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Indiana Democrats trying to jumpstart conversation on health care

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A coalition of Democratic senators and representatives gathered at the Indiana Statehouse Wednesday morning to “jumpstart the conversation” on health care exchanges and Medicaid expansion.

The exchanges and expansion are among the provisions of the Patient Protection and Affordable Care Act passed in March 2010. The six legislators said the federal law offers an opportunity to extend health care to all Hoosiers, yet they are dismayed there have been no discussions in the Legislature and no public dialogue on the implementation of the exchanges or the expansion.

Assistant Senate Democratic Leader Jean Breaux (R-Indianapolis) called the silence deafening.

Breaux and Sen. Karen Tallian, D-Ogden Dunes, used the press conference to announce their proposal, Senate Bill 540, which provides for the implementation of the federal ACA.

The bill has two parts. The first part addresses the insurance exchanges and calls for the establishment of a committee to study and make recommendations to the legislative council concerning the implementation of an exchange. The second part calls for changes in the Medicaid eligibility requirements to allow for the program’s expansion.

The coalition emphasized the $20 billion the state is expected to receive over the next seven years in federal health care spending which would not only provide health insurance for Hoosiers but also create 47,000 jobs.

The lawmakers also highlighted areas they believe costs will be cut if Medicaid is expanded. Tallian, in particular, pointed to the Department of Correction which currently spends $100 million annually on medical care for inmates. With the expansion, these inmates would be covered by insurance.

“These are just the direct benefits,” she said. “They say nothing about the value of making sure everyone has health insurance.”  

Under the ACA, states have the option of setting up their own health care exchanges or having the federal government establish and run the exchange in the state. Gov. Mike Pence has said he does not believe Indiana should create an exchange because it could cost the state millions of taxpayer dollars.

Originally, states had until Jan. 1, 2013, to decide if they would run their own exchanges or let the federal government do it. However, the Obama administration has indicated it will give states more time to make a decision.

The Supreme Court of the United States ruling which upheld most of the ACA noted states do not have to expand Medicaid.

Pence has also raised concerns about the cost to Hoosiers if Medicaid is expanded. However, because the increasing Medicaid coverage is predicted to reduce the number of non-paying patients, Indiana hospitals and medical practices are expected to pressure the Legislature to expand the program.  

 

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  1. Someone off their meds? C'mon John, it is called the politics of Empire. Get with the program, will ya? How can we build one world under secularist ideals without breaking a few eggs? Of course, once it is fully built, is the American public who will feel the deadly grip of the velvet glove. One cannot lay down with dogs without getting fleas. The cup of wrath is nearly full, John Smith, nearly full. Oops, there I go, almost sounding as alarmist as Smith. Guess he and I both need to listen to this again: https://www.youtube.com/watch?v=CRnQ65J02XA

  2. Charles Rice was one of the greatest of the so-called great generation in America. I was privileged to count him among my mentors. He stood firm for Christ and Christ's Church in the Spirit of Thomas More, always quick to be a good servant of the King, but always God's first. I had Rice come speak to 700 in Fort Wayne as Obama took office. Rice was concerned that this rise of aggressive secularism and militant Islam were dual threats to Christendom,er, please forgive, I meant to say "Western Civilization". RIP Charlie. You are safe at home.

  3. It's a big fat black mark against the US that they radicalized a lot of these Afghan jihadis in the 80s to fight the soviets and then when they predictably got around to biting the hand that fed them, the US had to invade their homelands, install a bunch of corrupt drug kingpins and kleptocrats, take these guys and torture the hell out of them. Why for example did the US have to sodomize them? Dubya said "they hate us for our freedoms!" Here, try some of that freedom whether you like it or not!!! Now they got even more reasons to hate us-- lets just keep bombing the crap out of their populations, installing more puppet regimes, arming one faction against another, etc etc etc.... the US is becoming a monster. No wonder they hate us. Here's my modest recommendation. How about we follow "Just War" theory in the future. St Augustine had it right. How about we treat these obvious prisoners of war according to the Geneva convention instead of torturing them in sadistic and perverted ways.

  4. As usual, John is "spot-on." The subtle but poignant points he makes are numerous and warrant reflection by mediators and users. Oh but were it so simple.

  5. ACLU. Way to step up against the police state. I see a lot of things from the ACLU I don't like but this one is a gold star in its column.... instead of fighting it the authorities should apologize and back off.

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