State by state positions on Medicaid expansion under ACASelect a state for details
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Alabama
Leaning NO
-
Population Uninsured
744.1K (16% of state)
-
Uninsured eligible for expanded Medicaid
244.8K
-
Federal money available for Medicaid (through 2019)
$10.3B
Jennifer Ardis, a spokeswoman for Gov. Robert Bentley (R): "We don't know if the state can afford it. We need to study the full implications of the ruling." Bentley called the ACA "the single worst piece of legislation to come out of Congress."
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Alaska
Leaning NO
-
Population Uninsured
121.8K (18% of state)
-
Uninsured eligible for expanded Medicaid
33.1K
-
Federal money available for Medicaid (through 2019)
$2B
Gov. Sean Parnell (R): "We will do everything we can in Alaska to limit the impact of Congress' decision to pass this tax increase to Alaskans."
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Arizona
Leaning NO
-
Population Uninsured
1.26M (19% of state)
-
Uninsured eligible for expanded Medicaid
81.1K
-
Federal money available for Medicaid (through 2019)
$2B
Gov. Jan Brewer (R) has not said whether she'll support expanding Medicaid, but called the ACA a "fiscal and regulatory nightmare." House Speaker Andy Tobin (R) is opposed: "I don't see us going along with the expansion if it's not mandated."
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Arkansas
Leaning YES
-
Population Uninsured
540.3K (19% of state)
-
Uninsured eligible for expanded Medicaid
154.8K
-
Federal money available for Medicaid (through 2019)
$9.4B
Gov. Mike Beebe (D): "It'd take a pretty dang strong argument for me to say no to those people." Democrats control the state legislature.
-
California
YES
-
Population Uninsured
7.16M (19% of state)
-
Uninsured eligible for expanded Medicaid
1.4M
-
Federal money available for Medicaid (through 2019)
$44.7B
Gov. Jerry Brown (D): The Supreme Court ruling "removes the last roadblock to fulfilling President Obama's historic plan to bring health care to millions of uninsured citizens." Democrats control the state legislature.
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Colorado
UNDECIDED
-
Population Uninsured
688.7K (14% of state)
-
Uninsured eligible for expanded Medicaid
166.5K
-
Federal money available for Medicaid (through 2019)
$5.9B
Lorez Meinhold, health-policy director for Gov. John Hickenlooper (D): "It's premature to answer that question." Democrats control the state Senate, Republicans the House.
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Connecticut
YES
-
Population Uninsured
385.6K (11% of state)
-
Uninsured eligible for expanded Medicaid
75.9K
-
Federal money available for Medicaid (through 2019)
$4.7B
In June 2010, the state became the first to approve the expansion.
-
Washington, D.C.
YES
-
Population Uninsured
74.7K (12% of state)
-
Uninsured eligible for expanded Medicaid
15.3K
-
Federal money available for Medicaid (through 2019)
$902M
The District has already begun to implement the expansion.
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Delaware
UNDECIDED
-
Population Uninsured
107.1K (12% of state)
-
Uninsured eligible for expanded Medicaid
7.9K
-
Federal money available for Medicaid (through 2019)
$387M
The state has asked the Obama administration for more information about the cost of the expansion. Gov. Jack Markell (D): "Before we decide whether to choose that option, it seems prudent to get greater clarity and certainty from the federal government." Democrats control the state legislature.
-
Florida
NO
-
Population Uninsured
3.9M (21% of state)
-
Uninsured eligible for expanded Medicaid
683.5K
-
Federal money available for Medicaid (through 2019)
$20.1B
Office of Gov. Rick Scott (R): "Florida will opt out of spending approximately $1.9 billion more taxpayer dollars required to implement a massive entitlement expansion of the Medicaid program."
-
Georgia
Leaning NO
-
Population Uninsured
1.9M (20% of state)
-
Uninsured eligible for expanded Medicaid
479.1K
-
Federal money available for Medicaid (through 2019)
$14.6B
Gov. Nathan Deal (R) said the state would be in a "holding pattern" until the election, but a spokesperson said the expansion would cost "money we don't have." Republicans control the state legislature.
-
Hawaii
YES
-
Population Uninsured
94.5K (8% of state)
-
Uninsured eligible for expanded Medicaid
42.4K
-
Federal money available for Medicaid (through 2019)
$3B
The state has already begun implementing the expansion. Gov. Neil Abercrombie (D): "The Affordable Care Act is our ally in Hawaii to provide health care for everyone."
-
Idaho
Leaning NO
-
Population Uninsured
262.4K (17% of state)
-
Uninsured eligible for expanded Medicaid
59.1K
-
Federal money available for Medicaid (through 2019)
$2.4B
Gov. Butch Otter (R) has yet to take a definitive stance on the expansion, but called the ACA "bad for America from the beginning." Republicans control the state legislature.
-
Illinois
YES
-
Population Uninsured
1.9M (15% of state)
-
Uninsured eligible for expanded Medicaid
429.3K
-
Federal money available for Medicaid (through 2019)
$19.3B
Gov. Pat Quinn (D): "The state of Illinois is going forward with the president ... to expand using Medicaid." Democrats control the state legislature.
-
Indiana
Leaning NO
-
Population Uninsured
864.4K (14% of state)
-
Uninsured eligible for expanded Medicaid
215.8K
-
Federal money available for Medicaid (through 2019)
$8.5B
Gov. Mitch Daniels (R), who steps down in January, hasn't said definitively whether he supports the expansion, but called the ACA "wildly misguided." State Senate leader David Long (R) said the state can avoid a tax increase by "opting out of Obamacare's Medicaid mandate, which we will certainly do."
