Prayerby Senator Rand Paul
Posted on 2013-09-24
PAUL. I talk to a lot of doctors. I have been in town halls with
the Senator at the different hospitals. The hospitals are concerned
that if everybody goes on Medicaid they will go out of business. Many
hospitals' bottom line is driven by--they can take care of the poor
through Medicaid, but they rely on private insurance to make a profit.
Hospitals in most communities have to make a profit to stay in
business. So the rural hospitals, particularly in small areas, some of
them have already gone bankrupt in Kentucky. But they are very
concerned about people being shifted from private insurance to public
The President said, though, that it will be free, but it has a cost. We all pay for it through higher taxes. The other way we pay for it is we have to ration care or ration what we pay for care, so we have to limit what we pay hospitals.
Hospitals are already being forced to see less. They have been for a while. But even more so now. It is the same with doctors. How do doctors respond? Doctors, some respond by saying: I am maybe only going to see a couple of Medicaid patients or no Medicaid patient. Then when everybody is on Medicaid or the vast majority is on Medicaid, they are going to be waiting in to see a doctor.
Mr. McCONNELL. Speaking of Medicaid, I remember reading that our Governor got teared up when he announced that he had decided to accept the additional Medicaid mandate, which the Supreme Court actually had said was optional. I remember having a teared-up feeling too, but for a different reason. I gather what will happen in our State is there are going to be between 3- and 400,000 new people with free health care cards rushing toward the emergency rooms. What I have heard in a number of my town hall meetings is they cannot handle the Medicaid load that they have now, not to mention all of those new people who are headed their way, coupled with the $750 billion in health care provider cuts over the next 10 years to help provide a subsidy for people who are not old.
I mean, it is coming out of Medicare. It can provide subsidies for people who are not old. What is the Senator's take on where this all heads?