Should Arkansas Take the Obamacare Medicaid Deal? Probably Not
Arkansas has attracted national attention over the possibility that the Obama administration might agree to allow Arkansas to implement Obamacare’s Medicaid expansion by enrolling these newly Medicaid-eligible patients on the ACA exchanges. This has appealed to me and others, because the exchanges, for all of their imperfections, would be a substantial improvement to the broken Medicaid program in a market-oriented direction. However, we’ve learned in recent days that what the Obama administration is offering Arkansas is not, in fact, true exchange-based insurance, but rather a kind of private-sector window-dressing upon the Medicaid program. Unless HHS agrees to revise its stance and embrace true market-oriented reforms, the Arkansas legislature should oppose the Medicaid expansion in their state.