Here in Kentucky we have seen Medicaid placed in the hands of private companies to administer with the promise of saving millions of dollars per year. The state only pays a small fraction of the Medicaid expenditures with the Federal government making up the rest. What we are seeing is that the companies tasked with giving care to the poor and disabled are rationing care in a brutal manner. Necessary procedures are being subjected to interminable waits and prolonged evaluations by the bureaucracy. In this case the only motive is the profit motive. Since the companies are paid a given amount per person covered they can only make money if those people don't use their health care. If one wants to pontificate about rationing then here is a good place to start.
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