Triumphal Entry --video
A Life in Reason

Nebraska missing out

A thorough report in yesterday's World-Herald about the major financial gains that Nebraska's missing out on by our failure to expand Medicaid.

A World-Herald analysis shows that hospitals in states that have accepted the federal funds are seeing major drops in uninsured patients and corresponding reductions in the cost of caring for those who can’t or won’t pay. Health care finance experts say much of those costs historically have been passed on to those with insurance as a kind of hidden tax.

Hospital stays for the uninsured have fallen by almost two-thirds in expansion states. In neighboring Iowa, an expansion state, the cost of caring for non-paying patients has fallen by almost 40 percent.

The analysis also found job growth in health care has been higher in Medicaid expansion states. And personal bankruptcies, which frequently can be caused by a pile of big medical bills, also have dropped most in states that expanded Medicaid.

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