-
Iowa
Leaning NO
-
Population Uninsured
345K (12% of state)
-
Uninsured eligible for expanded Medicaid
74.5K
-
Federal money available for Medicaid (through 2019)
$2.8B
Gov. Terry Branstad (R): It's "doubtful" Iowa will expand Medicaid. Democrats control the state Senate, Republicans the House.
-
Kansas
Leaning NO
-
Population Uninsured
351K (13% of state)
-
Uninsured eligible for expanded Medicaid
89.3K
-
Federal money available for Medicaid (through 2019)
$3.5B
Sherriene Jones-Sontag, a spokesperson for Gov. Sam Brownback (R): "He will wait until after the November elections before making any decisions related to ObamaCare." Brownback has said that "[s]topping ObamaCare is now in the hands of the American people. It begins with electing a new president this fall." Republicans control the state legislature.
-
Kentucky
UNDECIDED
-
Population Uninsured
659.9K (15% of state)
-
Uninsured eligible for expanded Medicaid
250.7K
-
Federal money available for Medicaid (through 2019)
$11.9B
Gov. Steve Beshear (D): "We continue to review the Supreme Court's opinion, particularly on the Medicaid portion of the Affordable Care Act to determine what our options may be." Republicans, who control the state Senate, have called the eventual cost of the expansion "unsustainable." Democrats control the House and back the expansion.
-
Louisiana
NO
-
Population Uninsured
765.8K (17% of state)
-
Uninsured eligible for expanded Medicaid
277.7K
-
Federal money available for Medicaid (through 2019)
$7.3B
Gov. Bobby Jindal (R): "I don't think it makes sense ... I think it makes more sense to do everything we can to elect Mitt Romney to repeal Obamacare." Republicans control the state legislature.
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Maine
Leaning NO
-
Population Uninsured
125.6K (10% of state)
-
Uninsured eligible for expanded Medicaid
27.9K
-
Federal money available for Medicaid (through 2019)
$1.9B
Adrienne Bennett, spokesperson for Gov. Paul LePage (R): "We're in the process of analyzing what Medicaid expansion would mean for Maine." LePage is a fierce opponent of the ACA, and his administration has even said it believes the ruling gives it the authority to make cuts to Medicaid. Republicans control the state legislature.
-
Maryland
YES
-
Population Uninsured
749.7K (13% of state)
-
Uninsured eligible for expanded Medicaid
174.5K
-
Federal money available for Medicaid (through 2019)
$9.1B
Gov. Martin O'Malley (D): "We remain as committed as ever to moving forward." Democrats control the state legislature.
-
Massachusetts
YES
-
Population Uninsured
327.9K (5% of state)
-
Uninsured eligible for expanded Medicaid
10.4K
-
Federal money available for Medicaid (through 2019)
$2.1B
Gov. Deval Patrick (D): The Supreme Court ruling is "a victory for the American people." Democrats control the state legislature.
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Michigan
Leaning NO
-
Population Uninsured
1.3M (13% of state)
-
Uninsured eligible for expanded Medicaid
430.7K
-
Federal money available for Medicaid (through 2019)
$14.3B
Gov. Rick Snyder (R): "We're closely analyzing the impact ... It's not a decision that can be made immediately or lightly." Ari Adler, a spokesperson for House Speaker Jase Bolger (R): "We're reviewing that ... the federal government is offering short-term solutions that may create long-term problems."
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Minnesota
YES
-
Population Uninsured
463.1K (9% of state)
-
Uninsured eligible for expanded Medicaid
132.5K
-
Federal money available for Medicaid (through 2019)
$7.8B
The state began implementing the expansion last year. Gov. Mark Dayton (D): The Supreme Court ruling "will be met with relief by the Minnesotans whose lives have already been improved by this law."
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Mississippi
NO
-
Population Uninsured
555.3K (19% of state)
-
Uninsured eligible for expanded Medicaid
256.9K
-
Federal money available for Medicaid (through 2019)
$9.9B
Gov. Phil Bryant (R) doesn't intend to participate in the expansion, his office has said.
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Missouri
Leaning NO
-
Population Uninsured
853.3K (14% of state)
-
Uninsured eligible for expanded Medicaid
207.7K
-
Federal money available for Medicaid (through 2019)
$8.4B
Gov. Jay Nixon (D) has not said whether he backs the expansion, but Republicans who control the state legislature are opposed. House Majority Leader Tim Jones: "In this current economic time, we're not going to consider going down that path."
-
Montana
UNDECIDED
-
Population Uninsured
161.5K (17% of state)
-
Uninsured eligible for expanded Medicaid
38K
-
Federal money available for Medicaid (through 2019)
$2.2B
Gov. Brian Schweitzer (D), who leaves office in January, has not said whether he favors expanding Medicaid. Republicans control the state legislature.
-
Nebraska
Leaning NO
-
Population Uninsured
217.1K (12% of state)
-
Uninsured eligible for expanded Medicaid
50.4K
-
Federal money available for Medicaid (through 2019)
$2.3B
Gov. Dave Heineman (R) has said he'll resist efforts to expand Medicaid: "If this unfunded Medicaid expansion is implemented, state aid to education and funding for the University of Nebraska will be cut or taxes will be increased." Nebraska's legislators are non-partisan.
