“GOP Governors Hurting Their Own”: The Latest Plot To Undermine Obamacare And Prevent Millions From Enrolling In Medicaid
It’s actually quite easy to explain. The reason why 19 states have refused to expand Medicaid has nothing to do with the cost — the federal government would cover the full cost of the expansion for the next two years, then 95 percent of the cost thereafter. It definitely doesn’t have anything to do with a lack of need for such a solution. This, as with the refusal to establish health care marketplaces (exchanges), has everything to do with Obama Derangement Syndrome — Republican governors who refuse for a variety of cheap political excuses to attach their names to Obamacare. By doing so, they’re hurting their own people, including Republican voters by numbers into the hundreds of thousands per state.
The Affordable Care Act originally mandated that all states expand Medicaid eligibility from 100 percent of the Federal Poverty Level (FPL) to 138 percent of FPL. In other words, the government had previously established an income threshold for what constituted poverty: below the line and you’re considered poor and therefore eligible for certain safety-net benefits; above the line and you’re more or less on your own. But Obamacare raised the poverty threshold to qualify for Medicaid coverage, thus expanding Medicaid nationwide — until the Supreme Court ruled against that part of the law in 2012, allowing states to opt out of the expansion.
That’s a massive problem.
4.8 million Americans have incomes higher than the 100 percent threshold, so they don’t qualify for Medicaid without the expansion, but they don’t earn enough to qualify for health insurance premium subsidies through the marketplaces. The ACA was written with a nationwide Medicaid expansion in mind so the law’s premium subsidies only kick in where Medicaid coverage was supposed to leave off, after 138 percent of FPL. Hence the coverage gap.
In Kansas alone, home of climate and science denier Gov. Sam Brownback, there are 77,000 residents trapped in the coverage gap. 77,000 people who have no choice but to go without insurance and medical care, all because Brownback refuses to touch Obamacare with a 10-foot pole, either because of his raging ODS or because he and his fellow red state governors prefer to sabotage the law or both.
By the way, Medicaid expansion in Kansas is supported by 59 percent… of Republicans. Republicans! It’s supported by 72 percent of all voters.
In Georgia, there are around 400,000 residents in the gap, and no sign that Gov. Nathan Deal will participate in the expansion in spite of the fact that 54 percent of Georgians support it. 400,000 is a lot of people, and they’re being denied insurance in order for Deal to prove his quality to the extreme flank of his party.
In fact, Brownback and Deal are so maniacal about blocking the very popular expansion of Medicaid, they’re each lining up to sign recently passed legislation that would block future Democratic governors from expanding Medicaid without the approval of the solidly GOP state legislatures in each state.
In other words, GOP lawmakers have taken steps to guarantee that many of their poorest residents will remain uninsured under the health care reform law, no matter what happens in the gubernatorial election.
Georgia Gov. Nathan Deal (R) and Kansas Gov. Sam Brownback (R) both oppose Medicaid expansion. They both look likely — if not quite certain — to win re-election in November. That should make the bills passed by their respective state lawmakers unnecessary, but they seem intent on guarding against even the remote possibility of a Democratic governor.
Actually, the possibility of Democratic victories aren’t as remote as Talking Points Memo reported. Polls in both races are neck-and-neck, with PPP showing a slight advantage for the Democratic challengers to Brownback and Deal, Paul Davis in Kansas and state senator Jason Carter (grandson of former President Carter) in Georgia. And there it is: a possible explanation for the laws.
This is how far they’re reaching to stymie evil, evil Obamacare. Not only are they refusing to create state-run exchanges, oddly ceding state power to the federal government, but they’re refusing to allow the expansion of Medicaid, even though they don’t have to spend a penny to do it — worse, they’re passing laws that will prevent others from doing it, too. It’s yet another way to sabotage the law in a long list of plots to undermine it.
So, what are the consequences?
On Wednesday, the Orlando Weekly published the explosive and infuriating story of Charlene Dill, a struggling, 32-year-old mother of three who collapsed and died on a stranger’s floor late last month. According to Weekly reporter Billy Manes, Dill suffered from a treatable heart condition. She also fell into what policy experts call the Medicaid coverage gap–a hole the Supreme Court punctured in the health safety net when seven of its justices rendered the Affordable Care Act’s Medicaid expansion entirely voluntary.
