David Sirota has an insightful piece at Salon.com in which he summarizes a recent University of Pennsylvania study on access to health care for people with underfunded public health insurance.
“As both parties have used anti-government arguments to slash taxes, public revenues have predictably dried up. With states under statutory obligation to balance their perpetually strapped budgets, Medicaid reimbursement rates have been regularly put on the chopping block in legislatures, creating ever-widening disparities between what physicians are paid by private insurance and what they are paid by public insurance….
Hence, the Separate and Unequal disparities — disparities that will likely be cited by Republicans in Washington as proof that public insurance programs are inherently bad and therefore need to be even further defunded. Indeed, the infamous Ryan Budget proposes big cuts to Medicaid and the Children’s Health Insurance Program that would likely result in further reductions in reimbursement rates.”
In other words, it’s the perfect far right, Tillis-Berger-Pope scenario: Underfund government so that it does a poor job and then use that poor performance as grounds to cut funding further!