Your thoughts on Medicaid Expansion?


The next big political question coming is whether or not a special session for Medicaid expansion should take place. Tell us yes or no, and add the “why” under the comments.

33 thoughts on “Your thoughts on Medicaid Expansion?

    1. Rep . Mike Verchio

      This would be a total waste of time & money . The votes are not there in either house . He may gamble on the fact that so many backed down on the bathroom bill and caved under face to face pressure . My bet is that may work against him given all the blowback from that fiasco .

  1. Lee Schoenbeck

    Mike, my caucus is 100% against Medicaid expansion, but I’d enjoy seeing you again, and we’d get $65 or whatever it is for the per diem. Or the state could keep the $65 and I’d see you in hill city my friend

  2. Rep Fred Deutsch

    i think holding a special session is a good idea. It demonstrates to the people the legislature is doing its due diligence, and it expresses the will of the legislature to the governor, to the people that elected us, and to the president. Personally, I view Medicare expansion synonymous with Obamacare expansion as an inappropriate and costly expansion of government. Like Verchio and Schoenbeck, I am a no vote.

  3. Rep Fred Deutsch

    Oops, that should be “Medicaid” expansion. PP you need an edit button on here!

    1. Pat Powers Post author

      It’s Father’s Day. I’m sipping beer on my deck at the moment. I’ll get to it. 🙂

  4. Springer

    NO! Daugaard wants to expand Medicaid based on the federal government’s promise to reform IHS and put the money found by doing that into the Medicaid program. And we all know how well the federal government keeps its promises (you can keep your doctor, you can keep your insurance plan, your premiums will go down by thousands of dollars). When the “found” money from the feds doesn’t come thru after we would have foolishly expanded Medicaid, just who gets stuck with the bill because of course we cannot get rid of the Medicaid expansion. The state, i.e. you and me, will be stuck with footing the bill via increased taxes. And please don’t waste taxpayer money on a special session.

  5. Troy Jones

    Let’s imagine all of the analysis motivating the Governor is spot on. I’m still against it for two reasons:

    1) What Springer articulated: The federal government doesn’t always fulfill its promises.

    2) More importantly, Obamacare is on the verge of implosion. The rate hikes that will be coming out are unsustainable and yet Obamacare will remain unviable financially. As nobody knows how the dust will settle in health care and health care insurance when the deal with the Obamacare implosion, the above analysis can be imploded under the new environment of health care and health care insurance. We must know the future terrain better than we do before moving forward.

      1. Kevin W. Nelson

        ObamaCare has never had majority support of the American people, but it limps along by infusion of money by the 2014, and then again by the 2015 Omnibus Budget Spending bill.

  6. Anonymous

    How is it logical to think that SD will not experience the same cost overruns as all of the other states who have expanded Medicaid as part of Obamacare? SD taxpayers will have to pay for the additional costs with higher taxes and cuts to education, infrastructure, and/or other health and human services.

  7. Anonymous

    to the 108 people who voted yes, I would like an explanation as to why you think this is such a good idea? Are you those who will sign up for it? Or are you those who will be paying for it? And what about the able-bodied who could get jobs with benefits but just refuse to do so because they don’t want to, but would be first in line to sign up for Medicaid and are already getting CHIP benefits?

    1. anon

      7:50, maybe you can clarify what you are talking about. What 108 people? If you are referring to the SD Legislature, there are 105 people. Maybe a typo, or are you referring to another group of people? If you are referring to the legislature, no one voted yes. There has been no vote taken. If you are referring to another group of people, please clarify.

      1. Anonymous

        I am referring to the 108 people who apparently voted on the above poll that they wanted to expand Medicaid.

    2. Pat Powers Post author

      I notice that most of them all appeared in quick succession. Unfortunately, I would have to pay for the “pro” version to see if they all came from the same IP.

      1. Anonymous

        I wondered the same thing, because I can’t believe that many people would support a special session. It would be a waste of money if it probably wouldn’t pass, but if it is true that the next legislature will be more conservative, Daugaard might try to get a special session done with this legislative group anyway. We had to raise taxes to pay for teacher salaries, we had to raise taxes to pay for road/bridges etc, and if Medicaid expansion would occur, we would have to raise taxes to pay for that. I think the people of SD have had enough of tax increases for a long time, not to mention the waste of money for a special session.

      2. Anonymous

        Splurge n the “pro” version. It may be Portair voting multiple times.

