One of the major issues in Kentucky today is whether the enactment of the Affordable Care Act (ACA) will do more harm than good? Rand Paul, who is currently one of Kentuckyâ€™s senators, does not support the Affordable Care Act. He alleges that the ACA might cause some of Kentuckyâ€™s hospitals to close down as reported by USA Today in a November 7, 2013 article.
The senator has a bill pending, which if enacted, â€œwould repeal the Medicaid expansion.â€Â Since the health care coverage would be provided through Medicaid, this would only encourage more people to sign up for Medicaid, and if they are approved for it, then the government would have the responsibility of funding these costs. In addition, since these hospitals will not be making money from the uninsured, then this might cause some hospitals to close down. While Senator Paul feels that uninsured people should get health care coverage, he is concerned about the success of the hospitals.
However, others such as health care supporters disagree with him. They feel that the medical coverage would allow more people to go to hospitals to obtain medical treatment and services that might save some lives. Â Also, the ActÂ will reduce the â€œfederal Medicaid Disproportionate Share Hospital (DSH) program by $18.1 billion over seven years, beginning in fiscal year 2014, to help pay for the cost of expanding Medicaid.â€ This was based on the theory that every state would agree to the ACA, however, states are the ones who chose whether or not to adopt the ACA.
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Note that laws regarding the ACA have changed recently.