Why Medicaid Expansion is a Bad Idea


American Leadership Fund

I’ll make this short. Medicaid expansion is a bad idea because:

1. Socialized medicine doesn’t work.
2. The state exchanges are going down – and whether they will go down with a bang or a whimper by 2015 is the remaining question.
3. Medicaid expansion is an unfunded mandate waiting to happen.

Where Does Your State Stand on Medicaid Expansion?


As of August 2014, twenty-one states are saying “No” to Obamacare. They are doing it by refusing to expand Medicaid. Utah is one of three yet “undecided.”

Meanwhile,  former CBS journalist Sharyl Attkisson is suing the federal government to obtain records that she has failed to get through numerous FOIA requests in order to get to the bottom of the security questions swirling around the system that Congress has failed to answer.

Jonathan Gruber would like you to know that you are too “stupid” and they were counting on that and the lack of transparency to get this monster through the door without anyone noticing it.  Here’s a video worth watching – GruberGate in Two Minutes.

The three necessary legs of the socialized medicine stool are the establishment of

1) a state or national online exchange to drive people to the most cost effective choice – Medicaid;

2) the Accountable Care Organization – a glorified, government-run HMO; and

3) Medicaid Expansion.

Without all three, socialized, national health care – regardless of its title – cannot be implemented. States such as Texas understand this fact. Other states, for the most part run by socialist governors and legislatures, have already welcomed Obamacare. Three states are still in “open debate.”

One is a state that many would consider the most conservative state in the nation – Utah.  At least that is how the voters vote in a presidential election year.  But when it comes to local politics, it’s as if there is a total disconnect.

Why this is important to you is that Utah’s Governor Gary Herbert was elected to Vice Chair of the National Governors Association (a union/lobbyist group in DC where a lot of mischief takes place).  Earlier in 2014 the Washington Post also named Governor Gary Herbert was the most popular governor in the nation with a 73% approval rating.

Conservatives who work closely with Governor Herbert at the Utah legislature will tell you that he votes consistently with liberal policies and that he is controlled by the liberal unions that have a stranglehold on the otherwise conservative population of Utah.  Among those unions are the National Education Association’s state affiliate the Utah Education Association, the Utah PTA, the Utah Hospital Association and the Utah Medical Association.

The latter two trade groups are both pro-ACA (Obamacare) and ACO (Accountable Care Organization – glorifed, government run HMOs, a failure from the 1970’s-1980s.)  See here.  They claim a “Utah Solution” but unless Utah joins with other states that are suing the federal government, it is doomed to be regulated by the federal government, just as it is with education reforms it claims are “Utah’s core.”

In fact, in 2012 I personally watched as bill after bill emerged out of committee and passed out of the legislature setting up every facet of what is needed to establish nationalized medicine in Utah.  Crickets.

Utah’s supposedly conservative governor has just announced that he is launching his campaign for Medicaid Expansion.  Utah’s conservatives who are paying attention are scratching their heads.  They agree with Ronald Reagan that Medicaid is socialized medicine. Just because health care is implemented at the state level does not mean it is a good or better plan.  It is controlled from the top.

In fact, a state that agrees to Medicaid expansion is also agreeing to sign on to federal funding which goes away, and then the state is left with another huge unfunded mandate it cannot afford to pay.

So much for calling it the “Affordable” Care Act.

Forbes Magazine contributors Jonathan Ingram, Nic Horton and  Josh Archambault argue that the Healthy Utah Plan helps the able-bodied while those who are truly in need are ignored.  It’s patterned after the Arkansas plan that that state is now trying to abandon, and it has no work requirement.

While the money in the short term is enticing, Dr. Alieta Eck was on my radio show recently and described Medicaid Expansion as buying a baby elephant because it came with a two years supply of food.  It’s an unfunded entitlement in the making.   You can listen to the podcast starting at about 15 minutes into the recording.

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Utah’s Marriage Law: What Went Wrong in the Utah AG’s Office?

Bob Smith, AG candidate
Bob Smith, AG candidate

URGENT ALERT: Contact Utah Governor Gary Herbert ASAP online or by phone by Monday morning, December 23, 2013 and ask him to appoint Bob Smith as Attorney General. You can leave a message online right now here or call 801-538-1000 or 800-705-2464. Continue reading Utah’s Marriage Law: What Went Wrong in the Utah AG’s Office?

The Truth About Utah’s Health Insurance Exchange

You’ve been misled again. No surprises here, I’m sure.

Yesterday, the Deseret News published this headline:

Utah gets OK from feds to run own health insurance exchange

For that, I was surprised. I never thought Janet Sebelius would approve the Utah model. Continue reading The Truth About Utah’s Health Insurance Exchange