Public Health Cuts to Prepare for Obamacare

Thursday, September 19, 2013
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County supervisors were informed this week that the state plans to cut $2.3 million in funding to the Public Health Department next year and $7.3 million in the ensuing years in anticipation of additional revenues promised by the federal Affordable Care Act. With these reductions, the department’s director, Dr. Takashi Wada, expects shortfalls of $3 million until the act goes into effect. When it does, savings of about $300 million are expected statewide, so the early cuts are the state’s attempt at “realignment.” In Santa Barbara County, about 95,000 residents not currently insured will be mandated to find enrollment in either a private health-care plan, one of the two insurance exchanges the act authorizes, or the expanded Medi-Cal programs. County governments throughout the state have argued that the “realignment” should take place one year after the Affordable Care Act goes into effect rather than before. Wada is working on a plan to determine which programs will be trimmed or cut, and will present that plan in January.


Independent Discussion Guidelines

there won't be any savings. This is premature.

JohnLocke (anonymous profile)
September 19, 2013 at 12:16 p.m. (Suggest removal)

counting chicks before their hatched.

spacey (anonymous profile)
September 19, 2013 at 1:14 p.m. (Suggest removal)

JohnLocke knows more than the CBO. Impressive. He also ignores data showing the "cost curve" has already be bent downward by the ACA. Not so impressive.

SezMe (anonymous profile)
September 20, 2013 at 1:27 a.m. (Suggest removal)

Health insurance costs continue to increase at double digit rates. Average private premiums up over 9%, some as high as 15%. Obamacare does virtually nothing to reduce health care costs, while taking nearly $1 trillion from Medicare. Government officials will do anything to present the illusion of a balanced budget. I don't think I know more than CBO; I just think they're playing the typical game of "hide the deficit".

JohnLocke (anonymous profile)
September 20, 2013 at 9:19 a.m. (Suggest removal)

Of course, health insurance costs have gone up at a high rate. BEFORE ACA kicks in. Thus, your citation is meaningless in this context.

The amount premiums adjust is so complicated that using a single number such as "average" is also meaningless. The change in premiums will depend on state of residence, selected plan, insurance company, employer, age, etc., etc., etc.

The $! trillion you cite is NOT taken from Medicare - it is being taken from those overpriced, gouging Advantage+ plans.

So the CBO is a valid resource when you agree with their findings but is cooking the books when you disagree. How convenient for you.

SezMe (anonymous profile)
September 20, 2013 at 4:38 p.m. (Suggest removal)

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