In a cooperative federalist program
On Feb. 17, a group of 12 state louis vuitton hot sale attorneys general filed a brief in support of the expansion's constitutionality. "In a cooperative federalist program, the federal government establishes the program's core requirements and gives the states the freedom to implement their own programs within those requirements," an excerpt from the buy 2012 new louis vuitton skirts discount sale online outlet fashion brief states. At least five states are expanding their Medicaid programs early: California, Connecticut, Minnesota, New Jersey and Washington, along with Washington, D.C. Illinois is planning an early expansion as well. Will there be enough doctors to handle Medicaid patients? Some physician groups are concerned about the effects cheapest louis vuitton skirt womens outlet 2012 sales online charming of a massive influx of enrollees into the already-strained Medicaid system. Shortages of doctors already exist in specialties most likely to work with Medicaid patients -- such as pediatricians and family practitioners. And doctors say current Medicaid reimbursement rates from government are too low to encourage more doctors to treat Medicaid participants. "While expanding Medicaid access to more low-income best louis vuitton skirts for women 2012 summer wholesale online discount outlet fashion Americans under the Affordable Care Act was an important step in the right direction, more progress is needed," said Dr. Peter Carmel, president of the American Medical Association. "Most physicians are currently unable to accept Medicaid patients due to low reimbursement rates, and this problem must be addressed as new patients enter the program." One opponent of the Affordable Care Act said expansion gucci handbags of the Medicaid program would hurt current enrollees by reducing access to health-care providers and forcing longer waiting times -- without helping the newly eligible.