Texas has the highest rate of uninsured. There are two things you need to know about the Affordable Care Act (ObamaCare - please don't stop reading because I said Obama):
1. The health care exchanges will happen no matter what Rick Perry/State Legislature does or does not do.
2. But, the Medicaid expansion requires Texas to act.
Texas Health and Human Services Commission says "If Texas chooses not to participate in the Medicaid expansion, it would forgo an estimated $164 billion in Medicaid funding the federal government would provide from 2014 to 2023, according to the Texas Health and Human Services Commission. The agency estimates Texas would have to provide $27 billion in Medicaid costs over that period." The federal government will pay 100 percent of the law's cost for the first three years, through 2016, and gradually add state responsibility until, by 2020, the state is responsible for 10 percent. http://www.chron.com/news/houston-texas/article/Health-law-ruling-leaves-uninsured-Texans-in-limbo-3671563.php
Washington Post reported that Texas "would receive $52 billion from 2014 to 2019, and its Medicaid program would expand by 45.5 percent. One study from Bloomberg Government estimates that Texas would get more money from the Medicaid expansion than any other state. However, the Lone Star State would also have to spend $2.6 billion of its own money on the expansion and see its Medicaid costs rise by 3 percent over the same time period." http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/06/29/the-supreme-court-forces-states-to-make-a-big-medicaid-decision-heres-how-theyll-do-it/.
Health care costs money, and we should be willing to SPEND OUR MEDICAID TAX MONEY ON US! Why else do low-income to not-rich people pay Medicaid taxes? We can afford this: federal gov't will give Texas $164 billion, if we spend $27 billion - bargain, you got a deal! But, what about the 10% increase cost and the slow snail increase of 3% on Medicaid premiums over the years? I think that is better than dying or living in ill-health, do you?!
So, let us not shoot ourselves in the foot (we can't afford it) and tell our state politicians we want our Medicaid taxes to actually benefit more of us in 2014! Texas will go into legislative session in Jan 2013! =)
Why am I doing this? Texans overwhelmingly do not like this law, but I'm hoping that they will have a change of heart once they see how good it is for them. =) Yes, I'm a Texan.