I think we can all agree there's very little affordability in the Patient Protection and Affordable Care Act.
(Which is probably why we're one of the few organizations that still call it by its full name – it just seems disingenuous to call it the Affordable Care Act. But that's another story…)
But it has made great strides in the protection part – defined here as expanding insurance coverage in this country. About 9 million more people (give or take) have health insurance who didn't before. And that's in spite of itself, given how badly the enrollment rolled out online and some pockets of this country.
Recommended For You
Of course, the southern part of this country, where poverty, unemployment and obesity run most rampant, is also where expanded coverage fell short.
But it looks like that's starting to change. Over the last several weeks, the governors of Tennessee, Wyoming, Indiana and Utah have all separately – if subtly – indicated they're leaning toward Medicaid expansion.
The Keystone State – technically still a commonwealth – went all in this past week after the feds approved Pennsylvania Governor Tom Corbett's Healthy PA proposal, a hybrid Medicaid expansion model not unlike Arkansas'.
(However, it's worth pointing out that Corbett's losing his re-election bid right now by double digits, so Healthy PA could be pretty short-lived. Most expect his presumptive successor, Democrat Tom Wolf, to toss the hybrid plan and just push the state onto the federal exchange.)
Regardless of how you see the funding issues playing out over the next few years – and trust me when I say that's a bill that will come painfully due sooner rather than later – I think Republican governors (and candidates) see that fighting Medicaid expansion is a loser politically. The Arkansas plan is a nice compromise more GOP governors should embrace, if for no other reason than to take the sting out of the leftist attacks.
Speaking of losing battles, it's worth noting that the Supplemental Nutrition Assistance Program, or food stamps, turns 50 years old this week. And, oddly enough, the same businesses that once championed food stamps with its inception – with its reliance on the private market – now consistently rally against it.
What's wrong with this picture? Well, take Wal-mart, for instance. This is a company where roughly 4 percent to 6 percent of its monthly sales come from food stamp recipients, depending on who's doing the counting. In fact, Wal-mart executives have gone on record saying that they've locked down nearly 20 percent of the total food stamp market.
But, perhaps even more tragically, this is a company that costs taxpayers more than $6 billion in public assistance. Those numbers came from an April report from Americans for Tax Fairness, which found that "a single Walmart Supercenter cost taxpayers between $904,542 and $1.75 million per year, or between $3,015 and $5,815 on average for each of 300 workers."
To be fair, not only does Wal-mart typically pay above minimum wage, its numbers aren't all that out of line with other industries.
But these numbers, if even half accurate, tell me that no matter what handouts private citizens receive, businesses still get a federal subsidy, whether it's in the form of food stamps, Medicaid, or subsidizing health care for its employees on the exchanges. Sounds like a pretty sweet deal.
Finally, to end on a higher note, food stamp error rates are at pre-recession lows. According to new analysis from Stateline, a research arm of Pew Charitable Trusts:
"During the recession, enrollment and spending in food stamps skyrocketed nationwide. In 2008, the monthly average number of Americans enrolled was 28.2 million, and the cost of the program that year totaled $37 billion. By 2013, monthly average enrollment topped 47.6 million, and total spending for the year neared $80 billion. In the depths of the recession, a quarter of all residents in some states were enrolled in the program.
"Yet for all the increasing stress on the program, the average error rate among all 50 states and the District of Columbia declined nearly 4 percentage points. Eight states saw their error rates fall more than that, including a decline of more than 6 percentage points in Alaska, and decreases of more than 5 percentage points in Louisiana, Maine, Texas and Virginia."
At least we're doing something right.
© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.