Journal Express, Knoxville, IA


February 1, 2013

Taxes, Medicaid and Heart Health


Des Moines —


Another hot topic right now is the expansion of Medicaid.  Currently, ten states have decided not to implement Medicaid Expansion, while five other states are leaning against it.  Fourteen states are implementing Medicaid Expansion, with four states leaning toward expansion.  Seventeen states are undecided.  This split shows that many states are struggling with a critically important decision that will impact their state’s budget for years to come.  I’m aware of the news media influencing Americans with reasons Medicaid Expansion is the way to go.  The purpose of my comments is to consider the other side of the coin. 


First, there are no take backs.  Studies show that states almost never rescind Medicaid coverage once it is implemented.  If Iowa expands Medicaid, the estimates are that 150,000 additional people would be covered.  In a state that has seen the old Medicaid program grow 50% in the last 12 years, a decision to cover an additional 150,000 lives should not be taken lightly.


Further, we are dealing with a Federal Government that is flat out BROKE.  Given this, it seems unwise to enter into the agreement that Medicaid is primarily funded in federal dollars.  Not too long ago, when our own state’s budget was in a financial pinch, Governor Culver implemented a 10% across the board cut in our state’s budget.  If the US Government did the same, Iowa’s 6 billion dollar handout would be reduced by $600 million dollars.  That is pretty significant to our state budget, which brings me to my next point.


Nationally, Medicaid has eclipsed K-12 as the largest single share of total state spending.  Medicaid would have to rise significantly to do that in Iowa, but the point is that every state dollar that is spent on Medicaid Expansion is one less dollar for other programs in the state budget.  Many folks also want the state budget to include allowable growth for schools and funding of our crumbling infrastructure.  The problem is that the pot of money is only so big.  We can’t guestimate how much Medicaid will truly impact our budget; therefore we will either need to reduce benefits elsewhere or raise taxes to keep the state fully funded.  Neither choice is a popular one!   

Text Only
  • Another View Charlotte mug Another View

    Last week on TV – remember?  Pictures of the D-Day landing when Allied troops waded through cold waves, June 6, 1944, to face Nazi guns and land on the beaches of Normandy, France.  

    June 18, 2014 1 Photo

  • In the House of Wood

    I sometimes worry about what little regard is shown for human life these days. 

    June 18, 2014

  • Heisman winner's legacy wasn't about football
    If you've heard of Nile Kinnick, you’ve never forgotten his story. If you haven't, it’s a relatively short one with a sad ending.

    June 5, 2014

  • The Rules of the Road By Jill Pertler I do not consider myself an excellent driver. I am good, or maybe just okay - around a B-minus to a C-plus if I were giving out grades. I am not great at maneuvering into tight parking spaces or knowing when it is my turn at a four-wa

    March 21, 2014

  • Steve mug Creativity rules! I've noticed as a married man that there are times in our marriages when it is just nice to be right. Take for instance Monday night. By the time I got home from the council meeting, I was pretty hungry. I didn't grab anything to eat before my evenin

    March 21, 2014 1 Photo

  • Frankford mug Acute Temporary Comfort Rejection Syndrome By Phillip Frankford Acute Temporary Comfort Rejection Syndrome

    March 21, 2014 2 Photos

  • Shivvers pic 21st century overwhelm, beginning with shampoo I was in a hurry and needed only one more item at the grocery store. Shampoo. I wanted shampoo to wash my hair. But I found a hazard course - and couldn't remember how I got through the last time. What should I do? Would it be simple "anti-itch liqui

    March 21, 2014 1 Photo

  • Next time ... To the Editor: While surfing my Facebook page, I came across this message: "I Shall Continue To Do What I think Is Right Whether Anybody Likes It Or Not." -Harry S. Truman. After reading this quote, I decided to tell my experience. I was walking to m

    March 21, 2014

  • Protecting Iowa's children A topic that most Iowans prefer not to acknowledge nor discuss is human trafficking. However, it is a serious matter in our society that we can no longer afford to ignore. With the I-80 and I-35 corridors that crisscross our state - and the I-29 corr

    March 6, 2014

  • Letter: Disagrees with Shivvers To the Editor: I read, with interest, Ms. Shivvers' comments in her opinion piece "Another View-Breaking Bad in Iowa" in the Feb. 14, 2014, edition of the Knoxville Journal-Express. It is the first time I have heard today's agriculture compared to th

    March 6, 2014

AP Video
Four Rescued From Crashed Plane Clinton Before 9-11: Could Have Killed Bin Laden Couple Channel Grief Into Soldiers' Retreat WWI Aviation Still Alive at Aerodrome in NY Raw: Woman Who Faced Death Over Faith in N.H. Russell Simmons, LL Cool J Visit Youth at Jail Raw: Obama Gets Hug From Special Olympian US, UN Announce Deal on Gaza Cease-Fire Despite Moratorium, Detroit Water Worries Remain Faith Leaders Arrested at DC Deportation Protest Family Dispute Cripples Northeast Grocery Chain CDC Warns Travelers Amid Ebola Outbreak US Stocks Plunge, Wiping Out July's Gains Demoted Worker Shoots CEO, Kills Self Obama Slams Republicans Over Lawsuit Raw: 2 Hurt in NY Trench Collapse House Leaders Trade Blame for Inaction Cantor Warns of Instability, Terror in Farewell Florida Panther Rebound Upsets Ranchers Small Plane Crash in San Diego Parking Lot
Hyperlocal Search
Premier Guide
Find a business

Walking Fingers
Maps, Menus, Store hours, Coupons, and more...
Premier Guide

Upon completion and reopening of Third Street, should the City of Knoxville wait to start the next stage of the Streetscape and Infrastructure project until 2015?

     View Results