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...letter to Senate majority leader Harry Reid, Nelson asked that special treatment for Nebraska be excluded from the final legislation. In the same letter, however, Nelson repeated something he has been saying since word of his special deal got around - that newly eligible Medicaid enrollees in all states should be fully and permanently paid for by the Federal Government. At first, this seemed like a crude and overly expensive solution, but as negotiations continue between House and Senate leaders over final legislative language, the idea of lessening the Medicaid burden for states is gaining traction. "Senator Nelson's deal...
...Helping states by extending the Nebraska deal nationwide or by upping federal contributions to future Medicaid costs would certainly relieve some unwelcome pressure. Along with Schwarzenegger, who had previously been a reliable Republican proponent of Democratic health care reform, many other governors - including New York's David Paterson, a Democrat - have publicly protested the legislation on the basis of the Medicaid expansion, saying it amounts to an unfunded mandate. In addition, at least 13 state attorneys general have said Nelson's special deal is unconstitutional. But extending the Cornhusker Kickback to all 50 states would be a lot more than...
...current Medicaid-expansion proposal would cost the Federal Government about $395 billion from 2010 to 2019 under the Senate bill or about $425 billion under the House bill. The state share of the expansion, in contrast, would be $26 billion or $34 billion. Moving the state costs into the federal column, as Nelson is now suggesting, would increase the cost of legislation, which is already close to the $900 billion limit set by President Obama. Then again, House and Senate leaders are currently negotiating all sorts of adjustments for a merged bill, and any new Medicaid costs could be part...
...Federal Government currently pays about 57% of all Medicaid costs, with the rest shouldered by states. But under reform, the Federal Government would eventually pay 82% to 95% of Medicaid costs for the 15 million people who would become newly eligible. At that point, the result would be a huge public insurance program funded mostly by the Federal Government. By contrast, the public option - which exists in the current House bill but seems headed for a quiet death because of moderate Democrats' concerns that it would lead to socialized medicine - would have included no federal funding of benefits. Some health...
...fired. In Vietnam, it could cost you your freedom. For decades, Vietnam's economic growth has been the envy of its developing neighbors in southeast Asia. In the last 20 years, GDP growth has fallen only once below 5%, typically hovering around 8% as the single-party state has attracted tens of billions of dollars in foreign investment and seen poverty rates drop below that of India, China and the Philippines...