Sunday, September 28, 2014

Medicaid Without Health Care

It is typical of the Obama Administration to tout form over substance.  Even the sympathetic voice of the New York Times cannot avoid the obvious.  While millions have been added to Medicaid rolls in the last twelve months, it is becoming increasingly impossible to find doctors that will treat Medicaid patients.  This will only get worse, much worse.

There was never any real intention to expend health care services.  Instead, the idea was to extend Medicaid and Medicare.  The fact that, increasingly, doctors refuse to take on Medicaid and Medicare participants was of no matter to supporters of Obamacare, Medicaid, and Medicare. 

Why does it really matter if these folks don't have access to health care? At least that they have access to a government program, regardless of whether any real health care comes with it.

Today's New York Times article in the business section by Robert Pear entitled "For Many New Medicaid Enrollees, Care is Hard to Find, Report Says."  The article comments that "...Obama Adminstration and state officials have done little to ensure that new beneficiaries have access to doctors after they get their Medicaid cards, federal investigators say in a new report."

This outcome, Medicaid without health care, is completely predictable.  It is the future of Obamacare that is being displayed.  Forcing everyone into a government program and then reducing the amount available for the program means that the amount of health care will prove inadequate.  As usual, those at the bottom of the economic pile, will find that they will bear the brunt of this "bait and switch" policy.  Government promises, but does not deliver.

Meanwhile, the Warren Buffetts of the world will do fine.  The one-percenters like Buffett put health care in a strangle-hold so that average and low income Americans get the short end of the stick.  Buffett isn't going to depend upon Obamacare, so what does it matter to him.  But, it will matter to the average American, who is giving up the best health care system in the world for an uncaring and undelivering government bureaucracy.

There is no sign that the Adminstration has any plans to deal with current doctor shortage for folks that have been forced into Medicaid.  But, they can point to lower costs.  One way of reducing costs is to not provide health care for the poor.  That seems to be the favored track of the Obama Administration.

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