We have no choice but to call this what it is: death by Obama Derangement Syndrome.
By: Bob Cesca, Managing Editor for The Daily Banter; Published in The Huffington Post, April 28, 2014
“The Gun Supremacists’ Folly”: Guns Are Not A Religion In Most Countries
Have we gone stark raving mad?
The question is brought to mind by the gun law signed last week in Georgia by Gov. Nathan Deal. You might have thought that since the United States couldn’t possibly have more permissive firearms laws than it does now, nothing more could be done to coddle the gun lobby and tip the balance of our statutes away from law enforcement. Alas, you would be wrong.
The creativity of the National Rifle Association and other organizations devoted to establishing conditions in which every man, woman and child in our nation will have to be armed is awe-inspiring. Where imagination is concerned, the best absurdist artists and writers have nothing on the NRA. No wonder Stephen Colbert has decided to move on from the realm of satire. When parody becomes reality, the challenges facing even a comedian of his talents can become insurmountable.
You might not have thought that the inability of people to pack while praying was a big problem. Georgia’s political leaders think otherwise, so the new law allows people to carry guns in their houses of worship. True, congregations can set their own rules, but some pastors wonder about the confusion this provision will create, and those who would keep their sanctuaries gun-free may worry about being branded as liberal elitists. Maybe the Georgia legislature will help them by requiring a rewrite of the Scriptures. “Blessed are the peacemakers” can become “Blessed are the gun owners.”
You will also be able to tote weapons into bars and their parking facilities if the bar grants you permission. I can’t wait to see the next beer ad depicting a gunfight over who pays for the next round.
Georgia thinks you should be able to take guns into government buildings that don’t have screening devices or security guards. Second Amendment enthusiasts tend not to like tax increases, but as the Associated Press reported, the city of Vienna, Ga., (pop. 3,841) would have to shell out about $60,000 a year to increase security at city buildings. “Do we raise taxes to provide the police protection or do we take the risk of potential injury to our public?” asked Mayor Pro Tem Beth English, who also is president of the Georgia Municipal Association. Too bad if this gun lobby subsidy comes out of the school budget.
Oh yes, and while conservatives claim to hate the centralization of power, this law wipes out a series of local gun regulations. The gun supremacists just don’t trust those pesky local elected officials.
People with a gun license who try to carry a weapon onto an airplane get a nice break under this bill. If they’re caught with a gun at a security checkpoint, nothing happens as long as they leave the area. Try, try again. Watch out if you connect through Atlanta.
And law and order goes out the window. As Niraj Chokshi noted in The Post, this statute gets rid of state requirements that firearms dealers maintain records of sales and purchases. Databases on license holders that span multiple jurisdictions are banned. Those who commit gun crimes must be chuckling, “Can you find me now?”
Nothing better reveals the utter irrationality of our politics for the whole world to see than this madness about guns — and no issue better demonstrates how deeply divided our nation is by region, ideology and party.
The New York Times reported that in the 12 months after the Sandy Hook shootings, 39 laws were enacted tightening gun restrictions; 25 were passed by state governments under full Democratic control. Seventy laws were passed loosening gun restrictions, 49 of them in Republican-controlled states. The Wall Street Journal cited data showing that 21 states strengthened firearms restrictions in 2013 and 20 weakened them.
Nowhere else in the world do the laws on firearms become the playthings of politicians and lobbyists intent on manufacturing cultural conflict. Nowhere else do elected officials turn the matter of taking a gun to church into a searing ideological question. But then, guns are not a religion in most countries.
The program for the NRA’s annual convention, held over the weekend in Indianapolis, listed sessions on “Survival Mindset: Are You Prepared?”; “Creating a Constitutionally Centered Estate Plan”; and “Refuse to be a Victim.”
Party on, guys. I can’t wait for you to figure out the ways in which even Georgia’s law is too restrictive. In the meantime, the nation’s unarmed majority might ponder how badly we have failed in asserting our own rights.
By: E. J. Dionne, Jr., Opinion Writer, The Washington Post, April 27, 2014
“Irrational Exceptionalism”: America Is Exceptionally Dumb When It Comes To Guns
While Americans typically laud our national “exceptionalism” — a sense that the trajectory of history has bestowed greatness upon the United States — there are a few of our distinctive characteristics that don’t deserve celebration. On the subject of firearms, for example, the United States is exceptionally irrational. No other nation has set guns aside as an object of worship.
