The Medicaid expansion is not such a good deal for states or the poor

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Article Highlights

  • In the wake of the Supreme Court decision, states should not rush to expand eligibility for Medicaid.

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  • States can’t be certain that federal support promised in the #ACA will be available, & a better deal might be possible.

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  • Adding millions more to Medicaid rolls will exacerbate existing problems of access to providers.

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Editor's note: This article appeared in the February 2013 issue of the Journal of Health Politics, Policy and Law.

Abstract:

In the wake of the Supreme Court decision, states should not rush to expand eligibility for Medicaid. They cannot be certain that the federal support promised in the Patient Protection and Affordable Care Act will remain available and policies to reduce federal spending might change the terms that the PPACA offered the states. Adding millions more to Medicaid rolls will exacerbate existing problems of access to providers. A more humane policy would give everyone — even the poor — a choice of health plans.

 

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About the Author

 

Joseph
Antos
  • Joseph Antos is the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute (AEI), where his research focuses on the economics of health policy — including the Affordable Care Act, Medicare, the uninsured, and the overall reform of the health care system and its financing. He also studies the impact of health care expenditures on federal budget policy.

    Before joining AEI, Antos was assistant director for health and human resources at the Congressional Budget Office (CBO). He has also held senior positions in the US Department of Health and Human Services, the Office of Management and Budget, and the President’s Council of Economic Advisers. He recently completed a seven-year term as health adviser to CBO, and two terms as a commissioner of the Maryland Health Services Cost Review Commission. In 2013, he was also named adjunct associate professor of emergency medicine at George Washington University.

    Antos has a Ph.D. and an M.A. in economics from the University of Rochester and a B.A. in mathematics from Cornell University.



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