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“Daring The Sick And Needy”: Time to Protest Against Republican Governors For Shameful Threats

Greg Sargent reports on the decision of five Republican governors to screw impoverished and working people out of the health care they are supposed to get from Medicaid under the Affordable Care Act. As Sargent explains:

Iowa governor Terry Branstad has now become the fifth GOP governor to vow that his state will not opt in to the Medicaid expansion in the wake of the Supreme Court ruling. He joins the ranks of Louisiana’s Bobby Jindal, Florida’s Rick Scott, South Carolina’s Nikki Haley, and Wisconsin’s Scott Walker.It’s worth keeping a running tally of how many people could go without insurance that would otherwise be covered under Obamacare if these GOP governors make good on their threat.

The latest rough total: Nearly one and a half million people.

…And counting. Sargent rolls out the breakdown estimates for the five states, with Florida leading the pack with more than 683,000 citizens at risk by Governor Scott’s threat. Sargent adds,

Of course, it’s still unclear whether these governors will go through with their threats. David Dayen and Ed Kilgore have both been making good cases that they will. As Dayen and Kilgore both note, some of these GOP governors are relying on objections to the cost of the program to the states — even though the federal government covers 100% of the program for the first three years and it remains a good deal beyond — to mask ideological reasons for opting out…Dayen rightly notes that the media will probably fail to sufficiently untangle the cover stories these governors are using.

If there is a silver lining behind the shameful threats of the five Republican governors, it is that there is a good chance that their actions will provoke mass demonstrations in at least some of their states, hopefully right in front of the gubernatorial mansions, where possible. And wouldn’t it be justice, if those demonstrations were lead by people with serious health problems, bringing along their oxygen tanks, wheelchairs, dialysis machines and other health care devices, joined by nurses and hospital workers in uniforms for exactly the kind of photo ops these governors don’t want?

Perhaps the key player in mobilizing mass demonstrations against the Republican Medicaid-bashers would be the nurses unions, which did such an outstanding job of making former Governor Schwarzenegger eat crow in CA over staffing ratios in hospitals.

In a way, the five governors are daring sick and needy people to protest against being targeted for health hardships. Given the large numbers of those threatened in these states, it’s an arrogant dare they may regret very soon — as well as on November 6.

 

By: J. P. Green, Democratic Strategist, July 3, 2012

July 5, 2012 Posted by | Health Care | , , , , , , , , | 1 Comment

“The Wingnut Line”: Rick Scott Announces Florida Won’t Take Medicaid Money

It’s not shocking that Rick Scott becomes the first governor to announce officially that his state (Florida) won’t accept the new Medicaid money under the health-care law. In case you’re not up on the deets, it’s the subsidies for poor and working-class people, up to 133 percent above the poverty line, to buy insurance.

Funny. I seem to remember a time when Scott was quite eager to take Medi-CARE money! That wasn’t his. You remember what I’m talking about.

So this is what social programs mean to Scott. As a private-sector businessman, something to steal from. As a public “servant,” something to play political games with. Floridians will die so that he can be first in the wingnut line.

I don’t know the precise number, but in a state that size, surely a couple million people/families who’ll be eligible for care under the new law in 2014–families of four up to $88,000 are eligible for the subsidies–will be denied the chance to buy coverage at subsidized rates because Scott has refused this money. From a policy perspective, this is the next battleground, the pressure point of resistance for the hard-shell ideologues. How many states will really sacrifice billions in federal dollars for the sake of ideology, and how many will do it before the election so they get a gold star from Rove?

Those interested in what we used to call facts may want to read through this nice primer from the Center on Budget and Policy Priorities, which describes the Medicaid transfer from the feds to the states and explains how the federal government will actually be picking up 93 percent of the costs over the next nine years.

As to biggest health-care news of the weekend, the John Roberts switch reported by CBS yesterday, I will have much more to say about that story tomorrow. But watch these Republican governors. If not for the poor people in their states, I say fine, let them refuse it. Saves me money since I live in Maryland and they’re mostly moocher states anyway. It’s just a few more of my tax spare change not going to Mississippi. All right by me.

By: Michael Tomasky, The Daily Beast, July 2, 2012

July 2, 2012 Posted by | Health Reform | , , , , , , , | Leave a comment

“Facing The Reality Of Politics”: Will Red State Governors Opt Out Of Medicaid Expansion?

While supporters of Obamacare are cheering the Supreme Court’s ruling upholding the constitutionality of the law, the celebration may

be short-lived as focus begins to shift to the one key aspect of the Affordable Care Act that was limited by the decision – the expansion of Medicaid to bring health insurance to approximately 17 million previously uninsured Americans.

As originally drafted and passed into law, states that failed to adopt the expansion and offer Medicaid coverage to anyone earning less than 133 percent of the Federal Poverty Level risked losing 100 percent of the money they receive from the federal government towards their state run Medicaid programs, even as currently offered.

