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Friday, February 8, 2013

Dangling the Stick in Front of the Donkey and Beating Him with the Carrot


Gov. Bob McDonnell has resisted expanding Medicaid in Virginia, despite decisions by GOP governors in six states, including, most recently, Michigan and Ohio, to expand their programs. However, The Virginia Senate has cleared the way for the state to expand its Medic­aid program to hundreds of thousands of uninsured Virginians, but the House of Delegates stands firmly in the path.  On a voice vote, the Sen­ate approved a budget amendment that would al­low Virginia to expand Medicaid on Jan. 1 if the state is able to make signif­icant reforms in how it delivers and pays for health care under the pro­gram.
Virginians should oppose any legislation that will expand Medicaid coverage in the Commonwealth and support the Federal government’s expansion of medical healthcare exchanges.  Proponent’s arguments are the moral equivalent of “dangling a stick in front of a donkey, and beating him with a carrot” in order to encourage him to move.

The carrot is the federal government’s promise to provide $23B over nine years to expand Medicaid in Virginia.  The stick is Virginia must opt into the federal health care exchanges.  According to the Richmond Times Dispatch (http://bit.ly/XsLGLR), opting in will ostensibly expand Medicaid to hundreds of thousands of people, while providing politicians with a politically expedient path to balance the budget by “saving” $51 million next year and $114 million the following year.
Unfortunately, the facts are these.  The United States government borrows forty-six cents on every dollar it spends: it is broke.   There is no guarantee that $23B will be there over nine years.  Second, as humanitarian as expanding the program seems, it only provides access to health care: it does not create one new doctor.  Neither benefit will be realized, and the citizens of the Commonwealth will be left with hundreds of thousands of more dependent people, relying on a broken health care system, and no way to pay for it.

It's time to take our medicine and deal with these issues on a state level and not a federal level.

Remember ...

"You're entitled to your own opinion, but you're not entitled to your own facts," Sen. Daniel Patrick Moynihan.

"Against public stupidity, the gods themselves are powerless." Schiller.

“Who controls the past controls the future. Who controls the present controls the past.” – George Orwell, 1984

"Statistics are no substitute for judgement," Henry Clay

"The problem with socialism is that you eventually run out of other peoples' money," Margaret Thatcher