We have let a blood-soaked gun lobby dictate our laws and regulations on firearms; we have passed “stand your ground” laws that allow violent and angry men to murder unarmed people; we have given the mentally unstable the ability to buy military-style assault weapons with which they wreak havoc on crowds. Last week, Georgia governor Nathan Deal signed a bill into law that would allow denizens of his state to carry firearms into government buildings, bars and, God help us, churches.
In addition, we have allowed the gun lobby to suppress research into the public health consequences of our firearms-worshipping culture. Indeed, U.S. Rep. Jack Kingston (R-GA) — running in a crowded GOP primary for a U.S. Senate seat — has recently reversed himself, going back on an earlier pledge to support such studies. It hardly gets any loonier than that.
In the 1990s, the National Rifle Association successfully stymied public health researchers who wanted to study the causes and consequences of gun violence. According to ProPublica, a nonprofit news organization, “funding for firearms injury prevention activities dropped from more than $2.7 million in 1995 to around $100,000 in 2012.”
The gun lobby clearly fears that science will discover that guns are dangerous and that, well, more guns are more dangerous. (To quote that famous philosopher Stephen Colbert, “Reality has a well-known liberal bias.”)
However, after the Sandy Hook atrocity in December 2012, it appeared that the dead bodies of 20 small children — and six adults — might be enough to finally restore some sanity to the national conversation. President Obama issued a presidential memorandum ordering the CDC to “research the causes and prevention of gun violence.” The National Rifle Association didn’t immediately object, since it recognized the fraught politics of that grief-laden moment.
Some of the NRA’s supporters, too, were muted, seemingly willing to consider modest measures to improve public safety. Kingston was among those willing to support more research on gun violence, saying, “Let’s let the data lead rather than our political opinions.”
At a Savannah, Georgia, gathering shortly after Sandy Hook, he said: “You have to be a pretty sick person to squeeze a trigger on a human being, particularly unarmed children at a school. I think if we focus and keep beating up on the weapon as the problem, we are missing the big picture of mental health that we can come together on as Democrats and Republicans. I spoke with the head of the CDC last week. I think we can find some common ground.”
But Kingston now finds himself in a GOP primary in which some of his right-wing opponents have tagged him as a RINO (Republican In Name Only), despite his solidly conservative credentials. That has left him desperate to court the crazies among his constituents, lest the “fire-at-will” crowd doubt his fidelity to the notion that every American should own his own shoulder-fired missile launcher.
So Kingston has dutifully signed up to block Obama’s request for CDC funding for gun violence research, telling ProPublica recently that “the president’s request to fund propaganda for his gun-grabbing initiatives through the CDC will not be included” in the next appropriations bill.
That means that some of the questions we desperately need answered won’t get the inquiry they deserve: Do background checks deter gun violence? How many mass shooters had a detectable mental illness? What is the link between suicide and gun ownership? Even Kingston’s question about a possible link between violent video games and mass shootings won’t be studied.
That’s just nuts, a reminder of our willingness to be exceptionally dumb about some things.
By: Cynthia Tucker, Winner of the 2007 Pulitzer Prize For Commentary, is a Visiting Professor at the University of Georgia; Published in The National Memo, April 26, 2014
“Guns In Bars, What Could Go Wrong?”: Let’s Hope It Makes Southern White Guys Feel Manlier
Georgia’s new law allows them everywhere—in libraries, at school—and permits felons to claim a Stand Your Ground defense. Let’s hope it makes Southern white guys feel manlier, at least.
To paraphrase a former National Rifle Association president, “You finally did it! You maniacs!”
That’s right, on Wednesday, in a fit of perfectly logical preparation for Sherman’s next march to the sea, Peach State Gov. Nathan Deal went ahead and signed a gun bill. Not just any gun bill, mind you, but one with so much stupid in it, it’s a wonder it hasn’t been renamed Bieber or Gohmert.
We discussed this “guns everywhere” and “felons have the right to shoot you” bill in this space only last month, but now that it’s law in the land of cotton—old times they are not forgotten—perhaps it’s time for a refresher course.
