New York State has embarked on an ambitious multi-year effort to overhaul its taxpayer-funded Medicaid program, which has long combined high costs with less than impressive health outcomes. Governor Andrew Cuomo’s “redesign” of Medicaid will be heavily focused on “complex, high-cost populations” – the roughly one million Medicaid recipients with long-term disabilities and chronic health problems such as diabetes, heart disease, substance abuse and mental illness.
It’s no secret that skyrocketing public pension costs are putting tremendous pressure on state and local budgets in New York and across the country. But taxpayers also face another enormous liability: retiree health-care costs.
New York taxpayers spend billions of dollars a year on health insurance coverage for retired state and local government employees, many of whom are too young to be eligible for Medicare. But the mounting “pay-as-you-go” bill for retiree healthcare is just the tip of a much larger iceberg.
Earlier today, the Supreme Court, after signaling numerous concerns with ObamaCare during oral arguments, reversed course and upheld the law basically in its entirety by a vote of 5-4, with Chief Justice John Roberts providing the swing vote.
New York is probably less affected than most states by today’s U.S. Supreme Court decision. The court effectively has said that almost all of Affordable Care Act (ACA) passes constitutional muster. This means the entire country can now experience the effects of the sort of regulatory policies (such as guaranteed issue, community rating and mandated coverages) that have done much to make health insurance so costly here...
Proponents of an increase in New York's minimum wage argue that no full-time worker — especially a head of household raising children — should have to live on $7.25 an hour, or $15,000 a year.
The pitfalls of a government-run health insurance system were best summed up by political satiristP.J. O'Rourke: "If you think health care is expensive now, wait until you see what it costs when it's free."
With a pen stroke last week, Gov. Cuomo issued an executive order establishing a New York Health Benefit Exchange to comply with the federal Patient Protection and Affordable Care Act, aka ObamaCare.