, Kingston, NH

My Opinion

November 21, 2013

My Opinion: November 21, 2013


From 2020 forward, data from DHHS and the Center for Public Policy Research suggests that State costs could be in the neighborhood of $40M per year. That assumes costs of healthcare do not increase more that 1.5% per year, and also assumes the estimated number of enrollees is not under-estimated. Both very unlikely.

These dramatic rises in Medicaid costs are unaffordable and would undoubtedly push NH towards a sales or income tax to pay for them. This is unacceptable! I would never vote for either.

There is no cap on the cost of this program or costs to the state. There is no cap to the number of enrollees to the program.

We’ve seen the consequences in the current Medicaid program from the absence of a cost cap: the only way the state can afford to continue the program and avoid more taxes is to cut payments to providers, and that is cost-shifted in the form of higher health insurance premiums for everyone else.

5. Social impact.

Eligibility is determined by income only. Someone with $1M in assets, but little or NO income could theoretically be eligible for free government health care.

There are no personal responsibility requirements with this expanded Medicaid plan. No co-payments. No deductibles. No work requirements. Those on the expanded Medicaid rolls have no real incentive to get off of Medicaid and have no “skin in the game” by contributing at least something to the cost. Cost sharing provisions increase personal responsibility and incentivize patients to make smarter life and care choices.

(Editor’s Note: NH State Representative Mike Kappler can be reached at




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