article_snippet: all at an added cost of another $800 billion by CBO estimates to taxpayers after the decade.
article_snippet: It is not hyperbole to call Medicaid a disgrace at Medicaid annual cost of about $450 billion, and expanding Medicaid rather than helping poor people buy private insurance is simply inexplicable.
article_snippet: Less appreciated is that inadequate payments to doctors by government insurance substantially increase private insurance premiums.
article_snippet: Back in 2008, a shortfall of over $88 billion of payment from Medicaid and Medicare and Medicaid beneficiaries added more than $1,500 extra per year in premiums and $1,800 extra in total out-of-pocket costs to every family of four with private insurance.
article_snippet: As the government increases the government role as insurer, the government increases the government hold on payments to doctors and hospitals, so it will be able to reduce reimbursements and dictate access to limited networks of doctors and hospitals.
article_snippet: And with increasing enrollment into government insurance, private premiums will undoubtedly rise even more.