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1. Discussion board: Reasons Why Medicaid Expansion Is A Terrible Idea
Discussion board: Reasons Why Medicaid Expansion Is A Terrible IdeaDiscussion board:
Reasons Why Medicaid Expansion Is A Terrible IdeaInstructionsReply prompt: Respond to
the two discussion questions who reached a different conclusion than you did. Identify the
points of difference in your analyses and explain how your sources and analysis led you to
your conclusion. Replies must be at least 450 words each discussion reply. Each reply must
reference at least 3 scholarly sources and follow current APA format (including both in-text
citations and a reference list). You must also support each reply with thoughtful analysis
(considering assumptions, analyzing implications, and comparing/contrasting concepts and
include thorough biblical worldview integration. (900 words total, 2 replies)Discussion
Question #1Leviticus 19:9-10 “When you reap the harvest of your land, you shall not reap
your field right up to its edge, neither shall you gather the gleanings after your harvest. And
you shall not strip your vineyard bare, neither shall you gather the fallen grapes of your
vineyard. You shall leave them for the poor and for the sojourner: I am the Lord your God
(ESV).There are many reason the Affordable Care Act (ACA) of 2010 will not be able to bring
universal access to our country. Several are lack of federal government controls, shortages
of healthcare providers, illegal immigration, lack of unification from state to state, and the
overall effect on the U.S. economy (Shi & Singh, 2017).The main objective of the ACA is to
create a healthcare system that would allow everyone to participate. This is not a feasible
goal when the government is a subsidiary to the private insurance sector. The research and
development of new technologies and medicines is done in the private sector but is funded
by government grants and subsidies (Shi & Singh, 2017). In a true democracy one person
equals one vote, but with the population of the U.S. this is not practicable so we elect a
group of people to represent us in the House of Representatives and the Senate.
Unfortunately, the elected do not make decisions based on what is best for those they
represent but for what personal gain they can achieve. Groups who wish to have their
agendas passed send special interest groups to convince (buy/bribe) representatives to
pass laws to benefit the special interest.Another issue overlooked was the number of
physicians that would be needed. According to the Association of American Medical Colleges
(AAMC), it is estimated that by 2025 the shortfall of physicians will be 61,700 to 94,700.
Primary care will be between 14,900 and 35,600, and surgeons between 23,100 and 31,600
(New Research Confirms Looming Physician Shortage,2016). Discussion board: Reasons
Why Medicaid Expansion Is A Terrible IdeaUnder the ACA, there were policies put in place
to expand Medicaid. This did help more uninsured gain insurance but it also created

2. additional issues and costs at the federal and state level. Each state was given the option of
expanding or not expanding. State funding for Medicaid is tied to the number of enrollees
and the increased cost is paid for through increased taxes and cuts to Medicare (Davis,
2014). In June 2009, President Obama stated “If we don’t get control over costs, then it is
going to be very difficult for us to expand coverage. These two things have to go hand in
hand. Another way of putting it is, we can’t simply put more people into a broken system
that doesn’t work”, it was still part of the ACA package.An uninsured population that is not
covered with the ACA is the illegal immigrant. This group has a tremendous impact on
increasing health care costs. Since they are not eligible for most programs they rely on
emergency room for care, which creates and increased cost to the community due to the
amount of charity a hospital will have to absorb. There are programs that help hospitals
defray the cost of charity but there are guidelines that must be strictly adhered to.The ACA
is a band-aid placed on one part of the health care system. Cost, quality and access must all
be addressed concurrently not piece by piece. The system cannot be fixed if all the issues
are not addressed simultaneously.Word Count (578)ReferencesDavis, S. (2014, June 17). 12
Reasons Why Medicaid Expansion Is A Terrible Idea. RetrievedAugust 22, 2017, from
http://thefederalist.com/2014/06/12/12-reasons-why-medicaid-expansion-is-a-terrible-
idea/.New Research Confirms Looming Physician Shortage. (2016, April 5). Retrieved
August 22,2017,
from https://www.aamc.org/newsroom/newsreleases/458074/2016_workforce_projectio
ns_04052016.html.Shi, L., & Singh, D.A. (2017). Essentials of the U.S. health care system.
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