“Cost alone was not the determining factor, but how we will pay for it is something we must consider in advance as we are a state agency with limited funds.”Yes, the treatment is expensive -$300k expensive – but it’s nothing compared to what Arkansas taxpayers will be paying to provide free medical coverage to non-disabled adults through its private option Medicaid expansion plan.
The state will spend over $1 billion this year alone to cover healthy, childless adults, and at the same time deny Chloe her treatment.
“They just don’t want to pay for it,” Chloe said during an interview in Little Rock, where she travels for treatment from her home in Walnut Ridge, Ark. “I feel like they don’t care about what’s wrong with me, that I’m not as important as everybody else.”….Medicaid patients in Arizona died after the state stopped covering life-saving organ transplants, and developmentally-disabled Medicaid patients in Maine languished on waitlists for critical services, all to cut costs and continue funding their prior Medicaid expansions. Instead of a safety net, ObamaCare’s expansion turns Medicaid into a tightrope and its the truly needy patients who are pushed off first.
“In an email to colleagues discussing a review board’s deliberations about Kalydeco, a pharmacist named Pamela Ford wrote, “the consensus of the physicians on the board was that none of the prescribers would have a clue that this will cost AR Medicaid $303,408 per patient per year.”
In fact as some of you may know, Maine had to refuse the Medicaid expansion because having just paid Medicaid (Maine Care) past due bills (YEARS PAST DUE) to the tune of more than half a billion $, very few wanted to take a chance on the expansion, because we just can’t afford it. I was in a position to see hospitals unable to pay suppliers, and see services to hospitals CUT OFF.
That’s how a poor national plan is going to play out. Funds too short, or companies too strained to keep up payments to hospitals will result in suppliers, inventors, and engineering companies shutting off hospitals at the first level of effects. Insurers, will bill the govt for the losses which will pay slowly (my research company in GOOD TIMES, averaged 150 days ageing on bills). And then the insurers to stay alive will be lobbying the govt for more restrictive admissions, pay outs, stays, and Rx’s.
Nobody will be to blame and people like Chloe are out.
This is why the plan has to be practical. Obamacare and it’s corollary expansions are NOT. Any system as we have now where the govt itself selects ‘who shall live and who shall die’ in some insulated, committee ‘softened’, conscience muffled manner is CRUEL AND UNUSUAL PUNISHMENT based on a DNA dice roll THEY INVENTED.
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