Essay on It Is Time to Expand Medicaid Coverage in South...

It is Time to Expand Medicaid Coverage in South Carolina When it validated the constitutionality of The Patient Protection and Affordable Care Act in 2012, the United States Supreme Court also ruled that states could decide for themselves whether or not to expand their Medicaid programs (Sonfield, 2012). Predictably, South Carolina said no. The Palmetto State’s decision not to expand Medicaid in concert with the Affordable Care Act was wrong, and it is time to correct that mistake. The leadership’s decision not to expand Medicaid leaves between 300,000 and 400,000 South Carolinians without health insurance (South Carolina Medical Association, 2012). The stated intent of the Affordable Care Act, pejoratively dubbed â€Å"Obamacare† by its†¦show more content†¦But unless the state reverses course and expands Medicaid coverage, South Carolina’s $1.1 billion share of the national program will be distributed to other states while its citizens get nothi ng in return. In other words, the state’s taxpayers will be on the hook for $1 billion, with the number of uninsured exceeding the combined populations of Greenville, Charleston and Columbia. (Populations of South Carolina Cities, 2010) So far Gov. Nikki Haley is unmoved. Haley and the state’s conservative legislature have refused to accept the $13.3 billion in federal funds, arguing that the state will be unable to pay the state’s Medicaid bill once full federal subsidies end in 2020 (Haley, 2014). Their working assumption is that Washington will renege on its 90-percent pledge and cut subsidies further, leaving poor states like South Carolina to shoulder more and more of the costs. To bolster her defiant stance, Haley in her 2014 State of the State address said ACA adds a greater financial burden without demanding better medical and economic outcomes from the nation’s health-care system. â€Å"I cannot support this expansion for a very simple reason: i t avoids addressing our health system’s high costs and poor outcomes,† Haley said January 14 in Columbia. â€Å"Here in South Carolina we have one of the lowest life expectancies and highest infant mortality rates inShow MoreRelatedMedicaid Essay1231 Words   |  5 PagesAs I understood Medicaid are those personal cares services which are fundamental, non-acute services provided to facilitate recipients who require assistance with the activities of daily living to remain in their home or community, maintain their current health status and prevent, delay, or minimize deterioration of their condition. 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