Oregon's Medicaid Experiement Results Are In!

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Oregon's Medicaid Experiement Results Are In!

#1  Postby GT2211 » May 03, 2013 8:07 pm

http://theincidentaleconomist.com/wordp ... ll-people/

In short Medicaid is very good for peoples pocketbooks. It also showed a very positive effect on outcomes of those diagnosed with depression and getting people to use preventive services. In other areas there were positive, but short of statistically significant improvements in areas like blood sugar for those diagnosed with diabeetus.

And unsurprisingly many people are claiming that the not statistically significant results mean it has no effect and that because Obamacare expands Medicaid proves Obamacare is a failure.

See this for instance.
http://reason.com/blog/2013/05/01/study ... fect-on-me
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Re: Oregon's Medicaid Experiement Results Are In!

#2  Postby epepke » May 04, 2013 5:42 am

Interesting.

As a point of information, though, it is possible to manage diabetes in the United States fairly easily. Recombinant insulin, 70/30 colloidal, and insulin syringes are available over the counter. You can usually get glycometers for free, though the strips do cost. Around here, Publix supermarkets provide Metformin free, though you do need a prescription. There are already lots of private programs for these supplies. You can even get A1C testers for about $20. So I expect that Medicaid would not have much effect for diabetes.
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Re: Oregon's Medicaid Experiement Results Are In!

#3  Postby FACT-MAN-2 » May 04, 2013 11:37 pm

epepke wrote:Interesting.

As a point of information, though, it is possible to manage diabetes in the United States fairly easily. Recombinant insulin, 70/30 colloidal, and insulin syringes are available over the counter. You can usually get glycometers for free, though the strips do cost. Around here, Publix supermarkets provide Metformin free, though you do need a prescription. There are already lots of private programs for these supplies. You can even get A1C testers for about $20. So I expect that Medicaid would not have much effect for diabetes.

Thankfully. Because now Medicaid can spend its money on other crucial health issues that exist among the poor and indigent, such as asthma, which is epidemic in low income communities and neighborhoods.

Some States of course are fighting against Obamacare as hard as they can, erecting some draconian legislative acts to stand in its way. One State even made it a crime to participate in the program. Not surprisingly, all these States are run by Republican Governors and State Legislatures. They want Obamacare to fail so they can point at the President and call him a failure, and to hell with the health of the poor and lower classes.

Is this really a good way to govern a nation?
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When will large scale corporate capitalism and government metamorphose to embrace modern thinking and allow us to live sustainably?
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Re: Oregon's Medicaid Experiement Results Are In!

#4  Postby Loren Michael » May 06, 2013 7:11 am

John Chait has the best way with words:

Tyler Cowen asks, “Who is now willing to write?: 'The case for Medicaid expansion is not as strong as I had thought,' data caveats can follow after that.”

Okay: The case for Medicaid expansion is not as strong as I had thought. Now for the caveats: The case for Medicaid expansion is overwhelmingly strong. If a study found that puppies survive steep falls at a higher rate than expected, then you could say the case for throwing puppies out of skyscraper windows has marginally weakened, but would remain extremely strong. Indeed, data notwithstanding, either throwing puppies out of skyscrapers or throwing people off Medicaid are both acts of sadism.

The United States has very high levels of income inequality, a very stingy welfare state, and is the only advanced economy that does not guarantee access to medical care. The Oregon study does not raise particular questions about the efficacy of Medicaid; it raises questions about the efficacy of medical care in general. Measuring the impact of medicine is just really hard to do, yet almost nobody would volunteer to follow this frustrating fact to its logical conclusion and forgo the benefits of modern medicine.

And the Oregon study is not pushing the political debate toward a rethinking of the benefits of medicine writ large. It is only strengthening the hand of those who want to deny it to people who can’t afford health insurance. The Oregon study results from an unusual circumstance: The state had the budget to add 10,000 people to Medicaid, but far more who wanted to join, so it conducted a lottery. It is only the poor who can be subjected to Hunger Games–style experimentation with their health. In any other advanced country, in which medical care is a basic right, such an experiment would be wildly unethical.

We know that Medicaid makes people happier and less poor. We have trouble proving its impact on their physical well-being because proof of the benefits of medicine remain elusive. Unless we want to stop thinking of basic medical care as a life necessity, and we don’t, the case for Medicaid remains unimpeachable.
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Re: Oregon's Medicaid Experiement Results Are In!

#5  Postby epepke » May 06, 2013 7:52 am



A "not" somewhere in "the case for throwing puppies" would have been better, though.
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