There’s another turn in a story we’ve all been following for over a decade, so I wrote it up at New York:
The Affordable Care Act was signed into law 13 years ago, and the Medicaid expansion that was central to the law still hasn’t been implemented in all 50 states. But we are seeing steady, if extremely slow, progress in the effort to give people who can’t afford private insurance but don’t qualify for traditional Medicaid access to crucial health services. The U.S. Supreme Court case that upheld the ACA also made Medicaid expansion optional for states. Twenty-four states accepted the expansion when it became fully available at the beginning of 2014, and that number has steadily expanded, with the most recent burst of forward momentum coming from ballot initiatives in red states like Missouri, Nebraska, Oklahoma, South Dakota, and Utah. Now a 40th state is in the process of climbing on board: North Carolina. As the Associated Press reports, legislation is finally headed toward the desk of Governor Roy Cooper:
“A Medicaid expansion deal in North Carolina received final legislative approval on Thursday, capping a decade of debate over whether the closely politically divided state should accept the federal government’s coverage for hundreds of thousands of low-income adults. …
“When Democratic Gov. Roy Cooper, a longtime expansion advocate, signs the bill, it should leave 10 states in the U.S. that haven’t adopted expansion. North Carolina has 2.9 million enrollees in traditional Medicaid coverage. Advocates have estimated that expansion could help 600,000 adults.”
So what changed? Basically, over time the fiscal arguments North Carolina Republicans used to oppose the expansion began sounding increasingly ridiculous, AP suggests:
“GOP legislators passed a law in 2013 specifically preventing a governor’s administration from seeking expansion without express approval by the General Assembly. But interest in expansion grew over the past year as lawmakers concluded that Congress was neither likely to repeal the law nor raise the low 10% state match that coverage requires.
“A financial sweetener contained in a COVID-19 recovery law means North Carolina also would get an estimated extra $1.75 billion in cash over two years if it expands Medicaid. Legislators hope to use much of that money on mental health services.”
In other words, the GOP Cassandras warning that the wily Democrats would cut funding for the expansion in Congress once states were hooked turned out to be absolutely wrong. Indeed, the very sweet deal offered in the original legislation got even sweeter thanks to the above-mentioned COVID legislation. States like North Carolina appeared to be leaving very good money on the table for no apparent reason other than partisanship, seasoned with some conservative hostility toward potential beneficiaries. In this case, GOP legislators finally reversed course without much excuse-making. The AP reports:
“A turning point came last May when Senate leader Phil Berger, a longtime expansion opponent, publicly explained his reversal, which was based largely on fiscal terms.
“In a news conference, Berger also described the situation faced by a single mother who didn’t make enough money to cover insurance for both her and her children, which he said meant that she would either end up in the emergency room or not get care. Expansion covers people who make too much money for conventional Medicaid but not enough to benefit from heavily subsidized private insurance.
“’We need coverage in North Carolina for the working poor,’ Berger said at the time.”
That, of course, has been true all along. Final legislative approval of the expansion was delayed for a while due to an unrelated dispute over health-facility regulations. And the expansion cannot proceed until a state budget is passed. But it’s finally looking good for Medicaid expansion in a place where Democrats and Republicans are bitterly at odds on a wide range of issues.
There remain ten states that have not yet expanded Medicaid; eight are Republican “trifecta” states (Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee, Texas, and Wyoming) and two others have Republican-controlled legislatures (Kansas and Wisconsin). Perhaps the peculiar mix of stupidity and malice that keeps state lawmakers from using the money made available to them by Washington to help their own people will abate elsewhere soon.
I think that people should be more open minded. Yes, I know that it is against the Bible and everything, but if they are going to be together anyways then why can they not get married? I, myself, am straight but have many gay friends. I don’t think that it is fair for people to judge gay people based on their sexuality. In Arkansas it is legal for you to marry your 2nd cousin. Now if that is not messed up I don’t know what is. Everyone wants to be with who makes them happy, I think gay marriage should be legalized.
For a one-sentence answer (what James is suggesting above), how about something along the lines of, “As long as gays and lesbians are good citizens and pay their taxes like everyone else, shouldn’t they enjoy the same civil protections like everyone else?” It’s essentially a ‘conservative’ argument, emphasizing the libertarian attitude of keeping government interference in personal life at a minimum. Yet also alludes to the civil rights campaign. I personally think there are stronger moral arguments to be made, but this seems like a strong political argument.
