My Medicaid Expansion Funding Proposal to Enable Broader Health Care Funding Reform

self | 10/02/2017 | Brian Griffin

[Brian Griffin]

Choice 1 - annual deficit method:

The PPACA type Medicaid expansion program shall be continued, but with a participating state having to pay a calendar year share after 2021
at a percentage rate of 10
plus 1 for each prior federal fiscal year after 2017 that had a deficit in excess of $400 billion.

If fiscal years 2018, 2019, 2020, 2021 had a deficits of $399 billion, $500 billion, $300 billion, and $401 billion, respectively, the state share would go from 10% to 12%.

Choice 2 - increase in national debt method:

The PPACA type Medicaid expansion program shall be continued, but with a participating state having to pay a calendar year share after 2021
at a percentage rate of 10
plus .001 per billion dollar increase in the national debt at the end of the penultimate fiscal year over that at the end of the 2018 fiscal year.

If $500 billion was added to the national debt in fiscal year 2019, the state share would increase from 10% to 10.5%.

If $300 billion was then added to the national debt in fiscal year 2020, the state share would increase from 10.5% to 10.8%.

I believe Senators Ryan, McCain, Collins or Murkowski wouldn't object to either option.

My options would give the states continued low-cost Medicaid expansion as long as the Democratic and centrist Republicans in the Senate are fiscally responsible.

I think Senator Schumer should be able to pick the option of his choice to make the change bipartisan, but if he won't Senator McConnell should choose which option to use.

[faithhopecharity]

privitize VA, its terribly F-ed up... and shut down Obamacare for sure!

the federal govt has no business looking up your a...
(yes, abolish IRS too!)

[Nifster]

Just no