Most Republican Governors deny their citizens Medicaid expansion (#1879)

For the first 3 years of the medicaid expansion under PPACA, (the Patient Protection and Affordable Care Act), otherwise termed "Obamacare" states pay nothing as the federal government picks up the tab. Going forward after those first 3 years the government pays 90% of the cost of the expansion. Historically, Medicaid has been able to pay doctors less than what they have been getting from Medicare, but under this new law, Medicaid payments have been raised to match Medicare payments. This is the upside to the law, the payouts increase for Medicaid while the social benefit to millions of citizens is critical. Not only are uninsured costs in emergency room visits passed on to the insured in the form of higher premiums without the expansion, but the ability of the uninsured to get insured through medicaid expansion allows for them to get preventive diagnosis which reduce costs overall. That is a cost benefit analysis but the human factor is much more important. We improve the health of our citizenry who otherwise could not afford health insurance by expanding the coverage to include those 138% above the poverty line, by insuring them through medicaid expansion. We give citizens the ability to lead more productive lives when they have solutions to the ailments we all experience. So in summary, the cost/benefit analysis favoring Medicaid expansion is supported primarily through the federal government, leaving states little fiscal responsibility for insuring 10's of thousands in each state. There is also the cost states will be liable for in not expanding medicaid and it is the higher cost of care they must pay for their uninsured citizens who use emergency room services. The social benefit is enormous as a healthier society is a much more happier and productive society. Republican Governors, quit blocking Medicaid expansion to your citizens!

http://obamacarefacts.com/obamacares-medicaid-expansion.php