in relationship
    Command respect in the society
    Enlarge your Penis/breast with no side effect
    Impotent solution
    Obesity solution
    Romanticism solutions
    Cancer of the blood
    Sickle cell
    Epilepsy
    Lupus disease
    Insomnia
    Parkinson disease
    General consultation
    Those are the things he does, You can simply contact the spiritualist Dr Abalaka on (dr.abalaka@outlook.com) to get his Herbal Medication to cure your disease and put yourself on a motherhood side of life..

    ReplyDelete
  3. Wow am so excited, my boyfriend and I have been getting into little arguments which then later escalated. A lot of which are my fault but I never thought I would lose him because we are in love. He told me yesterday that he loves me but is done. That the fights keep hurting him too much. I can’t believe I hurt him like that and would love nothing more than another chance to prove to him and myself that I will cut out my insecurities that I’ve brought into this relationship. I did all i could to end this fight between us, didn’t work so i had to seek the help of a spell caster who i met online and promised to help me bring him back into my life in 2 days time. i wasn’t really sure about this, but i was really desperate that i had to do all that the spell caster asked me. it was on the second day at 5pm on Friday, i had a knock on the door and to my greatest surprise, it was my boyfriend, the first thing he said, was that he has forgiven me and he will never leave me again, Am so full of joy for what this spell caster and to this product page and graphic love spell coz it really help and work for me, i also want the world to benefit from this. if you need his help you can reach him for any thing on relationship problem, getting your ex back save and protect your marriage life with your soul mate contact him now for he is so powerful and real. Urgently email him now on happylovespell2@gmail.com for more info Visit or view on his web site at Web site:http://happyspelltemple.webs.com/ Also for quick option on how to help with a love spell add him up on Whats-app +2348133873774

    ReplyDelete
  4. Your site is actually awe-inspiring. I've discovered numerous brand new points. The right path associated with setting up can also be intriguing. You've chosen really amazing subject. We valued this.
    advantage plans 2018

    ReplyDelete
  5. #Prorelix is the #Top #Most #Clinical #Research #Institute in #Pune.they arrange best education, professional development short term skills enhancement #Program.Top Most Clinical research institute in pune

    ReplyDelete
  6. Cancer has become a common disease in India. One has to manage the disease depending on the kind of cancer. Cancer plans are many but you have to choose the right one depending on factors. Insurance Plans

    ReplyDelete
  7. Hello everyone i know there is someone somewhere reading this my name is Dena Cruz from Leicester city UK i want to share a great work of a spell caster called Priest Ade my husband and i had a fight which led to our divorce but when he left me a part of me left with him and i was to sad and cried all day and night i was searching something online when i saw people testifying about his great work and i just decided to give him a try i did everything told me to do and he assured me that after 24 hours my husband will come back to me,the next morning to my greatest surprised a car stopped outside my house and it was my husband i'm so happy he can also help you email him at ancientspiritspellcast@yahoo.com or ancientspiritspellcast@gmail.com WhatsApp +2347059715465

    ReplyDelete
  8. I'm Nora Vargas. I feel so joyful today because of the help Doctor Zakuza has rendered to me for getting my Husband back. I've been married for 6 years and it has been so terrible because my husband was cheating on me and was seeking for a divorce. But when i came across Doctor Zakuza website on the internet posted by a lady, i decided to get in touch with him and i explained my situation to him and then seek his help but to my greatest surprise he told me that he will help me with my case for there is no problem without a solution. Here i am celebrating because my Husband is back home and am really enjoying my marriage and what a great celebration. I will keep on testifying on the internet because Doctor Zakuza is truly a helper who God has sent to help us all. Why not contact Doctor Zakuza now if you are facing any challenges in your relationship life. Website: http://doctorzakuzaspelltemple.myfreesites.net OR by Email: ( Doctorzakuzaspelltemple@yahoo.com ). Call me for more info +1 (516) 277-6702 USA.

    ReplyDelete