In response to:

For $460 Billion a Year, Medicaid Darn Well Better Save Lives

Marvin E. Fox Wrote: Jul 29, 2012 4:56 PM
Each government programs Medicaid, Medicare, Obamacare, Welfare, etc., must have a standard to judge its effectiveness for our society. I call my standard'The Flimflam Factor.' The Flimflam Factor takes the percentage of cost that is paid directly to the stated purpose of the program. Medicare would be the direct payment in dollars for old age medical care; versus, money paid for administration and bureaucratic costs to maintain the Medicare system. If administration and bureaucratic costs exceed 50% the system is not care for the aged, it is a bureaucratic support system that is using health care for its excuse to survive. fMy website www.americarepblicspring.com has this explanation on its blog site. fMarvin E. Fox

A study in this week’s New England Journal of Medicine finds that when three states expanded their Medicaid programs, mortality rates fell 6 percent relative to four neighboring states. The study found evidence that the mortality gains were concentrated in poorer counties — i.e., where people were most likely to become eligible for Medicaid.

As always, the study comes with caveats. The results “may not be generalizable to other states,” may have been driven by unobservable confounding factors, et cetera. Speaking only for myself, I hope these results are accurate. I hope Medicaid does save lives. That program spends nearly half a...

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