This is in response to Mr. Voelker’s letter to the editor. Since the passage of the Healthcare Act, both Medicare and Medicaid are no longer separate programs. President Obama is borrowing from the Medicare Trust Fund to pay for the Healthcare Act and reimbursed expenses for patients under Medicaid are being reduced which is why doctors are no longer taking new Medicaid patients.
Mr. Voelker mentions the Ryan plan. The Ryan plan is a proposed budget dealing with our federal deficit and has nothing to do with medical programs. The Ryan plan has not been passed and is only a proposal. Separate from the Ryan proposal, the Healthcare Act would be repealed and a new, separate restructuring of both Medicare and Medicaid would occur which would allow each program to, once again, stand on their own.
Medicare and Medicaid have become intertwined because of the Healthcare Act. This is why Washington had declined to set up Medical Exchanges required by the Healthcare Act and has chosen not to be a part of the Medicaid expansion under the Healthcare Act.
Michael J. Brunson, Capt., USAF (Ret)
Director, District 1
Mary Walker School District