CarriageTowneNews.com, Kingston, NH

Letters to the Editor

November 28, 2013

Increasing Medical Access

Increasing medical access, in a free-market way

Medicaid expansion is a hot topic throughout our country. As of November 1, twenty-five states (and Washington, DC) have accepted federal money for expansion, while fifteen have decided not to at this time. New Hampshire is one of the last states to decide whether it will accept the money. If the state decides to do so, the next step will be to determine what mechanism to use to provide care to the approximate 54,000 residents who would qualify.

First, a little background: In a ruling on Obamacare, the Supreme Court said the federal government could not mandate that states expand Medicaid. However, if states accept federal money for Medicaid expansion, they would have to expand coverage to 138 percent of the Federal Poverty Level.

Next, consider how much money would come to our state, and how much New Hampshire taxpayers would be on the hook for expansion. The federal government proposes to pay 100 percent of the mandate for the next three years (2014, 2015, and 2016). Afterward, the state would be responsible for a percentage of this mandate; up to ten-percent starting in 2020. According to the NH Center for Public Policy Studies, this would cost state taxpayers about $40 million during this time, and at least $47 million per year starting in 2020.

I remain opposed to Medicaid expansion, primarily due to the impact on taxpayers. I am fundamentally opposed to direct taxation of New Hampshire residents to pay for this plan. The expansion does this, starting in 2017. This is a major concern for me, and for the voters of District 23. With a federal deficit approaching $17 trillion, New Hampshire would not be doing its due diligence if it depended on promises of federal funding. Medicaid is the state’s largest expense today and is a constant funding challenge. Any reduction of the promised federal funding levels would likely require an income tax or other broad-based taxes.

Text Only
Letters to the Editor

US Politics
Obituaries
  • Elwood (Al) Shaw, 93

    Meredith, NH — Elwood (Al) Shaw, 93, of Center Harbor, passed away peacefully on Sunday, March 30, 2014, at Forestview Manor in Meredith. He was the beloved husband of the late Greta L. (Sykes) Shaw, to whom he was married for 62 years.

    Continued ...
    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Jo Ann Hughes, 79

    Sandown, NH — Jo Ann (Phelps) Hughes of Sandown, New Hampshire passed away on Thursday, March 27, 2014, surrounded by all of her children at home. She was born in Little Bend Kentucky, to Beatrice (Shepherd) Phelps and John (Cat) Phelps in 1934. Jo Ann was predeceased by brothers, Marcus Phelps, Johnny Phelps, Forrest Phelps and sisters, Juanita Phelps, and Jeanette (Phelps) Vincent. She is survived by brother, Donald Quiggins of Georgia; sisters, Geneva (Phelps) Stanley of Kentucky, and Frances (Phelps) Bratcher of Tennessee who had just visited Jo Ann in September of 2013.

    Continued ...
    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Sherry Lynn (Cookson) Scanzilo

    Raymond, NH — Sherry Lynn (Cookson) Scanzillo, 58, of Raymond, N.H., passed away Saturday, April 5, 2014, at the Elliot Hospital surrounded by her loving family after a sudden illness.

    Continued ...
    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Thomas Hugh Clinton, 73

    Atkinson, NH — Tom passed away on Sunday, March 30, 2014, at Elliot Hospital in Manchester. Tom was born on October, 30, 1940, at Clover Hill Hospital in Lawrence, Mass., as the only child to Hugh Clinton and Evelyn (Forcier) Clinton. Tom graduated from Methuen High School in 195

    Continued ...
    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Jo Ann Hughes, 79

    Sandown, NH — Jo Ann (Phelps) Hughes of Sandown, New Hampshire passed away on Thursday, March 27, 2014, surrounded by all of her children at home. She was born in Little Bend Kentucky, to Beatrice (Shepherd) Phelps and John (Cat) Phelps in 1934. Jo Ann was predeceased by brothers, Marcus Phelps, Johnny Phelps, Forrest Phelps and sisters, Juanita Phelps, and Jeanette (Phelps) Vincent. She is survived by brother, Donald Quiggins of Georgia; sisters, Geneva (Phelps) Stanley of Kentucky, and Frances (Phelps) Bratcher of Tennessee who had just visited Jo Ann in September of 2013.

    Continued ...
    The Carriage Towne News Thu, April 10
    10 days

Stocks