Conclusions: Enhancing Access to Care for Undocumented Immigrants in the ACA Era
All of the evidence points to continued poor access, or even declining access to health care for undocumented immigrants in the coming years. This is particularly problematic since the general health policy arena will be focusing on expanded access that results from the ACA, leading to decreased fiscal and political support for residual programs that have also benefitted undocumented immigrants in the past. There are a number of uncertainties about the fate of undocumented U.S. residents and their families, including the net effect of local clinic reductions that may counter increased federally funded community health center grants, the impact of reduced DSH payments on access to hospital services, reduced direct funding for preventive services, and the response of states and localities to the shifting mix of uninsured residents. Since at least three-quarters of those who will remain uninsured after the full implementation of the ACA will be U.S. citizens and permanent residents, it may be possible to design programs that focus on those left out of health care reform generically and design approaches that expand primary care and acute care subsidies that will also benefit the undocumented. The ACA will move us towards the goal of providing equitable access to health care for all persons who need it, but significant gaps will remain that will require creative solutions given the political and organizational constraints of the American medical care system
And the "creative solution" for putting illegals on Obamacare is to give them quasi legal status via Executive Order.
Could this be some sort of curious "Plan B" if the bribes.....er... I mean subsidies.... for states that have NOT set up their own exchanges are declared unconstitutional by the U.S. Supreme Court???
I.E distribute the 4.5 million illegal aliens to every state and then sign them up for some new species of "Medicaid?"
I think that in addition to Congress, the 32 Republican governors need to take a stand.