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Nevada
Leaning NO
-
Population Uninsured
552.4K (21% of state)
-
Uninsured eligible for expanded Medicaid
100.8K
-
Federal money available for Medicaid (through 2019)
$3.4B
Gov. Brian Sandoval (R): "As I sit here today, it wouldn't be my intention to opt in." Democrats control the state legislature.
-
New Hampshire
Leaning NO
-
Population Uninsured
131.5K (10% of state)
-
Uninsured eligible for expanded Medicaid
34.6K
-
Federal money available for Medicaid (through 2019)
$1.2B
Gov. John Lynch (D), who is stepping down in January, has not said whether he favors expanding Medicaid. But House Speaker William O'Brien (R) is opposed: "We're not going to let the federal government try to hijack the states into paying for a slowly expanding Medicaid program that could cost us millions of dollars every year."
-
New Jersey
Leaning NO
-
Population Uninsured
1.3M (15% of state)
-
Uninsured eligible for expanded Medicaid
292.5K
-
Federal money available for Medicaid (through 2019)
$9B
Gov. Chris Christie (R): "We're taking a hard look at it. I doubt that we could expand Medicaid in New Jersey a whole lot more." Democrats control the state legislature.
-
New Mexico
UNDECIDED
-
Population Uninsured
424.4K (21% of state)
-
Uninsured eligible for expanded Medicaid
111.3K
-
Federal money available for Medicaid (through 2019)
$4.5B
Scott Darnell, a spokesperson for Gov. Susana Martinez (R): "The governor is reviewing today's Supreme Court decision." Republicans control the state Senate, and Democrats the House.
-
New York
Leaning YES
-
Population Uninsured
2.8M (15% of state)
-
Uninsured eligible for expanded Medicaid
223.2K
-
Federal money available for Medicaid (through 2019)
$8B
Gov. Andrew Cuomo (D) hasn't said definitively whether he backs the expansion, but the state has begun implementing other parts of the ACA, and is expected to participate in the expansion.
-
North Carolina
UNDECIDED
-
Population Uninsured
1.6M (18% of state)
-
Uninsured eligible for expanded Medicaid
429.3K
-
Federal money available for Medicaid (through 2019)
$20.7B
Gov. Beverly Perdue (D) will review how the expansion would affect the state's Medicaid program, her office has said. Republicans control the state legislature.
-
North Dakota
Leaning NO
-
Population Uninsured
74.1K (12% of state)
-
Uninsured eligible for expanded Medicaid
17.2K
-
Federal money available for Medicaid (through 2019)
$595M
Gov. Jack Dalrymple (R) has said his staff is analyzing the court's ruling, but has also said the ACA is "wrong for North Dakota." Republicans control the state legislature.
-
Ohio
Leaning NO
-
Population Uninsured
1.6M (14% of state)
-
Uninsured eligible for expanded Medicaid
462K
-
Federal money available for Medicaid (through 2019)
$17.1B
Gov. John Kasich (R): "We are very concerned that a sudden, dramatic increase in Medicaid spending could threaten Ohio's ability to pursue needed reforms in other areas." But he has not definitively ruled out participating. Republicans control the state legislature.
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Oklahoma
Leaning NO
-
Population Uninsured
638.5K (18% of state)
-
Uninsured eligible for expanded Medicaid
261.1K
-
Federal money available for Medicaid (through 2019)
$12.2B
Alex Weintz, a spokesperson for Gov. Mary Fallin (R): "No decision's been made yet regarding potential Medicaid expansion." Fallin is a staunch opponent of ACA. Republicans control the state legislature.
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Oregon
Leaning YES
-
Population Uninsured
637.9K (17% of state)
-
Uninsured eligible for expanded Medicaid
211.5K
-
Federal money available for Medicaid (through 2019)
$10.3B
Gov. John Kitzhaber (D): "We'll make a decision on whether or not to expand the Medicaid program really based on, I think, the resources we have available in the general fund." Kitzhaber also has said he expects lawmakers to approve the expansion. Democrats control the state Senate, while the House is evenly divided.
-
Pennsylvania
Leaning NO
-
Population Uninsured
1.4M (11% of state)
-
Uninsured eligible for expanded Medicaid
282K
-
Federal money available for Medicaid (through 2019)
$17.1B
Gov. Tom Corbett (R) "has not at this time made a formal decision regarding federal Medicaid expansion," his office said July 3. But Corbett said in a statement that the ACA "may turn out to be one of the largest tax increases in the history of our nation." Republicans control the state legislature.
-
Rhode Island
YES
-
Population Uninsured
121.8K (12% of state)
-
Uninsured eligible for expanded Medicaid
29.1K
-
Federal money available for Medicaid (through 2019)
$1.6B
Steven Costantino, the state's secretary of health and human services: "The expansion is easy to do and makes sense." Gov. Lincoln Chaffee (I): "I have fully committed to ensuring Rhode Island is a national leader in implementing health reform." Democrats control the state legislature.
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South Carolina
NO
-
Population Uninsured
843.6K (19% of state)
-
Uninsured eligible for expanded Medicaid
247.5K
-
Federal money available for Medicaid (through 2019)
$10.9B
Gov. Nikki Haley (R): The state "will NOT expand Medicaid."
-
South Dakota
Leaning NO
-
Population Uninsured
104.8K (13% of state)
-
Uninsured eligible for expanded Medicaid
18.6K
-
Federal money available for Medicaid (through 2019)
$717M
Joe Kafka, a spokesman for Gov. Dennis Daugaard (R), said no decision has yet been made, adding that expanding Medicaid "will be costly."" Republicans control the state legislature.
