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August 11, 2017 at 6:04 pmKeymaster
The Obamacare repeal and replace (or more recently “just repeal for now”) initiative by President Trump and the Republican-dominated Congress has us deeply concerned. Nationwide, many whose lives literally depend on Medicaid support would suddenly find themselves without it. Finding replacement funding would depend on the ability and will of each state’s Governor to re-constitute it somehow, a prospect which would vary widely from state to state. Inevitably, certain individuals dependent on Medicaid funding will likely lose substantial support, and lives will inevitably be endangered.
In addition to losing essential life support, Medicaid funding to Adults with Autism will also likely be negatively impacted. From what we can tell, it will be a giant step backward for New Jersey as it took 13 years of concentrated effort on the part of disparate stakeholders not necessarily happy to work with each other to achieve the Tier Funding and Fee-for-Service system which is about to begin in New Jersey.
The repeal of Obamacare, if and when it happens, has the real potential to leave the Adult Autism population “high and dry”. This is horrible public policy- the gains achieved during Special Education will rapidly disappear, which required a public investment of about $1,000,000/individual.
Granted, there are parts of Obamacare that need to be addressed and fixed, such as skyrocketing premiums for certain people, and the unsustainability of aspects of Medicaid. But given the lack of votes in Congress to repeal it, it is clear that it is probably better to attempt to fix the broken parts of Obamacare than to throw the baby out with the bathwater to replace it with, in the President’s words, a “mean “ replacement bill whose most salient feature is, apparently, to cut taxes for the rich.
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