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Ohio House defies Kasich and logic in blocking new Medicaid



Published: Mon, April 15, 2013 @ 12:00 a.m.

The move by Ohio House Repub- licans to thwart Gov. John Kasich’s proposed expansion of Medicaid to nearly 300,000 Ohioans is a prime example of a political ideology trumping common sense and human compassion.

It’s as if House Republicans are more interested in rejecting a provision of President Barack Obama’s Affordable Care Act than they are providing an opportunity for working Ohio families to get medical coverage and for Ohio medical providers to get paid for the services they are already providing for people in need. Why expand Medicaid to people in need when, to paraphrase Republican presidential candidate Mitt Romney, anyone in America can go to the emergency room for treatment?

And when people can’t pay the emergency room bill, what happens? Hospitals pass along their losses to those who can, which primarily means to people who have health insurance and to the companies that provide insurance for their employees.

The state has the opportunity to expand Medicaid coverage to families with incomes up to 138 percent of federal poverty level (about $15,400 per person or $23,050 for a family of four). That would extend Medicaid to 275,000 men, women and children, and it would bring hundreds of millions of federal dollars each year into Ohio.

Who benefits?

House lawmakers argue that such federal funding will come, eventually, at a price, with the state required to pay 10 percent of the cost in the fiscal 2014-15 budget. But the boost that the state’s economy would get from the influx of federal money and other factors would offset those costs. Not to mention that the partnership between the state and federal governments would be providing health coverage to people who are too often overlooked, the working poor.

Gov. Kasich says he will continue to press for extending Medicaid coverage. It shouldn’t be a difficult argument to win, because Kasich has the numbers on his side. While Kasich’s budget gives Ohio an opportunity to tap federal assets, the House proposal calls for the state to unilaterally spend $242 million on expanded mental health and addiction services for uninsured Ohioans. The House, in effect, proposes to spend hundreds of millions of state dollars to avoid expanding Medicaid coverage — while claiming that the state can’t afford to participate in the expanded federal program.

Gov. Kasich famously said a few days after his election in 2010 that those who hadn’t supported him should climb aboard because, “If you’re not on the bus, we’ll run over you with the bus.”

We suspect he has come to regret such hubris now, when Republicans in the General Assembly seem intent on proving who is boss (even if it means hard working Ohioans — people without health coverage and the hospitals, nursing homes, doctors and nurses who treat them — are the ones who are hurt).

Over seven years, Ohio could receive as much as $13 billion from the federal government to cover newly eligible Medicaid recipients. Keeping that much money out of the state’s health-care pipeline is bad public policy and a disservice to every Ohioan.


Comments

1formerdemliberal(182 comments)posted 1 year, 5 months ago

Dear Vindy editorial board,

Your staff writes about federal dollars coming into the state like Obama is printing the money himself. The federal funds coming into the state are taken from the same taxpayer pockets as state funds. It's simply a shell game with taxpayer money and I for one would rather let the state of Ohio decide how to fund medical coverage for its citizens than giving up more state's right to incompetent federal bureaucrats more interested in control than efficiency.

And why is it fiscally responsible for the governor to opt into a Medicaid program that is one of the primary contributors for the current debt crises of this country? To unequivocally suggest that a state partnership with unaccountable Medicaid federal bureaucrats is beneficial to Ohio taxpayers is ludicrous at best and naive at worst.

The Kasich Medicaid maneuver was purely for political gain for his 2016 reelection bid. His decision to tap into a nearly-bankrupt Medicaid system gives Kasich an argument for caring about the poor while dumping the problem onto the federal bureaucracy. For a politician who has always preached fiscal conservatism, Kasich's decision to further contribute to the federal deficit defies such advocacy.

I give the Ohio Republican legislature kudos for having the backbone to tell the governor that Ohio will not give up more state's right to the feds while being strapped with ever-increasing Medicaid contributions from Ohio taxpayers. As your own editorial states, the legislature IS expanding funding for the medically uninsured, just not giving our taxpayer money away to Washington.

A hypocritical Republican is just as bad as any other politician. The more I hear about Kasich, the less to like.

Seriously Vindy eds, did Bertram help write this article? I almost see his fingerprints.

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2ytownsteelman(628 comments)posted 1 year, 5 months ago

OK I wanted to make a comment but formerdemliberal said everything that I wanted to!

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3DougL(1 comment)posted 1 year, 5 months ago

Kudos to the House for not ignoring the lessons of history. It amazes me that so many reporters fail to understand how big government works. Big government entitlement programs are not human compassion, they are the opposite. Look around the world and throughout history for examples of where programs like this lead....if you truly care about human compassion.

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4cathylukasko(116 comments)posted 1 year, 5 months ago

Formerdemliberal is "right on". Unfortunately, DEMOCRAT Liberals only want to SPEND more even though the country is $17 Trillion in debt. Sadly, Dems will NOT accept limited government until the country officially goes bankrupt and the US dollar is useless

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5olddude(201 comments)posted 1 year, 5 months ago

Very good post Former.. Unfortunitely Gov k. is still the better of the bad and his thought process may have some to do with testing the waters on the national level for 2016..As far as Medicaid expansion and the dollars involved...Just another click on the " WHEEL OF REDISTRIBUTION"....We were warned in 2007...

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