How do you pay for insurance without a job?

You seem very misinformed. No state is ever "wholly responsible for providing Medicaid" to the expansion population (or anyone on Medicaid, for that matter). The whole point of the program is that a federal match is available for every dollar the state spends on it, otherwise it would be a state program and there wouldn't be any federal component.

Under the Medicaid expansion, states never spend more than 10 cents on the dollar for the medical costs of the expansion population (the feds supply the other 90 cents for every dollar, and even more than that for most of this decade).

To repeat: the federal government pays for 90% (or more, up until 2020) of the costs under the Medicaid expansion.

Medicaid-eligibles aren't subject to the individual mandate or its associated fine. Where are you getting this stuff?

Medicaid is an optional program. Complying with its provisions, however, is not (if states want to receive that federal matching money, which generally pays for the majority of the program's costs). Historically, Medicaid eligibility has been categorical, meaning that people 1) need to fit in to a particular category (e.g., pregnant woman, disabled, child, parent), and 2) have a low enough income to qualify. Being poor has generally not been enough, you also need to fit into one of the eligibility categories.

The ACA created a new (mandatory) catch-all category that allowed all poor people who otherwise don't fall into an existing category to qualify. States choosing to accept federal money and participate in the Medicaid program--which, since 1982, has been all of them--would then have to cover this new group under the ACA. The Supreme Court felt this catch-all category effectively constituted an entirely new program than the categorical eligibility-based Medicaid, and they decided to make covering this new category (i.e., expanding Medicaid) optional for states.

So no, obviously the framers of the ACA didn't know the expansion would effectively be made optional. In the long-run, virtually every state is likely to opt in. It took 17 years for every state to opt into the original Medicaid program, I suspect it will take significantly less for every state to opt into this expansion of it.

 

Are you implying that the government will act logically?

 

How does a person maintain a separate household with no income? The answer is to the rest is medicaid, of course.

 

Pretty sure that's 4 categories you listed. But there isn't an actual mandate, there's an income penalty, AND if you don't reach that threshold you're not required to get insurance. So there's no mandate on you.

 

so what's the simple answer here:

single adult, not working , no kids - do they get any health service or what?

 

How do you pay for insurance without a job?

Like ... um, ya know, ... if you're one of the ever increasing amount of 60 million Americans, ya know, who don't have or job -- or don't want one, Obamacare is free for you.

Whatever, ... ya know.

 

Payscale clinics. Ones that don't have magazines on the coffee tables and that lack customer service. I'm telling ya---you get motivated to find a job when you deal with rude receptionists, and arrogant doctors. I am of course speaking from experience.

 

overpaid doctors are WAY more arrogant than regular paid ones.

 

That depends on where you live, you qualify for Medicaid and free health care in most of the blue states, but Republican Governors and Legislators blocked this huge federal subsidy from reaching the neediest people in their states, because without it ObamaCare sucks (see the logic).

 

The irony is that poor conservatives that vote Republican are applauding the part that can help THEM.

100% Federal funding for 3 years, than 90% funding from there on out. Republican governors refused, and their constituents applauded. It doesn't cost their state worth a damn. It really is comical.

 

AS governor of Georgia, I will extend MEDICAID so that I may get rid of our State Sanctioned Welfare
System over time.

 

Its designed that way to force you into welfare. Exactly where the left wants you to be so that you will continue to vote democrat in order to receive your next months feeding. And here they tell everyone they are the ones helping the little guy.
Im going to guess young people would rather have a thriving economy, have a good job and be able to pay their own way through life, buy a house, raise a family, etc., well......sorry to say those days are gone. When people who are older than you told you how important it was to vote, this is what we were talking about. Young people are fickin scuhroooooooooooed and many of them did it to themselves by voting for this guy.....TWICE!