re: JBE's Medicaid Expansion is going to rape Louisiana's budget situation

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State will be screwed either way, because if you dump people off Medicaid, then uncompensated care costs go up.

The reason the expansion was supposed to save money, was because the Federal share for Medicaid was way higher than for uncompensated care and expansion moved people off uncompensated care to medicaid.

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I've made this same argument for months on this board. But this board has a lot of posters who don't understand basic math concepts.

Now, if Congress dramatically cuts the funding, then the situation changes, and we act accordingly.

But 90-100 percent of cost reimbursement by the government is a lot better than 63 percent cost reimbursement by the federal government.

All of the other problems stated in this thread - the welfare mentality, the going to an ER for a cold, etc - those won't change no matter if we have expanded medicaid or not... those will require a culture change.