Finally, unlike what you may have heard, there is no pool of free money that Kansas is missing out on by not expanding. According to the Congressional Research Service, the idea that states that do not expand are sending federal tax dollars to the states that do expand is false. Not expanding just means fewer dollars that the U.S. government borrows from China to add to our countryâ€™s more than $18 trillion debt.Itâ€™s obvious that rural hospitals face a variety of complex challenges. I am pleased Governor Brownback has initiated a working group to address the problems of health care delivery in rural Kansas. We should find a Kansas solution that will improve rural healthcare access and outcomes for the long-term, not expand the failure that is Obamacare.Follow us on Twitter. Close Forgot password? Please put in your email: Send me my password! Close message Login This blog post All blog posts Subscribe to this blog post’s comments through… RSS Feed Subscribe via email Subscribe Subscribe to this blog’s comments through… RSS Feed Subscribe via email Subscribe Follow the discussion Comments (16) Logging you in… Close Login to IntenseDebate Or create an account Username or Email: Password: Forgot login? Cancel Login Close WordPress.com Username or Email: Password: Lost your password? Cancel Login Dashboard | Edit profile | Logout Logged in as Admin Options Disable comments for this page Save Settings Sort by: Date Rating Last Activity Loading comments… You are about to flag this comment as being inappropriate. Please explain why you are flagging this comment in the text box below and submit your report. The blog admin will be notified. Thank you for your input. +2 Vote up Vote down GrandmaDeanne · 236 weeks ago Very well said Mr Koffman, totally agree Report Reply 0 replies · active 236 weeks ago +3 Vote up Vote down Larry · 236 weeks ago Take it from someone that leaves in one of those state that expanded Medicaid, (New Mexico), it has been a total nightmare for this state and now they are trying to figure out how to pay for it since the free money from the feds is not so free. Report Reply 0 replies · active 236 weeks ago +4 Vote up Vote down Tax Payer · 236 weeks ago Excellent points from Representative Hoffmann. There is NO such thing as “free government money”. Wichita is only a 20 minute drive from Wellington. Many years ago travel time made it necessary for hospitals to be in almost every town. not so today. If Wellington thinks it needs money from outside the hospital to save it then it is Wellington’s problem, not the state, not the Feds, not the county residents who don’t use it, it’s Wellington’s problem. Why think that some State or Federal “spread the wealth” program should bail it out? User fees are the answer to 90% of the financial problems of today. Report Reply 0 replies · active 236 weeks ago -6 Vote up Vote down turkeyleg jones · 236 weeks ago Funny, a letter that stated almost word for word was printed in Oklahoma, Texas and Arkansas, must be a chain letter the republiecons float around in every state. Vote no then, let Obama and the other libs keep the tax money that Kansans have already paid in. Sick and broke, the Kansas way. If the republiecons expect to repeal Obamacare, just why are they worried about Kansas joining the ACA. Here’s your answer: Do you really think that the insurance monopoly is going to let the republiecons repeal the taxpayer funded ACA and lose 20 million new tax funded clients. Right! Remember, the ACA was actually a republiecon plan dating back during the first Bush. Nothing more than what republiecon Gov Romney “Buy it or else!” got passed. So you really think the cons will take away 20 million new taxpayer funded from the insurance companies, the same companies that have gave billions to the republiecon party. Get real! Get sick and die, account of no insurance. Report Reply 8 replies · active 236 weeks ago +4 Vote up Vote down Guest · 236 weeks ago Is there no way to for SRMC to become a trauma center in order to receive more reimbursement from Medicare? Report Reply 0 replies · active 236 weeks ago +4 Vote up Vote down sore loser · 236 weeks ago This isn’t a ‘local” issue for Kyle Hoffman. Its more about supporting the ridiculous, anti-Obama ideology in Topeka at the expense of this local issue. The numbers and statistics he’s giving us to support that ideology do indeed seem like they came from fabricated talking points. Hell, even Brownback is trying to make us believe his disastrous policies are good for the