It’s pretty safe to say the progressive blogosphere is saturated with endless commentary and cheerleading about the August 8 Connecticut Primary involving Joe Lieberman and Ned Lamont. But a very interesting runoff election will occur that same day in my old stomping grounds, the 4th Congressional District of Georgia. The inimitable Rep. Cynthia McKinney will face little-known Dekalb County Commissioner Hank Johnson, who stunned observers by denying McKinney a majority in the July 18 primary (she won 47 percent to Johnson’s 44 percent, with a third, anti-McKinney candidate taking the balance of votes). And from what I’m hearing, it ain’t looking good for the fiery lefty veteran.The rumor down in Dekalb is that Johnson is raising enormous sums of money for the runoff, some of it, no doubt, from Jewish Democrats who have always resented McKinney’s outspoken pro-Palestinian views. (The night before McKinney lost her seat in 2002 to primary challenger Denise Majette, her father, then-state Rep. Billy McKinney, told a television audience that Cynthia’s only problem was spelled “J-E-W-S.” In a nice touch of irony, McKinney pere lost his own legislative seat the next day, in a huge upset, to a Jewish primary opponent.) McKinney has never been much of a fundraiser, and the voting patterns in the primary led a lot of observers to conclude that her once-legendary GOTV prowess is not what it used to be.Aside from money, McKinney has two big political problems. The first is that Georgia has no party registration, and her notoriety may tempt some of the district’s small but significant Republican electorate to cross over; so long as they did not vote in the Republican primary on July 18, which had a very low turnout, they are free to do so. Indeed, McKinney blamed her 2002 loss to crossover voters, though the size of her defeat indicated she lost a majority of Democrats as well.But her bigger problem is her weakness among the district’s large and growing African-American middle- and upper-middle-class population. They represent the political fulcrum of Dekalb County, and are much more likely to turn out for a runoff than the poorer black voters who have always served as McKinney’s base.Given her situation and her personality, I’d expect some real fireworks from McKinney between now and August 8. She has always been fast to play the race card (viz. her immediate suggestion that her recent dustup with a Capitol Hill cop was motivated by racism and sexism), and the fact that her opponent is a fellow African-American won’t deter her. Indeed, she won her first primary back in 1992 in no small part by charging that her two African-American opponents were puppets of the state’s white political establishment.And there’s no question she will allege a conspiracy to purge her from Congress. McKinney loves conspiracy theories the way a drunk loves a belt of Ten High before breakfast. Her suggestion that perhaps the White House had advance warning about 9/11 and deliberately let it happen helped paint a political bullseye on her back in 2002. And on this latest primary night, even as Cynthia was line dancing with her new friend Cindy Sheehan in front of the cameras, her staff and supporters were muttering darkly about a Diebold Conspiracy orchestrated by Secretary of State Cathy Cox to shift votes from McKinney to Johnson. (You’d think if Cox had the capacity to manipulate votes this way, she might have stolen enough votes from Mark Taylor to keep the Big Guy from narrowly winning a majority against her in the gubernatorial primary, eh?).But my guess is that McKinney has finally run out of luck. She got back into Congress in 2004 thanks to an extraordinary stroke of luck: Denise Majette’s abrupt decision, shocking her own staff and certainly dismaying supporters who knew McKinney was mulling a comeback, to abandon her seat and launch a doomed Senate campaign. (In a side note, Majette has launched her own comeback effort, winning the Democratic nomination for state school superintendant).The word back home in 2004 was that McKinney had learned her lesson, and though her views were as lefty-lefty as ever, she kept a much lower profile on the campaign trail, and in Washington–until the little incident at the metal detectors in the Cannon Building. For the record, I think the whole brouhaha was ridiculous, especially the serious consideration apparently given to indicting McKinney for biffing the Capitol Hill officer with her cell phone. But it served as a reminder to many of her constituents that she remains a bit of a loose cannon in Cannon, and gave Hank Johnson the opening he needed to take advantage of the large if latent anti-McKinney vote.In any event, even as every hep blogger in Christendom obsessively follows the vote count in Connecticut on August 8, Georgia will be very much on my mind. No matter what happens, I’ll relish the returns from my old neighborhood in Stone Mountain like a Varsity chili dog. Maybe McKinney will find a way to save her career one more time, but I personally doubt she and Cindy Sheehan will have much to dance about that night.
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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.