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HEALTH CARE in America today is a federalism issue.

AmericanFlag_StethoscopeState and local policymakers understand the needs of their citizens better than the federal government. States should have the flexibility to design and implement health care programs that best meet the needs of citizens and care for the truly needy. The federal government’s increasing influence in state health care policy hurts state citizens.

Stopping the ACA in the States. One of the largest rationales for Medicaid expansion is that it is paid for by “free” federal dollars. Of course, nothing is free. States that expand Medicaid will become increasingly dependent on the federal government, contrary to the principles of federalism, and will pay a hefty economic price as public sector spending via transfers (Social Security, Medicare, and Medicaid) and government compensation crowds out the private sector. Federalism In Action has already successfully published five studies showing this negative economic impact in an effort to stop Medicaid expansion in Indiana, Utah, Virginia, Tennessee, Idaho, and North Carolina. This analysis was based on the Cost of Government model, which is the first of its kind to generate an empirically-based, quantified economic cost estimate countering the “free” government money mantra.

Below are some of Federalism In Action's health care related studies:

Cassandra's Quandary (FIA, 2016)

Click for PDF

NEW HAMPSHIRE | March 2016

CASSANDRA’S QUANDARY: The Future of Long-Term Care in New Hampshire, published by Federalism In Action, finds that America’s and New Hampshire’s long-term care service delivery and financing systems – as currently operating and likely to evolve – will not survive the coming demographic age wave. According to the study, radical changes in federal and state laws and regulations are needed to align consumer incentives with the need to finance future long-term care (LTC) adequately. To begin the public conversation and highlight this financial time bomb, Federalism In Action (FIA) partnered with the Center for Long-Term Care Reform and the New Hampshire Center for Economic Policy to perform a 30-year cost projection of NH’s Medicaid system...

FEDERALISM IN ACTION | CENTER FOR LONG-TERM CARE CENTER | NEW HAMPSHIRE CENTER FOR ECONOMIC POLICY

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DSO_cover

DSO Study PDF

UNITED STATES | August 2015

Dental Service Organizations Solve Medicaid’s Dental Woes – Half a decade after the Affordable Care Act (ACA) was enacted, lawmakers are still struggling to budget for the unforeseen consequences. While dental coverage for children must be provided under the Children’s Health Insurance Program (CHIP), the level of coverage for adults varies by state.  However, one other thing is guaranteed – dental insurance coverage does not guarantee access to dental treatment. The history of expanded coverage for children has shown how the private sector has risen to meet demand created by government programs. Medicaid coverage began in 1965 with Early and Periodic Screening Diagnostic and Treatment (EPSDT) benefits required for children. To expand coverage for children caught in the gap between...

FEDERALISM IN ACTION | STATE BUDGET SOLUTIONS

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NorthCarolina-flag-bigNORTH CAROLINA | March 2015

Expanding Medicaid Will Hurt North Carolina’s Families, Lower Income, and Reduce Jobs -- Some of North Carolina’s policymakers have taken up interest in accepting Medicaid expansion under the provisions of the Affordable Care Act, commonly referred to as “Obamacare.” This might look like free money, at first glance, since the federal government has promised to pick up the tab for the first three years. But we know that nothing is free. North Carolina, like many of its neighboring states, will become increasingly dependent on Medicaid and pay a steep economic price as public sector spending, via transfers (Social Security, Medicare, and Medicaid) and government compensation, crowds out the private sector...

FEDERALISM IN ACTION | JOHN LOCKE FOUNDATION

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EcigsUNITED STATES | March 2015

E-Cigarettes Poised to Save Medicaid Billions – Electronic cigarettes (e-cigs) have only been around since 2006, yet their potential to dramatically reduce the damaging health impacts of traditional cigarettes has garnered significant attention and credibility. Numerous scientific studies show that e-cigs not only reduce the harm from smoking, but can also be a part of the successful path to smoking cessation. The term “e-cig” is misleading because there is no tobacco in an e-cig, unlike a traditional, combustible cigarette. The e-cig uses a battery-powered vaporizer to deliver nicotine via a propylene-glycol solution-which is why “smoking” an e-cig is called “vaping.” The vapor is inhaled like a smoke from a cigarette, but does not contain the carcinogens found in tobacco smoke...

FEDERALISM IN ACTION | STATE BUDGET SOLUTIONS

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SBS One Pager TN Medicaid

TN Medicaid Infographic

TENNESSEE | November 2014

Expanding Medicaid Will Hurt Tennessee Families, Lower Income, and Reduce Jobs – One might believe that expanding Tennessee’s Medicaid program will not cost the state a dime, since the federal government has promised to pay for the expanded program for the first three years. Perhaps that is why some of Tennessee’s policymakers are considering Medicaid expansion under the provisions of the Affordable Care Act, commonly referred to as “Obamacare.” Unfortunately, this could not be further from the truth...

FEDERALISM IN ACTION | BEACON CENTER OF TENNESSEE

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SBS-One-Pager-Utah-WEB

UT Medicaid Infographic

UTAH | September 2014

Negative Impact of Medicaid Expansion on Utah’s Families and Private Sector – Utah is known for its sound fiscal policies. Some of Utah’s policymakers, however, including Governor Gary Herbert, have bought into the myth that Medicaid expansion will improve health outcomes for Utah residents and have no negative fiscal repercussions for the state. These politicians claim that they can expand Medicaid with “free money” for the first three years because the federal government, through the provisions of the Affordable Care Act—commonly known as “Obamacare”—has promised to pick up the tab. Nothing is free. If Utah expands its Medicaid program, it will become increasingly dependent on Uncle Sam, who is already straining under unsustainable budget deficits for as far as the eye can see. Utah will also pay a hefty economic price as public sector spending via transfers and government compensation crowds out the private sector. Utah currently has a relatively large private sector, but Medicaid expansion will change that...

FEDERALISM IN ACTION | SUTHERLAND INSTITUTE

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SBS IN Medicaid One Pager (1)

IN Medicaid Infographic

INDIANA | August 2014

Expanding Medicaid will hurt Indiana’s families, lower income and reduce jobs – Many of Indiana’s policymakers have fallen for the siren call of Medicaid expansion because it goes by another name—“Healthy Indiana Plan 2.0.” But a renamed Medicaid expansion is just as bad as Medicaid expansion under the provisions of the Affordable Care Act, commonly referred to as “Obamacare.” At first glance, expanding Indiana’s Medicaid program looks like free money since the federal government has promised to pick up the tab for the first three years. This could not be further from the truth...

FEDERALISM IN ACTION

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Learn more on our Federalism 101 blog and by reading the articles below:

 

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