Archive for December 23rd, 2013

To pay or not to pay? Conservatives grapple with Medicaid estate recovery issues

December 23, 2013

By Matthew E. Milliken
Dec. 23, 2013

Last week, I looked at how the expansion of Medicaid under Obamacare might be changing the scope and reach of Medicaid’s estate recovery provisions. As the Democrats’ Patient Protection and Affordable Care Act continues taking effect, I suspect we’ll hear a lot more people raising questions about how these two programs interact with one another. 

Of course, some conservative writers have already expressed their thoughts on the matter, and they’re rather dire. At Breitbart, Debra Heine wrote ominously that “enables the Federal government to go after your estate after you die in order to pay for the healthcare expenses you have incurred while on Medicaid.”

Dr. Jane Orient, a conservative physician, offered this: “Expanding Medicaid to persons with modest assets will enable estate recovery to become a cash cow for states to milk the poor and the middle class.”

Blogger Alex Gimarc rendered this verdict: “I cannot think of a better way to impoverish the young and keep them impoverished for all time.” Gimarc then went on to quote George Orwell’s 1984: “If you want a vision of the future, imagine a boot stamping on a human face — forever.”

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