With all the talk about forcing people to buy health insurance, health insurance exchanges, and high-risk pools, it is often forgotten that most of what Obamacare really is, is just a massive expansion of an existing and already failing entitlement program. Of the 34 million Americans who gain health insurance through Obamacare, over half (18 million) will receive it through Medicaid.

In its current form, Medicaid is already bankrupting states across the country. Obamacare only further overloads this already broken system by expanding Medicaid eligibility to include all Americans under 133 percent of the federal poverty level. While Obamacare will pay for all of the benefit expansion for the first three years, and 90% of it after that, Obamacare never pays for any of the state administrative costs for adding those 18 million Americans to their welfare rolls. That amounts to billions in unfunded federal mandates for states to absorb.

Worse, current Medicaid enrollees already have trouble finding doctors who will see them because, nationwide, Medicaid pays only 56% as much as private coverage does. And what state Medicaid programs do pay doctors for shrinks every day.

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