-
Tennessee
Leaning NO
-
Population Uninsured
933.7K (15% of state)
-
Uninsured eligible for expanded Medicaid
245.7K
-
Federal money available for Medicaid (through 2019)
$11.1B
Gov. Bill Haslam (R): "We don't really know what we're going to do, but the cost impact to the state is very significant." Republicans control the state legislature.
-
Texas
NO
-
Population Uninsured
6.2M (25% of state)
-
Uninsured eligible for expanded Medicaid
1.4M
-
Federal money available for Medicaid (through 2019)
$52.5B
Gov. Rick Perry (R): "We're not going to expand Medicaid."
-
Utah
Leaning NO
-
Population Uninsured
390.1K (14% of state)
-
Uninsured eligible for expanded Medicaid
78.3K
-
Federal money available for Medicaid (through 2019)
$4.1B
Gov. Gary Herbert (R) hasn't said definitively whether he backs expanding Medicaid, but in a statement he derided the ACA and its "massive, budget-busting Medicaid expansion." Republicans control the state legislature.
-
Vermont
YES
-
Population Uninsured
58.7K (9% of state)
-
Uninsured eligible for expanded Medicaid
3.2K
-
Federal money available for Medicaid (through 2019)
$112M
Gov. Peter Shumlin (D) has said the state's Medicaid program already meets the ACA's requirements.
-
Virginia
Leaning NO
-
Population Uninsured
1.04M (13% of state)
-
Uninsured eligible for expanded Medicaid
245.8K
-
Federal money available for Medicaid (through 2019)
$9.6B
Gov. Bob McDonnell (R) has said he'll review Virginia's options, but has also said the expansion would impose a "colossal" hit to the state's budget. Republicans control the state legislature.
-
Washington
YES
-
Population Uninsured
887.4K (13% of state)
-
Uninsured eligible for expanded Medicaid
189.5K
-
Federal money available for Medicaid (through 2019)
$8.3B
Gov. Christine Gregoire (D) "supports the Medicaid expansion and Washington will move forward," her office has said. Democrats control the state legislature.
-
West Virginia
UNDECIDED
-
Population Uninsured
245.8K (14% of state)
-
Uninsured eligible for expanded Medicaid
95.7K
-
Federal money available for Medicaid (through 2019)
$3.8B
Gov. Earl Ray Tomblin (D): "We're going to review the Supreme Court's ruling, and work with our federal delegation on how we move forward." Democrats control the state legislature.
-
Wisconsin
Leaning NO
-
Population Uninsured
511.5K (9% of state)
-
Uninsured eligible for expanded Medicaid
127.9K
-
Federal money available for Medicaid (through 2019)
$4.3B
Gov. Scott Walker (R) at first said he "would not take any action to implement Obamacare." But on July 9, spokesman Cullen Werwie said it's "premature to comment on the Medicaid part, we have to evaluate its impact on Wisconsin citizens."
-
Wyoming
Leaning NO
-
Population Uninsured
88K (16% of state)
-
Uninsured eligible for expanded Medicaid
19.1K
-
Federal money available for Medicaid (through 2019)
$683M
Gov. Matt Mead (R) has said he'll review the ruling and the law, but added that "the ACA is not a good fit" for his state. Republicans control the state legislature.
- Key:
- Yes
- Leaning yes
- No
- Leaning no
- Undecided

When the Supreme Court upheld the Affordable Care Act (ACA) last month, it also ruled that states couldn’t be forced to expand Medicaid—turning one of the law’s key provisions for covering the uninsured into a choice states could make for themselves.
The map above lays out the state of play. It uses comments by state leaders to assess each state’s likelihood of participating in the expansion (it’s worth noting that in most states, the expansion would likely need to be approved by both the legislature and the governor, something the map’s assessment take into account). Using numbers from a widely cited study by the Kaiser Family Foundation (pdf), it shows how many uninsured people in each state would benefit, as well as how much federal money each state would be rejecting if it doesn’t proceed. As new developments affect the picture, we’ll keep updating the map.
Already, leaders in over the half the states have either flatly said they won’t participate in the expansion, or appear to be leaning against it. And many of those states are among those with the highest proportion of the uninsured. If those states stick to their guns, it would likely mean that millions of struggling Americans promised coverage under the ACA will be out of luck.
Some of the potential holdouts may ultimately come around. After all, states would spend only 2.8% more on Medicaid from 2014 to 2022 than they would have without the law, according to one study based on Congressional Budget Office (CBO) figures. And that doesn’t even take into account the savings states would realize in health-care costs for the uninsured. By opting out, states would be turning their noses up at a very good deal.
But one thing is clear: The battle over the ACA, far from being over, has just shifted to the states.



It is very intriguing to me the State say No, and going to said No, It is the where the most poor’, unhealthy people living do lack of education!
What are you talking about "Peace"??????? Have you read the ACA? Have you had any education on what is really in it? The ONLY people that will pay are the ones that refuse to get insurance. Educate yourself please. Go and search for the truth instead of drinking in the lies and spitting them back out. PLEASE!
ooops...........
The ones who refuse to buy insurance are the same ones on Medicaid now. The states won't be able to afford it. You also need to look at the demographics of some of those states.
Peace & Love-6429601 #1.1 I believe, when the American citizens, take an objective look at the benefits of "Obamacare", none will want these benefits repealed, such as,
Repeal, the closure of the medicare part D donut whole.
