Doctors from Indiana

The Solution to the Medical Care Puzzle is Simpler Than You Think

by Dr. Magiera | August 07, 2017

Watching the U.S. Senate lately has been quite informative. RINOs are NOT an endangered species! There is an enormous herd flourishing in Washington, D.C.

But, seriously, if you listened carefully to all the rhetoric, the path to medical care freedom is clear.

While Obamacare must be completely repealed and replaced with freedom, the concerns of all followers of the U.S. Constitution can be addressed by the additional repeal and replacement of FEDERAL MEDICAID.

Yes, you read correctly, federal Medicaid repeal and replacement is the key to medical care reform.  Allow me to explain.

From the previous video didactic on medical care, you will remember the three “C’s” of medical care:  CASH, CATASTROPHIC INSURANCE and CHARITY. What is holding up progress on legislative action is concern over “CHARITY.” More specifically, legislators of all parties are obsessed with the government charity known as federal Medicaid.

This nation was founded on the principles of freedom, individual responsibility and compassion. Yes, we are committed to assisting the most vulnerable in our society. It is part of our Judeo-Christian heritage. However, as happens with all well-meaning federal programs, Medicaid has transformed into a resource-devouring monster, which has strayed drastically from its original mission.

Some Governors were seduced recently into expanding Medicaid by the opioid-like allure of federal dollars. Others, like Governor Scott Walker of Wisconsin, addressed the needs of the citizens of his state without the addictive “fix” of federal cash.

As Governor Walker stated in this July 29, 2017 press release on health care reform, “The best way to repeal and replace Obamacare is to give each state the resources and responsibility for health care.” Think about those words carefully.

So, how does this bring us to federal Medicaid? It is simple. I am a Hoosier. I am committed to the well-being of Hoosiers. I am more than willing to assist vulnerable Hoosiers by PRIVATE and GOVERNMENT charity programs.

State governments are still reasonably accountable to their citizens, unlike the autonomous federal bureaucratic “swamp.” I am NOT willing to have my tax dollars supporting out-of-control Federal programs in states like New York, California, and Nebraska, to name a few (have you forgotten the “Cornhusker Kickback” deal of Obamacare, which makes all the other states fund Nebraska’s Medicaid FOREVER?)

Each state should take care of its OWN vulnerable population with its OWN resources.

This is why federal Medicaid should be transitioned to the individual states. We are talking a 500 billion per year, more or less, program! For the solution, I would suggest a multi-year transition of decreasing federal funding of Medicaid and complete transfer of control to the states, until a date is reached when federal Medicaid is terminated. Of course, there will need to be tax reform to REFUND all dollars collected for federal Medicaid to taxpayers. States will inevitably need to raise resources to fund the state specific and controlled programs. Remember, this country is 20 trillion dollars in debt. Our national “credit card” is very much maxed out.

That was a lot to digest, but, really, what is so shocking about restoring power to the states? Each state would have an individual method of assisting its vulnerable citizens. ALL THE TRULY NEEDY WOULD BE CARED FOR, and Nancy Pelosi and Chuck Schumer would be able to sleep at night.

So, by simply transitioning Medicaid completely to the states, the repeal of Obamacare could move forward. And, in the process, one of the most overgrown of all federal entitlements would be permanently eliminated! The Founders would indeed be pleased.

Once Obamacare is completely repealed, then it can be replaced by freedom. Obamacare is like a cancer and every last cell must be excised for us to survive. Period.

In future posts, solutions to other “hot button” issues, such as pre-existing conditions and the solution to the individual insurance market dilemma, will be discussed.

Christopher J. Magiera, MD
Warsaw, IN
August, 2017

The opinions expressed in this blog are solely those of the authors, who, unless otherwise stated, are not officers of or speaking on behalf of any organization referenced herein.