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“A Steady Drumbeat”: Republican Governors Buck Party Tenets To Seek Expanded Medicaid

Republican governors are pressing forward to expand Medicaid even after being stymied by lawmakers in their own party.

As the Obama administration vows to help develop plans that will pass muster with conservatives, the governors of Utah and Wyoming said they still want the health care program for the poor broadened. Georgia Gov. Nathan Deal, who declined to act in 2013, may seek a federal waiver to make insurance available to more residents. Louisiana’s Republican legislature also opened a legal door.

Their views challenge party orthodoxy, even if some governors are crafting their own proposals and denying that what they’re doing is expanding Medicaid. Twenty states have refused the expansion under President Barack Obama’s 2009 health care overhaul because of cost and ideological opposition. The resistance is easing as states see a chance to recoup tax dollars and help hospitals get paid for charity care.

“This is about your citizens’ financial and health security, and it’s also about the economic health of your states,” Sylvia Mathews Burwell, U.S. secretary of health and human services, said Saturday at a National Governors Association meeting in West Virginia. “We want to help you design a system.”

This month, Alaska became the 30th state to expand, including 10 with Republican governors, according to the nonprofit Kaiser Family Foundation, a health-research group in Menlo Park, California. Gov. Bill Walker, a first-term independent, used his authority under state law to accept the expansion unless the legislature returns by September 1 and votes it down.

“I did it unilaterally because it was the right thing to do,” Walker said in an interview.

Governors in Tennessee, Utah, and Wyoming lack the ability to act alone, and their Republican-led legislatures declined to adopt expansion this year.

Even so, Utah’s Gary Herbert plans to meet with legislative leaders this week and said he hopes to call a special session in September to pass what he’s calling an alternative to Medicaid expansion.

Herbert’s program also would require a waiver from Medicaid officials for elements designed to appeal to Republicans, such as having applicants get job training.

“I’m optimistic,” Herbert said in an interview. “I think our approach is better than traditional government-assistance Medicaid.”

In Georgia, lawmakers last year blocked the governor from expanding Medicaid without their approval. A provision tucked into this year’s budget, though, allows the state to pursue a waiver.

Wyoming Gov. Matthew Mead called his expansion effort “a colossal failure.” Still, he hopes to bring it back in February’s budget session or in 2017.

“It’s going to take probably some time and continued work by all of us to eventually get to that point,” Mead said.

Tennessee Gov. Bill Haslam, a Republican, said he doesn’t know whether he’ll try next year after failing in February.

While Louisiana Gov. Bobby Jindal, a Republican presidential candidate, has been an adamant opponent, his state still could move, said Joan Alker, executive director of the Center for Children and Families at Georgetown University.

Jindal leaves office at year’s end, and Republicans running to replace him have all expressed support for expansion in some form, she said. The legislature has passed a provision requiring hospitals to pay the state’s share of expansion.

“I don’t think we are going to see a super-large number of states moving forward,” Alker said. “But it is a steady drumbeat.”

 

By: Mark Niquette and Margaret Newkirk, The National Memo, July 29, 2015

August 1, 2015 Posted by | Affordable Care Act, Medicaid Expansion, Republican Governors | , , , , , , , , | 1 Comment

“When Moderates Fight Back”: Middle-Of-The-Road Republicans Are Now Attacking The GOP From The Outside

The missing component in the machinery of American politics has been moderate-to-liberal Republicanism, and the gears of government are grinding very loudly. You wonder if Kansas and Alaska have come up with a solution to this problem.

In Kansas, Democrat Chad Taylor shook up the Senate race by dropping out last week, giving an independent candidate, Greg Orman, a clean shot at the incumbent, Pat Roberts.

At least one poll showed Orman with a 10-point lead over the 78-year-old Roberts in a two-way race. Republicans are so afraid of Orman that Kansas’s Republican (and unabashedly ideological) secretary of state, Kris Kobach, used a technicality to keep Taylor’s name on the November ballot anyway. Taylor is challenging the decision.

In Alaska, Democrat Byron Mallott ended his candidacy for governor and chose instead to run for lieutenant governor on a ticket led by an independent candidate, Bill Walker. By combining forces, Walker and Mallott hope to oust Republican Gov. Sean Parnell.

Because of the revolution in Republican politics spearheaded by the tea party, these should not be treated as isolated episodes. They are both signs that moderates, particularly moderate Republicans, are fighting back.

The safe journalistic trope is that both of our major parties have become more “extreme.” This is simply not true. It’s the Republican Party that’s veered far off center. To deny the fact is to disrespect the hard work of conservatives in taking over the GOP.

By contrast, there are still plenty of moderates in the Democratic Party. They include Sens. Mark Pryor in Arkansas, Mark Begich in Alaska, Mary Landrieu in Louisiana and Kay Hagan in North Carolina. All of them are threatened in this fall’s elections by conservative or right-wing Republicans. Sen. Mark Warner of Virginia is another moderate on the ballot this year, but so far, he seems safe.

On the other hand, outright liberals have been losing primaries in the Republican Party since the late 1960s, particularly in Senate races. In the House, the few remaining liberal Republicans (one thinks of Maryland’s Connie Morella and Iowa’s Jim Leach) were defeated because Democrats in their districts finally decided that electing even Republicans they liked only empowered the party’s increasingly conservative congressional leadership.

As for the Republican establishment, it may have overcome many tea party challenges this year, but it is increasingly captive to the right wing.

This summer, conservative writers Rich Lowry and Ramesh Ponnuru offered an insightful analysis of the tea party-establishment dynamic in an article in National Review appropriately titled “Establishment Tea.” Lowry and Ponnuru argued that the establishment candidates who triumphed did so largely on the tea party’s terms, though the authors put the matter somewhat more politely. “Candidates who make the case that they will fight for conservative ideas, and not just serve time,” they wrote, “can win tea-party support.”

What’s happening in Kansas is particularly revealing of the backlash against the right from moderate Republicans. Although Roberts is not a tea party candidate — indeed, he defeated a tea party challenger in last month’s primary — the Senate race could be influenced by the state’s contest for governor, one of the most important in the country.

Incumbent Republican Sam Brownback has championed an unapologetic tea party, tax-cutting agenda and has sought to purge moderate Republicans who opposed him from the state legislature. Many GOP moderates have responded by endorsing Brownback’s opponent, Democrat Paul Davis. A Brownback defeat would be a major blow to the right.

“The moderates have said, ‘I’m mad as hell and I’m not going to take it anymore,’ ” said Dan Glickman, a moderate Democrat who represented the area around Wichita in Congress for 18 years. In an interview, Glickman argued that the rightward tilt is antithetical to the GOP’s history in Kansas, a state that sent both Bob Dole and Nancy Landon Kassebaum, in her day a leading GOP moderate, to the ­Senate.

“The Republican Party in Kansas was always a heartland, common-sense, moderate or moderately conservative party,” Glickman said, adding that at times, it has had a strongly progressive contingent as well.

Orman has been almost maddeningly disciplined in not revealing which party he would caucus with if he defeated Roberts. With national Republican operatives pouring into the state to save the three-term incumbent’s floundering campaign, the battle will get a lot tougher.

But already, Republicans are learning that the cost of driving moderates away could get very high. What middle-of-the-roaders could not accomplish inside the party, they may achieve by attacking from outside the gates.

 

BY: E. J. Dionne, Jr., Opinion Writer, The Washington Post, September 7, 2014

September 8, 2014 Posted by | Conservatives, GOP, Moderate Republicans | , , , , , , , , , | Leave a comment

   

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