Saturday, November 9, 2013

Its Never Their Fault. Never.

Jesus Christ, the Party of Personal Responsibility strikes again.  Take care of your own indigent, uninsured population for God's Sake or just get out of the way already. And stop whining about it. How did you "get mugged" by the taxpayers in other states that fully implemented the Medicaid expansion and the insurance exchanges refusing to subsidize your craptacular health care failures and miserable attitude towards your own citizens? When the last Democrat tries to give a hand up to the last Republican stranded at the bottom of a well after the last Typhoon has stranded him down there what you are going to hear is a whiny, wailing, bitch fest about how he was "mugged" into the well by someone else and how he doesn't need any help getting out.

But experts and hospital administrators said it was unlikely that the federal government would make adjustments that would reward states that refused to expand Medicaid. And the health care landscape is changing so rapidly, they say, that the subsidies are crucial to keep going over the next few years.Hospitals in Georgia are trying to hang on. Rural hospitals rely heavily on the subsidies and as many as 15 could close in the coming months, their trade association estimated, costing jobs in economically depressed parts of the state.Georgia hospital officials hope that the plight of rural hospitals may eventually cause Gov. Nathan Deal to opt for some version of a Medicaid expansion. The state’s politically powerful hospital association late last month called for expansion.But for now, the governor is holding firm. His spokesman, Brian Robinson, said Mr. Deal’s opposition to expanding Medicaid was driven by simple math: Georgia cannot afford it. Though the federal government is paying the full costs of the expansion for the first three years, states will have to pay up to 10 percent in later years. States that do not expand should be spared cuts in hospital subsidies, Mr. Robinson said.The federal government, not Georgia, is to blame for the predicament, he said.“The state is sitting here, a victim of a crime, and you’re asking the victim, ‘Why did you let yourself get mugged?’ ” he said.Hospitals are trying to get Congress to delay the subsidy cuts by amending the health law, but House Republicans in Washington have thus far refused.“The conversation we are having with the congressional delegation goes like this, ‘If we don’t expand Medicaid, what is the Georgia solution to indigent care?’ ” said Matthew Hicks, vice president for government relations at Grady. “So far they don’t have an answer.”

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