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“Hurting A Large Number Of Their Own”: Republican Refusal To Expand Medicaid Could Come Back To Haunt Them

Republican legislatures in state after state, from Tennessee to Wyoming, are rejecting the Medicaid expansion of the Affordable Care Act for no other reason than pure spite against poor people:

On Friday, the Wyoming Senate shot down Gov. Matt Mead’s expansion plan, and a House committee then pulled its bill. The double whammy effectively killed the state’s chances of enacting the Obamacare option this year.

Lawmakers there acted just days after the Tennessee Legislature shot down an expansion proposal by Gov. Bill Haslam. Together, the two rejections diminish the momentum that Medicaid expansion supporters were enjoying last month, when Indiana Gov. Mike Pence won federal approval of his particular plan and Arkansas Gov. Asa Hutchinson agreed to extend that state’s “private option” program for 18 months. Both Pence and Hutchinson are also Republicans.

There’s simply no good reason for any of it, even within the confines of conservative economic orthodoxy. The money for the Medicaid expansion comes from the federal government; the states themselves are at no risk of further expense for many years to come if at all. Republican governors are trying to get the funding for the healthcare of their citizens. Better access to healthcare means fewer illnesses, better productivity, and more money in the pockets of the sorts of consumers most likely to spend in the economy. More money for Medicaid creates a virtuous economic circle at no cost to the states.

No doubt there is a great deal of racism in the motivation of conservative state legislators to deny healthcare to their poorest residents. But in fact, the majority of those on Medicaid are not minorities–and poor whites are overwhelmingly Republicans. So even from the jaundiced view of a bigot these GOP legislators are hurting a huge number of their own.

And it’s starting to cause problems for them. Republicans in Kentucky are doing backflips to pretend to their constituents that there’s some big difference between Kynect, Kentucky’s state exchange, and Obamacare. And even now some Republicans are defecting over it:

Former Republican state Sen. Tim Johnson on Wednesday announced he’s switching parties and challenging incumbent Republican Lt. Gov. Tate Reeves this year.

But the noted Elvis impersonator said he won’t be appearing as the King on the campaign trail.

“Why join the Democratic Party and run for lieutenant governor?” Johnson said before a cheering throng of supporters at a Capitol press conference. “I’ll tell you: We are all Mississippians first. Elected officials should be in the business of helping all Mississippians, not picking out who to hurt.”

The Republican Party has relied for decades on cultural and racial resentment to keep them afloat. But there’s only so long a political party can only abuse the entirety its own people without even an eye toward sowing cultural division, without it coming back to haunt them.

 

By: David Atkins, Political Animal, The Washington Monthly, February 7, 2015

February 9, 2015 Posted by | Medicaid Expansion, Republican Governors, State Legislatures | , , , , , , , | Leave a comment

“The Big Dis-Kynect “: Mitch McConnell’s Big Obamacare-Kynect Lie

Here’s why all the super-smart insidery people privately say they think that in the end, Alison Lundergan Grimes will not beat Mitch McConnell in Kentucky. Her strategy, they say, is to keep it close, keep her distance from Obama, hold her own in debates, try to match him attack ad for attack ad, and just hope McConnell makes a mistake. And the super-smart people agree: You may admire or loathe McConnell, but if he’s proven one thing in umpteen elections, it’s that he doesn’t make mistakes.

That’s what the insiders say. There’s just one problem with it. McConnell has made about a mistake a week so far! He’s run an awful campaign. And he’s given anybody no reason at all to think he won’t just keep making them.

The latest is maybe the biggest howler yet, bigger than even the ad that mistook Duke basketball players for UK Wildcats. He said last week that while he will certainly still pursue repeal of Obamacare, he thinks Kentucky should be able to and will keep its celebrated Kynect health-care exchange, set up by Democratic Governor Steve Beshear under the Affordable Care Act. Here’s how LEO Weekly, out of Louisville, reported the moment:

McConnell took three questions on the Affordable Care Act and how its repeal would affect the 413,000 Kentuckians who now have insurance through the state exchange, Kynect. The first question asked how he would respond to those who say repeal would take away the health care of 413,000 Kentuckians, to which McConnell launched into his standard answer that Obamacare was raising premiums, raising deductibles, and killing jobs, concluding, “It was a big mistake, we ought to pull it out root and branch and start over.”

WHAS’ Joe Arnold followed up that answer by asking, “But if you repeal it, won’t all of the state exchanges be dismantled? How does that work?” McConnell then launched into his standard “solution” of sorts, calling for an “international market” of insurance companies that aren’t limited by state lines, in addition to “malpractice reform.”

The LEO writer, Joe Sonka, whom McConnell’s muscle men once threw out of a press conference because he has the temerity to write, like, facts and stuff, went on to slice and dice McConnell’s argument: “Kynect could not have existed without the Affordable Care Act, and it would cease to exist if the Affordable Care Act ceased to exist. There would be no people eligible for the expanded Medicaid—the large majority of those who signed up through Kynect—and there would be no exchange for people to sign up for affordable private insurance with federal subsidies. Saying that Kynect is unconnected with the ACA or its repeal is just mind-numbingly false. The ACA and Kynect are one in the same.”

This is obvious to anyone with a brain. The category of humans with a brain includes McConnell. He’s not that stupid. That leaves only one other choice: hypocritical. Well, two other choices: hypocritical and lying. That is, he knows Kynect can’t exist without the ACA, but he just said it anyway, without any concern for the truth. And the hypocrisy part comes in, of course, because, well, how can he have stood up there for years saying that, no, Americans should not be permitted to get health care the Obama way, and he’s going to strike it down the second he can—but Kentuckians, they’re different?

This gives Grimes an opening she didn’t have. More than 430,000 Kentuckians have health care now through Kynect. Mitch wants to take it away. No, wait, he doesn’t! Well, he wants to take Obamacare away, and Kynect came through Obamacare, but somehow he’s going to keep Kynect. And he’s going to go buy a new Oldsmobile, even though Olds is out of business, and he’s gonna campaign with Colonel Sanders, even though he’s been dead since 1980, and once he’s reelected he’s going to privatize Medicare—except in Kentucky, because Kentucky is different. Grimes’s media team, a talented bunch in my experience, should be able to have quite a lot of fun with this.

The Lexington Herald-Leader sure did, raking McConnell over the coals Wednesday. It wrote:

Asked specifically if Kynect should be dismantled, McConnell said: “I think that’s unconnected to my comments about the overall question.”

Huh?

That’s a quote that should live forever, or at least until Election Day. The super-smart insiders may be right, though, about one thing. McConnell won’t make “a mistake.” He’ll make several.

 

By: Michael Tomasky, The Daily Beast, May 29, 2014

May 30, 2014 Posted by | Affordable Care Act, Mitch Mc Connell, Obamacare | , , , , , , | Leave a comment

   

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