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December 11, 2013

THEIR VIEW: Unhealthy approach to coverage

Even as Indiana opponents of Obamacare shed crocodile tears for the few who may be forced to upgrade substandard medical insurance plans, they push ahead with a plan guaranteeing that thousands of Hoosiers will be left with no medical coverage at all.

The estimated 182,000 Hoosiers who will be shut out because the state declined the option of expanding Medicaid are, in sense, just collateral damage in an ideological battle.

The Pence administration, you see, wants to preserve the Healthy Indiana Plan, which requires that patients buy into their own coverage and, the theory goes, encourages them to use their health care prudently.

But HIP, which seemed a good idea when it began in 2008, has never lived up to expectations and today is decidedly unhealthy.

The plan was to help as many as 130,000 non-Medicaid-covered poor Hoosiers get access to health care. The program, though, “never broke 50,000” and now is at about 31,000, according to Erik Gonzalez, a financial analyst for the Indiana House’s Democrats.

About 11,000 of those enrollees will be knocked off the plan next month by the terms of the one-year extension Indiana received from the federal government for the program. Christy Denault, press secretary for Gov. Mike Pence, said the net effect of restructuring will be to insure 20,000 Hoosiers who are not now insured by Jan. 1.

But that could leave thousands upon thousands of Hoosiers who could have been insured, not insured.

This is not just a battle of hidebound ideology vs. compassion.

It is a matter of dollars and cents and economic growth.

Simply reaching an accommodation with the federal government on expanding Medicaid would have cost the state about $503 million by 2020, according to a study prepared by the University of Nebraska’s Center for Health Policy. But it would bring in much more than the state would give up.

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