Posts Tagged ‘Health Care’
Everyone knows that the Affordable Care Act (ACA), or “Obamacare,” has not worked out as originally planned. State officials, however, still face considerable pressure to accept Medicaid expansion. Louisiana’s leaders must continue to resist the plan and come up with an alternative.
While Louisiana faces many of the same fiscal issues faced by other states, our problems have been compounded by the fact that we have an appropriations process that is particularly inflexible.
Louisiana legislators may not have the power to fix what is wrong with the federal welfare state. But they can refuse to expand it in their own backyards.
Supporters of the law argue that states should move quickly to create state insurance exchanges in order to ensure a higher level of state control, but this notion is an illusion. The law’s provisions would actually require Louisiana and its citizens to cede decision-making power to the federal government.
Although the Supreme Court let most of the ACA stand, Louisiana policymakers can still play an important role in the health care reform debate. Most importantly, they should refuse to expand the state’s Medicaid rolls and take a wait-and-see approach to state insurance exchanges.