“A Moral Issue”: Blacks, Latinos To Pay Disproportionate Price Over Blocked Medicaid Expansion
Minorities are disproportionately affected by 25 states’ decision to opt out of Medicaid expansion, a report finds.
Blacks make up 13 percent of the nation’s population but will represent 27 percent of those who will lose out on Medicaid coverage because of these states’ refusal to expand the program’s eligibility to the national standard under Obamacare, according to the 11th Annual Martin Luther King Jr. State of the Dream Report.
Latinos make up 15 percent of the population and 21 percent of the coverage gap. Whites, meanwhile, will be underrepresented—they are 65 percent of the population but have only 47 percent in the gap.
Had the Affordable Care Act been fully implemented, half of the 50 million people who were uninsured before the 2010 law was passed would gain access to coverage through the state and federal health insurance exchanges or the Medicaid expansion. Because of the 2012 Supreme Court decision that ruled states’ expansion of the program optional, 25 states have chosen not to expand Medicaid to include wage earners up to 138 percent of the federal poverty line.
The Medicaid coverage gap will leave out 5 million of the 10 million who would have gained coverage, exacerbating existing racial health disparities in the United States, a focus of Thursday’s report from the equal-rights group United for a Fair Economy.
Poor blacks are 7.3 times—and poor Latinos 5.7 times—as likely as poor whites to live in high-poverty neighborhoods that aggravate health problems. That gap is because of minorities’ limited access to health services and good food, as well as the great stresses from crime and racism, according to the report.
The data also find that 29 percent of Latinos, 19 percent of blacks, 15 percent of Asians, and 11 percent of whites were uninsured in 2012.
Republican governors are leading many of the states that have declined to expand the entitlement program. The federal government has committed to paying 100 percent of the expansion for the first few years, but the governors say they fear the feds will go back on their word, leaving states with unsustainable budget costs.
Other GOP governors have declined to expand the program out of ideological objections to an expansion of the nation’s social safety net.
The report’s authors are frustrated by the blocked expansion.
“With no expanded Medicaid, and little or no assistance to purchase insurance in the health exchanges, the actions of these elected leaders in these states are creating a vast hole in the new health care law—a 25-state coverage gap—through which nearly 5 million low income Americans will now fall,” UFE writes.
“Access to health care is, first and foremost, a moral issue,” the report continues. “It’s a question of right and wrong. Tolerating vast inequalities in health and health care along the lines of race or class sends the disturbing message that we as a society value the lives of people in various groups differently.”
Despite the blocked Medicaid expansion, the Affordable Care Act diminishes the racial health gap by expanding programs to promote diversity in health professions; supports cultural competency training to help doctors communicate with patients of color; and establishes research initiatives to explore the cause of health inequality. It also allows people with preexisting conditions—more common in impoverished neighborhoods due to the quality of life—to gain access to coverage.
But some people who do not have health insurance will continue to live without it. Others will be ineligible because of their immigration status. Still others won’t qualify because of their employment situation. Blacks and Latinos are more likely to work in lower-wage or part-time jobs where they are less likely to receive employer-sponsored coverage.
In addition to the lack of insurance and access to affordable health services, residential segregation and the stress of living in poverty are primary factors contributing to poor health in the black and Latino communities. Those types of communities are commonly found in “food deserts,” or areas of the country where people have little access to a grocery store with fresh produce and instead are surrounded by fast food joints. The report says that half of black neighborhoods lack a full-service grocery.
Among UFE’s recommendations to permanently close the racial health gap are the continued pursuit of a single-payer, universal health insurance system, where employment and work situations would no longer play a role in access, quality, and cost of care. They also, of course, hope to see all 50 states expand Medicaid and take the lead on fully implementing and supporting the Affordable Care Act.
They also propose increasing funding to permanently fund Medicaid at the federal level, heighten funding for outreach and education efforts, and allow undocumented immigrants to take part in the system. More systemic policies—more diverse housing, improved access to services in areas of extreme poverty, raising the minimum wage—would also help address the disparity between the races in overall population health.
