One thing I’ve found in my reporting in Kentucky is significant resentment towards Medicaid enrollees, idea that they’re lazy/undeserving of free health care.https://twitter.com/sangerkatz/status/951864088212189185 …
Yes! I think it was the Atul Gawande piece about whether health care is a right
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Definitely not
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@sangerkatz@Dpugel@colinb1123 Resentment over Medicaid isn't from the wealthy. It's from the poor who are just above qualifying in KY. Mom has $17k in annual income but cutoff is $16k. How is $17k any wealthier than $16k? She has Medicare, but Medicaid coverage is much better. -
Totally understandable. I'd personally love to see a phase in of premiums for Medicaid starting at 200% FPL up to 500% FPL, and above that just have a pure buy-in option and add it to the marketplaces. Or just a 10% payroll tax and single payer.
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Great idea(s). Some of the resentment could be calmed without spending too much more $ by smoothing out the transition from Medicaid to the marketplace.pic.twitter.com/RPcQ3Hl35G
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The CSRs were designed to mitigate some of the difficulty of that transition. I think the hardest shift is probably around 200% fpl, though others could speak with more authority.
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I get all worked up about 73% AV for 200%-250% FPL. How helpful is that really? Anyways... if I were to make some minor improvements to the design of APTCs & CSRs it would be to start premium caps at .01% of income and enhance CSRs for 150%-250%.
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I’ve never understood the 73% AV, what’s that tiny bump supposed to help?
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Right!? If you’re gonna spend some money on it, at least bump it to 80% AV.
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