Full implementation of the ACA begins in 2014 and Governor Mead said now is the time to prepare a set of conditions for Wyoming to submit to the federal government on a health insurance exchange and Medicaid optional expansion. "This body (the Legislature) has the opportunity to develop what we would like to see in that request. Now, perhaps the federal government will not agree to our terms. We can say no if they do not, but it is far better that we express our terms and make a request than to not make a request and get a package without our input. Let's view this as an opportunity for innovation."
As you no doubt know, I have taken steps to join the Florida lawsuit against the Affordable Care Act. I understand the criticism in doing so--some because they like the Act, some because of the cost associated with the lawsuit.
I do not like the Act--in my view it is bad policy and too costly. This law will significantly increase our Medicaid rolls. Mississippi, for example, forecasts the overall cost to implement the Affordable Care Act in that state will be $1.7 billion over ten years, including $443 million in year 10 alone.
I am willing to fully test the legality of the law because it has implications beyond health care. It is not enough to say "no". We should continue to seek state solutions even as we fight the federal law.
In this pilot project, we expect participants to work at least 20 hours per week, and follow their doctor's orders. The project calls for people to have greater access to their primary care physician. What we are looking for are those things that drive the system in terms of cost. We are looking for early detection of diabetes; for early detection of cancer; for early detection of heart disease. With any ailments that can become chronic diseases, we are looking for early detection.
Which part of that is socialism? The part where we ask people to be responsible? The part to pay for their own insurance? The part where we ask people to work? I encourage you to rethink this and take a shot at it.
Yes, we have that responsibly as a civilized society, but we are falling short. The current approach sometimes seems like that card game “Old Maid”. Because of the governmental system that is based more on budgets than people, mentally ill people get passed around from place to place and never receive the comprehensive network of services they deserve. We pay more in the long run.
|2012 Presidential contenders on Health Care:|
Green: Dr.Jill Stein(MA)
Libertarian: Gov.Gary Johnson(NM)
Justice: Mayor Rocky Anderson(UT)
Constitution: Rep.Virgil Goode(VA)
Peace+Freedom: Roseanne Barr(HI)
Reform Party: André Barnett(NY)
AmericansElect: Gov.Buddy Roemer(LA)
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