Dec 12, 2013|
Garland talks with Dr. Walter "Dub" Lane of UNO about Governor Jindal's refusal to take Medicaid aid from the federal government.
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Automatically Generated Transcript (may not be 100% accurate)
Are welcome back here nuclear. -- nobody should go home for Christmas -- on fruits that are. With a second harvest food bank and can put money primarily. But we'll take an acting in good. One ailment called them when the north we could bring a Turkey. Can bring Turkey most appreciated. But it's we get that two million people that are hungry in this country. Large large number right here yeah and we need your help -- traits that are in -- will do well or battery using client. Of all we don't you can't. -- anymore -- let me in the break excellent excellent on. This hour we're going to be and ultimately talking about the second or from bank. But also. We're gonna think -- some -- look at something we both looked at war. Governor -- -- Basically says we're not going to the minute he. Expansion in -- in this thing. And it is reason the -- for the first years. Three years undergo room comes in pays a 100% with the expansion in the and shortly thereafter it goes down to were they pay about 9% we have Big Ten and the governor that we couldn't -- That simple. We view and had others that prepared foods and that kind of agree with that. But recently. We've read something that that as another dimension to the debate. The so called the Commonwealth Fund. That's come out in certain irony is that broke in the won't be paying for the implementation. Implementation. A Medicaid expansion in other states so we thought you know that gives its a different where's that this. And then usual we go -- -- the ball doubly. What's -- associate professor of economics. Finance and you'll note doctor welcome back to the shore Hogan project call thank you are. Could be oh so is this a new ways that this is this. That something that should add that to the debate. I don't really think so. There's a sense in which this is true in that. You know any money is spent on Medicaid is paid for equally by everybody in the country. So -- other states are or spending more money doing this Medicaid expansion that definitely cost of the country. But Louisiana and taxes. Are not raise or lower. Because of that. -- I think governor Jindal has said that. You know the actual -- it does from now when he we have to borrow from China. Because that were running large deficits in all this but he is adding to the deficits. And somewhere down the road yes it's true we have to pay it -- so there's -- sense of which is true there's is that too which in the in the short term. You know Louisiana taxes are gonna -- or good to go down -- -- participate expansion -- participation is. But it was dead language yes we do paper all of this this but he -- doubt they're. So it kind of expected there's a sense of which. The digital right there's the system which become well. I think the decision. About whether to expand or not should be made on its own should be in -- -- there. And that whether the state can quote board that extra 10% they would have to pay your. But what. I think what's being left out there's wanted to exit I think -- -- -- -- talk about it as -- that is bigger fear is if we do it in the expansion. It will bring a lot of people that are already qualified for Medicaid. But to -- not -- -- estimate that like twenty or 30% of the people that are currently qualified the Medicaid is they haven't ever signed up but it -- the new program becomes. Well -- A lot of those people sign up and we will have the paper -- as well at the tape them at at you know whatever the 33% rate not the 10% rate. And so I think that some of the costs that they don't like to talk about but I think that the they're really worried. What what do you me 10% vs thirty. Well I mean right now under what's called the F map is that eighty Medicaid money the state has the page. About a third of -- -- that government pays two thirds -- every dollar we spend on Medicaid but a government matches it with. Two hours. And so. But for -- news the eligible people who were not previously eligible then for the first three. Yours it's going to be 100%. And after that every dollar we've been the federal government will pay nine but it. Anybody that's currently eligible but who had signed up. Who all of a sudden signed them because they now know you know that that visibility of this new program means that they think but he by the chronicle intuit. Those people began to be old map. Which where it was ago with the speed up the pay a third of their costs which they're currently in opting at all and so they're the State's costs will go. And we're actually seeing it actually. That we have that this -- done the expansion and -- of the what happened at these numbers we anarchy -- -- That bit that there -- are giving -- significant number of people that were previously. Qualified for Medicaid the are now signing up so I think although he had both -- this publicly my understanding is that is it appears the administration -- the cost. And that will be a big cost it was as well and that and that probably legitimate. And -- Are you with us we're thinking about. Expansion of medicated he -- government says. I think he says. You know it stands the reasons for them. And for the people who need you on the -- report we don't have the money. What do you victims call who's to 027. -- create six that that it doesn't rule it steadily. We're at the territories in the room with you -- -- broadcast and law. Number look at the -- looking for money. Second harvest. Rate organs that runs they supplies relief for people that or -- We need to look at when he did good with The Who come on down here -- India the U. Called brother -- with you would call it the thing that. Our people come five punches coming sooner and we'll do -- -- -- -- influences you grow in -- -- the -- left. Easy party you beat ingress and egress from the building. And it's all part of the second harvest food bank or holidays rate organization. The replies that they elect when -- -- -- who. Well there's something along those lines their a giant sinner. And who of food and all of the state. And we're looking for money bird bluntly we're looking for -- whose. What does brought Turkey will take what you got. Fifteen million people in this country -- the million. That -- going hungry. You're troops -- -- oh well. Are worth worth thinking about in the -- -- right now on our governor and the decided not to accept the expansion of Medicaid. But a lot of controversy use to. What happens to these poor people. Panthers you know here. That can report by. What happens that the ticket on. We have book duck walk in Dublin so cute that through economics when me and you know once again helping me help but be complicated subject. Doctor where where was our right when -- that the that the government is proposing. To -- all of the calls for what three years and then we took a 10%. Correct. Are right and the figures see you lose that's right. Of figures that says 280 million dollars is is the public would. When we hit that 10%. I've seen the numbers that I get are brought property at what what they are but. The other that that's what people are saying is that it's paying anything. You know it's hard in this budget environment but you know my personal feeling is. -- you know who wouldn't be willing would the taxpayers not be willing. To pay you know an extra dollar in taxes if they can get ten dollars a bit -- seemed like a pretty good investment -- -- so I don't quite. You don't understand. The -- reticent to sign up with them with the Medicaid expansion it seems like. -- that the citizens of Louisiana are going to be. And hurting. Because they're not getting that Medicaid expansion right now the people that we're supposed to become. Covered by Medicaid expansion of the 133% of the poverty line who are currently not giving them that are being left out people slightly higher than that. You know of your 130. 