Repeal, the insurance providers' responsibility of returning to the policy holder, any money that is less than 80% spent on the health care of the patients premium.
Repeal, the pre-existing condition denial of coverage.
Repeal, the denial of payment for services, based on a cap.
Repeal, children under 26 years of age,staying on their parents policy.
Repeal, the mandating of everyone buying their own health insurance, but continue, the mandating, we who have health insurance, to pay increased premium cost and increased hospital cost, to pay for those who choose, to have no health insurance.
Those of us who have the security of,"government medicare," know what a blessing it is to have, at least I have never heard of anyone who has medicare, wanting it repealed.
Everyone needs to face reality, employers have for years been raising premiums, lowering benefits and many employers have discontinued offering any health insurance.
Government run, Medicare, Tricare, "Obamacare" and VA benefits are the cream of the crop, with no free ride, no rationing and no government review board management. However if and when republicans take control, they will cut all health insurance for the American people, then there will be noting to ration or for government to control. However they will keep their great government insurance, that is paid for by the taxpayers that they think do not deserve any health care.
Real Americans work toward progress and prosperity for America and ALL of her people, equally.
And billy doesn't know what he's talking about again. Nothing new here.
Repeal, "children under 26 years of age"staying on their parents policy.
26 year old children ,,That's funny and sad at the same time. What will it be in 10yrs? 36 year old children?
Some seem to be confused about paying for Obamacare. After doing some research, these are my understandings. Medicaid will be provided to poor people without cost as has been done for many years. The Federal government will pick up the cost of Medicaid for ten years, so there is no reason for states to decline Medicaid for at least ten years (except for political reasons). Middle class people who cannot afford to pay full market price for insurance will be able to buy insurance through exchanges at a more affordable cost. But, middle class people will be required to pay SOMETHING-- which means we are adding payers to the system. Those who can afford to will continue to pay FULL market price for insurance. Seniors who are on Medicare will continue to pay a premium. Those who can afford to buy insurance and refuse to do so will be subject to a fine. So, we will be collecting insurance premiums from MILLIONS of people, probably collecting some fines, AND there is a small tax on insurance companies to fund Obamacare. Many people are not yet that sick, so we should take in more money than we pay out. With more people paying insurance premiums, the cost of insurance should go down for everyone. Obamacare is already helping us and our country! Seniors who are on Medicare have already saved $3.2 BILLION for prescription drugs that once fell beyond a limit (in the "doughnut hole"). It is estimated that the Medicare program (the government) will save $200 BILLION through 2016. The system that we now have is ripe with fraud. The government has already recovered $4.1 BILLION in anti-fraud efforts. Please search the Internet and READ the following articles: "Report: Health care law to save billions" by Kelly Kennedy (USA Today) and "ObamaCare is winning the fight on fraud and abuse" by John McDonough. MOST of us need to be better informed before we speak--or rant and rave--about Obamacare.
Thank you Wanda Garr!
Thank you, Mr. Grant.
WI....REPUB Gov Walker= NO
No one has ever accused Walker of having a brain cell in his head...
When you don't make enough to buy insurance, but you make too much to qualify for medicaid (<$700 mo in my state), how is that refusing to get insurance?
SE Cupp, in her rant at the end of this weak show, says, " ... as Colorado's DEMOCRAT governor ... ", and can't even extend the respect ... "in this time of civility" ... to call the DemocratIC legislator the proper ... " ... DEMOCRATIC governor ... ". Cupp is also wrong about not being able to legislate these crimes or weapons. Yes, the crimes will still exist, but there is no reason we have to continue allowing criminals to be better armed than our cops, and to kill many more than they otherwise could with less lethal fire-power. Cupp is largely to blame for why this show is so weak and why MSNBC was weak in turning to someone like her over someone like, Sam Seder (lefty or not), who has much better insight and is much more informed.
so what's Cupp's ideas on extended medicaid?
My idiot Repub governor is saying he's not going to do it, even though the DM Register wrote a big editorial in favor of it and the big hospitals here said he should OK it. He is a total moron. I don't know how in the Hell he ever got elected again. He was a lousy governor twenty-five years ago and he's only gotten worse!
totally agree, Braindead is called Braindead for a reason!
Only 10 states say yes, 4 more may say yes. 4 say no, 26 may say no, 7 undecided.
Looking at those numbers it looks like the country does not like obama care.
What a shock.
No looking at that map just shows that states with GOP in power are going to go against the people of the states in favor of the wealthy like they have been doing all along.
just like a teapub....perhaps, leaning, maybe Islamic mole, coulda woulda shoulda.
gots to be...........
how about a bunch of one timers on the way out..............?
Sure, one more GOP grand conspiracy.
What that map proves is the people of the USA do not want the federal government running their health care.
holy cow....Romneycare in Mass ain't wanted he says. ya see....take a long hard look at Robme....Obama didn't change did he????????????????? he stuck with it. no if I said it...............
save the economy....we have a crystal ball supplied by who knows where....with brail attached................
P and L, Repealing Obamacare, as you call it, will add over 190 Billion to the deficit. It's not going to happen. Millions of Americans need the ACA. It has grown in popularity since people know what it ACTUALLY is and not what the right tell them it is.
The ACA will lower the deficit, as well as provide care to millions of Americans. (From the CBO) a non-partisan organization.
