“Obamacare Breaks Through In Louisiana”: How Do You Calculate The Value Of That?
If David Vitter had been elected the governor of Louisiana, I know that this would not be happening:
Department of Health and Hospitals [DHH] will begin the massive task Wednesday (June 1) of enrolling 375,000 people into the state’s expanded Medicaid program. The department’s goal is to get Medicaid insurance cards into the hands of more than half of the people eligible for the program by July 1.
Here’s what happened after Democrat John Bel Edwards won a surprise upset victory and became the Bayou State’s governor, replacing the disastrous Bobby Jindal:
…the U.S. Department of Health and Human Services announced [yesterday] it had approved the state’s plan to use food stamp income eligibility to determine whether people qualify for Medicaid. Louisiana is the first state to receive such an approval through what’s known as a state plan amendment; six other states use a similar method but received approval through a different process that takes much longer to approve.
The approval is “a big deal,” [DHH official, Ruth] Kennedy said, because it will allow Louisiana to speed its enrollment of Medicaid recipients using income data it already has, rather than having to collect new income data from recipients. The food stamp numbers can also be used on an annual basis to reaffirm eligibility, Kennedy said, meaning “we won’t have a large number of people falling off the books.”
U.S. Health and Human Services Secretary Sylvia M. Burwell said that enrollment is “another step in our country’s march toward a health care system that works better for everyone.”
So, because a Democrat was elected governor in Louisiana, an estimated 375,000 people in that state will soon have access to health care that they did not have before and would not have otherwise.
How do you calculate the value of that?
By: Martin Longman, Political Animal Blog, The Washington Monthly, June 1, 2016
“Cleaning Up Another Republican Mess”: Louisiana Ready To Make Big Gains Through Medicaid Expansion
Few states need Medicaid expansion more than Louisiana, which made it all the more difficult to justify former Gov. Bobby Jindal’s (R) refusal to consider the policy. By all appearances, the Republican made a plainly political decision without regard for the state’s needs: Jindal wanted to be president (yes, of the United States), so he took a firm stand against “Obamacare.”
Louisiana’s current governor, Democrat John Bel Edwards, ran on a platform of Medicaid expansion through the Affordable Care Act, won his election fairly easily, and immediately adopted the policy. The Times-Picayune in New Orleans reported yesterday that the governor went directly to the legislature to explain why this was the smart move for Louisiana.
Medicaid expansion is estimated to save Louisiana $677 million over the next five years and more than $1 billion over the next decade, Department of Health and Hospitals officials told Senate Health and Welfare Committee members Monday (April 18).
The cost estimates came after Gov. John Bel Edwards testified before the committee about his decision to expand Medicaid eligibility to about 375,000 people between July 1 and June 30, 2017. DHH officials will make an effort in the coming weeks to educate legislators about the benefits of Medicaid expansion and what they said was misinformation given to the Legislature to justify not expanding Medicaid under former Gov. Bobby Jindal.
“I believe the folks in the prior administration who said we couldn’t afford Medicaid expansion, they took the worst case scenario on every variable,” Edwards told lawmakers in the GOP-led legislature. “If you look at what we’re doing in light of experience in other states … we know we’re going to save money.”
And he knows this because it’s true.
I can appreciate why this may seem a little counter-intuitive. Ordinarily, when state policymakers recommend expanding benefits to struggling families, critics will respond, “We’d like to help, but we can’t afford it and we’re not willing to raise taxes.”
But Medicaid expansion is one of those policies in which states get to do both: participating states receive federal funds to implement the program, while expanding coverage for low-income families who would otherwise go uninsured. At the same time, hospitals’ finances are strengthened as medical facilities see fewer patients who can’t pay their bills.
Since implementation of the Affordable Care Act began, how many states have found Medicaid expansion hurt state budgets? None. Republicans will be quick to argue that someday, maybe, in the future, the fiscal challenges will become more acute, but given pre-ACA reimbursement rates, there’s no reason to believe they’re correct.
It’s exactly why every governor with access to a calculator – including plenty of red-state Republicans – have found the arithmetic undeniable.
As for Louisiana in particular, as we talked about last week, the state really is having an “elections have consequences” moment right now. Gov. Edwards, the region’s only Democratic governor, hasn’t been in office long, but he’s already making strides to clean up the Republican mess he inherited.
