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@NCCapitol

Docs, Dems call for Medicaid expansion

Posted December 18, 2013
Updated December 19, 2013

— State lawmakers decided against expansion of Medicaid in North Carolina, but they are being asked to reconsider.

A group of Democratic leaders and community advocates asked legislative leaders Wednesday to call a special session to reverse their decision and take the federal government up on the offer of funds.

Rep. Larry Hall, D-Durham, has been asking that question for months. He calls the move that leaves 500,000 people without health care immoral.

"Is it possible you could reconsider your decision?" former Congresswoman Eva Clayton asked at a forum sponsored by the NAACP and North Carolina Justice Center.

Medical providers have taken up the banner as well. Dr. Charles van der Horst shared the story of a man without insurance who died within a week.

"These are policies that will cause deaths," he said.

If states agree to expand Medicaid as part of the Affordable Care Act, the federal government foots the bill for them for three years, then pays 90 percent thereafter.

That offer is not enough to sway Rep. Nelson Dollar, R-Wake. "Now is not the time to expand Medicaid," he reiterated Wednesday.

"The management of the program is just not there. We have a host of problems to fix," he said, pointing to cost overruns and problems in providers getting paid.

Dollar said he doubts that federal funds would completely cover any costs.

"North Carolina is doing its job. The other side is playing politics," he said.

Instead, Dollar said Republicans was to improve the existing system before they'd consider any expansion.

130 Comments

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  • junkmail5 Dec 20, 2013

    Well, I see at least two factual errors in your statement- readme

    and yet you not only don't list them, you offer nothing to support your claim they're errors.

    How odd.

    uninsured are gonna go to the ER regardless of what you say or do- maybelle

    Right... therefore we ought to reduce the number of uninsured as much as possible so they have better options than the ER.

    With Obamacare the premium for my health insurance went up 106%- foodstamptrader

    yes, you've told us 8000 times now that you're in the less than 2% seeing such increases in the state.

    But that's hardly a reason to object to a much LARGER percentage of the state GAINING coverage....many for the first time.

  • foodstamptrader Dec 20, 2013

    "500,000 people uninsured using the ER as healthcare with hospitals absorbing costs and passing on the debt to US ALL WITH HIGHER INSURANCE PREMIUMS!" - teleman60

    That is funny. With Obamacare the premium for my health insurance went up 106% for a higher deductible policy that was otherwise identical to what I have. Was that doubling of my premium for 2014 due to ER visits by the parasites?

  • readme Dec 20, 2013

    "Why do you think that the USA is the ONLY industrialized nation in the ENTIRE WORLD that doesn't offer universal health care? It's not like we have the best health care system in the world, we DON'T. In fact 45,000 die each and every year here simply due to lack of insurance. It is an insult to humanity." welfarequeen. Well, I see at least two factual errors in your statement, not counting the silly "insult to humanity" remark.

  • maybelle Dec 20, 2013

    So there is no longer a Doctors creed?
    And uninsured are gonna go to the ER regardless of what you say or do. Its their nature.
    The Computer system needs to be fixed before anything else is done and the people on FNS need their food stamps.And when they take money from the Feds to expand the state will have to pay it back so your taxes will go up more. You are gonna get sticker shock with your 1st pay stub in 2014 get ready
    Can I write about 12 pages on this

  • teleman60 Dec 20, 2013

    ""North Carolina is doing its job. The other side is playing politics," he said." - absurd rhetoric from from Dollar. 500,000 people uninsured using the ER as healthcare with hospitals absorbing costs and passing on the debt to US ALL WITH HIGHER INSURANCE PREMIUMS! That's the republican answer to healthcare - DO NOTHING!!!!

  • ILoveDowntownRaleigh Dec 19, 2013

    "These are policies that will cause deaths," said Dr. Charles van der Horst.

    "[The North Carolina Republican party] is doing its job..." said Nelson Dollar, R-Wake.

    Rep. Larry Hall, D-Durham, calls the move that leaves 500,000 people without health care "immoral".

    Sounds to me like they're all telling the truth.

    It's a shame that certain of North Carolina's most powerful and influential figures prefer to remain silent and deep in the shadows as our state's Republican politicians implement these kinds of legislative decisions.

    One poster a couple hours ago on this thread said "it is not the intention of Republicans to deny healthcare to people. The situation is more complex than that..."

    Sorry. I don't see any complexities or gray areas. The federal government offered the Medicaid money to cover a half million North Carolinians, MANY OF THEM CHILDREN, and Republican politicians said "no". Economists said this money will create 26,000 new NC jobs. They said "no means no".

  • oldaltar Dec 19, 2013

    The bottom line here is that we all are being taken to the cleaners. There are only two powers in this country, They are people and money and the people are divided because there are some who vote and make decisions against there own interest. The money or the wealth is accumlating at the top. And here you are calling each other liberal, conservation etc,. While most of you have not had a decent raise in years are at each throats while the money changers are laughing all the way to the bank.

  • zwamus Dec 19, 2013

    My Docs are refusing all Medicaid patients due to low, slow and disputed payments. These Docs must have been hard to find to write this story.

  • goldenosprey Dec 19, 2013

    lib, notexact - What or who gives you all the information you need to conclude that a huge proportion of Americans on disability are in fine physical order- they're just lazy? What data have you reviewed other than some one you think you've known or seen? So the other 40% to 60% should simply die in the ditch?

    Do you know how much you make on disability? Not enough to live. The only thing keeping your supposition from being too absurd for discussion is that the reality of wages and income inequality is such that working a hard 40 a week doesn't always pay much better than sitting on a couch watching stories.

  • GovernmentMule Dec 19, 2013

    "That McCrory and other Republican state lawmakers have declined Medicaid so 500,000 of the poor of our state can have medical care is unconscionable, especially when you consider it's free money to our state..." - CaryRez

    No, it's not "free money". SOMEOME pays... and that someone is YOU.

    And it is not the intention, as you imply, of Republicans to deny healthcare to people. The situation is more complex than that, which explains why you don't understand it.

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