The proposed Missouri Medicaid expansion has reached the end of the line, at least for this year. When Missouri Gov. Jay Nixon announced he would pursue the expansion after last November’s election, I expressed my substantial reservations about both the cost and effectiveness of the program. And I repeated those reservations on television, on the radio, in print, before audiences, before the Missouri Legislature and on our blog again, and again, and again . . .
Suffice to say, I think that Missouri not expanding a broken Medicaid program is a victory for Missouri taxpayers. Kudos to the legislature for its steadfast opposition to the Affordable Care Act (ACA) and support for reforms that will actually help to make Missourians healthier. Unfortunately, the ACA just isn’t that vehicle.