For months, nay years, I have been predicting that the promise of quality healthcare for the poor via rapidly expanded Medicaid enrollments was a house of cards, a fraud, a three-card monte game, a sham, a man-made disaster, a Gruberesque fake meant to deceive the “stupid” people into believing that the promise of Obamacare was real instead of styrofoam faux-Greek columns basking in the neon light of Hollywood-driven love and media sycophancy.

For many reasons, but mostly because doctors would not work for peanuts, they would revolt like the kulaks and choose not to work rather than see the fruits of their labors handed out for free or close to free:

And now, for “BREAKING” news, As Medicaid Rolls Swell, Cuts in Payments to Doctors Threaten Access to Care (via Instapundit):

Just as millions of people are gaining insurance through Medicaid, the program is poised to make deep cuts in payments to many doctors, prompting some physicians and consumer advocates to warn that the reductions could make it more difficult for Medicaid patients to obtain care.

The Affordable Care Act provided a big increase in Medicaid payments for primary care in 2013 and 2014. But the increase expires on Thursday — just weeks after the Obama administration told the Supreme Court that doctors and other providers had no legal right to challenge the adequacy of payments they received from Medicaid.

The impact will vary by state, but a study by the Urban Institute, a nonpartisan research organization, estimates that doctors who have been receiving the enhanced payments will see their fees for primary care cut by 43 percent, on average.

Stephen Zuckerman, a health economist at the Urban Institute and co-author of the report, said Medicaid payments for primary care services could drop by 50 percent or more in California, Florida, New York and Pennsylvania, among other states.

Here is one physician’s reaction from the same article:

Dr. George J. Petruncio, a family physician in Turnersville, N.J., described the cuts as a “bait and switch” move. “The government attempted to entice physicians into Medicaid with higher rates, then lowers reimbursement once the doctors are involved,” he said.

Hey Dr. George, you and the other physicians f—-d up, you believed the Democrats.

Somewhere, Jonathan Gruber is smiling, nay, laughing his ass off.