This story is closed for comments. Comments on WRAL.com news stories are accepted and moderated between the hours of 8 a.m. and 8 p.m. Monday through Friday.
FlyingTurtles Feb 12, 1:01 p.m.
This is not "free money". The Feds will only cover the expense the first 3 years, after that, the states go bankrupt.
The people claiming that it is cruel or selfish to NOT expand Medicaid are either dishonest or ignorant of the financial facts. The list of things that these people think would be "nice" or "good" to do would cost the taxpayers more money than the state GDP.
This is why we have to prioritize, the adults have to make the hard choices. This is what being a sane, sober adult is all about, not all of us have the luxury of being a leftist. We have to live in the adult world; the one where we don't "work" for the government and performance matters.
junkmail5 Feb 8, 7:25 p.m.
Truly amazing to see all of the various "opinions" here on this topic without any reflection and or suggestion of any sort of a solution.-NC Red Shirt
On the contrary, I already suggested the solution.
Scrap Obamacare and go to a true universal healthcare system like the ENTIRE REST OF THE WESTERN WORLD uses, which costs 5-10 times less per patient than we spend now, with similar or better healthcare outcomes.
But some folks would rather pay 10 times more and rant about socialism than do that.
Obama wants to expand medicaid and put the cost on states after 3 years-lessismore
Seriously, everything I have ever seen you post has been fundamentally untrue.
After 3 years the states pay 10% of the cost. The feds pay the other 90%.
Mind you, the citizens in NC are paying taxes to cover the federal part regardless of taking the medicaid $ or not, so we're giving that $ away for nothing if we don't take the federal dollars for medicaid.
Terkel Feb 8, 6:07 p.m.
"Besides, at ANY time the Federal govt can pull its portion of the money and leave NC taxpayers holding the bills." mep
Right. Perhaps they'll decide that although tobacco is legal, no use will be allowed. Ditto alcohol, fat, sugar, flour, eggs, and starch. The DOT does the same thing with ethanol and speed limits: do what we order, or you get no money (and no tax break, just no money).
Terkel Feb 8, 6:03 p.m.
"...it will cost the state..." gu
Money you never received is not a cost.
Terkel Feb 8, 5:58 p.m.
golden, not that you really intend to listen, but I didn't say doctors have different bill collection methods than hosps. I said a patient must identify himself at a doctor's office and cannot skip out on the bill as easily as someone showing up with no tangible ID and no way to prove who they are. You can't collect from someone who had no ID and gave you her sister's address and a made-up phone number.
Terkel Feb 8, 5:48 p.m.
The hospital team of lawyers.
Can't find someone.
Who's lied about or refused to state.
goldenosprey Feb 8, 10:56 a.m.
I wonder if our esteemed GA would turn down money from the federal government that would help big business and rich people.
Morrigan- what methods of collection do doctors' offices have at their disposal that hospitals don't? Are you proposing debtors' prison. Being a fixture of the 18th and 19th centuries it would mesh well with republican philosophy. Then taxpayers can pay for the incarceration of deadbeat parents AND indigent patients! Can't wait to see the math.
free2bme Feb 8, 10:09 a.m.
Thank God President Obama, the first President to even get a health care law passed, had the persistence to try to make sure Americans get healthcare. Americans need to be able to get preventive care and in the end will hopefully live longer lives. When a person is healthy, they are more able to productively contribute to society i.e. work, raise their children, volunteer. Basically with affordable healthcare more Americans get a better quality of life. Obama care is helping individuals be responsible for their health. Everyone has to have some type of health coverage and they have to pay for it. This is a good thing for all the people like me who has always had healthcare and is being hit with the cost of paying for care for all those without it. Healthcare for all is just the right thing to do but of course the Republicans only care about themselves and their rich friends. They do not care that blocking the expansion will only cause more burden on the middle class.
lessismore Feb 8, 9:41 a.m.
This is all Obama's doings......you wanted it, you got it. Obama wants to expand medicaid and put the cost on states after 3 years...then what??? We will be bankrupt withing 3 years if we keep listening to Obama...the man knows nothing, he has never had a job in the private sector, he knows nothing about finances and the economy. His ideology is killing this country.
Spock Feb 8, 5:32 a.m.