I am putting you on ignore before I get banned for telling you what I think of you and all the trolls and re-regs. You too, Ho-lee-Cow, aka Stupidita.
hey India...how's it goin? your right about ACA. it's not perfect by any means but it is the start. a start that republicans initiated and dropped once they(dems too) got their pockets lined.
having a brain fart and can't remember if it was you who had the daughter that is dependent on the "can't be dropped part" of it.
anyways....some people have no compassion for anyone but themselves and money. when they finally get up in years or a catastrophic situation takes a hold of a family member....their words will come back to them........
Hesback, Yes, it is my daughter-in-law who could die.
India...thought so. was touched by your concern and actuall real life experience. your daughter in law and others is why (((we))) care..........Obama........again....
Thank you.
India, I very well know your concern about the Health care and your daughter in law, at this time all we can do is pray, I know you are a woman of faith, but please, take care of your health i.e you do not want to have a health condition brought on by stress, God is the provider, he will make sure all is well, I know it seems like this is just talk, but truly believe and all will be well, I will join you in believing that "It is well." not everything should be calculated in dollars and cents, there is the human factor, I hope some will not face the situation of life and death with no foreseeable hope...
Thanks, CM.
India.... I pray for your daughter-n-law as well. Nothing political for you anymore from me. I don't want to upset you. I don't mean this in a bad way but I will be putting things on here you will not like that are a part of my beliefs, so you are right to put me on ignore if you don't want to see them and judging from the last few weeks of your posts I feel you are under too much stress and I would like to see that reduced if possible for you.
The Affordable Care Act (Obamacare) would allow my children to stay on my policy until they are 26. Obamacare allows me to move from job to job without fear of preexisting conditions. the CBO has said the Affordable Care Act would reduce the deficit by $132 billion through 2019. Republican politicians are giving speeches condemning Obamacare as “unconstitutional” and “government overreach.” Conservative pundits are painting apocalyptic scenarios of Soviet-style government crushing our freedoms by forcing us to buy health insurance. Republicans who once championed the individual mandate now call it “socialism". But SCOTUS said it is constitutional, so now Repugs are trying to persuade you it's "the largest tax increase in American history." Bullocks! The mandate only applies to those that can afford health insurance but refuse to participate. That's estimated as 1%. If you already have insurance it doesn't affect you at all, except it's expected to bring down your premium costs because 30 million new policyholders will be in the system. Why were Republicans for the individual mandate before they were against it? The individual mandate was originally a Republican plan. In 1993, when Hillary Clinton was proposing health care reform nd an employer mandate., Republicans advocated an alternative that included the individual mandate. 1993 Senator John Chafee (R) introduced the insurance act that included an individual mandate, a bill sponsored by Bob Dole, Sen Orin Hatch, Sen Bond and others. The republican alternative to Hillary's plan. They made the same case for it that Obama made — that in order to expand insurance coverage, healthy people should buy in, too. It can’t work if people just wait till they’re old or sick to get coverage.
Republicans called the individual mandate a “market-based” approach to health care reform. Mitt Romney must have really liked the idea, because he enacted it while he was governor of Massachusetts. Now he says it was good enough for Massachusetts citizens, but not good enough for thre rest of the country. But in a July 2009 op-ed in USA Today, Romney thought the President could learn a thing or two from the plan he signed into law in Massachusetts, including using the individual mandate as an incentive for people to buy insurance. Mitt Romney's Advice For ObamaCare: Look At RomneyCare Mitt Romney once touted his plan to Obama as a model for health care reform. He didn't mention keeping it at the state level. In a "Our experience also demonstrates that getting every citizen insured doesn't have to break the bank. First, we established incentives for those who were uninsured to buy insurance. Using tax penalties, as we did... encourages "free riders" to take responsibility for themselves rather than pass their medical costs on to others." Just another episode in the continuing flip flop saga of Mitt Romney. Remember, Romney doesn't need health coverage. He can just purchase the hospital. Just another example of the hypocracy of the Republican Party.
From Fareed Zakaria:
"America's health care system is broken. Our healthy life expectancy, the standard measurement, ranks only 29th in the world – behind Slovenia. Our infant mortality rate ranks 30th – more than twice that of Sweden and Japan. And for this sub-par care, we pay more than any other nation in the world. Almost one out of every five dollars spent in America is spent on health care".
"Twenty years ago, Switzerland had a system very similar to America’s – private insurers, private providers – with very similar problems. People didn’t buy insurance but ended up in emergency rooms, insurers screened out people with pre-existing conditions, and costs were rising fast. The country came to the conclusion that to make health care work, everyone had to buy insurance. So the Swiss passed an individual mandate and reformed their system along lines very similar to Obamacare. The reform law passed by referendum, narrowly. The result two decades later: quality of care remains very high, everyone has access, and costs have moderated. Switzerland spends 11% of its GDP on health care, compared with 17% in the U.S. Its 8 million people have health care that is not tied to their employers, they can choose among many plans, and they can switch plans every year. Overall satisfaction with the system is high".
36 countries have some sort of universal healthcare. The U.S is the only "westernized country without it. Afghanistan, Argentina Austria, Australia, Belgium, Brazil, Canada, Chile, China, Cuba, Costa Rica, Cyprus, Denmark, Finland, France, Germany, Greece, Ira, Iceland, Ireland, Israel, Italy, Japan, Luxembourg, Netherlands, New Zealand, Oman, Portugal, Russia, Saudi Arabia, Spain, Sweden, South Korea, Sri Lanka, Ukraine, and the United Kingdom. It is ironic that Iran & Afganistan both have universal healthcare coverage provided by the U.S. war funding, yet we can't have even single payer here.
