Therefore, many of the state's 2,100 primary care physicians will take only so many Medicaid patients. They would go broke if they accepted more.
Thus, federal health care managers have applied another multimillion-dollar Band-Aid to keep the system functioning.
The federal government will give West Virginia $24 million more in 2014 so it can pay doctors who take Medicaid patients at least as much as the underpayment they receive for caring for Medicare patients.
If everything goes right, this will prompt 2,100 primary physicians to take an average of 43 more Medicaid patients each, and everybody will get what politicians promised them.
As for finding $24 million additional dollars just for one state, not to worry.
The federal government has run up a $16 trillion national debt already. The affordable care bill will simply be thrown on the can't-afford ledger - to be passed on to the kids.