Jim Pethokoukis, American Enterprise Institute. He used to write stuff for Reuters, which is incomprehensible to me. I don’t know what a guy who I agreed with as often as I agreed with Jim Pethokoukis is doing writing for Reuters, but he did. He’s now at the American Enterprise Institute, which is a conservative think tank. I’m only gonna share this with you because we were talking about much of this earlier in the program today. It’s about health care, and his point is it’s already too late, why Obamacare isn’t going to happen the way Obama thinks it is. He quotes a colleague of his at AEI named Joe Antos. The first point is it’s gonna be more expensive than anybody thinks now and that is on paper, and we all know that because it’s a federal entitlement, and they’re all more expensive than their projected costs.

The second point he makes, which we’ve discussed, is that the Supreme Court decision on Medicaid will drive up federal spending, and it will, by definition. If the states opt out of the Medicaid expansion, the Feds take it over. The details are this. “By making the Medicaid expansion optional, some states are likely to not expand eligibility to 133 percent of the federal poverty level (FPL) — and the alternative is expanded enrollment in subsidized insurance through the exchanges. Although there is the lure of 100 percent funding for the first three years, there is also the burden of having to pay 10 percent of the cost of the expansion in subsequent years. States that do not expand Medicaid eligibility are likely to see many of those who would have been eligible seek insurance through the exchanges.”

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