NC will lose health professionals, jobs, revenue when Virginia expands Medicaid

images-1The Virginia Senate and House have both passed competing versions of a state budget that each includes provisions for expanding Medicaid under the Affordable Care Act in Virginia.  The form that expansion would take still has to be worked out in negotiations between the chambers, but a final expansion would mean VA would join  a rapidly increasing number of states planning to expand coverage.  This includes a growing number of states led by Republican Governors:  Ohio, Nevada, Arizona, New Mexico, North Dakota and  Michigan.

Sure, the fact that Republicans in Virginia are moving to expand Medicaid makes NC’s state Senate and Governor Pat McCrory look behind the times in their continued refusal to entertain coverage expansion.  But what are the other effects on NC from the Virginia decision?  The main one is the boon to Virginia’s economy that results from expansion and the hit we take as a result.  Why?  Estimates are that Virginia will create about 20,000 new jobs as a result of the expansion and those jobs will look pretty good to NC health professionals.

Indeed, the REMI business consultant study done for North Carolina noted that if NC were to expand Medicaid and surrounding states like Virginia did not, NC would benefit because professionals in health care would be motivated to move here from other states given all the new jobs:

The North Carolina economy has a high concentration of healthcare firms, which attracts the young or footloose looking for employment and high wages. North Carolina would be on something of an “island” in the South if it were to participate in the Medicaid expansion because many nearby states (Virginia, South Carolina, Georgia, Alabama, Mississippi, and Texas) intend to opt-out of the expansion altogether.  This would give North Carolina an advantage in attracting households in light of the other states turning down the federal dollars and associated spending in the healthcare sector. … More migration means more people, more spending, and therefore more impact.

Now the tar is on the other foot, and VA looks to expand while NC doesn’t.  A state that expands attracts professionals to high-paying long-term jobs in their state, a shot in the arm both to tax revenues and the economy.  I guess that’s one main reason why Republicans in VA are moving towards expansion.  Too bad Republicans in the NC Senate are not only blocking expansion but spreading flat-out fear-mongering lies about the Affordable Care Act.


  1. Frances Jenkins

    February 9, 2013 at 10:06 am

    PA just rejected ObamaCare!

  2. Frances Jenkins

    February 9, 2013 at 10:17 am

    This is very misleading. Virgina has not passed ACA.

  3. Adam Searing

    February 9, 2013 at 4:50 pm

    Frances – you might want to actually take a look at the news stories referenced in the post. VA is well on its way to Medicaid expansion which is exactly what I say. They are negotiating it right now. A

  4. Adam Searing

    February 9, 2013 at 4:53 pm

    And don’t forget your friend, NC Senate Leader Phil Berger, who is actually spreading absurd lies about the ACA with no other intent except to scare people. He must know that if he actually stuck to the facts he doesn’t have much of an argument against expansion. Not much leadership there I’d say – very disappointing!

  5. Frances Jenkins

    February 9, 2013 at 7:11 pm

    You are smoking crack or drinking moonshine. Medicaid is totally broke and to add however many million will break the nation as well as the state. Some things do have to be paid for with money. This an’t no lie, son. The BS of liberals would make Popcorn Sutton look like a rocket scientists.

  6. gregflynn

    February 10, 2013 at 4:16 pm

    Frances Jenkins
    February 9, 2013 at 7:11 pm
    “You are smoking crack or drinking moonshine. … The BS of liberals would make Popcorn Sutton look like a rocket scientists.”

    Frances Jenkins
    February 11, 2012 at 2:48 pm
    “Name calling does not give more insight, certainly no compassion as evidenced by your post.”

    Frances Jenkins
    September 10, 2011 at 9:32 am
    “I can not decide which group would win the award for being the most mean spirited”

    Frances Jenkins
    January 16, 2013 at 5:30 pm
    David is mean spirited, unkind and must have not had any friends when he was little. I think he was bullied.”

    Frances Jenkins
    December 11, 2012 at 8:24 am
    “[Chris]..just a mean-spirited person who searches for the smallest fly and ignores the corruption of the Democrats.”

    Frances Jenkins
    January 5, 2012 at 5:54 pm
    “Why so mean spirited. perhaps you know your thinking is flawed.”

    Frances Jenkins
    December 4, 2012 at 6:09 pm
    “You are such a mean spirited person.”

    Frances Jenkins
    February 6, 2013 at 12:06 am
    “Why the attacks on me? Be nice. Discuss the issues and leave the mean spiritedness alone. Surely you can do better than this.”

    December 1, 2011 at 2:52 pm
    “Stop the name calling. You are a bigger person than this. Make your point and leave off the anger and hate.”

    Frances Jenkins
    September 10, 2011 at 12:42 pm
    “You can not win people to your side by calling them ignorant and narrow of mind. You are turning me and others in the middle off to your cause.”

  7. Janet

    February 10, 2013 at 6:32 pm

    I studied the Affordable Healthcare Act and it contains a rating system to determine an individual’s “worth and/or quality of life.” This rating system works almost exactly the same as the rating systems implemented when determining insurance rates. How much a consumer would pay for a specific amount of coverage, etc. Except in regards to Obamacare the rationing or rating system in place determines the amount of healthcare a patient will receive. Obamacare rates the worthiness or value of a person by calculating quality of life and life expectancy vs. cost to decide whether the patient is worth the cost of the treatment, and how the patient will be prioritized in the queue for treatment. The older (or disabled) the patient, the lower their priority. If you are too old (or too disabled), you’ll never get to the front of the queue. From 60 years of age on, a patient can expect to get comfort care rather then healthcare. And Obama himself explains this rationing. You can hear him in his own words. Call it fear mongering if you choose, but Obama outlines the rationing and death panels in his own words:

  8. Adam Searing

    February 10, 2013 at 7:36 pm

    Greg – hilarious! “Frances” – you see the rules below about commenting. If you can’t keep it under control, don’t bother please.

  9. Doug

    February 11, 2013 at 4:25 pm

    Much better to take on a short term loss of these jobs than a long term financial boondoggle. If NC stays out of the state run system, we have no system for the Feds to increase the percentages we have to pay into the system to keep it running when they find that there is no money to run it. At that point, let them then clean up the mess on the back of taxpayers from all 50 states rather than only NC.

  10. Frances Jenkins

    February 12, 2013 at 9:13 pm

    Greg sure did get redistricting wrong.

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