The legislation will allow guns in places of worship, sporting events, bars, and yes, schools. Clearly they’ve learned nothing since Newtown, or since any of the approximately 50 school shootings—more than three a month—in the last 17 months. Of course those attacks happened because those schools were “gun-free zones.” We can’t go blaming the easy access to guns for any yahoo with a Ted Cruz tattoo, which is clearly why we’re seeing the same epidemic of school shootings in, say, the Netherlands or Australia.
It’s the logic that gave us such successful past plans as putting more drunk drivers on the highways to cut down on accidents or electing George W. Bush to improve on the Clinton years.
You gotta give Gov. Deal and the state Legislature some credit, though. It was a nice touch, allowing Georgians to bring guns into libraries, too, which is where I think they’re keeping armored cars full of money these days in the Empire State of the South. Also, lord knows when you might not be able to reach that book on Tupperware on the top shelf—but hell, if you can load it full of enough lead, it may well fall down of its own accord.
Problem solved!
As a reminder, the Georgia bill also gives criminals—who are barred by law from possessing guns but still allowed easy access to them on the secondary market by bought-off legislators—to claim a Stand Your Ground defense in court.
Because why shouldn’t a portly, addle-brained white guy wearing an “I’m with stupid” T-shirt who likes to hit his wife not be able to buy a firearm at a gun show with no questions asked? Also, why shouldn’t he or she (but mostly he) be able to shoot you because he was “scared” you looked like you were in the “wrong” neighborhood?
That, of course, is what the new law is really about. It allows Southern white guys to “feel so manly, when armed,”superior to “others” who won’t be able to use Stand Your Ground as a defense and aren’t afraid to crawl out from under their bed without an AR-15 like Wayne LaPierre, the NRA’s foaming mouthpiece and executive vice president. (Isn’t he a little too French to be allowed to carry? Just sayin’.)
Based on a bastardized version of the Second Amendment, Georgia’s new law also allows a modern industrialized society to become a shooting gallery—one that only serves to enrich American arms dealers who not only don’t care a whit about American bloodshed but welcome it as part of their business model. There’s a word for that. It rhymes with “hater.”
In a recent op-ed in The Washington Post, former Supreme Court Justice John Paul Stevens laid out what the Second Amendment meant to historians and jurists who use common sense and intellect to arrive at their findings.
Laws like the one in Georgia have zero to do with the Second Amendment, Stevens wrote, unless you think the next Whiskey Rebellion or Battle of Lake Erie is likely to commence at a preschool in Athens or spring forth from a garden party in Savannah.
But the Hollywood Hillbillies sure are gonna be stoked when they return home during the offseason from the Polanski-esque plot twists that must define their reality show.
Otherwise, here’s what we’re talking about in layman’s terms. This bill, passed by greedy, slack-jawed Georgia legislators and signed by the Right as rain Mr. Deal, isn’t just about guns but the same toxic brew of anarchy, resentment, and white privilege that led Justice Antonin Scalia to encourage sedition in between attacks on voting rights and affirmative action. That leads Cliven Bundy, the taker occupying public land in Nevada—and primo space on the wall of Sean Hannitys man-cave—to threaten violence against the federal government unless he gets, as Mitt Romney once put it—totally coincidentally!—to the NAACP, “free stuff.”
It doesn’t matter to extremist officeholders in Georgia that the vast majority of Georgians and every law enforcement organization oppose this crazy bill, much as it doesn’t matter to the rodeo clown, right-wing Republicans trying to burn down Congress what most of us around the country want them to do. It also doesn’t matter that this legislation flies in the face of all public health statistics, common sense, and modernity. Or that more people will now die.
In fact, that’s the point.
They have a war to fight that didn’t end at The Appomattox Courthouse. And it seems to be getting less civil all the time.
By: Cliff Schecter, The Daily Beast, April 24, 2014
“Obamascare Tactics In Red State Races”: Passing Laws That Prevent Any Future Governor From Accepting Medicaid Money
If I asked you to name two states where the incumbent Republican governors might lose reelection this fall, you would likely, I expect, say Florida and Pennsylvania. I doubt very much you’d offer up Georgia and Kansas.
