Removing Medicaid Loopholes to Improve Long-Term Health Care

Stephen Moses, one of the leading experts on long-term care in the U.S., says the nation can dramatically improve the quality of our health care system if we could get rid of the  loopholes that allow nearly everyone to qualify for Medicaid coverage. The current system encourages few people save for long-term care because it is widely accepted that the government will pick up the tab. While this may be true, government control limits innovation and leads to worsening health outcomes.

 

Moses, and the Paragon Institute released their latest report on the problems with long term care in the U.S., called Long-Term Care: The Solution. In October 2022, Moses and Paragon outlined the problems in Long-Term Care: The Problem.   

 

People prefer to live out their final years in the comfort of their own home but surprisingly, many of the elderly end up in institutional care. That is no accident. Medicaid is the largest payer of long-term care, and one reason is because you don’t have to be impoverished to qualify. This has put a huge strain on the federal budget, on Medicaid reimbursements and significantly compromised the quality and supply of care.  Few innovations exist because there is little presence of a free market. As a result, institutional care has become the “go-to.”

 

This podcast begins with a discussion on Medicaid loopholes, the response from Congress, whether a solution is workable immediately, and how special interests might respond to closing off loopholes. The conversation then turns to why the public needs to be better educated on long-term care. The idea that it must be debilitatingly expensive isn’t true.

Creators & Guests

Host

AnneMarie Schieber

AnneMarie Schieber brings decades of experience as an investigative news reporter to the forefront as host of Health Care News from The Heartland Institute. Along with hosting the podcast, Schieber is the managing editor of Health Care News, Heartland's monthly newspaper for health care reform. Before her work in the liberty movement, Schieber spent several decades at television stations in Michigan, Minnesota, New York and Pennsylvania. The Associated Press awarded her the top honor of "Best Individual Reporting" for being the first reporter to call attention to government efforts to subsidize spending by increasing automobile fines, typically on low-income motorists.

What is Health Care News Podcast?

The Heartland Institute podcast featuring libertarian and conservative health care scholars who are working to put power back into the hands of patients and doctors, and away from government bureaucrats.