Medicaid, Fort Scott, Representative Jacobs discussed on 1A
Plans and keep our doctors, and we had more access to a fair market healthcare choices like we were promised almost a decade ago. Then maybe possibly fort Scott may still to this day have a hospital government expansion does not work because at the end of the day. That's all it is government expansion that does not work unquote that statement from state Representative Trevor Jacobs who represents fort, Scott, Kansas. Jim, what do you think? Well, it doesn't surprise me. The Senator who also represents for Scott is posed a Medicaid expansion and quote unquote government expansion into healthcare as well. Trevor represents I think a pretty distinct point of view in the Kansas legislature in Kansas, politics, generally, conservative, Republicans really have held sway here in recent years that is beginning to change in two thousand sixteen and then again in two thousand eighteen with the election of a democratic governor. But the legislature is still pretty balkanized in terms of the political philosophies which makes. Issues like Medicaid expansion, very complicated. And that was a very complicated explanation of his position. I think with regards to what the Representative said, and we come to Sarah, Jane, tripled breath presentative makes raises a good point healthcare is expensive. It's not getting cheaper anytime soon. Many conservative lawmakers argued that expanding Medicaid would kind of bus the budgets. We'd see some of the things that the Representative wrote in his statement about pharmaceutical vendors in the cost of insurance plans and having what he called fair market healthcare choices is there any data from states that have expanded Medicaid to support Representative Jacobs's argument, there's a bit ten Pat unpack there. So if you're a state conservative state, and you're looking at your budgets, Medicaid costs a lot of money. It is a big number on your budget and the idea of expanding it is just it almost too much to take. But in reality, what happened with the Affordable Care Act is the government said we really want you to expand. We're going to give you money. We're going to give you lots of money. One hundred percent. That dials down to ninety percent of the funds for that expansion population. And it stays at ninety percent of the funds for the expansion population after twenty twenty and so you're not paying most of that out of your state budget. There's the federal government chipping in. So there's that factor. Now, there is the fear that you know, that costs will go up for the state initially because people without insurance or going to run to the hospital and their doctors and get care, and there is some data showing that there is a slight increase in those costs. But the overall data shows it does not a total increase in Medicaid spending. And there's not a significant increase in spending for the state from Medicaid show. Just wanna make sure we're clear, it may well have cost Kansas a lot of money, but can just never would have been paying all that money because the federal government would've brought the money, right? Kansas patriot rights like him arosh, the promise of new technology that brings medicine to the people in remote areas as always just over the horizon, and we never seem to get there. Will it happen someday? Probably. But for decades now, it seems we've been tantalised with promises that never come to fruition. What about alternative ways of? Providing healthcare, whether it's telemedicine another one of our listeners asked about intermediate facilities, not quite a family..