More Red States Embrace Obamacare, As Long As You Don’t Call It That
Republicans are tying themselves in knots over health care for the poor.
Presidential candidates and other national politicians throw around a lot of rhetoric about health care reform, but the real action is happening in conservative state legislatures across the country.
Red state governors and lawmakers are deciding what health care for low-income people and those with disabilities delivered through Medicaid, the joint federal-state health benefit program, will look like in the post-Obamacare era.
“This, at this point, is largely a fight within the Republican Party,” said Joan Alker, executive director for the
Center for Children and Families at Georgetown University, who is an expert on Medicaid issues.
In some cases, Republicans have concocted pretty convoluted ways to do Obamacare without saying they’re doing Obamacare, to get other Republicans to go along.
The passage of the Affordable Care Act in 2010 and
a Supreme Court decision two years later affirming states’ rights to refuse to participate in the law’s Medicaid expansion triggered this fight.
The ACA called for Medicaid to be available to anyone earning up to 133 percent of the federal poverty level, or $16,000 for a single person, and provided
full federal funding from 2014 through 2016, after which Washington gradually contributes less until 2021 and future years, when states will pay 10 percent of the costs. The federal government pays an
average of 57 percent of other Medicaid expenses.
Thirty-one states and the District of Columbia have expanded Medicaid, which has been a key contributor to the
historic reduction in the uninsured rate since 2013.
Democratic states quickly took up this arrangement, which enabled them to advance the cause of covering the uninsured at little cost to their budgets. So did states with divided government, including
Kentucky and
New Jersey, and even some GOP-led states like
Nevada and
North Dakota.
Republican interest in participating in Medicaid expansion grew after
Arkansas’ divided government won federal approval for a privatized model. After that, states with Republican leadership, such as
Michigan and
Ohio, joined in.
This year, expansions, contractions, cuts and sweeping reforms are on the docket in states like Alabama, Oklahoma and South Dakota.
In those places and elsewhere, ideology about the role of government and about the Affordable Care Act itself is running into practical realities about access to health care and the availability of federal dollars.
more ..........
That's the right ~ the MAJORITY of USA states now have expanded Medicaid.
According to the forum right wing delusionals that makes them "socialists" who are now enjoying the same protection given in Massachusetts, Canada, and in the UK.
Smile, you've got socialized medicine.
More Red States Embrace Obamacare, As Long As You Don't Call It That