Truly amazing to see all of the various "opinions" here on this topic without any reflection and or suggestion of any sort of a solution. The blame game and inaction is a very heartless. Myself and others choose to lobby for strong immigration laws (which includes rigorously enforcing the laws already on the books), birth control, and a set of rules for indigent Emergency Room will be paid rather than a free ticket to the ER.
Someone here mentioned that they had never seen anybody go to ER for a cold... wake up folks and volunteer at your local ER (or take some EMT course) - you will see many leaches that you would not normally consider.
read_a_little Feb 7, 8:13 p.m.
Hear are some average costs to consider. These costs are 5-6 times as high in the US as other countries. These cost are designed so hospitals can recover the cost of the uninsured. Even wealthy families would be hard pressed without insurance. Middle class and lower, well they just go bankrupt. It's cheaper to insure everyone.
Microscopic Examination of Blood $14,805
Diagnostic ultrasound of gastrointestinal $13,651
tracmister Feb 7, 8:05 p.m.
The Federal government never passes something that it wants without consequences for those who don't except it regardless of which party does it. For example, with No Child Left Behind, states would have had to give up title 1 monies if they didn't except those mandates. It's going to be the same with Obamacare. If North Carolina doesn't accept it, we are going to lose money and end up with more taxes to cover what we've lost.
junkmail5 Feb 7, 7:56 p.m.
Read the fine print people! This is not free money! The Feds can and will reduce what they pay to the states at anytime, leaving the bill to the states to cover, then what will we do-Americanfirst
Probably still be paying less than if we just let people continue to get sick and skip out on ER bills.
Every other western nation in the world has some form of universal care, and they spend VASTLY less per person than we do on healthcare and get similar or better outcomes.
Obamacare isn't anywhere near as good as THAT but it's better than the current "aw, just let the poor bleed out in front of the ER" counter ideas.
read_a_little Feb 7, 7:54 p.m.
Way to go! kicking the helpless, most vulnerable and defenseless when they"re down. I am impressed, nothing like going after those who can't fight back. Chalk up another easy win.
Americanfirst Feb 7, 7:52 p.m.
Read the fine print people! This is not free money! The Feds can and will reduce what they pay to the states at anytime, leaving the bill to the states to cover, then what will we do, I know, raise taxes, again and again. This stunt will cost the feds at least 1 trillion dollars, they are broke so where will it come from? The feds will unload the total cost on the states who already are broke and we cain't print money! This is bad for North Carolina unless you want a socialist state!
Rebelyell55 Feb 7, 7:37 p.m.
Hope the pressure helps, they're really thinking that most NC citizens would support this. Then again this maybe all for show.
junkmail5 Feb 7, 7:04 p.m.
He will not go on to say why those anguished families skip out on the bill, though.-Morrigan
Because they can't afford how much medical care costs without insurance. Especially ER care.
So the taxpayers end up covering it.
When it'd be much cheaper to instead cover insurance for them.
It's not that they "plan" to not pay, it's that they are mathematically incapable of doing so.
Due to lack of money.
Most of them are already getting government help to afford food.
And don't tell me they CAN pay, because if they could I assure you the hospital has a team of lawyers that would insure they did.
Grand Union Feb 7, 6:51 p.m.
" Why not just repeal the law and have people go to an urgent care and pay out of pocket at a more reasonable rate than continue to have people go to the Emergency room to get treatment for a cold? "
have you any idea what even an urgent care costs? and for a cold????? I've never seen anyone go to the ER etc for a cold.
Grand Union Feb 7, 6:44 p.m.
Typical GOP, they can't dump their dogma even though it will cost the state tens of million of dollars.
Its not enough that they cut peoples unemployment that they have earned but now they want to make sure the poor can't get health insurance as well........ roll on 2014.
Terkel Feb 7, 5:19 p.m.
"Only 30 percent of low-income adults are now covered by Medicaid because of strict eligibility rules, the congressmen said in the letter, so many families have to rely on hospital emergency rooms for medical care."
He will not go on to say why those anguished families skip out on the bill, though.
