Maine Writer

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Sunday, September 24, 2017

Medicaid caps- Revised Graham-Cassidy GOP repeal

There's plenty wrong with putting caps on Medicaid.


1.  If there are caps put on Medicaid based on a state's population, that means people who need care will be put on waiting lists.

2.  Neonatals and newborns will have to wait for somebody to die to receive Medicaid eligibility.

3.  When a state loses population (and several are already in a zero growth trend), then the Medicaid money will be reduced, even if the needs in the state are great- like Native Americans or a large number of discharged military who are in transition to civilian life and not yet employed.

4.  Putting state caps on Medicaid will force ethical dilemmas for health providers who will be giving care based on eligibility rather than on medical necessity.

5.  Medicaid caps prevent state's from addressing unforeseen population needs.  Pandemics will put populations at risk of choosing who gets life saving technologies.

6.  Poor people will be subject to even more health care rationing.

7.   It's wrong to shift health money. Graham-Cassidy pays for flimsy pre-existing conditions coverage by imposing caps on needy populations, like newborns, frail elderly, neurologically impaired, mentally ill, disabled and the chronically ill. Medical ethics will be upended, providers will be forced into examining "death panels" to determine eligibility based on population numbers, rather than on need.

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