Obama’s Re-election Entrenches PPACA
Because the individual mandate was upheld by the Supreme Court, Medicaid expansion has become the defining political flash point for Obamacare. In most states the problem will resolve itself as election year rhetoric cools and state-level politicians find themselves staring at the prospect of losing hundreds of millions of dollars in direct federal aid.
In most states, public pressure will mount and opposition will crumble as healthcare providers, advocates and patients bombard the media with heart-wrenching stories about the otherwise preventable pain and suffering inflicted upon their poorest and most vulnerable citizens who can't get Medicaid. Fiscal watchdogs will complain about the money left on the table.
Resistance to Medicaid expansion may hold fast in Texas, Louisiana, and New Jersey, all of which have Republican governors who are expected to consider running for president in 2016.
However, even the most resolute opponent of Obamacare would be hard pressed to reject a windfall of federal dollars, especially as the rest of the nation comes to accept the notion that Obamacare is with us for good.
John Commins is a senior editor with HealthLeaders Media.
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Better HCAHPS Scores Protect Revenue
- EHR Systems 'Immature, Costly,' AMA Says
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- 'Early Offer' Malpractice Programs May Spur Reform
- Hospital mergers may lead to higher prices