Word: medicaid
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...point debating the merits of socialized medicine, the one-payer system used in the U.K. It's already here, he says. It's just hugely inefficient, exemplified by many of the 47 million uninsured turning to emergency rooms for care. The other piece of it, Medicare and Medicaid, is going broke as the ratio of retirees to wage earners rises dramatically with the aging of 77 million baby boomers...
...know that. In what feels like a breathless crescendo, he launches his health-care manifesto. He suggests eliminating Medicare and Medicaid and using those funds to provide health-insurance vouchers for all. In his model, the more precarious your health, the larger the voucher, which you could use to purchase plans from private insurance providers...
...bill that emerged from the legislature two weeks later was different in many respects from what Romney had initially proposed. It increased reimbursement for hospitals, which Romney liked, but added more people to the Medicaid rolls, which he didn't. There were far too many requirements placed on insurance companies for Romney's tastes, and he used his line-item veto on the bill's stipulation that employers who don't cover their workers pay $295 per employee each year into a fund to subsidize coverage. The lawmakers easily overrode it, as Romney surely knew they would. "He was trying...
...money could be shifted from the existing $1.1 billion fund through which hospitals had been compensated for the care they were providing the uninsured. But to fund universal coverage, they desperately needed to persuade HHS Secretary Tommy Thompson to allow Massachusetts to keep the $385 million in Medicaid funds that Washington was threatening to take away. The money would also give them leverage back home with health-care providers and businesses, two powerful constituencies and potential opponents of reform...
...Republican, Romney had very little leverage with the legislature, where the GOP's representation was so small it was less a minority than a cult. What's more, the senate and the house had very different ideas of what they wanted to do. As the two chambers squabbled, the Medicaid money was in danger of slipping away...