Why Stay in Ohio?
Friday, March 20th, 2009An article in the Columbus Dispatch today touched on a few interesting issues. The main point of the article was about how much money the state’s Medicaid program (and, by extension, the state’s taxpayers) could save if the state placed as many people in home and community-based long term care instead of nursing homes. Since nursing homes are far more expensive for most people, it is likely the state could save up to $140 million a year if it just met the national average for home and community-based care.
This is something I’ve written about before. The state should do all it can to ensure that Medicaid dollars (the largest item in the state budget) are being spent in the most cost-effective way possible. The long-term care system is not living up to that standard. But as the Dispatch points out, there is a potential problem in trying to get the state to the national average for home and community-based care: there aren’t enough younger people who would be needed to provide this care. As has been discussed in other contexts, younger people aren’t staying in Ohio nor are they coming to the state. It just isn’t a place that draws people to live in it.
What this points out is that state policymakers are going to have trouble addressing the state’s rising Medicaid spending issues without addressing the more fundamental issues plaguing the state. Reforms like eliminating the income tax, instituting right-to-work legislation, universal vouchers, and the like would make the state an attractive place for younger people. Fixing long-term Medicaid care is important; fixing the underlying issues that are hurting Ohio is even more important.