By: Steve Benen, The Maddow Blog, April 19, 2016
“The Diaper Dandy is Done”: I’m Just Glad To See David Vitter Go; I Never Liked That Man
Louisiana state Rep. John Bel Edwards soundly defeated David Vitter in yesterday’s gubernatorial election. Not only that, but in his concession speech, Vitter announced that he won’t seek reelection to the U.S. Senate next year. In other words, David Vitter is finished as a consequential politician, done in mainly by an eight year old prostitution scandal, but also by the immense unpopularity of the sitting Republican governor Bobby Jindal.
The Democratic Party is encouraged to see a flicker of life in the Deep South, although progressives need to keep things in perspective.
From the start of his run, Edwards knew any chance of victory hinged on distinguishing himself from the prevailing image of Democrats among voters. In meetings with small groups in rural parishes, he touted his opposition to abortion and strong support for gun ownership.
The devil is in the details when it comes to opposing abortion and supporting gun ownership. What kinds of bills would be radical enough that Edwards would veto them? Is there a different line than there would be for a Republican governor?
In some ways, it’s already a defeat if Democratic candidates feel that they need to concede the Republican position on these two very important issues in order to get a hearing on other policies. And there’s a price they have to pay when their party is more divided on issues than the Republicans. It waters down the message.
On the other hand, more than anything else, it was the Democrats’ ability to unite around one candidate while the Republicans were slugging it out in a nasty primary that brought them success. “Edwards” is a big name in Louisiana politics, but John Bel Edwards’s clan is not related to former Governor Edwin Edwards. In a pre-election analysis, The Daily Beast‘s Jason Berry did a comprehensive examination of the new Edwards family power in the Bayou State. Here’s part of that:
It also helps Edwards, 49, that his brother, Daniel, 47, is Tangipahoa Parish sheriff—a fourth-generation sheriff in a sprawling family of lawyers, politicians, and law enforcement officials with deep Louisiana roots.
Tangipahoa is a heavily rural civil parish whose seat, the town of Amite (population 4,141) is 82 miles north of New Orleans. Edwards’s law firm is in Amite; he lives in nearby Roseland (population 1,165). For much of the last century, the parish, which is 30 percent African-American, was known as “Bloody Tangipahoa,” with a history of lawlessness that included a gruesome chapter involving the Ku Klux Klan. That stigma changed under Sheriff Frank Edwards, John Bel’s father.
“Frank Edwards was one of the first sheriffs that hired blacks,” says Donald Bell, the African-American pastor of New Life Outreach Ministries in the town of Hammond.
“Frank was balanced. Everybody loved him. John Bel had good training from his daddy. I was close to Frank. He lived and died politics. If Frank told you, ‘Jerry can’t beat John,’ you could bet that Jerry wasn’t gonna beat John. And Frank would give you two, three reasons why. He was a good Catholic guy. They were committed, just like John Bel—he doesn’t miss Mass. John Bel is a people person, down to earth, what you see is what you get.”
According to Pastor Bell, Edwards has always gotten along well with the local NAACP, and he actually won a state House seat that had been drawn up to be held by a black politician. This ability to bridge the racial divide helps explain how he managed to avoid any Democratic challengers in the primary. And, of course, it was his father who paved the way.
With the endorsement of state law enforcement organizations, his strong record at West Point and as an Airborne Ranger, his family’s good reputation for piety and positive race relations, and an opponent who was best known for paying prostitutes to dress him in a diaper, it would probably be a mistake to see this election result as some kind of bellwether for anything.
The Democrats simply had a much better candidate.
They also didn’t have Bobby Jindal hanging around their neck like an anvil. Like all Louisiana Republicans these days, Vitter tried to destroy his opponent by tying him to President Obama, but this tactic was neutralized by Edwards’ efforts to tie Vitter to Jindal. This left Vitter dependent on social issues, like guns and abortion, but there weren’t any meaningful distinctions between the two candidates on those issues, and there wasn’t much question which candidate had the better record for being a good family man.
And, so, we got a result that is surprising but really was foreseeable if you drilled down into the specifics of the race.
As for what happens now, the The Times-Picayune believes that Gov.-Elect Edwards will bring Medicaid expansion to the state and that teachers unions will have more influence. Edwards will try to deliver on a campaign promise to double funding for higher education, but Jindal has left the state’s finances a mess, and he’ll need to work with a legislature dominated by Republicans.
