Likely state bankruptcies and ACA

william the wie

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Nov 18, 2009
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IL has been technically insolvent @ 10 years on vendor credit and has the lowest bond rating of any state.

CA has had multiple episodes of technical insolvency over the past 14 years, guarantees local junk bonds in state, has questionable pension obligations and a very narrow ACA network more or less guaranteed to cause waiting line deaths.

Boston and NYC drive their states economically so any significant additional financial stress the city and most likely the state go under.

The goal of the ACA is to reduce medical costs significantly, 2-8% of GDP, which given the MediCal payout rates in CA used for ACA just about guarantee bankruptcy over the next three years and massive physician flight. Other states with TennCare and Romneycare being the most famous are also likely to see significant hospital closures and loss of medical professionals when ACA is added to the mix.

What are the likely effects of such state defaults and flight of medical professionals on the 2014 and 2016 elections?
 

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