state. This issue is far more important than Hoffman’s political status in Topeka. Its more important than the welfare of a hospital. Its about the welfare of a struggling town and his constituents who are trying to save it. Report Reply 0 replies · active 236 weeks ago -1 Vote up Vote down Fred · 236 weeks ago I am self employed and have to buy my own insurance. I can get it through Obamacare – and i cant be cancelled for preexisting conditions – for about the same as it would cost from a regular insurer. BUT if i lived in a state that did not oppose obamacare i could get my insurance for $250 less each month. The fight against Obamacare is costing me personally $3,000 per year. Thanks republicans .. Report Reply 1 reply · active 236 weeks ago Post a new comment Enter text right here! Comment as a Guest, or login: Login to IntenseDebate Login to WordPress.com Login to Twitter Go back Tweet this comment Connected as (Logout) Email (optional) Not displayed publicly. Name Email Website (optional) Displayed next to your comments. Not displayed publicly. If you have a website, link to it here. Posting anonymously. Tweet this comment Submit Comment Subscribe to None Replies All new comments Comments by IntenseDebate Enter text right here! Reply as a Guest, or login: Login to IntenseDebate Login to WordPress.com Login to Twitter Go back Tweet this comment Connected as (Logout) Email (optional) Not displayed publicly. Name Email Website (optional) Displayed next to your comments. Not displayed publicly. If you have a website, link to it here. Posting anonymously. Tweet this comment Cancel Submit Comment Subscribe to None Replies All new comments Commentary by Kyle Hoffman, 116th District state representative â€” Living in a small community and helping with the health needs of aging parents, I know that access to healthcare is important to rural communities like Wellington and the surrounding area. With that in mind, I appreciate the opportunity to respond to Tracyâ€™s Sunday Blog and Mr. Deschaineâ€™s coments about Medicaid. Itâ€™s necessary to share a few important factors about Medicaid expansion that the people of Wellington deserve to know.Kyle HoffmanFirst a little background, Medicaid is the government healthcare program for low-income and disabled Kansans. Itâ€™s designed to serve truly vulnerable peopleâ€”Kansans who are physically or intellectually disabled, children, pregnant women, women whoâ€™ve given birth in the last year, and the frail and elderly. Medicaid expansion would begin including able bodied adults without children who have income up to 138 percent of the federal poverty level, some who already have private health insurance now.The federal government under Obamacare entices states to expand their Medicaid programs with the promise of â€œfree money,â€ but history shows that the feds rarely keep their funding promises. Although as McCue and Deschaine said, there is no proof that the money will disappear, the money is also not guaranteed. Earlier this month, the U.S. Congress voted to dismantle Obamacare–including the money for Medicaid expansion. The vote indicates there is a very real possibility the federal law will be repealed and replaced once President Obama leaves office. Making our local hospital reliant on a law that has a high likelihood of being repealed is unwise.Even if Kansas was to expand Medicaid and the ACA were not repealed, the price tag for our state will go up. By the year 2020, the state would pick up 10 percent of the cost of expansion. Preliminary estimates show the expansion will add up to $1.2 billion of expenses to the state by 2025. Thatâ€™s approximately one-sixth of our stateâ€™s general fund spending. Itâ€™s also a huge increase on top of already rising costs in our Medicaid expenses, which today amounts to over $1.1 billion in state dollars alone. Other states that have expanded, such as Colorado, Indiana, New Mexico, Oregon, Ohio and others have seen skyrocketing costs and enrollment jumps way above estimates, in the case of Colorado, enrollment was 207 percent above predictions.Lawmakers in those states are now dealing with the fallout that has endangered not only Medicaid itself, but other large areas of state spending like education and public safety. There is real evidence that the addition of able-bodied adults without dependents would strain the entire Medicaid safety-net that is designed to serve the truly needy. That is not compassion and that is not good public policy.Hospitals have pushed hard to expand Medicaid