In the ruling handed down on Thursday, the court held that such a penalty was unconstitutional and that the federal government is not permitted to punish the states in such a manner, leaving it to the states to decide if they want to stand pat with the Medicaid programs they currently operate or accept the expansion —and the federal largesse that comes with it.

Under the law, the federal government will pick up 100 percent of the cost of expansion for three years, 95 percent for the two years that follow and 90 percent of the costs thereafter. The expansion will allow the states to provide the benefit to many more low income Americans without taxing their state budgets at all for three years and then only slightly in the years that follow.

Currently, the federal government picks up the tab for about 55 percent of the costs of a state Medicaid program.

Those governors who are strong objectors to Obamacare will, no doubt, feel a strong ideological urge to reject the expansion and leave things as they are. But is that really going to fly? After all, conscientious objection to Obamacare is one thing but the reality of politics is something else entirely.

So far, there have only been angry ‘rumblings’ from Republican governors like Sam Brownback of Kansas and Bobby Jindal of Louisiana who say they will continue their objection to the ACA by refusing to begin organizing a healthcare exchange in their respective states and wait for the outcome of the November election. Other governors, such as Texas’ Rick Perry, who has refused federal money in the past, are staying a bit quiet on the subject, saying only that they will look into the matter and make a decision at a later time.

While it is to be expected that GOP governors—particularly those who refused to implement the requirements of Obamacare until they heard from the Supreme Court—would engage in a bit of sabre rattling, we can expect few, if any, to be foolish enough to pass up the opportunity to expand their Medicaid programs when Washington is offering such an exception deal for them to do so.

As National Journal’s Ron Brownstein points out, the 26 states that sued to block the Medicaid expansion contain over half of the nation’s unemployed and an even greater percentage of the nation’s uninsured population. Texas—one of the plaintiff states in the healthcare lawsuit—alone accounts for slightly over 6 million of the uninsured, 2 million of whom would gain coverage under the Medicaid expansion.

Additionally, because the federal government picks up virtually all of the costs attached to covering more people through expanded Medicaid, the program represents a massive transfer of money to those red states that tend to have less generous Medicaid programs already in existence. As a result, a state like Texas, with a rather sparse program, is going to get an enormous sum of federal cash where Massachusetts, which already has a generous program, will get very little in federal funding.

Are these red state governors really going to sit by and watch the taxes their citizens pay to the federal government flow to the benefit of their neighboring states as the recalcitrant governors allow their own residents to miss the benefit of that money?

I don’t think so. Ideological opposition is one thing—denying access to health care to voters who could certainly use it when, to do so, would cost the state a relatively tiny amount of money, is just dumb politics.

The pressure will not come only from the voters.

If there is one lobby that is highly supportive of the Medicaid expansion it is the nation’s hospitals. For them, covering millions of low income Americans means dramatically less free medical services being doled out to people who cannot pay. With more of those who have depended on free emergency room care as their sole means of getting health care now eligible to have Medicaid coverage, hospital balance sheets can be expected to look a lot better in the coming years.

Expect lots of huffing and puffing on this topic in the coming days.

Expect GOP governors to continue pressing the case that a Romney victory means saving their states from the further economic distress that these politicians will claim to be the fate of expanded Medicaid.

But remember that this Medicaid expansion is the bargain of the century for each and every state in the union that does not already offer generous Medicaid programs—especially the red states—and that beneath the inevitable bluster, there isn’t a Republican or Democratic governor in the country who doesn’t understand that passing up a sweet deal like this will bring unhappy political results.

My prediction?

Medicaid expansion, as written in the Affordable Care Act, will take place in every single state in the nation, without exception.

 

By: Rick Ungar, Contributor, Forbes, June 30. 2012

July 1, 2012 Posted by | Affordable Care Act, Election 2012 | , , , , , , , | Leave a comment

“The GOP’s Anti-Worker Agenda”: Arizona’s Vicious War On Workers

Gov. Jan Brewer is pushing a radical anti-union bill that makes Wisconsin’s law look lax.

Not content to let Wisconsin Gov. Scott Walker and Ohio’s John Kasich get all the fame (and recall elections, and ballot referenda) for their attempts to curtail union workers’ rights, a new crop of GOP governors and state legislators have jumped into the fray and proposed their own anti-union bills in recent weeks.

Along with South Carolina’s Nikki Haley and Indiana’s Mitch Daniels, Arizona’s Jan Brewer, not content with making her state the least friendly to immigrants and people of color, has decided to get in on the union-busting action as well, introducing a bill that makes Walker’s and Kasich’s attacks on public workers look mild.

Brewer, the Republican left in charge of the state after President Obama tapped Janet Napolitano to be his secretary of Homeland Security, has been planning anti-union moves since last spring with the backing of the Goldwater Institute. (Named for Barry Goldwater, the think tank pushes for “freedom” and “prosperity” — as long as it’s not the freedom or prosperity of state workers.)

