Without DSH, the state will also be in trouble. Lost DSH payments are huge. Without DSH payments, Oklahoma will lose about $49 million of its Medicaid budget per year.
This is a train wreck waiting to happen — for low-income patients and the hospitals. The bottom lines seem clear: Expand Medicaid for the 470,000 poorest citizens, get a terrific rate of return and avoid a hospital disaster.
Gold is an attorney in Philadelphia who has brought numerous lawsuits related to Medicaid and to the Americans with Disabilities Act.