        I voted no (only once as I am conservative) and I think that many points were made here re: the Feds not paying the tab later on when the law is in place, how much money do we need to spend for entitlements, etc, etc.

    3. anonymous

      You assume they are dead beats. There are many situations where persons employed full time can not affod insurance. Too many employers of this state are small operations that do not provide any benefits and the individual employee does not earn enough to pay for health insurance. I worked in a larger school. The employee made 13 per hour but family insurance was 1200 per month. Even teachers could not afford to pay for family insurance unless both spouses were teachers. Maybe the expansion would help some of these people.

    4. Jason Sebern

      Wake up 7:50 anon. There are not a lot of jobs with benefits available in our economic system. Your party has done a hell of a job making that a fact. This site needs to do away with the anonymous option … obviously you are embarrassed of your opinion.

      1. Springer

        Jason, I am the 7:50 anon; forgot to put my name in, and I am NOT ashamed of my opinion. I know a family who has been living on the govt dole for a long time, 3 kids, wife not working because she is pursuing being an author (nothing to date has sold), hubby took 14 years to get a BA degree and now can’t find a job (there are plenty of jobs available for the summer but he won’t go to work unless he can find the perfect teaching job), subsidized housing, CHIP, food stamps. I know not all are like this, but there are plenty. And please don’t say it’s the GOP’s fault for the country’s economic condition; who has been in office for the last 8 years? Who brought Obamacare and its attendant policies that disincentivize job growth, the loss of insurance companies even though Obama said that is a good thing, higher premiums, etc? Who increased govt regs that also disincentivize job growth?

  8. Anonymous

    I like the idea of rolling the funding for Tricare, Medicare, the IHS and the VA together then offering Medicaid for all by increasing the estate tax, raising taxes on tobacco and adopting a carbon tax. Reproductive freedoms should be included unconditionally just like the military does under Tricare.

    1. Jason Sebern

      That sounds like a good idea to me. Unfortunately the .001% people and their tools are against it …

    2. Springer

      Such a good little democrat/liberal. The feds have done such a good job with the govt health care system to date (VA, IHS)! And of course you want to increase taxes, also such a good little dem/lib. How about instead making the govt accountable for all the money it now gets and wastes?

  9. Anonymous

    I sense the GOP State Convention delegates will come opposed to medicaid expansion and bring a resolution or plank to oppose it like they did to impeach Obama.

    Daugaard will push for expansion because he’s in so tight with the hospital community. He doesn’t think it will pass either but he wants to make the legislature the bad guys for killing it.

  10. Anonymous

    It’s bad idea. Other states are finding that out, as enrollment runs 50-100% higher than expected, as people drop the coverage they already have and sign up for it, and the individual enrollees cost $1000/person/year more than expected. (Funny how that works, isn’t it?) Then there are other delightful statistics which point to a substandard level of care: Medicaid enrollees use hospital emergency rooms at 2-3 x the rate of uninsured and privately insured people, and Pregnant women on Medicaid are using 50% more prescription narcotics than their privately insured sisters who actually get good obstetrical services.

    Oh sure the numbers look good, on paper. But the reality is different. And this whole nonsense about IHS, well, anybody who thinks IHS will keep their promises to anybody is smoking some seriously good weed.

  11. Springer

    A little side comment. My better half cut his finger fixing fence and went to the ER tonight for stitches. Now since Obamacare not only have our premiums skyrocketed, but also the out of pocket for an ER visit. Of course, we will pay what the insurance does not because we have this thing called personal responsibility. However, if we didn’t, and if we wanted to have no insurance, we would still have gone to the ER and got it all done gratis. And if we had had Medicaid and gone to the ER, we would maybe have paid a little, but the majority would have been picked up by the taxpayers. Now just how in the h____ in that fair?

    1. Dakota Conservative

      Not by any means the whole of the problem, but definitely a symptom. Instead of being able to go to a clinic type setting and get a simple stitch job for half of what the emergency room costs you, the doctors and clinic send you to the emergency room instead of doing it in the clinic setting for lower cost.

      1. Springer

        If it’s after hours, that’s all that is available, unless an urgent care would be open 24/7, but not feasible in small town hospitals.

  12. Troy Jones

    What always gets me is all the proposals to expand programs are accompanied by taxes they won’t pay. Gross selfishness and envy.

      1. Anonymous

        Mr Beal, if America ever hopes to get our country back? We need to start supporting actual conservatives and actively opposing these Democrats that have come into our party and are ruining the GOP brand.