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August 28, 2013

EDITORIALS: Bad medicine for hospitals; An exotic place to die

This will sting: Obamacare pinches hospitals

(The Dalton, Ga., Daily Citizen)

Hospitals across the country could find themselves in a financial squeeze next year thanks to federal health care reform.

The 2010 Patient Protection and Affordable Care Act, known as Obamacare, is cutting hospitals' reimbursements from Medicare - the federal program that provides health care to the elderly - by $155 billion. When the law was passed, hospital officials agreed to the cut believing that patients covered by the new law who previously had been uninsured would more than make up the difference.

But hospital officials are growing increasingly worried as it becomes apparent the law will not expand health care to as many people as they had hoped.

The law required states to expand Medicaid - the federal and state program that provides health coverage to those with low incomes - to individuals earning up to 133 percent of the federal poverty level. That alone was expected to provide coverage to 17 million Americans who didn’t have coverage.

But last year the U.S. Supreme Court, while upholding most of Obamacare, also said Congress could not require states to expand Medicaid. Now roughly half the states, including Georgia, do not plan to expand Medicaid coverage, with leaders in most citing concerns about long-term costs.

Obamacare also set up exchanges for those who don’t have coverage through work or government programs to buy insurance. To encourage people to use the exchanges, the law created carrots - subsidies for those under certain income levels - as well as sticks - a $95 fine on tax refunds for not having coverage.

The Congressional Budget Office estimates that next year 6 million uninsured people will chance a fine on their tax refunds rather than buy health coverage.

So as hospitals face the certainty of lower Medicare reimbursements and more regulation, it’s looking less likely that the number of uninsured patients they treat will change. That has the potential to hit them hard.

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Obituaries
  • Howard 'J.D.' Tolson

    Howard “J.D.” Tolson, 97, of McAlester, died Wednesday, July 30, 2014, at Walnut Grove Living Center in McAlester.

    July 31, 2014

  • Allie Leah Sparks

    Allie Leah Sparks, 84, of Ash Creek, died Tuesday, July 29, 2014, in Muskogee.

    July 31, 2014

  • Mozelle Pearce

    Mozelle Pearce, 90, of Talihina, died Tuesday, July 29, 2014, at Eastern Oklahoma Medical Center in Poteau.

    July 31, 2014

  • Mozelle Pearce,

    Mozelle Pearce, 90, of Talihina, died Tuesday, July 29, 2014, at Eastern Oklahoma Medical Center in Poteau.

    July 31, 2014

  • Ann Noe

    Ann Noe, 83, of McAlester, died Wednesday, July 30, 2014, in Tulsa.

    July 31, 2014

  • Janice Holt

    Janice Holt, 74, of Hartshorne, died Wednesday, July 23, 2014, at her home.

    July 31, 2014

  • Sherry Grapentine

    Sherry Grapentine, 52, of Wilburton, died Monday, July 28, 2014, at McAlester Regional Health Center.

    July 31, 2014

  • Sherry Grapentine

    Sherry Grapentine, 52, of Wilburton, died Monday, July 28, 2014, at McAlester Regional Health Center.

    July 31, 2014

  • Luther Gene Gill

    Luther Gene Gill, 76, of Hartshorne, died Tuesday, July 29, 2014, at McAlester Regional Health Center.

    July 31, 2014

  • Jeanette Bryan

    Jeanette Bryan, 74, of Longtown and Eufaula, died Tuesday, July 29, 2014.

    July 31, 2014