By: Clara Ritger, The National Journal, January 16, 2014
“Republicans Lying To Themselves”: Washington Austerity At Its Most Self-Defeating
This morning, the Post has a nice report about methane leaks. A team of researchers toured DC and documented nearly 6,000 natural gas leaks in the city’s decrepit pipe system, including 12 spots where concentrations had built to potentially explosive levels.
What does this have to do with the current obsession with austerity in Washington? Quite a lot, it turns out.
You see, Republicans have been arguing that America needs savage fiscal austerity because we can’t afford to do otherwise. “Let’s be honest…we’re broke,” says John Boehner. This was and is preposterous then and now markets continue to snap up American debt, which is still at historically low interest rates. But this methane study shows the Republican budget-cutting fever at its worst and most self-contradictory. Not granting the money to repair this aging pipe system isn’t just dangerous, it costs us more money. Let me explain why.
The case is obvious when you think about it: shelling out for maintenance now is dramatically cheaper that it is to wait until after the system breaks (and blows the street apart, as the case may be). Put in beloved Republican household accounting terms: suppose a central support beam in your home has cracked, threatening the collapse of the roof. Does it make more sense to nip down to the bank for a quick loan to replace the beam now, or procrastinate and have to build a new house?
It’s even worse when we take the slack economy into account. Borrowing rates are super-low. Construction and raw material costs are cheaper than they will be later if and when the economy picks up. Every wasted day not investing in repairs and upgrades just means more expensive, catastrophic failures.
Make no mistake, this is a terrible problem. Aside from leaky methane in DC, there’s the fact that the average water pipe in this city was installed in 1935, leading to an average of about 450 water main breaks yearly. Here are sinkholes caused by blown water mains in Philly and New York City. Nationwide, for water systems alone there’s an unmet repair bill totaling in the hundreds of billions that is going up steadily, year after year, as our capital stock continues to decay.
What we should be doing is increasing federal infrastructure investments and increasing aid to states and cities, which would allow the country as a whole to start tackling its massive backlog of deferred maintenance needs. If we did this, we’d avoid the expensive emergency repairs that are now the norm for keeping American cities functioning.
That doesn’t even begin to address the need for new investments, like hugely expanded broadband networks, or new higher-speed rail lines, by the way.
In a way, this negligence on infrastructure is just dodgy accounting that would get you thrown out of any halfway decently-run business. A budget process that allows you to claim you’re “saving money” while your critical infrastructure is falling to pieces is just allowing you to lie to yourself.
By: Ryan Cooper, The Plum Line, The Washington Post, January 16, 2014
“The Price For Letting Them Off Easy”: The Bush Era Starting To Take On Less Of The Flavor Of Criminality And More Of Mere Incompetence
Things that make me want to sanitize my brain by dunking my head in a bucket of iodine:
As George W. Bush’s public image improves, more former Bush officials are running for office — and are starting to tout their connections to the former president rather than running from them.
Top former Bush advisor Ed Gillespie included photos with his old boss and talked of his work in the White House in the video announcing his Virginia Senate bid on Thursday.
Gillespie isn’t the only Bush alumni looking to be on the ballot this fall. The former Republican National Committee chairman joins a long list already looking to launch their own electoral careers: Alaska Senate candidate Dan Sullivan (R); Elise Stefanik, the current GOP front-runner for retiring Rep. Bill Owens’s (D-N.Y.) seat in upstate New York; North Carolina congressional candidate Taylor Griffin (R) and West Virginia House candidate Charlotte Lane.
Former Bush officials Tom Foley (R) and Asa Hutchinson (R) are also running for governor in Connecticut and Arkansas. Neel Kashkari, who served both the Bush and Obama administration as assistant Treasury secretary running the Troubled Asset Relief Program, is mulling a bid to the GOP nominee for governor in California. One of Gillespie’s little-known Republican primary opponents, Howie Lind, served in Bush’s Department of Defense.
I know it is unrealistic to think that the Republican Party could field a nation of candidates without using anyone who served in the Bush administration, but it galls me that it might be anything but a liability.
