We must improve upon Obamacare to lower premiums and cut the potential for more fraud and waste. Obamacare did more to bolster Medicaid spending than to get increasing numbers of Americans affordable, private health insurance. This aspect of the program provides no incentive for health insurance providers to lower premium costs. Pennsylvania’s Medicaid expansion under Obamacare covered 716,000 new residents, more than those who obtained health insurance from the program’s marketplace. We must make changes to the existing program to enable more of these people to obtain health insurance from the marketplace, which will in turn drive down premium costs for the average consumer.
A drastic Medicaid expansion also creates the potential for more fraud and abuse. Medicaid fraud has been documented to cost taxpayers billions since its implementation. Scamming medicaid is so lucrative that foreign mafias have even been known to get involved. In NYC, it has been estimated that 40% of payments are questionable. Creating bloated, centralized, government programs has never been the answer. We must find better ways to take care of those who are not living below the poverty line, but still unable to afford health insurance. Utilizing the power of the marketplace to make health insurance more affordable for all Americans is the best path forward.