But lo and behold—the contests in both of those states are right now a little closer than you’d expect. In Kansas, Sam Brownback is the governor. You remember Brownback—he was a senator for a spell, best remembered (by me anyway) for his prominent role in that hideous Republican appropriation of poor Terry Schiavo in their zealotry to “promote life.” In Georgia, the bossman is Nathan Deal, also a former Congressman, whose term is best remembered for the way he announced a departure date for his gubernatorial run. (He realized that the House would be voting on Obamacare shortly thereafter, and delayed his departure so he could vote against it.)
It ought to be easy-peasy-lemon-squeezy for right-wing Republicans to get reelected in those states, but recent polls have shown them dangling along the margin-of-error cliff. Deal leads Jason Carter (yep, Jimmy’s grandson) by just 3.4 percent in the realclearpolitics average, and Brownback actually trailed Democrat Paul Davis 42-40 in one February poll. Brownback’s approval rating is also deeply underwater. So it’s conceivable—that’s as far as we should prudently go—that both could lose.
Now, here’s the rub. Both, naturally, oppose the expansion of Obamacare into their states. They say no force on earth or in heaven will make them take that Medicaid money. It’s estimated that 600,000 Georgians and 78,000 Kansans would benefit. But they’re having none of it. And that’s their right. But what they’re doing now, in cahoots with friendly legislators, is a step beyond: In both states, they’re passing laws that would prevent any future governor from accepting the Medicaid money.
It works like this. Under the Affordable Care Act, the process by which states decide to accept the money is entirely up to them. Some states determined that legislative action should be required. You may have read about the Republicans in the Florida legislature rebuffing GOP Governor Rick Scott for the five minutes he was toying with taking the money. New Virginia Governor Terry McAuliffe wants the money badly, and his Democratic State Senate is with him, but they’re hamstrung by the GOP-controlled House of Delegates, which is against.
Initially, Georgia and Kansas were states where it was just the governor’s call. Which was fine as long as the Republicans looked like sure things. But the polls tightened up, and people started getting a little antsy. Hey, what if a Democratic governor got elected and said, ‘Okay, Barack, write me that check?’
And so Brownback signed his state’s law last Friday. His office just announced it this week. Why the delay? Shouldn’t one such as Sam Brownback be proud of signing this socialism-blocking law? Well, it turns out that it was originally a law about something else, requiring the state to provide quick payment to certain in-state Medicaid care providers. This provision was tacked on late. A Wichita Democrat, Jim Ward, said: “That bill is what I think is endemic with this legislative process under this governor and this speaker and Senate president. There was no hearing. There were no opportunities for people who have a stake in Medicaid expansion to come in and talk about it.”
In Georgia, it’s easier. The legislation was passed about a month ago. If Deal doesn’t veto it, it becomes law. And since he supports it—indeed, since his staff helped write this law that willingly hands gubernatorial power over to the legislature—it will. And into the bargain, the Georgia legislature also passed—on the next-to-last day of the session—a bill that blocks state employees from helping Georgians sign up for care under the ACA.
So stop and think about this. Kansas and Georgia have just taken what was a gubernatorial decision out of the hands of not only current but future governors. You can argue plausibly that the people’s representatives should have a say in such a decision, on principle. But principle wasn’t at work here. Political expediency was. Legislators in the two states know that Republicans are likely to have control as far as the eye can see. And they’ll never say yes. And they’re doing all this in the name of what? In the name of denying 678,000 people a chance at health-insurance coverage.
It gets worse. The ACA makes cuts to certain current Medicaid programs on the assumption that states would take this new Medicaid money. It cut funding for hospitals that serve the poor, cuts intended to be mitigated by the fact that a large number of poor would now be insured once the states they live in accepted the new money. But in states that did not, those people are suffering even more. Several rural hospitals in Georgia have closed. They could be saved if the state took the Medicaid money.
Carter vows he’s going to make this skeezy law, and the Medicaid question generally, an issue. The Georgia law has sparked large protests and arrests and might end up being the most important issue in the campaign. In Kansas, Davis supports Medicaid expansion—and according to a recent poll so do 55 percent of Kansans, against just 39 percent who oppose taking the money. So maybe there’s not as much the matter with Kansas as we thought. With the people, anyway. The governor and the legislators are another matter.
By: Michael Tomasky, The Daily Beast, April 23, 2014
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