Posts Tagged ‘ACA’

Jon Stewart Discusses States Refusing Obamacare Medicaid Expansion

I recently wrote about how Obamacare (the Affordable Care Act) has a coverage gap in many states after a supreme court ruling striking down part of the law requiring states to expand Medicaid to cover everyone who earns an income below the poverty line, and recently discussed that my home state of Maine is one of the states refusing to expand Medicaid by virtue of Governor Lepage vetoing the bills passed to expand Medicaid. While I’m not happy to say this has not yet been fixed, I am happy to say Jon Stewart tackled this issue at the beginning of The Daily Show this past Thursday. The clips below show the issue explained as only he can.

Both of the above explain the issue in a brief, easily accessible manner. After that, feel free to read the posts I linked above if you have not yet seen them, or take a look online for more stories about this for a more in depth explanation of what is going on with this and how some of this country’s most needy are being left out in the cold on health insurance.

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Maine Has not Yet Passed Medicaid Expansion

I recently wrote about how Obamacare (the Affordable Care Act) has a coverage gap after a supreme court ruling striking down part of the law requiring states to expand Medicaid to cover everyone who earns an income below the poverty line. Maine, where I live, is one of the states that has not yet enacted a law to expand Medicaid to cover all of these people. Our legislature has passed a bill to do so, but Governor Lepage vetoed the bill. When the Maine House of Representatives voted to overrule his veto, they were two votes short of doing so.

That’s better than I hoped for, but obviously not good enough to get the law passed. I actually have health insurance through my employer, so this doesn’t impact me directly, but it does impact a number of people I know who simply don’t earn enough money to qualify for health insurance subsidies but earn too much to get on MaineCare (Maine’s Medicaid system) or don’t meet the conditions to get off the waiting list. These are people who either can’t get reliable work because it’s not available, or can’t work due to health issues they can’t get addressed because they have no insurance.

Yeah, that’s right, there is a group of people that can’t work because of health issues, can’t get health insurance and health care because they can’t work and so can’t afford it, and can’t get the state to step in and help them out because they still don’t qualify for MaineCare. This is one of the situations Obamacare was intended to prevent, and would have prevented had it been implemented in it’s entirety or if the current congress were willing to fix it. It could also be fixed in my state if Lepage didn’t veto the Medicaid expansion bill we passed.

I’ve not yet found a list online of who voted for and against the bill or to override Lepage’s veto. If I find such a list, I will link to it or post it to get that information out too. For now, I’d encourage anyone in Maine to get on the phone with their legislators to encourage them to pass this expansion the next time it comes up for a vote, and to contact the governor and let him know we want this bill passed and in force to allow citizens of our state better access to health insurance.

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Obamacare Has a Glaring Coverage Gap

The idea behind Obamacare is great: get everyone in the United States affordable health insurance. It could have been done better, such as with a single payer system, or even providing a public option, but what was put together was pretty good. There’s a problem though: if your family is below the poverty line, and your state doesn’t participate in Medicaid expansion, you get no subsidy for health insurance, and no Medicaid option if you didn’t already qualify for it. Basically, in this situation, you’re stuck paying full price for health insurance, and nothing changes for you.

Perversely, the people who are poorest and most in need of help from Obamacare will actually be no better off once it goes into effect in states that don’t participate in Medicaid expansion. When I originally voiced concerns about Obamacare, I had expected middle income people to get shafted, but it looks like middle incomes will actually come out more or less ok.

There’s a reason things turned out this way. When the Affordable Care Act was drafted, it was mandatory for all states to expand Medicaid to cover people who were below 138 percent of the poverty line. Subsidies to purchase insurance were then put in place to provide help to people at 100 percent to 400 percent of the poverty line on a sliding scale. Basically, this would have provided assistance to everyone, from those well below the poverty line to those earning a decent chunk of change above it.

Then the Supreme Court intervened. While they upheld most of the ACA, they struck down the portion of the bill that would have required states to expand Medicaid to cover all people below 138%  of the poverty line or lose all federal funding for Medicaid. Leaving the gap in coverage that the poorest of our country now fall into. While it would be sensible to just expand subsidies to them, this would require a new bill amending the law to do so. That seems unlikely to pass, nor is it even really being discussed. People need to be aware of this so it is discussed, and pressure can be put on Congress to fix this issue.

Related Articles on Other Sites:
Missouri’s Poorest Residents Won’t Benefit From Obamacare
Obamacare’s Forgotten Faces

Also, here’s a subsidy calculator you can play with if you want to see what you may qualify for in subsidies. I assume it’s relatively accurate, but can’t make any promises. When you’re done playing with the calculator, or better yet, before you pick it up, spread the word so people know this is happening.

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