The wing nuts and Medicaid Expansion

Posted in Around The State, Bad Government Republicans, Health Care, Right Wing Lies at 1:13 pm by wcnews

From the Texas Tribune, GOP Lawmakers to Stick With Perry on Medicaid Expansion.

Two key Republicans legislators — both of them doctors — say they’re sticking with Gov. Rick Perry’s position that Texas will reject the Medicaid expansion provision of federal health reform, despite a rising tide of Republican governors who are embracing it.

During a Texas Tribune Triblive conversation on Wednesday, Rep. John Zerwas, R-Simonton, and Sen. Charles Schwertner, R-Georgetown, both spoke against expanding Medicaid, which they called a “broken system.” But they left the door open to working with the Obama administration if it provides more flexibility to let Texas operate the program as it sees fit.

There are many falsehoods that the wing nuts spout about Medicaid. They believe their oft spouted mythology government is reality, but it’s not. The fact is Medicaid is not broken, and is much, much more efficient then private insurance. Here’s one of the Ten Myths About Medicaid.

* Myth 9—The Medicaid program is inefficient.
* FACT: Medicaid compares favorably to other parts of the American health system when measuring administrative efficiency and per enrollee costs.

Compared to private health programs, Medicaid has lower administrative costs per claims paid when compared to private sector plans. Medicaid per capita growth has been consistently about half the rate of growth in private insurance premiums. Both of these factors show that despite program growth, Medicaid is an efficient program.

And, of course, there’s much more about the problems with Medicaid are more the fault of Congress then anything else, Steve Brill: The Health Care Moochers Are Providers, Not Consumers.

Steven Brill has written a must-read article for this week’s Time magazine about health care costs and why we really do have to be concerned about them. Following on that, he made an appearance on the round table segment of This Week to discuss those costs and why he’s sounding the alarm.

Anyone who has spent even a day in the hospital knows what the problem is. When one over-the-counter pain reliever administered in the hospital costs as much as an entire bottle at the pharmacy, there’s a very, very big problem.

Brill correctly points out that Medicare is an efficient program that Congress has managed to hog-tie into some ridiculous costly measures:

And it actually that bears on the conversation we’re having, because a chunk of that money is paid by Medicare. Medicare is I point out in the article is very efficient at most things. It buys health care really efficiently, which is a great irony, because it’s supposed to be the big government of bureaucracy.

Where Medicare is not efficient is where Congress, because of lobbyists have handcuffed Medicare. Medicare can’t negotiate what it pays for any kind of drugs. It can’t negotiate what it pays for wheelchairs, diabetes testing equipment. And if Congress took those handcuffs off of Medicare, you could get about half of the spending cuts that we’re sitting around here talking about.

Yes, this. Of course, that assumes anyone in Congress is brave enough to stand up to the mighty PhRMA lobby, which seems to have as deep a lock on Washington as the gun lobby. Brill also makes the compelling argument for lowering the Medicare eligibility age, which I have argued over and over again here at C&L. The single biggest cost-saver for Medicare would be to drop the eligibility age, let people buy in until they actually reach retirement age, and then they would drop to the levels under the Social Security law.

The problem with Medicaid for Perry and the wing nuts,like Schwertner and Zerwas, is that it’s a government run, not for profit system, that works well. And that’s an affront to everything they believe. They would much rather the federal government give them a chunk of money they could then give the the for profit system, which funds their campaigns. But we all know how that would turn out.

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