Friday, February 06, 2015
Remember when Bobby Jindal claimed to be the non-stupid Republican?
Baton Rouge Hospital will be closing its Emergency Department. The linked story doesn't entirely explain why this is happening. It says that Jindal didn't come up with money he had promised to keep it open, which I presume is true. But why did it need state money in the first place?
Here's why. Because Louisiana refused the Medicaid expansion. Prior to the ACA, hospitals that served large numbers of uninsured people, who otherwise would have had to eat the cost, got extra federal money. (Called Disprportionate Share, or DISH payments.) But with the ACA, all those poor people were supposed to have Medicaid, so DISH wouldn't be needed after all, hence it was greatly reduced.
But in Louisiana, they don't have Medicaid after all. So the hospitals are in the doo doo. And this is all because Bobby Jindal is so smart.