and thereâ€™s no doubt that rural hospitals face challenges while serving communities like ours. Sumner Regional Medical Center (SRMC) is no different, but Medicaid Expansion under Obamacare is not the answer to those challenges.Obamacare has exacerbated those challenges by cutting Medicare–the federal program that covers seniors–by 2 percent. Although I requested information through the Kansas Legislative Research Department from SRMC regarding how much they lost when Medicare was cut, I never received an answer. Regardless, Medicaid expansion would not fill the hole created by cuts to Medicare, not by a long shot. Other hospitals in the area, such as Comanche County, would regain only 20 percent of the money lost under cuts to Medicare. Medicaid expansion is not theÂ answer to money problems created by Obamacare, and itâ€™s certainly not a cure-all for the struggles SRMC faces.
As we move into the summer, the best players in the world are becoming subject to transfer bids as the top sides in Europe attempt to strengthen their teams.Players are being given huge price tags as their current clubs look to hold onto their star men.Liverpool winger Raheem Sterling is just one footballer likely to move for a princely sum in the next few months.But while teams quibble over a fee, some boffins over in Switzerland have done some number crunching to figure out what a reasonable figure would be.So, thanks to the guys over at the *CIES Football Observatory, a reserach group affiliated to the University of Neuchatel in Switzerland, we can tell you the most valuable players in the world.Click the right arrow to find out which superstar is worth the most… 17 17 17 17 17 15. Harry Kane (Tottenham) is valued between €53.5m-€58.9m – Click right to find out the world’s most valuable players… – Its been a sensational season for the Spurs starlet. A relatively unknown player outside the club, Kane didnt start his first Premier League game of the campaign until November but ended it as the divisions second highest scorer with 21 goals. His incredible performances have seen his value rocket but he will need to prove he isnt a one-season wonder. 14. Isco (Real Madrid) is valued between €57.2m-€62.9m – Click right to find out the world’s most valuable players… – While Gareth Bales value is dropping, Iscos is rising in the Spanish capital. Hes much-loved by the clubs fans and while hes not really prolific when it comes to scoring, hes true skill comes with his dribbling and ability to retain possession. 3. Cristiano Ronaldo (Real Madrid) is valued between €113.3m-€124.7m – Click right to find out the world’s most valuable players… – A shock at No.3, the Portuguese superstar may have had another stellar season in the Spanish capital but his age, and a trophyless campaign, mean his value is slowly beginning to drop at the Bernabeu. 17 17 17 4. Neymar (Barcelona) is valued between €89.6m-€98.5m – Click right to find out the world’s most valuable players… – After a tough start to life in Spain, with his transfer from Santos under investigation and his performances and slight frame facing scrutiny, Neymar has gone on to prove himself as one of the best players on the planet. Winning the treble this season after his talismanic performances for Brazil at last years World Cup will be a huge relief for the 23-year-old. 10. James Rodríguez (Real Madrid) is valued between €62.5m-€68.8m – Click right to find out the world’s most valuable players… – The Colombian playmaker has had a decent first season in La Liga, despite Real Madrid finishing without a single trophy to their name. Second only to Cristiano Ronaldo when it comes down to the most goals and assists for the club, hes settled well and will hope to kick on next year. 17 17 8. Diego Costa (Chelsea) is valued between €69.9m-€76.9m – Click right to find out the world’s most valuable players… – An instant hit in the Premier League for Chelsea, Costa has replaced Luis Suarez as the English top flights pantomime villain. Hated for his histrionics, his rough-housing of opponents but praised for his old-school centre forward play, the Spain international was a key member of the Blues title winners. 17 9. Alexis Sánchez (Arsenal) is valued between €67.8m-€74.6m – Click right to find out the world’s most valuable players… – Arsene Wenger struck gold when Barcelona decided to ditch Sanchez and sign Luis Suarez. The industrious Chilean has been a superb addition to the ranks at the Emirates thanks to his goals and his work rate. A thunderous effort in the Gunners FA Cup final win over Aston Villa summed up his season. 