Jason Hart of Watchdog.org goes in depth on Obamacare’s Medicaid expansion enrollment in Ohio. Hart depicts the consistently increasing monthly enrollments which veer further and further from Governor Kasich’s lowball projection of 366,000 by July 2015.

Especially interesting is the backdated enrollment that is occuring which masks the true size of the expansion in current months and then sneakily includes the numbers in future caseload reports. Backdating takes place because there can be a lag in determining a person’s eligibility. While it does not seem unusual to backdate to the immediately preceding month, Hart points out that backdating is still occuring all the way back to January 2014. Hart writes,

“At a glance, the Ohio Department of Medicaid caseload report for August shows Obamacare expansion enrollment growing modestly. However, month-to-month growth is masked by backdated eligibility inflating enrollment for preceding months.”

“In each ODM caseload report since Kasich’s Obamacare expansion took effect in January, enrollment has gone up every month even as backdated enrollment has increased every previous month’s figures.”

“January enrollment, initially reported as 23,156, was reported as 132,768 on Tuesday. February enrollment was initially reported as 54,031, but on Tuesday was reported as 180,973.”

Hart explains the real life implications of establishing an entitlement with false participation projections. Hart quotes Jonathan Ingram of the Foundation for Government Accountability,

“Sadly, past Medicaid expansions have shown exactly what happens when these kinds of projections are off. Politicians start prioritizing coverage for able-bodied adults over care needed by truly needy patients.”

“In Arizona, that meant cutting life-saving organ transplants to protect benefits for able-bodied adults. In Oregon, it meant cutting care for patients with late stage cancers. When costs run over budget, it’s the most vulnerable who get put on the chopping block.”

Medicaid was originally intended for the truly vulnerable – poor and disabled children and disabled adults – who had no means of providing health care for themselves. Obamacare’s Medicaid expansion targets abled-bodied adults. With only so much money to go around, the original recipients of the Medicaid program will inevitably receive less as politicians act to make the program work for their newest adherents.

It appears the Kasich administration understood this to be the case upfront. Included in their Medicaid expansion budget proposal was a 5% cut in Medicaid reimbursement rates to children’s hospitals. This fact got little coverage at the time, but the Akron Beacon Journal covered it and the OLC linked to the article putting it into perspective in terms of the hypocrisy of the Kasich administration.

Governor Kasich is the former Chairman of the U.S. House Budget Committee. He knows better than anyone that government cannot increasingly expand an entitlement to one group without cutting benefits to another.

Regardless, Governor Kasich has stated he plans to seek reauthorization of the Obamacare expansion funding he rammed through the Controlling Board. Ohioans will doubtlessly hear more about the Governor’s faith and his desire to help the less fortunate. One has to wonder how he will reconcile his actions with the poor and disabled children and the disabled adults who will inevitably go with less. Maybe St. Peter will help him.

Read Jason Hart’s article, “Obamacare expansion passes Ohio governor’s July 2015 projection” HERE.