Last week, Sutherland Institute had the opportunity to meet with Tarren Bragdon while he was in Utah’s capital. Tarren is CEO of the Foundation for Government Accountability – also known as the FGA – an independent, nonprofit policy organization based in Naples, Florida. With a focus on healthcare and welfare issues, the FGA works with policy makers in about 20 states helping them fix big-government and broken healthcare and welfare programs. Among their priorities is freeing people from dependence on government and helping them move on to a better life.
Medicaid expansion is a significant topic across the nation. A number of states have decided to expand while others have not. As Utah is in the process of working toward making that decision, Bragdon discussed with Sutherland key elements of this important issue that he and his colleagues are addressing as they meet with legislators and decision-makers across the nation. In the videotaped interview, Tarren talked about Medicaid expansion in general and briefly about the Healthy Utah Plan proposed by Governor Herbert.
In the brief, 14-minute interview, he describes the informative experience of states that have made the decision to expand Medicaid and, with the body of information now emerging, he highlights points of particular relevance he believes Utah policy-makers should keep in mind as they work through the decision process:
Essentially, what you have right now is the federal government dangling this promise of federal money in front of the states, hoping the states will embrace this Medicaid expansion voluntarily because they want this federal money to flow into their states. But what we’re seeing is that just like with almost every welfare expansion, that the prediction of how much it would cost is very different than the reality. And so we’re seeing states already having dramatically higher enrollment in Medicaid expansion than what they projected and dramatically higher costs. It turns out these individuals are much more expensive to cover than single moms. And so states are already seeing this as a budget buster. In states like Arkansas, the state taxpayers are on the hook for tens of millions of dollars just in the first year.
He then explains what this means for the most vulnerable populations – for whom Medicaid was implemented in the first place:
What that has meant in the states, and we’ve already seen this happen, is they will cut back Medicaid programs when times are tough for those most vulnerable populations because those are the populations who they have the lower match for. … Typically, lawmakers focus on making those cuts to the most vulnerable. We saw this in Arizona where, when the Medicaid expansion for childless adults got out of control, the Legislature voted to cut heart and lung transplants.