[QUOTE=Hentor the Barbarian]
Correct me if I’m wrong, but just doing that wouldn’t expand health coverage, right? It would free up dollars, but there still has to be a mechanism in place to extend health coverage to children presently without it.
[/QUOTE]
Well, I think most people wouldn’t object to funding well-run programs, and even expanding them. I certainly wouldn’t. But I do think people would object to programs that are both large and overrun with fraud.
New York State has 7% of the country’s population, but spends 14% of our Medicaid funds. They spend as much as Florida and California combined on a population a third as large. This generosity fuels massive fraud and waste - like I said, it adds up to billions of dollars. There is no way that any expansion of this program should be justified at all. Period.
In fact, it should be reformed so that better results are delivered for far less money.
Now, I don’t see this sort of issue as being particularly ideological, frankly. I don’t think anyone can justify New York’s Medicaid program spending or administration by any defensible measure. And as was noted above, SCHIP expansion was advocated by both parties - it is the size of the expansion that is being debated.
It is clear that Democrats have a larger motive in mind - government run health care. And I would be better inclined to listen to that debate if things like that Medicaid fraud (which, again, nobody likes or can defend) were cleared up.
I’m not happy with the current system - I was laid off some months ago, and COBRA payments for a couple of months were tough to make. We even contemplated putting the kids on Virginia’s version of SCHIP. So I am open to all sorts of suggestions, and I favor most ones that delink health coverage from work.
But this fraud disturbs me - it ought to disturb everyone. And using the SCHIP issue to sneak in government run health coverage for more people without cleaning these systems up first disturbs me as well.