KevinMD December 11, 2024
David M. Auerbach, MD, MBA, Alex Gajewski, MD, and Fabrizia Faustinella MD, PhD

Most Texas politicians balk at even discussing Medicaid expansion. They fear the wrath of state leadership and the threat of being primaried by someone further to the right.

The expansion of Medicaid to the full extent permitted by the Affordable Care Act (ACA) is both an ethical and financial imperative. From a moral standpoint, expansion would provide health care coverage to a significant number of low-income individuals who are currently unable to afford private insurance or qualify for Medicaid, thus falling into the coverage gap. Expansion would help ensure that all US citizens have access to essential health care services, regardless of their income level. Leading Texas economists estimated expansion would in-net generate savings for the state government, draw down...

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