Obamacare: NC hospitals get $13 billion if NC expands Medicaid

A new report out looks at the detailed financial costs and benefits to each state of expanding Medicaid under Obamacare.  In NC, the Medicaid expansion would mean that 500,000 adults in our state with incomes under about $15,000 a year would be eligible for health coverage.  Over the next ten years these folks will also need a certain amount of hospital care – and if we expand Medicaid hospitals will get over $13 billion to provide it.  No Medicaid expansion?  Hospitals will still be providing a great deal of this care to poor uninsured people anyway.  They just won’t get paid for it.


  1. Frances Jenkins

    November 29, 2012 at 4:13 pm

    Where is the money? We are falling off a cliff.

  2. Adam Searing

    November 29, 2012 at 4:45 pm

    Ah, once again Frances: As the nonpartisan Congressional Budget Office has said again and again, Obamacare is fully paid for. It’s no mystery – taxes have gone up slightly for people making over $250,000 a year, insurance companies and drug companies are getting paid less than they used too, and hospitals are getting paid in different ways that puts a premium on quality care rather than just quantity.

    But really, all you need to know is that, according to the CBO, repealing Obamacare would ADD over $100 billion to the deficit: http://www.cbo.gov/publication/43473

  3. James

    November 29, 2012 at 5:51 pm

    The “cliff” is a fantasy brought on by deficit hysteria. There is no cliff.

    Yes, there is a steep slope, but that slope could easily be flattened if we restore taxes back to the level they were at during America’s boom years (half a century ago).

  4. Frances Jenkins

    November 29, 2012 at 10:15 pm

    I have some beach front property in Madison County NC I would like to sell. It is free and there is no cost.

  5. Alex

    November 30, 2012 at 8:27 am

    I hope Adam is not gullible enough to believe anything in our government is “paid for”. Everything I look at is in a deficit from Social Security to most of the federal agencies. I remember the CBO was telling us there was no housing crisis back in 2007, so I would not put too much reliance on those folks.Common sense would tell you that putting an additional 15 or 16 million folks on Medicaid all at once would break the bank.

  6. david esmay

    November 30, 2012 at 8:38 am

    Alex/Frances, having a meaningless conversation with yourself again? The only thing that isn’t paid for are the GOP/Bush programs medicare part -D, medicare prescription drug program, unfunded war program, unfunded tax cut program, because tax cuts are really spending bills. Yep, the GOPers tried to break the bank, now we’ve got to pay for their stupidity.

  7. Alex

    November 30, 2012 at 9:35 am

    If you go back to the government figures david, revenues actually went up after the tax cuts, and also during the Reagan years.You always repeat the same wrong talking points.The real increase in government spending occurred under Obama.

  8. gregflynn

    November 30, 2012 at 10:26 am

  9. david esmay

    November 30, 2012 at 12:12 pm

    Alex, do actually think anyone is buying your b.s.?. The only thing that increased after the tax cuts was deficits. The CBO expects revenue this year to be 14.8% of the GDP, the lowest level since 1950. Tax cuts increasing revenue is a RIGHT WING MYTH, it’s been debunked so many times I find it unbelievable that anyone besides a neo-con tool would repeat it. Even Greg Mankiw has stated that “neither capital gains or tax cuts increase revenue.” Bruce Bartlett himself has described people that espouse this ridiculous assertion are nothing more than “charlatans and cranks”. This idea is pure supply side bovine scatology, there is no credible evidence, from any source, that broad based tax cuts raise revenue. Republican lie of the worst kind and oft repeated.

  10. david esmay

    November 30, 2012 at 12:14 pm

    The only spending President Obama signed off on was the stimulus, the rest, the increased mandatory spending is from Bush programs.

  11. Alex

    November 30, 2012 at 12:38 pm

    david, if you can’t read a simple government chart, then no one can help you. A closed mind knows only one answer….your own !

  12. Alex

    November 30, 2012 at 2:23 pm

    On the CBO, flynn should go back and read their 7/22/08 estimate of $25 billion to rescue Fannie Mae and Freddie Mac during the housing crisis which was totally ridiculous. Several years later it was revised to $ 318 billion…just one of the many blunders . Most people don’t even take them seriously now.

  13. gregflynn

    November 30, 2012 at 5:20 pm

    Alex/Doug, a proven pathological liar quickly changing the subject when shown to be false.

    Despite attempts to derail it, this thread it is still about 500,000 North Carolina people earning less than $15,000 who need coverage for health care. I’d rather have them stay healthy and productive than sneezing on your salad or bleeding on your pizza.

  14. Alex

    November 30, 2012 at 6:11 pm

    When you can’t dispute the facts, the only thing left is to call the messenger a liar. Very childish behavior and quite sad ! No one is disputing the need for healthcare, but simply the means for this bankrupt nation to provide it.

  15. david esmay

    December 3, 2012 at 12:57 pm

    Alex you haven’t stated a fact or produced any data, like a government chart, to support anything you’ve said.

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