|Can We Afford To Do This?|
Can We Afford Not To?
(graphic from healthinsurance.org)
Those caveats duly considered, though, it seems to me that the more formidable task will come in getting the third condition met. Of it, Daugaard unequivocally says that he "will not support expansion unless the Legislature supports it." My general observation is that our state legislature has a fair number of committed Obama-haters in it, and their reflexive reaction to the Obamacare-spawned program of Medicaid expansion will be opposition. That about fifty thousand South Dakotans who now make too much money to qualify for conventional Medicaid but don't earn enough to pay for private health insurance will qualify for Medicaid if expansion occurs hasn't been a convincing enough reason for our state government to take this deal. That's actually pretty sad, considering that even Daugaard acknowledges that although this pool will include those who become government-dependent, it also includes "the single mother of three who cannot work enough hours" to afford private healthcare.
My take? The cost of letting system-gamers into the Medicaid expansion pool isn't enough to dissuade us from accepting the plan. It just comes down to the greatest good for the greatest number of people. When GOP Governor Chris Christie implemented Medicaid expansion
|It Just Makes Too Much Sense|
We Need "Smart" not "Stubborn"
(graphic from credomobilize.com)
Governor Daugaard has some well thought-out reservations going into this, but it's clear that he's coming to the same conclusion. We have to find a way to make this deal work.