7. Paul Pogba (Juventus) is valued between €70.3m-€77.3m – Click right to find out the world’s most valuable players… – Probably the hottest prospect in European football, Pogba is wanted by Barcelona and Manchester City, amongst others, after some monstrous performances for the Italian giants over the last two campaigns. Expect this to be the longest running transfer saga of the summer if clubs can afford this huge fee. 17 17 12. Antoine Griezmann (Atlético Madrid) is valued between €59.0m-€64.9m – Click right to find out the world’s most valuable players… – One of the biggest hits in La Liga last season was France star Griezmann. Brought in from Real Sociedad for £24m after impressing at the World Cup, hes gone on to prove himself one of the brightest talents in Europe. Under Diego Simeone he scored 22 league goals as they fell short of retaining their title in Spain. 6. Raheem Sterling (Liverpool) is valued between €73.7m-€81.0m – Click right to find out the world’s most valuable players… – It seems almost certain the England winger will be leaving Anfield this summer, despite his destination being unknown. The Reds will need to be suitably compensated for the 20-year-old sensation and if the CIES Football Observatorys figures are anything to go by they can expect a huge sum. 17 11. Luis Suárez (Barcelona) is valued between €60.0m-€66.0m – Click right to find out the world’s most valuable players… – After being the star turn in Liverpools SAS, hes now a worthy member of MSN over in Catalonia and a Champions League final goalscorer for five-time champions Barcelona. Strangely, the striker who was sold by the Reds for £75m has lost some value but, after winning the treble, his current club wont care a jot. 5. Sergio Agüero (Manchester City) is valued between €78.2m-€86.0m – Click right to find out the world’s most valuable players… – As the Premier Leagues top scorer, its understandable the Argentine forward is valued so highly by CIES. His clinical performances across the last four seasons, despite injuries restricting his appearances, see him rated as one the top five most valuable stars in world football. 17 17. Philippe Coutinho (Liverpool) is valued between €50.4m-€55.5m by the CIES Football Observatory* – Click right to find out the world’s most valuable players… – Rated as one of the top six players in the Premier League by his peers, and arguably Brendan Rodgers best signing at Anfield, Coutinho has come a long way in his two and a half years at Liverpool. Signed for £8.5m hes now rated well above that and would make the Reds a tasty profit. 17 16. Gareth Bale (Real Madrid) is valued between €51.3m-€56.4m – Click right to find out the world’s most valuable players… – After a tough second season in Spain, the Welsh winger has seen his value begin to diminish. Signed from Tottenham Hotspur for around £85m, the 25-year-old is reportedly worth just over 50m now, and while the wealth of Real means it wont bother them too much, it is indicative of his waning influence at the Bernabeu. 17 1. Lionel Messi (Barcelona) is valued between €255.3m-€280.8m – Its unsurprising to see Messi on top of this list. The Argentine wizard, after becoming a bit leaner, has gone from strength to strength following a slight dip in performance levels midway through the campaign. In total he hit 43 La Liga goals and set up his team-mates on 18 occasions, but despite being valued so highly its unlikely anyone will every be able to afford his services until later in his career. 13. Cesc Fàbregas (Chelsea) is valued between €58.7m-€64.5m – Click right to find out the world’s most valuable players… – Landing the Spanish star from Barcelona was a masterstroke from Jose Mourinho last summer. His sensational early season form put the Blues well out ahead of their Premier League title rivals and having lifted the trophy come the end of the campaign, Roman Abramovich will consider his transfer fee £30m well spent, especially as the CIES Football Observatory rate him at double that now. 2. Eden Hazard (Chelsea) is valued between €135.4m-€148.9m – Click right to find out the world’s most valuable players… – The second most valuable player in the world is, in fact, Belgian star Hazard. His peers rate him as the best footballer in England after helping Chelsea to the Premier League title and although he might not get the amount of goals and assists as someone like Cristiano Ronaldo, his input is more vital at Stamford Bridge.