There was way too little legal accountability for the various crimes of the Bush administration, and the effort to reach out (remember the vote on the Stimulus?) was met with a petulant stiff-arm. The result is that the Bush Era has begun to take on less of the flavor of criminality and more of mere incompetence. In reality, it was a lethal combination of both, and we should have never let America develop amnesia about that fact.
By: Martin Longman, Washington Monthly Political Animal, January 19, 2014
“But I Only Moved The Cones!”: Chris Christie May Pay A Big Toll For The Bridgegate Scandal
Texas populist politician Jim Hightower is noted for the saying, “There’s nothing in the middle of the road but yellow stripes and dead armadillos.”
That’s not the case in New Jersey. Here the middle of the road is often occupied by a toll booth. And nothing could be a more fitting symbol of the crisis that seems to be ending our governor’s national ambitions.
As of last month, the toll on the George Washington Bridge rose to $13 for rush-hour traffic. It was a mere $8 when Christie took office. Consider that in light of Christie’s claim, repeated in his State of the State address last week, that he has never raised taxes.
That claim rests on the assumption that those tolls are “user fees,” not taxes. In fact, only a small percentage of the toll money goes to maintaining the bridge. The rest is raked off for so many pet projects that the Port Authority might better be named the “Pork Authority.”
Without all the extra swag from those and other tolls — and a lot of creative bonding — Christie could never have kept that no-tax-hike pledge that would have served him so well in the race for the 2016 Republican presidential nomination.
I say “would have” because after last week the odds of such a run are no longer in Christie’s favor. The hearing room was crammed with cameras as the Assembly Select Committee on Investigations held its first session Thursday. Afterward, Chairman John Wisniewski (D-Middlesex) announced that 17 people would receive subpoenas. Among them were a host of key Christie aides who should have plenty to say both about the closure of those bridge lanes and the motive, which was political vengeance.
Christie’s political future rests on his claim that, over the four months the scandal unfolded, he had no idea the “traffic safety survey” behind the closure was a sham.
That claim brought comparisons to the Sergeant Schultz character from the old TV comedy “Hogan’s Heroes.” One wag even posted a picture of Christie’s face inserted under the World War II German helmet of the prison camp guard whose biggest laugh line was “I know nothing! I see nothing!”
They say a great man can survive anything but ridicule. We’ll see if that’s true in the coming weeks as those hearings reveal just what Christie knew and when he knew it.
The results will likely clear some traffic from the middle of the road in the 2016 race. Christie’s claim to fame was electability and he had quite a claim until Bridgegate. Christie’s appeal was based not on his ideology but his popularity. After that 22-point landslide re-election win, he could make a plausible claim that he could break the Democrats’ stranglehold on at least one blue state, his own, and perhaps others.
The rest of the middle-of-the-road candidates look ready to repeat Mitt Romney’s performance in 2012, when 40 states were not seriously contested and the election was decided by 10 swing states that swung Democratic.
So that’s not good news for the GOP. Christie was the one candidate who might have brought about a realignment. Virtually everything he did over the past few years was designed to make that case, from endorsing New Jersey’s version of the Dream Act giving in-state tuition rates to undocumented students to reaching out to minorities and urban mayors.
It looks like his campaign reached a bit too far when seeking the endorsement of at least one mayor. Last month, Christie was running just three points behind Democratic front-runner Hillary Clinton in an NBC News/Marist poll of potential candidates in the 2016 presidential race. By last week, that poll had Christie trailing Clinton by 13 points. So it looks like this moderate Republican governor may not be going anywhere.
This points out a key problem not just with Christie but with moderates in general. Their moderation is often a cover for an approach to politics that focuses more on doing well than doing good. Over the coming weeks, we can expect to learn a bit about the politically connected lawyers and developers who enriched themselves while wheeling and dealing behind the scenes at the Port Authority.
The mainstream media may not think much of extremists. And they certainly have their flaws, whether they’re leftists or rightists. But as Hightower noted, there’s a reason the voters often prefer them. Sometimes a little bit of idealism can get you a long way down the road.
