State's inaction on Medicaid expansion may mean cuts to S.L. County prevention, treatment programs

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  • David Lloyd-Jones Toronto, 00
    Nov. 3, 2014 2:57 p.m.

    Don M writes:

    "Spending additional Medicaid funds when the federal government is running deficits means it is 100% borrowed from future tax payers."

    This is only part of the truth. Neither goods nor services can be sent back in time. Nor can money. (And the only way a budget can be "unbalanced" is through arithmetical or typographical error.)

    Services carried out now are paid for in the here and now, though extra effort or through the diversion of effort from elsewhere. Money paid for services now is similarly raised here and now.

    A deficit is a bookkeeping entry by which money is lent and borrowed now, usually because the rich and powerful have managed to evade paying the taxes needed to pay for the services. Right now.

    There are effects in the future: somebody will pay interest forever on the debt created to cover the evaded taxes. This usually doesn't affect the rich and powerful very much, since they tend to own the bonds and collect the interest being paid.


  • Calif PETALUMA, CA
    June 13, 2014 7:34 a.m.

    I am surprised by my surprise by this Utah oversight? God wouldn't do this is what I think, so who is doing this? Somebody must be giving the orders.

  • mcclark Salt Lake City, UT
    June 11, 2014 3:50 p.m.

    Don M- -If we dont take the medicaid money it goes to other, smarter states, it does not save one penny for the feds. It does condemn working poor folks to sickness and death, but its not you, so what do you care.

  • lost in DC West Jordan, UT
    June 11, 2014 9:40 a.m.

    The premise of this article makes no sense.

    Why does the lack of an increase require a decrease? What about the status quo? Were they spending money they did not have thinking they were going to get it? What poor oversight!

    And why are we not hearing similar alarm bells from other counties? Could it be that dem-managed Salt Lake County is again showing the ill effects of dem leadership?

    And what are the 2,630 people NOT getting treatment services getting?

    You don’t understand fiscal responsibility? You don’t understand not being required to run faster than you are able?

  • Blue Salt Lake City, UT
    June 11, 2014 8:52 a.m.

    An ounce of prevention is worth a pound of cure - unless you're a Republican and you refuse to see past the small price of that ounce of prevention and don't ever plan to take responsibility for having to pay for the very expensive pound of cure.

    Forcing poor people into hospital emergency rooms or an early grave is not sound fiscal policy.

  • one old man Ogden, UT
    June 11, 2014 8:35 a.m.

    Strider, perhaps the "low success rate" is because finding ADEQUATE and affordable help is almost impossible.

    A person in need of mental health care or who is fighting drug addiction almost always finds that available help is so severely limited that it ends before the person can turn the critical corner from failure to success.

    The state of mental health and drug care has been equated to the idea that a person with cancer will be limited to no more than two rounds of chemotherapy or radiation. If that were to happen, the cancer would return and grow even tougher to kill.

    But that's what happens now with drug and mental health treatment.

    As presently constituted, it's a roadmap for failure and tragedy.

  • DonM Bountiful, UT
    June 11, 2014 8:34 a.m.

    Spending additional Medicaid funds when the federal government is running deficits means it is 100% borrowed from future tax payers. If additional spending in Utah is needed, it should paid for by current tax payers in Utah. Government is much more careful spending money when it is closer to the people paying for it. Looking for "free" money from the federal government leads to wasteful spending. If we really have an underfunding case here, make a case for the people of Utah to pay for it, not our children who can't vote on us spending their future.

  • Esquire Springville, UT
    June 11, 2014 8:19 a.m.

    Seems to me that prevention is critical to the health care interests of our citizens. Pity that political gamesmanship is actually hurting our people.

  • play by the rules SOUTH JORDAN, UT
    June 11, 2014 7:39 a.m.

    Ben McAdams is a typical liberal Democrat trying to play the populist. Money solves everything don't you know?

  • Gandalf Salt Lake City, UT
    June 11, 2014 6:30 a.m.

    I do not understand our legislative leaders. This is not a close call on so many fronts. The words of the scriptures about the fires of Hell come to mind in connection those who have consciously chosen not to expand Medicaid, those who have knowingly withheld access to medical care from the least among us.

  • Strider303 Salt Lake City, UT
    June 11, 2014 5:43 a.m.

    I would appreciate some hard figures and information regarding exactly what addictions are being treated and how many people are being served along with some idea of a success rate.

    Mental health can be chronic in terms of needs, and substance abuse such as alcohol and drugs have a low to medium success rate meaning that a lot of money is spent for relatively small gains. There is no inexhaustible supply of money and it appears that the county is over extended. Why not tax the substances that are addictive to earmark the funds for treatment of addiction to them.

    Salt Lake County then can be as generous as their tax base allows.

  • My2Cents Taylorsville, UT
    June 11, 2014 3:45 a.m.

    Maybe things aren't as dire and common sense and the tea party movement of voters to cut governemnt spending and expansion. Hopefully it will mean the end of the ACA and the Utah health care coalition to put health care back in the hands of the peoples choice and private insurance companies. Government does not have the capacity to run a private business and its escalating costs prove it is not going to work.

    I am all for the end of our Medicaid and Medicare funds being handed over the state government where it is fraudulently diverted to non health care uses. Medicare and Medicaid must be put back in the hands of the SSA who collects it and enforces the rules and laws that limit entitlement to those who paid into Medicare and Medicaid out of their incomes and wages.

    Medicare and Medicaid are not public health care funds, they are trust funds held by SSN of workers and busienss who collect it from american citizens.