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TOPIC: proceed with caution. Get a bill ready
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Editor s note: This is the third of three editorials about issues contained inGov. Matt Mead s State of the State address on Wednesday.Both sides in the debate about expanding Medicaid in Wyoming are being unrealistic in their expectations.Those who want the expansion now taking in some 17,600 low-income residents argue that should the federal government ever renege on its promise to pay its share, the state simply could shut down the program. Really? And throw thousands of Wyomingites back into the health-care hell in which they currently reside? We doubt that.On the other hand,prada outlet, those who want guarantees and answers from the feds about every little detail about the expansion simply are not going to get them. No one has a crystal ball that can see the nation s political, economic or regulatory futures. Federal officials can say what they intend to occur, but there are not going to be any guarantees.All of this is why Gov. Matt Mead is right to take a go-slow approach. His proposal this week that lawmakers begin preparations to do the expansion makes sense. Moving ahead cautiously will at least allow this state to be prepared to move forward. Sooner or later the feds are going to have to answer questions about the program; Wyoming is not the only state asking them.There are a number of reasons why lawmakers should consider doing the expansion:Budget savings. The Wyoming Department of Health estimates that the state will spend 47.4 million less over six years. That includes a reduction of 126.8 million through shrinkage of state programs currently used by those 17,600 people. But part of that would be offset by the added cost of 79.4 million due to a required expansion.Federal money. While the question about long-term funding remains unanswered, states that get into the program in 2014 will get a chunk of money to get things under way. Those who come in later will get less funding.Reduced pressure on the system. The Wyoming Hospital Association estimates that its members absorb about 200 million a year in uncompensated care. The expansion would reduce that significantly. Also, it should ease the upward pressure on health-care premiums since that uncompensated care is packed into the bills of those who can afford to pay for insurance.Taking care of Wyomingites. Even though mineral revenues are declining,prada handbags, our state has a 1.7 billion surplus and 5.6 billion in permanent savings. A government that is fiscally sound has an obligation to help the working poor who are essentially one health-care crisis away from bankruptcy.One caution: If Mr. Mead and legislative leaders are wise, they will keep as much politics out of this debate as possible. There is too much at stake to let pontificating about the evils of the Obama administration or the federal government overwhelm the process.Instead, the Legislature should,louboutin soldes, as the governor advises,louboutin pas cher, proceed with caution. Get a bill ready; investigate the options; demand a response from the feds to honest questions. But every concern never will be answered. Sooner or later, a rational decision will have to be made.
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are not necessarily the most appropriate

he retains his place in the Northern Echo team.

although this can only be operated by post.
 
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