Supporters of the law argue that states should move quickly to create state insurance exchanges in order to ensure a higher level of state control, but this notion is an illusion. The law’s provisions would actually require Louisiana and its citizens to cede decision-making power to the federal government.
Although the Supreme Court let most of the ACA stand, Louisiana policymakers can still play an important role in the health care reform debate. Most importantly, they should refuse to expand the state’s Medicaid rolls and take a wait-and-see approach to state insurance exchanges.
Last week the Louisiana Budget Project (LBP) published a response to our critique of the health insurance exchange proposed by Sen. Karen Carter Peterson in SB744. We have reviewed their arguments in favor of the exchange and find them unpersuasive.
The 2009 Stimulus allocated money for states to improve their information technology systems, with the ideal result being enhanced care, readily available patient information, and up-to-speed communication.
[Ryan’s plan] reforms the currently-unsustainable Medicare and Medicaid programs, and targets the inflated costs which have distorted the market beyond recognition.
The specter of even more pronounced rising costs, as evidenced by Kaiser’s study, may not only keep the economy stagnant, but exacerbate the already fragile situation.
Gov. Jindal estimates that transitioning towards coordinated-care will save the state $135 million annually. It would also lead to improved health care quality.
Kansas officials also noted that the Early Innovator grant does nothing to slow the explosive growth of health care and health care costs.
Medicare spending is growing at annual clip of 7.2 percent, vastly faster than the rest of the economy. Over the next decade, Medicare spending is expected to double, and its unfunded liabilities over the next 75 years are approximately $31 trillion dollars- a number beyond human comprehension.
“With the addition of Louisiana, nine states have now requested an exemption from this particular exemption… the growing dissatisfaction amongst states means the Obama Administration will face some difficult decisions.”