PPACA (The Patient Protection and Afforadable Care Act), Obama and company’s much-heralded health care “reform,” is now more than a year old. Many are having to squint to see the real difference it has made in delivering on its promises.
The expansion of Medicaid is one such promise. It sounds good, but if you look at the quality of care delivered, it’s quite a bit less than meets the eye. Many states are slashing funds for Medicaid even as it becomes the only insurance option a large number of people. Seeing the issue through the experience of a woman caught in the cracks of various low-income solutions, ChiSPAN member Helen Redmond writes:
States seeking to cut costs are also privatizing Medicaid by forcing recipients into managed care HMOs. In Illinois, Democratic Gov. Pat Quinn wants to transfer half of beneficiaries into plans run by Aetna and Centene–even though managed care HMOs have a notorious track record of restricting access to care.
There is also the acute analysis over at of the Economist, which warns of a tsunami of costs associated with the PPACA, noting that the reform “add[s] millions of people to an unsupportably expensive system. Analysts estimate that America’s health spending will continue to soar under the reforms.”