One of the great advantages of Universal Healthcare that I never hear talked about is that it takes the cost and responsibility away from the corporation as well as the small businesses. Corporations move overseas because they find the cost of labor too high in the U.S.. Think about it. Healthcare costs these businesses on average $1200 PER EMPLOYEE. Remove this labor cost and watch how fast business comes back and jobs are created.
The United States spends twice as much (double) on health care than any other country at 17.9 percent of GDP compared with the OECD average for advanced countries of 9.5 percent. And yet dollar for dollar it gets results that are consistently in the bottom third of developed countries along with Mexico or Hungary, as measured by average health outcomes.
Thank you for your detailed comments, Mr. Federman. I enjoyed reading these comments very much.
Just wait and you will see again the Teapublicans saying NO with their hands out for the money. This is the one issue Willard can't dodge. I agree with what I said whatever that was when I said it!
xxx ooo....what money did I balance my state with....?
yes going to be fun to watch the debates between Robme and Obama.
will Romney bring his wife to talk for him???????????
Romney is also using a telepromptrr, but of course, gotoleft and his ilk, do not see that!!!!
They all use telepromters. Even Bauchmann.
Palin writes on her hand!!
Palin writes on her hand
Texas has an inordinate number of employers who provide no insurance to their workers. Twenty-six percent of Texans have no health insurance — the highest percentage of medically uninsured residents of any state. Texas leads the nation in the percentage of children who lack medical insurance.
Gov. Rick Perry of Texas flatly said they won’t participate in the expansion.
But Rick Perry has said such things in the past. In his 2010 book, Fed Up! Our Fight to Save America From Washington, Governor Rick Perry wrote this: "We are fed up with bailout after bailout and stimulus plan after stimulus plan, each one of which tosses principle out the window along with taxpayer money."
Texas was the state that depended the most on the stimulus funds ($17 Billion) to plug nearly 97% of its shortfall for fiscal 2010.
Perry will almost have to end up taking Medicaid. The doctors and hospitals will be up in arms if he does not.
Exactly. Rick(oops)perry is just doing what he does best, playing to his moron base. He'll undoubtedly take those funds and use it to plug the deficit in his budget just like he did with the stimulus funds, and his IDIOT base will re-elect that POS once again. Damn, I'm surrounded by idiots in this state.
It's time for you to move to another state. I live in Va. To mean, what the Rest of the country Hears about Gov Perry and Texas Republicans, is giving Texas such a bad name. The rest of the country wonders How he gets elected and more so, Why? And, The Image that texas republicans give about the state of texas is, that they, Gov Perry, and Repubs, don't care about the residents of the state, but just care about what is good for the rich republicans down there. And also, show no Shame is screwing the residents of texas over. Almost, like they want them to leave texas. The Image of texas, from the view Outside texas is Very bad.
Next time, maybe there will be ample time to read the legislation and understands its consequences and costs before its forced through on a vote by the promised "most transparent Administration in our history". LOL! What a joke!
Time to turn the government back over to the grownups, people!
Other than kids staying on parents insurance until they are 26, please give me some specific examples of whats good about this legislation.
Corrupt Media Stinks IE ED~~Read comment #1.5
And it took over 2,600 pages to do this? I think there is more to it?
I'm dark blue and I like that color those red states will eventually turn blue and if they don't hey more for the educated , I've had healthcare insurance since I was 18 that was in 1970 at any given time if this law is repealed I and about 70% of the people that have insurance are and can be denied coverage by a pre-existing condition that alone is enough to keep this bill in place .
why in the hell are the GOP playing games with with our health care. GOD HELP US ALL! Keep this bill
greg 53, Frankly, because they can. They enjoy this.
What doesn't Florida and Texas understand FREE fed Money the first 3 years?? Then the Government covers 90%, you cant tell me the states can't afford 10% of the cost. Btw add Kentucky to the blue column. Governor gave the green light to open insurance exchanges in 2014, eat that McConnell lol.
It may be time to fire your Governor and Legislators, if they are not going to let you and yours have health care!
I think a Lot of the states that are still "leaning" or undecided through the elections will decide to use it after the elections.
For now the Republican politicians have to look tough to keep the Far Right interested in them but the Teapublicans will have Less power after the elections and some of the remaining Republicans will see the writing on the wall. ;-)
I live in Illinois we expanded medicaid years ago,the governor who spearheaded it is in prison and the state is 9billion in the hole and our taxes went up 66% last year and guess what it didn't improve our fiscal problems one bit.
And I guess you 'intellectuals' will believe anything. What taxes went up 66%, explain in detail.
I see that idiot will not take care of his people in Texas.
He hates , poor and is not thinking! The Big hospital's that we have in Texas will not get funded. People will go to the emergency so the "rich" can pay.All these Governor's that will not help their people WILL BE VOTED out.
He'll give in or get voted out, the freak. I agree with Mark Twain: If, when I die, and am given the choice between living in Hell or living in Texas, I'll live in Hell and rent out Texas.
'The GOP doesn't trust the poor and underpriviledged'. Which explains the terminal paranoia that consumes the teabaggers. But they trust a lying, flip flopping, dog torturing, draft dodging, POS like romeny. By the way, it costs this country 700 BILLION a year in lost revenue with robme and his buddies tax haven in the Caymen and Burmuda Islands. That means you and the rest of the moron teabaggers are paying for his taxes, ever think of that? Of course not. I guess that makes you one of the GOP's B****'s. Damn you PPL are dense.
