Las Vegas Sun

June 4, 2012

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SUN EDITORIAL:

Expanding Medicaid

Nevada officials should support Reid’s plan to provide coverage for more people

Sunday, Sept. 27, 2009 | 2:08 a.m.

When Sen. Max Baucus unveiled his plan to overhaul health care last week, it caused a stir in Nevada. The plan called for expanding Medicaid to cover more uninsured, low-income residents, and it would have made Nevada responsible for up to 18 percent of the cost of the expanded coverage.

Nevada officials complained, and Senate Majority Leader Harry Reid of Nevada said he wouldn’t bring the bill to the floor without changes. This week he came through. Under a deal Reid worked out with Baucus, the federal government would, for the first five years of the program, pick up the increased costs in Nevada and three other states hit hard by the recession.

Still, as Lisa Mascaro and David McGrath Schwartz reported in Wednesday’s Las Vegas Sun, Nevada leaders aren’t convinced that this is a good deal.

Stacy Woodbury, Gov. Jim Gibbons’ deputy chief of staff, said the “state does not have sufficient funds for the current state budget, much less an expansion of Medicaid.”

Once again, the governor’s office is missing the point. Reid’s plan puts off a major increase for five years, at which time the state will hopefully be in a significantly better financial situation. As well, an improved economy, with lower unemployment, would mean more people on private insurance and off Medicaid.

In the meantime, providing coverage through Medicaid could ease health care costs for Nevadans. Hospitals, for example, build the costs of treating the uninsured and those who cannot pay into the prices they charge insurance companies. The companies then pass the costs on to consumers, who end up paying higher premiums.

Jon Sasser, a Reno attorney and lobbyist who has pushed to expand Medicaid, called it the cheapest way to cover people.

A new Census Bureau report shows that 20 percent of Nevadans, including children, are without any type of medical insurance. Allowing that many people to fend for themselves, driving up medical costs, doesn’t make sense.

Reid’s plan would be a cost-effective way to get more people covered. Congress and state officials should support it.

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