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Hospitals in Show-Me State Play the Shame Card

John Commins, for HealthLeaders Media, September 18, 2013

"There are a lot of them in public who would say 'no' but there are also a lot who would acknowledge what the economic benefit of it is and the impact on their constituents. They want to say 'yes' but there has to be a program that is very Missouri-specific," he says. "That is what you are seeing in other states and last week and this week we have seen governors in other states talk about this issue and create plans that were very tailored to the politics and the needs of their states."

"We are hoping that reports like this help shape the public perception of the problem because frankly, as a community, we get really wrapped up in things like discussing the federal poverty level and most people don't have any connection to that term in their lives," Dillon says.

"That is why we were making an effort this time to talk about what those numbers means and make comparatives to what they might mean. Life expectancy was a good benchmark, so it was going to be easier to show comparatives on [that metric]. Talking about the negative health implications and what they mean is vital."

"It is one thing to talk about what happens in Jefferson City," he said. "It's another thing to put it into the context of how people live their lives."


John Commins is a senior editor with HealthLeaders Media.

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2 comments on "Hospitals in Show-Me State Play the Shame Card"


R Daniel King (9/19/2013 at 12:56 PM)
Missouri Hospital Association is acting like the unions did in supporting ObamaCare that no one ever read. Today, the "shame" is on the unions because their membership is going pay and pay. Expanded Medicaid, like ObamaCare, is a dead program spending, taxing, regulating and cutting. Once the MHA membership witness the expanded control Medicaid has over hospitals and physicians they will change their tune like the unions have. We do know from decades of Hawaiian history that employer health insurance mandates can achieve three outcomes. First, a state can achieve 98% coverage. Second, the effort will destroy small businesses who survive by cutting full-time employees to part-time resulting in Hawaii's present 90% coverage. Third, that even with federal funds (QUEST program) to "share" in covering the cost of the chronically ill and hard to insure 2% of the population, the effort is unsustainable. ObamaCare along with expanded Medicaid are two dead programs subsidizing, taxing, regulating and destroying economies. The unions are just the first canary signaling the death of ObamaCare. The question is how many states are going to economically die with it?

Dr J (9/18/2013 at 4:25 PM)
The elected officials in the states that passed on billions of federal dollars will eventually have to answer for their decision... meanwhile the taxpayers in those states that rejected federal funds might take comfort in knowing that their federal tax dollars are being used to fund hospitals and healthcare for lower income people in all the other states who agreed to accept federal funds and expand Medicaid.