Thursday, November 29, 2012

Medicaid expansion in Texas


It's interesting to contrast liberal and conservative media's discussion of Medicaid expansion.

1. The Atlantic, arguing that Texas should expand Medicaid. 
"Maybe governors like Perry don't believe in higher spending or a bigger social safety net. But surely they believe on getting a good deal on insuring a large number of their residents, rather than a bad deal on insuring just a few of them. Failing that, they have to believe in retrieving as much of their citizens' tax dollars as they can. Really, that's just fiscal conservatism."

2. The Texas Public Policy Foundation published an article a few days ago (and another today) defending Texas' decision to reject Medicaid expansion. 
Their argument is based off of:
-fear of post 2020 costs, fueled by doubt that the government will, as promised, fund 90% of these costs
-worry about what effect changing the system would have on existing Medicaid recipients in their state. 
They don't, however, suggest alternatives for what they see as "our nation’s worst health care program," and  don't discuss their state's poor performance among most measures of health outcome.

Are their other conservative media think tanks engaging in discussions about the benefits and drawbacks of expansion, or proposing alternate solutions within the parameters of the ACA? 

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