Checked with the wife, now that the dust has settled. Still happy with the marriage. Guess gay marriage isn’t really that big a threat.
I was worried.
I think its very simple, the reason why this issue hasn’t resonated with the public. Because what the Rethugs are doing is recreating the dynamics that existed during Impeachment, which most agree hurt them more than the democrats politically.
What I mean by this is during the Impeachment of Bill Clinton, most Americans disapproved of his actions. However, they saw the Republican response as too extreme. Censure Clinton, reprimand him. BUT, do not impeach him. However, the Republicans DID impeach him. Why?
Because two-thirds of their base strongly supported the impeachment, whereas two-thirds of the public-at-large did not. So the GOP were caught between a rock and hard place. If they didn’t impeach Clinton, they would alienate their base. If they did, they’d alienate everyone else.
The gay marriage issue works much the same way. Most people oppose the idea of gay marriage, but they think the Republican response – of a constitutional ammendment banning it – as too extreme. The constitution is there to provide protection for citizens, not banning them from doing things. But the issue, once again, puts the GOP in a catch-22. Their base of ideologues and dittoheads want the ban. The larger population doesn’t. Therefore, we’re right back where we started with impeachment.
I agree. This issue is wrought with danger for the republicans, not democrats. Bush can come out and say “he supports a constitutional ammendment” and leave it at that. A rhetorical commitment. But if the issue blows up, then his base will make him do more. If he does more, he’ll alienate middle-class and swing voters. If he doesn’t then he’ll alienate his base.
As for Democrats, all we have to do is:
a) say that we don’t support gay marriage.
b) say that we don’t support the constitutional ammendment.
Easy peasy.
Sorry. My happiness was premature. How certain is it that the Mass House will not repeal? I do not live in Mass, but I would love to do something to help convince them to repeal that law and any others that are discriminatory. Are there any states whose laws still ban inter-racial marriage? If so, that fact could be used to show the discriminatory nature of the Mass law and how it had wider effects than just prohibiting gay marriage.
You’re right, Matt. If anything the intraparty fighting over the law that is bound to happen in the House may only strengthen Mitt’s position and help Republicans in the fall. If people think that gays are only getting married because they want to throw out the laws in their own state then there may be a backlash.
I did want to mention that any of you who live in places like Wisconsin or Michigan or Ohio, to please research these amendments and tell as many people as you can about the true ramifications of them if they are passed. So many polls have people approving, say, the Wisconsin amendment and yet favoring civil unions. Too bad the Wisconsin amendment bans everything for gay couples, even far less than civil unions. Voters who are not totally anti-gay should know that they are supporting hateful legislation. Many just hear “marriage ban” and that’s all they see.
BTW, Arkansas anti-gay activists are now trying to get enough signatures on the ballot for an amendment, so beware of that.
The Massachusetts legislature did not repeal the law. That was the vote in the Senate; the House will probably not support the repeal, certainly not sufficiently to overcome Romney’s veto.
And this just in. Mass. legislature repeals the 1913 law by a vote of 28-3. Got that from another blog. So, IN YOUR FACE MITT ROMNEY! Woo-hoo! If that isn’t a shot across the bow I don’t know what is. Swift and efficient. I’m liking it. Of course, he could argue in court that marriages that took place before the repeal are still null, but the courts could easily tell him the issue is moot if he tries to prosecute any of them or have them so declared. Or the legislature could grandfather those marriages in with new legislation. I wonder if he would risk another such obvious kick in the pants. That sort of thing doesn’t make one look good.
I can’t help wondering how the black pastors who are so opposed to any homosexuality at all feel about these laws being enforced. The legislature is fighting over whether to repeal the law, I hope that doesn’t hurt Democrats or same-sex marriage too much in that state.
As for Kerry’s position, he needs to come up with a short, concise answer. He has struggled with this (to put it mildly) and that will haunt him in debates. All you have to say is, “I think the states should decide the issue.” Not, “I think we are all human beings and I approve of marriage between a man and a woman but have attended non-legal ceremonies for homosexual couples.”
