Moore on Perdue's plan


Richard Moore says Beverly Perdue's plan to insure parents is too expensive.

At a debate last week, he alluded to this argument, saying that he had a plan to provide health insurance for all North Carolina children, but not adults.

"I wish I could stand up here and say I've got it all figured out how to pay for health care for everybody," he said.

By contrast, Perdue has proposed phasing in coverage of adults up to 200 percent of the federal poverty level, arguing it's the only way to cover uninsured children, including those who already qualify for the Medicaid or Health Choice plans.

Moore's campaign elaborated on the argument today. Campaign manager Jay Reiff told Dome Moore agrees the state should increase access to health care, but the focus should be on reducing costs.

"Perdue's plan to dramatically expand Medicaid is a very costly option," he wrote. "It would cost taxpayers more than $700 million for Perdue to fully deliver on this promise. When you add this price tag to Perdue's other promises so far, the total tab is well over $1 billion and counting. It begs the question: How is she going to pay for it all?"

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Re: Expanding Medicaid to Adults Costs $767 million a year

Eli:

That is simply not correct. As a member of the NCIOM task force I refer you to the following paragraph from the section of the report you cited on page 97:

"For approximately $100 million (in state and county funds), North Carolina could expand Medicaid to cover approximately 78,000 adults [to 200%fpl]. The federal government would contribute $170 million. The state would need to seek a waiver of traditional Medicaid rules in order to offer a more limited Medicaid benefit package that emphasizes primary care with limited hospital coverage and more extensive cost sharing.q These uninsured adults would be required to pay premiums, on a sliding-fee scale basis, along with other cost-sharing that would incentivize them to become more prudent purchasers of care."

Moore has a decent plan for kids - as I've said - and I don't think it serves him well to be distorting the facts like this on plans for adults. Why not put forward some proposals on adults of your own?

Adam

Expanding Medicaid to Adults Costs $767 million a year

According to the NC Institute of Medicine’s numbers, the state and county cost of expanding Medicaid to cover all adults up to 200% of Federal Poverty Guidelines in FY 2006 would be $585.2 million. Using the Institute of Medicine’s annual inflation factor of 7%, the total cost for the FY2010 Governor’s budget would be $767 million.

Eli R. Kaplan
Richard Moore Committee

Re: Moore on Perdue's plan

I'd like to see the calculations where Moore's $700 million figure comes from.

And "the focus should be on reducing costs"? Hey - I agree, we need to reduce costs in health care. However, there is no way that reducing costs is going to mean more people insured - we might be able to stem the tide a little of people losing coverage because their premiums are going up, but bringing more people who don't have insurance now into the system costs money. It's as simple as that.

Re: Moore on Perdue's plan

I have — and will — ask health policy experts for their thoughts on the different proposals, but I hardly think I should cede my duties as a journalist to them.

— RTB 

Re: Moore on Perdue's plan

RTB -- rather than referee yourself, why not find a sub-group of the IOM Task Force or other health policy leaders to help illuminate the substantive differences on expanding coverage. For real-world uninsured families in North Carolina, this is more than politics on the blog all the time. It's a complex issue -- be a journalist rather than inserting yourself into the politics -- it's just too important for our uninsured kids and parents.

Re: Moore on Perdue's plan

All in the eye of the beholder

Re: Moore on Perdue's plan

For two weeks I've been refereeing a slow-motion debate on the issue of how to cover uninsured children on this site, and now I'm told it's mudslinging?

— RTB

Re: Moore on Perdue's plan

Dome -- shame on you -- you are being used by each campaign to sling political mud rather than educate and inform your readers on the important health care issues emerging in the 2008 Governor's race.

Some real important differences are emerging -- why not find some health policy experts to referee before you post any point, counterpoint.

For your serious readers and bloggers, I'd recommend Chapter 6 of the NC IOM's Task Force for the Uninsured --- http://www.nciom.org/projects/uninsured/uninsuredreport.html.

The IOM Task Force put forth several options to expand coverage to uninsured parents -- some were more costly than others.

Let's put a stop to the mud slinging and help illuminate the serious substantive differences between Moore and Perdue.

Your readers and bloggers deserve better.