I'm keeping my fingers crossed.

Sandoval, the governor, is rethug, but he was with the ACA Medicaid expansion from the beginning and without dressing it up in a different name to fool the rabid reichwingers. He could very well sign it unless his fascist party gets to him first.

for his check in the mail. After all he is a lamb ducky and is not running for anything next year. It is up to Sheldon and Steve if this goes forward.

So will they force doctors to accept it? It doesn't pay them enough for them to keep their offices open. Medicare is better, but it's a federal program.

holy shit!

When the federal government is run by an orange twittler, states have to get creative. This is so Republican. Maybe get the Republican governor to sign it by saying it's states rights or something conservatives like.

Many doctors limit the number of Medicaid patients so they can get a mix of patients with insurance or Medicare with higher payouts. They'll be looking at their income declining, won't they? I wonder if doctors will leave Nevada for higher payments in another state?

I like the idea, overall, but wonder what the projections show. Will they have more paying patients?

Don't pay any attention the patients and their numbers, ie lack of abiity to afford coverage if they are older and have pre-existing conditions.

like it or not. It also will affect how much time the dr has to see you, whether there is a nurse on staff vs an aide, and whether doctors will move to or stay in Nevada. My friend's son has student loans totalling over $250k, and he didn't attend an ultra prestigious or expensive medical school. I know GPs and pediatricians making only a little more than senior software engineers.

Certainly, the goal is to get everyone affordably insured. But they also need access, and that won't happen if they have to wait months to see their doctor, or have to travel hundreds of miles. Reimbursement rates need to be reviewed, too, as part of this overhaul process.

Everyone is quick to proclaim the idea is great, and maybe it is. I could have gone on about that as well. But the business side is also part of how the whole thing works. It can't be ignored.

waiting months doesn't sound so bad. The whole "waiting months like they do in Canada" mantra is getting old. It's the boggie man of coverage for everyone.

Don't put words in my mouth or in my reply.

Feel free to ignore the business side of healthcare. The people who make a living providing services won't ignore it. And you don't know how many doctors will refuse additional Medicaid patients.