Columbia, SC — Let us look at Medicaid and the Affordable Care Act from the viewpoint of S.C. taxpayers.
For the first three years, the federal government pays all of the costs, more than $5 billion, after which we can opt out. We will pay federal taxes that help fund this expansion whether we accept the funding or not.
If we reject the Medicaid expansion, we get nothing for our taxes. If we accept the expansion for a three-year trial at no extra cost to S.C. taxpayers, we would still pay our federal taxes, but instead of getting nothing back we would get back $5 billion — significantly more than what we paid in, since we are a federal recipient state.
True, the Affordable Care Act may not work. On the other hand, it may work. Just because some folks reject it does not mean it will not work. Parts of it may work, and at the very least we will find out how to approach a workable solution based on three years’ experience. And the cost of this “experiment”? Essentially zero.
There is no such thing as a free lunch, but for three years we can have a free taste. Taxpayers, speak up.