• A question for Gov. Perry in Boston

    I was going to Gov. Perry’s speech last night in Boston at the Pioneer Institute, with media credentials. But I got dropped late in the day to make room for additional TV crews. Such is life.

    My health law class crowd sourced the question I was going to ask him:

    Does it make sense to oppose the ACA when Texans, more than anyone else in the country, stand to benefit from Medicaid expansion?

    Would have been a good question, especially since the updated census data confirms Texas in last place for health insurance coverage, with nearly 25% uninsured.

    So, my question to TIE readers: WWPS? (What Would Perry Say?)

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    • Individuals who want healthcare are buying it and those who don’t are not. It is not the government’s place to force individual consumers to purchase a good. (Note I don’t necessarily subscribed to these notions just answering the question)

      Also question for Kevin:

      Do we know the distributions for the Texas uninsured by age, race gender etc.? You may have already discussed this on the blog but I can’t recall.

    • Kevin,
      His answer to you would have been. The ACA means a $25-$30 billion increase for Texas for Medicaid over the next ten years.

      He might have cited a Cato working paper on the issue:
      http://www.cato.org/pub_display.php?pub_id=12693

      Of course the Feds will pick up much of this cost, but Texas still has to cover the rest plus administrative costs, which I would guess he would say makes it unaffordable.

      The other part of his answer comes from the debate the other night– Governor Perry argues that without Federal strings he could do a better job covering more low-income folks.

      Of course, you can decide if that answer is acceptable or not.

      If it is any consolation, the Governor did not end up taking questions last night..
      [Ed. – Josh Archambault is the Program Manager for Health Care and Middle Cities at the Pioneer Institute]

    • 1. The ACA does not cover illegal immigrants who make up a significant percentage of Texas’ population (>10% or >2 million people by some estimates).

      2. The socioeconomic demographics drive a large proportion of the variance in insurance rates

      I would like to see the figures after these two factors are taken into account. Ignoring them lessens the credibility of anyone discussing the subject.