Bankrupting America: Spending Daily Update

The Washington Post reports that the Supreme Court’s ruling that states can opt out of Medicaid expansion “has raised some thorny questions about the practical and financial ramifications.” So what if some states do decide not to participate in the expansion? According to the article, the federal government could save money because “poor people who would otherwise have been newly eligible for coverage would no longer get it. But there’s a twist. … This subset of people might cost the government more than if they had gotten Medicaid, because the program is considered more efficient than private insurance. So, what would be the net effect on federal spending? It depends on which is larger: the savings on people with incomes below poverty — who wouldn’t get Medicaid or any other federal help with insurance — or the extra cost of providing subsidies for those with incomes at or above poverty. For now, no one has hard numbers.”