It’s not just Arizona’s right-wingers who are pushing Brewer to beat up on unions – John Nichols at the Nation notes that Walker may have had a hand in helping push an anti-labor agenda, and the American Legislative Exchange Council (ALEC) is involved. In a speech to the right-wing policy shop behind many of these anti-union bills last year, Brewer complained about her inability to fire government employees and supervisors’ difficulty “disciplining” workers.

This week, the Republicans in the state Legislature introduced moves that would make collective bargaining for public workers completely illegal. Here, we break down what you need to know about Brewer and the GOP’s anti-worker agenda.

1. The bill would go further than Wisconsin’s, making collective bargaining completely illegal for government workers.

SB 1485, the first of the bills to take on union rights, declares that no state agency can recognize any union as a bargaining agent for any public officer or worker, collectively bargain with any union, or meet and confer with any union for the purpose of discussing bargaining.

While Wisconsin’s law bans public employees from bargaining over everything but very small wage increases, Arizona’s bill bans collective bargaining outright and refuses to recognize any union as a bargaining unit. Existing contracts with unions will be honored, but not be renewed if this bill passes.

2. Arizona includes police and firefighters in its ban.

Scott Walker famously exempted public safety workers — police officers and firefighters — from his attacks on union workers, but many of them joined the protests anyway. In Ohio, John Kasich’s bill, overturned by his constituents this past November, included the police and firefighters in its elimination of bargaining rights. Now Brewer and her legislative compatriots have decided that police and firefighters should lose their bargaining rights as well.

Arizona, as Dave Dayen at FireDogLake noted, “is changing to a purple state because of an extreme legislature which first demonized immigrants, in what could start a backlash among the Hispanic community. Now, flush with that success, the legislature will demonize police and firefighters. It’s not exactly a textbook strategy for a lasting majority.”

Walker’s attempt to divide and conquer public sector unions by attacking some and not others didn’t work; perhaps that’s why later attempts at similar bills didn’t bother giving special treatment to public safety workers. But as we saw in Ohio, the support of the traditionally conservative police and firefighters’ unions helped unite the state’s voters and bring out record numbers to vote down the bill. Arizona seems to be asking for trouble by targeting police and firefighters with this bill.

3. The state would ban government employers from deducting union dues automatically from a worker’s paycheck.

Not content with banning bargaining, the Arizona legislature is also out to make sure unions can’t collect any money for the work they do. SB 1487 inserts language into existing law that says “This state and any county, municipality, school district or other political subdivision of this state may not withhold or divert any portion of an employee’s wages to pay for labor organization dues.”

This move obviously is aimed to hit unions right in their wallets — taking away the funding they need in order to do more organizing, and carry out political activity.

4. Arizona would ban the government from allowing employees to do union work on company time.

Laura Clawson at Daily Kos notes that in addition to the other measures, Arizona’s Republicans also want to eliminate “release time,” a practice “in which union stewards and other representatives are allowed to spend work time on certain union functions, such as contract negotiations or handling grievances.”

Union stewards and representatives are full-time employees who take on additional responsibilities on top of their jobs—a move like this makes it harder for them to carry out those responsibilities to their fellow workers without fear of facing sanctions from their bosses. Specifically banned by the bill, SB 1486, are “activities that are performed by a union, union members or representatives that relate to advocating the interests of member employees in wages, benefits, terms and conditions of employment.”

5. Brewer also wants to eliminate any job protections for workers, buying them off with pay raises.

Brewer plans to offer public workers their first pay raise in years, a 5 percent increase. The tradeoff? They have to opt out of job protections some of them currently enjoy, including the right to appeal demotions and protection from being fired without cause – they have to become at-will employees.

Like most “merit pay” arrangements, this one sounds good at first — hard-working people will get raises! — but workers see right through it. Odalys Hinds, who works in the state health lab, told the Arizona Republic, “No way will I do it. I won’t take it — it basically would take away our rights. My retirement’s gone up. My insurance has gone up. There’s going to come a day when I’m going to have to pay the state to work.”

6. Arizona is already a “right-to-work” state

The kicker to all this? Arizona workers already enjoy fewer protections than those in Ohio and Wisconsin. Arizona is a so-called right-to-work state, where unions cannot collect a fair share of the direct costs of representation from workers who opt out of joining the union — even though the union is compelled to represent all workers.

This means that unlike the Midwestern states, Arizona has few union members already and that means there are fewer people who are likely to be outraged and moved to protest by attacks on collective bargaining. Yet Brewer, the Goldwater Institute and the Republicans in the Legislature aren’t content with what they have and are moving to make public sector unions all but irrelevant, by making it nearly impossible for them to do their jobs.

Arizona now has a strong Republican majority in the Legislature, and so barring a change of heart by a handful of GOPers, the anti-union measures are likely to pass. But if Brewer continues to antagonize working people in her state, John Nichols notes, Arizona does have something else in common with Wisconsin — provisions that allow for the recall of the governor and state legislators, provisions that were used just last year to remove Russell Pearce, the state senator responsible for the state’s hideous anti-immigrant law, from office.

February 7, 2012 Posted by | Arizona, Labor | , , , , , , , | 1 Comment

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