Open Letter to Ohio Legislators from Matt A. Mayer

Below is probably one of the best letters I have seen arguing against Medicaid Expansion.  Please take the time to read it and pass it along.  Matt Mayer has put out many excellent pieces and is a past visiting fellow at the Heritage Foundations.

I write to you as an Ohioan and conservative. Because of Governor John Kasich’s relentless push to expand Medicaid under the Patient Protection and Affordable Care Act, you face a momentous decision in the next sixty days: do you give in to Governor Kasich and Democrats by expanding Medicaid, or do you resist the pressure and keep greater control over Ohio’s future finances? Make no mistake, given the forty-four year history noted in Figure 7 below, expanding Medicaid is akin to writing a blank check because no one has any real idea about (1) how many new enrollees will show up and (2) how much each of those new enrollees will cost. Estimates of expansion range from Governor Kasich’s low-ball estimate of 275,000 new enrollees to the Kaiser Commission’s estimate of nearly 900,000 new enrollees.

Keep in mind, back when President Lyndon Johnson launched the Great Society and Medicaid in 1966, the federal government claimed it would cost $35.3 million in Ohio in 1967. In fact, it cost $67.4 million – nearly twice as much as promised. What began as a $1 billion national entitlement is projected to hit $900 billion by 2020. In 2012, Ohio Medicaid spending hit $17 billion—a 25,123% increase in 45 years!

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