The 1913 law was a Jim Crow law, of course. It says that no marriage is valid in Massachusetts if contracted between citizens of another state who couldn’t marry legally in their home state. It was aimed at inter-racial couples who couldn’t marry in the South due to anti-miscegenation laws. It’s just a quirk that it was never declared unconstitutional.
Maybe they’re afraid that gay marriage will destroy marriages because their wives will divorce them and marry other women?
My wife says our marriage is doing just fine. I made a point of asking.
Oh, and I’m 46, darling. Give credit to us older fellers too.
The pictures remind one of Will and Grace. Queer Eye is wildly popular. Trust me folks, the more hysterical the right becomes, the more they will alienate the moderate Republicans. Mit Romney is fighting a rearguard action in Mass, saying he’ll examine all licenses to make sure that only Mass gays were married, in accordance with a 1913 law. He’d better be careful before he finds his retro thinking comes back to bite him in his Mass.
I do think that the pictures of the gay couples getting married has done a good job in making gay marriage seem innocuous to most Americans.
The pictures bring to mind Will and Grace rather than Sodom and Gommorrah.
I think gay marriage will become less taboo as a) it starts happening and people realize that their own marriages are not breaking up as a result (in Vermont, there was an uproar when the civil unions bill was first passed, but by now most people have accepted it and moved on), and b) my generation gets older and becomes more influential. Even some of the radical right Republicans on my campus think the Republican Party goes too far with its anti-gay platform, and polls have shown that people under 30 are far more likely to support gay marriage than other age groups.
If this issue pops up during the presidential TV debates, I hope Kerry defends his position using essentially conservative/libertarian arguments. There is no need to have the federal government force the Christian Right’s definition of marriage upon every state from Utah to Vermont. He could also question the wisdom of amending the Constitution for a comparatively trivial purpose such as this.
More than anything, he should stress the importance of TOLERANCE. He could say he personally regards marriage as a heterosexual union, but that he is willing to let each state define marriage as it wants.
If “Shrub” tries to pander to his Christian base by preaching thinly veiled homophobia, I think even more moderates/independents will abandon him.
MARCU$
Somewhat concerning is that the support for the FMA (Hate Amendment) is the same as it was several months ago. This was in early May. After Abu Ghraib (which some in the media seemed obsessed with blaming on gays), and the media circus in Massachusetts, the FMA should increase in popularity, at least for a while.
The problem for fundies is that they have yet to be able to give any example of exactly how same-sex marriage will seriously ruin anyone’s life. Instead they talk about 5,000 years of history, “marriage certificates are now death certificates!”, “I have been married for 48 years but now that relationship is shaky and damaged because it is just a piece of paper!!” and other foolishness. Many oppose same-sex marriage, particularly if they are highly religious and pro-life, but they are not motivated to make serious noise about this. That may change of course, particularly as election day nears. The general support and the independent support for the amendment concerns me. So does the likelihood of a vote this summer or in September. I do wonder what the overall public response to what’s happening in Massachusetts will be. So far, the chaos in Iraq has drowned much of that out. Indeed, if I could ever be “grateful” to our horrific blunders in Iraq, it would be that they have, for now at least, overshadowed what was supposed to be such a huge issue for the GOP.
I’m happy that the Lawrence vs. Texas backlash is dying down, but the state constitutional amendments are the serious concern. They have passed in Louisiana, Missouri (for non-swing states – Utah, Mississippi, Kentucky, Georgia), and may be on the ballot in North Carolina, Michigan, Oregon, Ohio. All swing states or possible swing states and all designed to turn out every lunatic voter who might otherwise stay home. This was the real purpose of the FMA (that and to help get Republicans more power in Massachusetts, which could still very well happen). To help individual turnout in each major state at a time when Bush will need every single vote he can get.
The bottom line for me is public opinion on the amendment is still being formed and can be easily manipulated one way or the other. I’m really terrified about what they will do over the next few months to try to get this passed or to try to get more people to vocally support it. And the state constitutional amendments are a serious problem. They could tip this November in the GOP’s hands.
If you want to help fight this evil scheme, these groups and sites will help. PLEASE visit them.
http://www.loveisloveis.com
http://www.equalitync.org
http://www.tri.org
http://www.lagpac.org/
http://www.ohioansforgrowth.org/
http://www.promoonline.org
http://www.massequality.com
http://www.basicrights.org
http://www.ngltf.org