ON THE OTHER HAND, insightful reporter Matt Katz takes the position that Christie may survive this scandal with his national ambitions intact:
Consider that most of his potential presidential opponents have avoided slamming him on the controversy. Or that a New Hampshire poll released Thursday showed him leading all Republican comers — by a larger margin than in September. Most of those questioned had heard of Bridgegate, and 14 percent of GOP voters said it made them like him more.Yes, Christie was scorned in a (hilarious) “Born to Run” parody by Bruce Springsteen and Jimmy Fallon. But there could be worse things for a Republican with base troubles than to get raked through the coals by the media elite.
Christie’s political advisers say interest was high for fundraisers he’s hosting this weekend in Florida, and national donors are calling to express support. The road to 2016 may now have some more traffic on it, but if Christie’s name doesn’t make a damning appearance in a subpoenaed Bridgegate document, he will have the cash and connections to mount a strong bid for the presidency.
Katz was the guy who asked the question at that Dec. 2 press conference that elicited the “I moved the cones” wisecrack from Christie. That remark will certainly come back to haunt Christie. And unless the governor can explain why he still believed that “traffic study” was legit, he won’t be putting this scandal behind him.
By: Paul Mulshine, The Star Ledger, New Jersey, January 18, 2014
“There Are Definitely People Jumping Ship”: The Republican Party Poobahs Are On The Brink Of Panic
Gov. Chris Christie (R) is scheduled to attend some political events in Florida over the weekend, where he’ll connect with Gov. Rick Scott (R). (The two will not appear in public with one another, raising questions as to which one might be more embarrassed by the other.)
The New Jersey governor will not necessarily receive a warm welcome from every Republican in the Sunshine State. Brian Ballard, Mitt Romney’s Florida finance chairman in 2012 and a major Rick Scott fundraiser, told the Wall Street Journal he sees Christie as a “colossal ego” and a “maniacal bully,” traits he said would make Christie “too dangerous to be our nominee.”
And in response, the governor’s aides sent theWall Street Journal a 5,600-word collection of positive remarks from Republicans and conservative commentators – evidence, a spokesman said, “of an outpouring of support across the country.”
So, who’s right? Is Brian Ballard’s criticism an aberration against the backdrop of a party that broadly supports Christie or are those negative sentiments more widely held? McKay Coppins has an interesting report suggesting, at a minimum, GOP trepidation. Indeed, Coppins talked with “a dozen party officials, fundraisers, and strategists,” and found “party poobahs … on the brink of panic.”
“My sense is they’re hoping against hope there aren’t more shoes to drop,” said Keith Appell, a Republican strategist with ties to the tea party who has been critical of Christie’s moderate streak. “They really want to support him … but they can’t control anything if another shoe drops.”
A Republican operative at a large super PAC used the same metaphor – a favorite among political observers at the moment – to describe the unease in the party.
“Everyone thinks there’s probably a 60% chance the other shoe will drop,” said the operative, who like many of the people quoted in this story, requested anonymity to speak freely about a situation that is still evolving. “When I saw the press conference, I said, I don’t think he’s lying… But for the deputy chief of staff to do something like that requires a culture in the office that he would have set, and it probably requires other examples that would have made her feel like that was acceptable to do.” He added, “My gut is that they’ll probably find something else.”
Coppins talked to one Republican fundraising operative who has met with Christie who said of donors, “There are definitely people jumping ship.”
This afternoon’s news probably won’t help matters.
Because today, some subpoenas landed in some interesting hands.
The state Assembly committee investigating the George Washington Bridge scandal released a partial list of names of the 17 high-level Port Authority and Christie administration officials who received subpoenas within the last 24 hours.
The subpoenas request documents concerning: “All aspects of the finances, operations and management of the Port Authority of New York and New Jersey , including but not limited to, the reassignment of access lanes in Fort Lee, N.J. to the George Washington Bridge, and any other matter raising concerns about of abuse of power.”
Among those subpoenaed? The Office of the Governor, in addition to Christie’s spokesperson, communications director, incoming chief of staff, and former chief of staff (who now also happens to be the governor’s nominee for state attorney general).
By: Steve Benen, The Maddow Blog, January 17, 2014
Share This Blog
Unknown Feed- An error has occurred; the feed is probably down. Try again later.
mykeystrokes.com 