Business Associations, Conservative Networks, and the Ongoing Republican War over Medicaid Expansion.

Red-State Medicaid Expansions - Achilles' Heel of ACA Repeal?

derided by its opponents as the monolithic “Obamacare,” the ACA is a multifaceted law with several distinct components — subsidized health insurance exchanges, individual and employer mandates, regulations of the individual insurance market including a defined package of essential benefits, and Medicaid expansion. While opposition to several of these elements remains nearly unanimous among cons...

The federal-state Medicaid match: an ongoing tug-of-war over practice and policy.

The Transformation of the Republican and Democratic Party Coalitions in the U.S

Because the space of policies is two-dimensional, parties in the United States are coalitions of opposed interests. The Republican Party contains both socially conservative and socially liberal groups, though both tend to be pro-business.The increasing dominance of the social conservatives has angered some prominent Republicans, even causing a number of them to change party allegiance. Over tim...

The elephant in the room: why some states are refusing to expand Medicaid

After the US Supreme Court overturned the Affordable Care Act’s mandate that states expand Medicaid, roughly half the states have declined to expand. Declining states blame the high state budgetary cost. While these states do have significantly higher expansion costs, they are also significantly more likely to have Republican Party control of the legislature and governor office. Statistical inq...

Michigan's approach to Medicaid expansion and reform.

n engl j med 369;19 nejm.org november 7, 2013 1773 The proportion of these lowincome adults under 65 years of age who are uninsured exceeds 40% nationally. Individual insurance is prohibitively expensive for most adults with low incomes, and employer-sponsored insurance is often unaffordable or not offered to the members of this population who work. Extending Medicaid coverage to more low-incom...