Smart enough to make a fool out of you... 'Thank you sir, may I have another'....lol But when it comes to teabagger voters hell, Forrest Gump could manage that easily.
Because you're too damn ignorant to know when you're being made a fool of. see post 15.5 above. And 'bagging is a nasty habit.
There are two kinds of republicans, the rich and the suckers. Clear to see which catagory you fall in...
Glenn beck is a CONservative too.... And Michele Batsh** crazy Bachmann...and Oxyrush, and palin. Need I say more?. And not true, we make fools of you and your teabagger partners every day.
No, as usual you did'nt learn a damn thing. Except you're proud to be a fool. After all, you did vote for bush not once but twice did'nt you?. But what would you expect from a brain dead CONservative?
And I'm supposed to take the word of a person who is a kock wannabe,? Thinks Glenn Beck is a visionary?...your kidding, right?...lol. Now tell the truth CONservative, you married your sister and watch 'my big fat redneck wedding' every night, correct?
and no, you're proud to be a fool, you proved that already.
'Ya'll come back now, ya hear?
Cognitive research at the University of Chicago and elsewhere demonstrates that the more complex an issue becomes, human beings are increasingly drawn to ‘narratives’ about the issue, and thus short-circuit the review of complex, detailed facts. Certainly there are those who have in fact reviewed all of the ACA facts and still hate it. But it’s also clear that many millions of Americans have strong opinions about ACA based on narratives about ACA, who have not actually educated themselves in the real details of its provisions. Thus, a majority of Americans do like the provisions of ACA, when the provisions are recited to them individually, yet they do not like ACA! There can be only one explanation for this phenomenon - they are in the grip of narratives about ACA. If citizens do not feel disposed to actually study the factual provisions of a public policy, I suppose as a society we deserve the outcome we will receive. So, I do appreciate people like Wanda Garr above who’ve tried to study the facts and create an informed opinion.
So what do you think will happen if healthy people leave their current insurers and opt for the cheaper coverage with the gov plan, rates will go up, what happens when rates go up, more insureds will leave to the gov plan, then insurers will go out of business so you will have less choice, years down the road who do you think will be left to pick up insureds, the gov and who will be paying for it because it will not be profitable, you and I, its just math and common sense.
remember pis-slosi said we have to pass this in order to see whats inside? All the democraps spouting off everybody will have insurance yep the democraps defender of the poor, they let you down again!
Obamacare would be a lot more attractive if it were an everybody in program. Once they excluded government employees, and union employees and 150 other groups it looses all credibility to me. If it isn't good enough for a senator, then it is not good enough for me.
I am in astounded at the responses to this article. That being said, my situation is like so many other Americans. I currently have health insurance through my employer which has decreased in benefits/increased in premiums for the past 3 years. There will come a time when I can no longer work and I would love these options to be available for me. Everyone is entitled to their opinion on this issue, but let me be perfectly clear; I am looking forward to the day where my pre-existing condition will not exclude me from reasonable healthcare premiums; and yes I even thank heavens that the option that Medicaid may be available should I need it (I am childess adult). I have read the legistlation, read the SCOTUS ruling. For those who don't agree with the law and ruling, just think...you may need this benefit one day. Never say never becasue the only garauntee in life is change; and one of those changes may leave you (or someone you love) in a situation where this legislation just may save you, your financial future (retirment savings, personal savings, etc.). It may not happen in the next year, next ten years, or may never happen, but is that a risk you are willing to take? If you are, then I am glad for you since you exercised your freedom of choice, but don't force your choice on me. I should have the same choice as you and I pray WE are never faced with the kinds of catastrophic care that affect so many American families today. Read the law, and what you don't agree with; try to amend and make it better, but for heavens sake, don't punish those who do not think just like you by repealing something or rejecting the expansion of Medicaid that does serve the greater good.
Way to go Phil Bryant, you're following the foot steps of your predecessor. Uncaring, selfish, and unconcerned for those at the mercy of out of controlled insurance companies. All you guys want to do is help those who are able to afford anything they want and don't have to buy insurance because they can write a check for any stay in a hospital. Yes, they get the very best health care while others suffer. I was kicked out of my insurance by Humana because of a blood pressure issue. Thank God that pretty soon a company will not be allowed to do this type thing again.
Once the states start taking the money from the government they become committed. Can’t just take the money for the 10 years and then refuse to play when you have to start paying the bills. Besides, where is the Federal Government getting the funding for the Medicaid expansion? I’m just guessing but my guess would be the general fund which is ultimately the tax payer which would exclude a lot of the underachievers and those impoverished by choice. We are already operating with incredible deficits so I’m guessing we borrow these funds too. Why don’t we just borrow enough money to pay everything off and all live happily ever after. Wait, there may be a flaw in that plan.
I Join GreatGran101 in her belief.
I .believe in Obama Care, it sure don't need to be repealed, we Grannies need it! The Donut Whole
needs to be closed, so we can get the medicines we need. Agree? I hope Money don't speak REPEAL!
It will be a huge Mistake. I am Glad I live In a state that cares! They believe too!
I am sure the GOP will help fund the medicaid all they have do is reach in their pockets! MOney follows
money right?
I find it incredible that no one sought the opinion of Doctors and hospitals. No one studied the reality that expansion of Medicaid does not mean access to healthcare. That reality is going to hit hard.
The party of No dont care about the poor and sick. they have insurance and good health care....!
The Only reason Virginia won't get it, is because the Gov is Republican, and the State Congress is Republican. The Gov and the Republicans won't allow it to Spite President Obama is the only reason.