Saturday, March 30, 2024

About that Medicaid Expansion

 It appears some form of Medicaid expansion will pass the legislature only to meet the Governor's veto pen.  Just one question.  During all of the horse-trading, how come no abolishment of the certificate of need was placed on the table?  Are the so-called conservatives in the legislature in that much of a hurry to expand Medicaid?  Just curious.  

27 comments:

Anonymous said...

No to expansion.

Wasn’t Obamacare supposed to FIX EVERYTHING? It was the only thing that had to happen for EVERYONE to have access to great healthcare!

What a joke anyone is that thinks this is the only stop on the way for more bureaucracy on the way to state-mandated healthcare.

Anonymous said...

Obamacare - Marxism 101

Anonymous said...

Veto it governor.

Anonymous said...

No matter the cause rural hospitals are hurting.

Anonymous said...

So KF, Medicaid expansion will cost enough. You want every Urgent Care center on every corner have an MRI by eliminating the CON process. It's a pain but you just program that time into your project time line and if you can make a business argument for requesting what before the CON, they will approve it. Just part of doing business. It probably could use some tweaking but it's not all bad.

Anonymous said...

3:03 for the WIN!!

Anonymous said...

Absolutely “no” expansion!

Anonymous said...

Pro-Con CON:
1. So you’re trying to save hospitals? If it’s CON related you’d be against all of the medical clinics doing outpatient surgeries and other procedures that used to be ALL performed in the hospital. They started with those procedures that were mainly done for patients who had private insurance. Obviously the most profitable. Hospitals then cry about how they need to be able to keep those procedures to offset what they lose on the others.
2. Shouldn’t we let the marketplace work it out? If there can be an intersection where there is a tobacco store on one corner, a liquor store on one corner, a fried chicken place on one corner, and a beer barn on the last corner, why then can’t we have a health care facility on every corner. If you’re crazy enough to buy an MRI machine that doesn’t get used, then you shouldn’t be in business.
3. You want to open a nursing home? Don’t you know you might be taking patients away from an existing facility? Do you know how politically connected the existing owners are and how they can have your applications squashed by just saying there are plenty of bed available?

Anonymous said...

Off the topic, but where is the outrage that the legislature has failed, for three years now, to pass a ballot initiative? I guess the legislature no longer works for us.

Anonymous said...

Expand Medicare (under any name they want to call it.). Expand low cost check ups. It will save us money in the long run, and just maybe some of the least amongst us will live more productive lives.

Unknown said...

They've certainly turned a blind eye. I know of several MRIs and even a couple of outpatient cath labs that were deployed without a CON.

Anonymous said...

Great point, KF. Let's get increase the supply of medical serivce providers by eliminating the government's ability to determine market need.


Also, on a related note, this has been the worst legislative session in years. So much promise and so little results. No income tax elimination, no CON reform, liquor still run by the state and banned in certain counties, sales only at certain hours; no initivative; weak sauce....

Anonymous said...

CONs are going nowhere

Anonymous said...

Hell No on Expansion.

Gov better veto it.

Anonymous said...

Yeah, right, the obese are only a "low cost checkup" away from good health. Get real.

Anonymous said...

So,9:05, it's very difficult between the histrionics and sarcasm to figure out what you are really trying to say. Oh, and other than Five Points, most corners have 4.

Anonymous said...

9:41- there isn’t one cath lab in MS that isn’t tied to brick and mortar hospital. There aren’t any stand alone cath labs anywhere in MS. Lastly, about half of the procedures performed in a cath lab are outpatient; simply means post-procedure the patient is discharged home (not even going to discuss two-midnight rule).

Anonymous said...

By definition if you are conservative you are against expansion. If you are for expansion and say you are a conservative or expansion is conservative you are either dishonest or don't know what conservatism is.

Anonymous said...

9:05 pm Medicine is a profession not a business. Professions are key to a functioning society.

For a prosperous society we need healthy citizens who can be productive. We also need a strong middle class.

You don't look to "the marketplace". You look at whether or not a farmer in the Delta who has a serious work injury can get to a hospital in time. You want that farmer's his pregnant wife and baby to be saved if she develops symptoms of pre-eclampsia. Or better yet for her, she has had access to a doctor or trained nurse all through her pregnancy.

I am old enough to remember that in the South, we began to prosper when we had community hospitals. I remember when we had easier access to doctors and didn't have the "business model" driving their practices.

Now, even though an orthopedic surgeon can deal with any broken bone, if you have one in your arm and one in your leg, you get to pay two doctors. You now sit in waiting rooms for long periods of time, often even with those who don't know they are contagious or who are so poorly "raised" to not cover their nose or mouth when they cough or sneeze.

Some of us remember when doctors and lawyers and accountant etc. professionals and their livelihood was dependent not on advertising and publicity but on their abilities and reputation.

I get the frustrations of those of you who find modernity unnecessarily burdensome, but you are looking for "business" and "profit" to work for everything and that IS the problem!

Once upon a time, the city had it's own garbage trucks and workers and because of that we paid "cost". Once it was a let contract, the costs have consistently gone up with very little to show for it and worse, we gave the first contractor his "start up" plant and equipment to keep the first contract artificially low. AND, I had a reliable source ( one who wanted to bid on the contract tell me how much a city councilman charged for his vote.

So, I'm with you in seeing the problems. What you are likely to young to see is why the problems exist! You don't know that economics and forms of government are not identical. Communists and dictators do well with capitalism...the difference is their loyalist are the one who profit and there is no real competition based on delivery of goods and services to their citizens! 


Anonymous said...

09:45 this is excellent analysis on the current state or the “lack of” professionalism within our world today. I am a medical care provider as was my father. He and his colleagues were true “gentlemen” and were the example of professionalism. He taught me when I started in practice with him that “son, professionals don’t advertise. Take care of the human in front of you and it will all work out”. I still practice by the idea today and have for the last 18 years.

Anonymous said...


It’s sickening to see the legislature waste all this time and energy on something that will never come to pass

Anonymous said...

Granny's opinion is not analysis.

Anonymous said...

I earned and I plan to use it for my living expenses!

Anonymous said...

I earned it and we were promised PERS. Don’t abandon us now!

Anonymous said...

What difference does it make if the governor vetoes it? That veto will save time and money since the Biden regime will never approve the elements of the bill related to a 'work requirement, anyway.

How many more 'spinning wheels' are left in this session's tool-box?

Anonymous said...

Democrats supporting this is no surprise but republicans? I already had my name removed from the voter rolls. I never liked democrats now I don’t like republicans either. Both parties love free stuff.
.

Anonymous said...

I have no moral obligation to pay for someone else’s health care! The federal will print more money to pay for it. My money loses buying power due to inflation.


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If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

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