140% of federal poverty line and also give you these big subsidies from the government the -- in the marketplace but if you weren't a few thousand dollars left lest you get nothing. So -- to work really strange set up right now. And -- the group read through your what I the court direct quote from the government troops and -- Medicaid is an entitlement program. And therefore there -- no fixed amount of federal Medicaid spending -- be re allocated. From state to state. Unlike certain infrastructure grant states that choose to participate. To not have the opportunity to receive extra dollars when the other cities decline appearances but he and I think -- he's obviously talking about there. The cut the report from the Commonwealth Fund today. -- -- and paid for implementation. In other states. He's saying that that is not the case in the also mentioning because of the Fonda I think study. Mentions how much we -- on roads on which was spent on infrastructure. Aboard a small amount from those money. It would -- to go ahead and implement the Medicaid expansion. What -- your -- Well yeah I mean that's the system which it in the short run. Extra money if we were all that and we have technical report by the for the Medicaid expansion. And the federal government was gonna it would have to. You know borrow more money to paperback. And if we don't they don't have to borrow that money but the other states don't get the work he's right the sense that. In others there's not a fixed amount of money out out is that it be spent if if we don't participate in the government actually just spins less money. In the long run all the money he gets bit get paid for by all the peoples of all the other states been but he we'd go. In some sense we gonna have the paper and not the short run but in the long. What was -- well exhibit that we have events of the day. And and and our of our citizens own they're sure of that -- the same way the other citizens. -- In the reported so warned that the quotes from one of the authors Walker's. No state that the Poland's troops in the program is going to be fiscally that are all because. Their tax dollars will be used to support program for which nobody -- there's the benefit is that true. Yes. I mean they're not yet but we're not going to be better off because again we don't give -- Promise and so yeah we what we saved. The reason for not participating. Is is what the governor appealed to -- What the two things one -- mention that he doesn't mention which is that we might activity Mormon need to date could be political are currently eligible. But secondly it's what he's worried about is a liability down the road number one can can we be able to -- the 10%. And number two will put that government stay at -- 10% after we get the program started by police -- it is. They might say oh those states -- to be 20% and we won't be able to do anything about it what we've given those benefits out it's really hard to take aways so. It's really the future kind of liabilities. That that's true it in the per year again. Our -- our citizens are gonna are gonna be hurt because people other states are giving benefit that we don't yet and the federal government -- -- but the state itself doesn't. Save any money. Or you know in the current year because their paper -- percent so yeah we're not better -- not better off now what we might be. You know in the future we you know it he says can't afford to our 10% -- or develop government changes that raises it up for. And the media content Oakland reports that Medicaid money war. The mine and -- million dollars the projected beacon federal print the ones that year it is there really core relations with. Contrasting the -- well it immediately Auckland so where. Know that well all as the department at the magnitude is that the the federal government money is. That the funeral it's showing how big is Medicaid pot of money apple are trying to say is it's a big -- I think that's the only point to really make. Do you think it's in the caucuses could become. A program I mean it's an entitlement program but it could become an entitlement program. Betty in the future we can have -- whether we have Medicaid and Medicare collecting Social Security. Type -- program that we can -- and use it CN periods of that. Why am I think there is a legitimate fear that that this can be a very big program that will be hard to fund down the -- But on the other hand -- in the long run we're. Other people other people that other states are giving it our citizens are not giving. So I don't. In -- idol I would think that we ought to do the Medicaid expansion. And then given that it's it's it's federal law. And that other people or are doing that I don't see how we'd been up but by not doing. -- And gun -- brothers' strange question or. Well we're we're here today try and collect millions food for votes many many people who. -- report -- that fifty million in this country. Now we're talking about Medicaid that we currently don't have money or. And we're talking about Medicare in and so security which serves in Poland are drawing up. You see a time in the future where churches and and societal groups. We're going to have to gathered together to provide the -- the food the wherewithal. Well we I mean I guess the model would be look at other countries the European countries for instance. They're way ahead of us on this government involvement in people's lives. And certainly don't see that happening -- that we see there is higher taxes and more government benefits so you know in in in our country I think. Would assume we're seeing right now is the people as I heard part of the discussion earlier the second harvest people is that the thing you're getting tighter and tighter income inequality exchanging and and the jobs are changing. And that our government is not stepping up. To increase the amount of funding that yes then I think churches of the private groups role is gonna become. -- could become great. Doctor -- -- -- really appreciate component here and things look good but we're not talked you have a great period of we may bother you again before the holiday -- -- All right doctor Walter doubly so you professor of economics and put them you know. Don't forget now -- you know punch in training center. You heard the Pope. Cuba we consider. Look we need to work with people we help people we -- this year will go to great organization's second harvest food bank. And they're here collecting. Collecting canned goods collecting food itself. Easy. All we don't will you boulevard. -- left at the very in though that spewed huge punctured prince and his -- in particular that the Levy. Libya par can very easily walk and walk out. We need your help second harvest food bank. Provides food all over this. Are coming up next -- we'll continue this conversation about the expansion or lack of expansion. Of Medicaid so it --