February 14, 2013
The Honorable Janice K. Brewer
1700 West Washington Street
Phoenix, Arizona 85007
Dear Governor Brewer:
You have approved the expansion of Medicaid within the State of Arizona. One of your stated reasons for approving Medicaid expansion was based upon the notion that there would be no cost to the General Fund.
You based your reasoning on the fact that the federal government will match 100% for the first three years (2014-2016) and 90% thereafter. However, the State will have to pay 10%. This will have to come from the general fund.
Further, federal government spending is unsustainable. The federal government does not have the funding required to match 90% of the cost. What happens when the federal government reduces its share to 50%? The federal government will not allow Arizona to opt out of the Medicare expansion once it opts in. Your egregious decision places Arizona in financial jeopardy.
Notwithstanding the fact that Medicaid is a broken entitlement program with which most physicians refuse to participate, your endorsement of the expansion is a specific policy endorsement of a draconian health care law. Obamacare needs repeal not endorsement.
When Congress passed the Affordable Care Act, health care was instantly rationed. One cannot add 46 million people to the health care mix without adding substantial numbers of physicians, physician assistants, nurse practitioners and nurses. It will take decades to produce enough health care personnel to overcome health care rationing. Promoting Medicaid expansion without a proportional increase in all medical personnel just assures that health care will be rationed for Medicaid recipients.
Say “no” to Medicaid expansion.
Richard D. Brinkley
Chair, GOP LD 11