While we are hearing much in the media about the glitches in the ACA implementation, we hear very little about a moral tragedy with regard to the ACA. Refusing Medicaid expansion is not a "glitch" but an intentional policy of Republican governors, including our own Gov. Brownback, to refuse federal dollars to provide health care for the neediest.
Depending on whose numbers you accept, there are somewhere between 73,000 and 300,000 Kansans who make too little money to qualify to use the ACA exchanges but cannot get Medicaid as it exists now. So these people are left with no option to get coverage for health care. Most are working people with inadequate incomes whose employers do not provide insurance coverage. This is not a failure of the ACA which makes generous allowance for this group of people, but a moral failure on the part of those bent on a political ideology.
As a Nurse Practitioner (retired), I found there was no greater frustration than trying to provide health care to someone with no means to access the care. In addition to the impossible situation this poses for so many people, hospitals will suffer by not getting needed payment from patients who qualify for Medicaid coverage.
Keep the memory of this unacceptable policy in mind when you go to the ballot box to vote for our next governor. Governor Brownback does not deserve another term.
—Valetta Seymour, Moundridge