Originally published on Thu April 4, 2013 11:58 am
Nothing breeds lawsuits like uncertainty. That being the case, the Supreme Court's landmark health care ruling is almost certain to open the door to lawsuits challenging the federal government's authority.
The court ruled the federal government can't force states to participate in a major expansion of Medicaid or else risk losing existing Medicaid funds from Washington. That threat amounted to unconstitutional coercion.
The southern African nation of Botswana is grappling with a relatively new problem in the evolving AIDS pandemic: It now has a large group of HIV-positive adolescents.
The teenagers were infected at birth before Botswana managed to almost wipe out mother-to-child transmission of the virus. These children have survived because of a public health system that provides nearly universal access to powerful anti-AIDS drugs.
Any doubt, and there probably wasn't much, that Texas would reject an expansion of Medicaid under the big federal health law was dispelled today.
The Supreme Court decision on the Patient Protection and Affordable Care Act allows states to opt out of the expansion without losing all federal Medicaid funding. Only the federal money that would have gone toward the expansion is affected.