Why don't these tweeners go to the doctor's office in the first place? Simple: they plan all along not to pay. At a doctor's office you have to show ID, fill out paperwork, prove who you are, and then you can't easily run out on the bill. Plus if you stiffed 'em last time, they're not going to look at your kid's stubbed toe. Whereas you can go to the ER with no ID, they MUST treat you, and you can walk away laughing about having gotten another one over on the libs.
Don't tell me they can't afford to pay. They can pay $10/month till it's paid off. They choose not to.
slatesplace Feb 7, 5:09 p.m.
The reason people go to the Emergency room is because of a law passed in 1986 called the Emergency Medical Treatment and Active Labor Act (EMTALA). Now they want to pass a new law to protect us from the law they passed in 1986? Why not just repeal the law and have people go to an urgent care and pay out of pocket at a more reasonable rate than continue to have people go to the Emergency room to get treatment for a cold? These guys have lost their minds, there is no logic or common sense in Washington, DC.
FlagWavingFascistCrank Feb 7, 4:45 p.m.
Our Congressmen should stay out of this.
There's an old saying: "Never interrupt your enemy when he is making a mistake."
The NCGOP should be allowed to spool off as much rope as they want.
wral mods blow close my account Feb 7, 4:31 p.m.
"NC will be holding a big stinking bag that they originally thought was full of gold...."
NC will have to cover these people anyway. Whether through Medicaid or at the ER. WHen they go to the ER you are paying for them and at ER rates. Dumb move tea party GOPers.
68_dodge_polara Feb 7, 4:01 p.m.
"NC will be holding a big stinking bag that they originally thought was full of gold...."
Yep otherwise the federal government would have never involved the states to begin with. It's just another way to hid the true cost of the unaffordable care act.
shokkou Feb 7, 3:56 p.m.
"Medicaid rules have been expanded dramatically under Obama." How so tigo7? I've been working with Medicaid a very long time and wonder what are the dramatic expansions of which you speak.
mep Feb 7, 3:49 p.m.
WHY expand an already broken, corrupt system full of waste? Besides, at ANY time the Federal govt can pull its portion of the money and leave NC taxpayers holding the bills.
aetius476 Feb 7, 3:21 p.m.
"Why would we block this infusion into the North Carolina economy when unemployment remains so high and our economic recovery remains so fragile?" they asked in the letter."
Because as we well know, the federal government administration and policies change. They claim to cover 90% of the Medicaid cost 5 years from now but that is just speculation. When the federal budgets are exploding with entitlement expansion and debt service future administrations may very well rethink these "gifts" to the states.
NC will be holding a big stinking bag that they originally thought was full of gold....
the fact that these 3 far left Demo machine rubber stamp yes men are complaining about this bill means it must be the right thing to do...
Pirate01 Feb 7, 2:29 p.m.
So a bunch of liberals are against personal responsibility and sound financial principles? Shocking!!!
tigo7 Feb 7, 2:07 p.m.
Medicaid rules have been expanded dramatically under Obama. Now people who work qualify for it and food stamps and take trips to Disney world while the rest of us work a couple of jobs to make sure they don't have to work much. Medicaid is useless to the undocumented people and to children not born in the US so they are continuing to use services and don't pay and have babies and even those who are not eligible now get emergency pregnancy medicaid to cover lab etc expenses for a period of time. And there are the parents who are too lazy and irresponsible to sign their children up for medicaid. Nothing is free and if our government doesn't start building a tax base and stop runniong businesses and therefore working people away there will be no one who can pay for these entitlements other than the Fed Reserve who keeps printing money and that bubble will burst soon
Terkel Feb 7, 2:00 p.m.
IIRC this bill won't preclude an insurance exchange. Each state can set up its own, set up a hybrid fed-state exchange, or let 0bama own it and set it up for them. A huge number of states have chosen the hybrid or fed-only options, and the 0 Admin is in a tizzy figuring out how to do what they didn't plan for. Look for a bad dream to turn into night terrors.
Was this what Pelosi meant when she said we'd have to pass it to see what's in it?
Terkel Feb 7, 1:53 p.m.
"as drug makers, medical device manufacturers and others expand..."
...into the overseas countries where all manufacturing went a long time ago. Nice try, though.
Published: 2008-01-11 14:37:00
Updated: 2010-06-21 13:53:03