for these things. there is no way anybody is ever getting free insurance. when you expand it like this and you re not having an equal or higher amount of healthy people enrolling in the other exchanges to compensate for that, whether it is the exchanges for the high risk people or the people on medicaid, that will cause problems. it is not sustainable in the long run and possible for insurance companies to bear the burden. medicaid is a state program, and the feds basically said states, states, come into obama care and help us, what we ll do is pay 100% of those medicaid expansion costs for the first couple of years and it will decline to 90% and so on. basically every state that is headed up by a republican governor said no, thanks, and every state headed up by a democrat said okay, we ll take your help. but in any event, the federal taxpayer is going to be on the hook. and to the extent they don t get the numbers they want, then the states expanding these roles, then their taxpayer
trying to scare young people out of signing up for insurance. and as we explained at the top of the show, the exchanges need young, healthy people to sign up in order for them to work. there are the republican-controlled states, enacting rules to prevent the laws navigators from doing their jobs, which is to help people to sign up for private insurance or medicaid. and then there are the states that have refused to expand medicaid, even though, don t miss this, the federal government will pay for nearly all of the expansion costs. and that won t just hurt the poor, who would get on medicaid for the first time, but also hurt those buying insurance in the exchanges. states that refuse to expand medicaid will drive up the cost of private insurance on the exchanges and a recent rand corporation study found that if texas, louisiana, sorry, and florida keep refusing to expand medicaid, it will cost rates in the individual insurance market in those three states to rise by 8 to 10%. a self-fu