The Democrat has promised to govern from the middle and is expected to appoint Democrats and Republicans alike to cabinet positions. For example, [Republican Lt. Governor Jay] Dardenne is likely on a short list to fill a high-profile position in the Edwards administration.
Edwards may have to govern in a bipartisan manner, not just by choice. The governor-elect has a serious budget crisis on his hands, and will need a two-thirds vote of the GOP-controlled Legislature for many of his proposals to fix Louisiana’s finances.
“I think that the Legislature and executive branch should cooperate fully,” said Senate President John Alario, R-Westwego, who is likely to remain atop the state senate in 2016.
But not everyone is excited to see Edwards head up the executive office. The Democrat makes many of the state’s leading business groups nervous. Edwards has not been supportive of the school choice movement, including charter schools and the state voucher program. Business leaders also believe he is more inclined to roll back their tax credits and incentive programs to fix the state’s budget problems than a Republican would be.
Edwards will have to find an enormous amount of money somewhere to shore up the state’s finances. Louisiana is wrestling with a $500 million shortfall in its current budget cycle and a projected $1 billion budget gap in the next fiscal year.
I’m no expert on Louisiana’s legislature, so I don’t know whether Medicaid expansion will get done or not. I do know that Edwards will have four years to rebuild the Democratic Party and that a lot of people will get experience working in his administration.
Above all, I’m just glad to see David Vitter go. I never liked that man.
By: Martin Longman, Web Editor for the Washington Monthly; Ten Miles Square, November 22, 2015
“A Twisted Moral Value System”: In Lousiana Governor Loss, David Vitter Shows Just How Far A Republican Must Sink To Be Rejected In A Red State
As most Washington Monthly readers know by now, Democrat John Bel Edwards defeated disgraced Louisiana Senator David Vitter in his bid for governor to replace failed presidential candidate Bobby Jindal. Vitter was famously the center of several scandals, especially including a prostitution debacle in which he reportedly engaged in not-so-vanilla interests.
Vitter had been trailing heavily in the polls for quite some time, and pulled out all the usual Republican dogwhistle tricks, from scaremongering over Syrian refugees to his own version of the racist Willie Horton strategy, claiming that his opponent would assist President Obama in releasing “thugs” from jail.
None of it worked. Jon Bel Edwards isn’t the sort of Democrat progressives will croon over anytime soon: he is anti-abortion, pro-gun and opposed President Obama on refugees. But he’s the first Democrat to win major elected office in the South since 2009, and his victory will mean that a quarter of a million people will get healthcare who would almost certainly have been denied it under a Vitter administration. That’s definitely a good thing.
But it would be extremely premature to declare that this result bodes well for a Democratic resurgence in the South. Democrats fared far more poorly downballot from the governor’s race, proving that the John Bel Edwards’ victory owed more to Louisiana voters’ disgust with David Vitter than to sympathy for his own agenda. The example of Matt Bevin’s recent election in Kentucky shows that at least the voters who turn out in off-year cycles in the South are more than willing to deny hundreds of thousands of people their right to healthcare and other benefits. It was David Vitter’s personal troubles that hurt him badly enough to hand a Democrat an overwhelming victory.
And that itself is yet another indictment of Republican voters. David Vitter’s prostitution scandal is weird, creepy and untoward for a U.S. Senator. But a legislator’s fidelity and sexual proclivities have very little bearing on their job as a representative of the people, which is to protect the Constitution and do a responsible job providing the greatest good for the greatest number of constituents. Scapegoating refugees and denying medical care to hundreds of thousands are objectively both far greater moral crimes against common decency than a thousand trysts with sex workers. That the latter is illegal and the former is legal is a testament to the twisted moral value system perverted by puritan Calvinist ethics. Vitter should have been ousted for his overtly destructive public morality, not his far less consequential private failures.
But that’s not how Republicans roll. In their world, causing the needless deaths of thousands is fair game. Having sex with the wrong person, on the other hand, is unforgivable.
There may be a large number of people in this world who share that value system. But that doesn’t mean that those with a well-adjusted moral compass must respect it or grant it validity.
By: David Atkins, Political Animal Blog, The Washington Monthy, November 22, 2015
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