I didn’t do a post yesterday because the WiFi card in my antiquated laptop shut down; I must’ve forgotten to feed the hamsters again. Before that happened, I did do a long post over at TPMCafe.com, proposing six rules for intra-party etiquette, that you might find interesting. And my enforced inability to cyber-jabber did encourage me to listen to some other voices.Over at Bullmooseblog.com, my colleague Marshall Wittmann indulged in one of his periodic fantasies about a John McCain/Bob Kerrey third party ticket. Upon encountering him today, I suggested The Moose was grazing amongst the funny mushrooms again.On a more serious note, I attended a Progressive Policy Institute event (a link to the video should be up on the CSPAN2 site later today) featuring Larry Diamond, whose new book about the Iraq occupation, Squandered Victory, is a riveting account of the Bush administration’s “arrogance, ignorance, isolation and incompetence” in post-invasion Iraq, and the consequences we are facing now and for the immediate future.And just a few minutes ago, I read a powerful piece in The Weekly Standard by Matthew Continetti about the deeper origins of Ralph Reed’s latest troubles, which suggests his involvement in the Abramoff/Indian Casino scandal may turn out to be the tip of the ethical iceberg. Continetti runs through a whole series of questionable lobbying and p.r. campaigns Reed has taken on during his relatively brief but extremely lucrative career as a consultant (e.g., several contracts with Enron), and notes that Reed’s past ability to disguise his sources of income cannot survive the scrutiny he’s invited by running for Lieutenant Governor of Georgia. “For once,” says Continetti, Reed’s “political timing is off.”Reed remains the front-runner for the GOP nomination, with an array of GOP establishment figures in Georgia and in Washington in his corner. And he did manage to intimidate one potential primary opponent, State Insurance Commissioner John Oxendine, into backing off, even though Oxendine was leading Reed in early polls. But he still faces state Rep. Casey Cagle, who has won the support of a large number of Republican legislators. And they aren’t being bashful about going after Reed on his ethics record and his unsavory Washington associations. In an Atlanta Journal-Constitution op-ed piece earlier this week, Bob Irvin, a former GOP legislative leader, called on Reed to drop out, with this prophecy: “If you should win the nomination, many thousands of Republican voters will desert us for the Democrats in 2006, defeating not only you but also many other good Republican candidates, maybe even Gov. Sonny Perdue.”Now there’s an eminently achievable political fantasy that The Moose and I can share.
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Editor’s Corner
By Ed Kilgore
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March 24: The Republican Case Against Medicaid Expansion Continues to Crumble
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.