Tag Archives: Medicaid cuts

Phil Scott Races Away from ‘Moderate’ Govs’ Bipartisan Healthcare Effort

Back in January  VPR reported  Phil Scott made some public noises about working with what he calls moderate GOP Governors to help maintain health care in the face of Trump and the Republican efforts to repeal (gut) the Affordable Care Act (ACA, aka ObamaCare) and Medicaid. He was reported to have joined in conversations with Maryland Gov. Larry Hogan and Charlie Baker of Massachusetts about ways to work with the Trump administration.ACAkeepit

The American Health Care Act (AHCA) legislation that would gut the ACA was passed in the House; now it is being negotiated in secret talks in the Senate  — and Trump’s budget proposal is threatening Medicaid.  But Gov. Scott’s name was inexplicably missing from a recent letter sent to Senate leaders this week by governors expressing concerns about affordable health coverage.

A group of Democratic and Republican governors wrote Majority Leader Mitch McConnell (R-KY) and Minority Leader Chuck Schumer (D-NY) urging that efforts to improve the health care system be bipartisan in nature while reiterating their concerns with the House Obamacare repeal legislation, the American Health Care Act.

Democratic Governors John Bel Edwards (LA), John Hickenlooper (CO) Steve Bullock (MT) and Tom Wolf (PA) signed the letter along with three Republicans: Govs John Kasich (OH), Charlie Baker (MA) and Brian Sandoval (NV).

The Hill.com reports  the letter to Majority Leader McConnell in part says: While we certainly agree that reforms need to be made to our nation’s health care system, as Governors from both sides of the political aisle, we feel that true and lasting reforms are best approached by finding common ground in a bipartisan fashion,” the governors said.

The governors are particularly concerned about the bill’s Medicaid provisions. All of governors who signed the letter are from states that expanded Medicaid under ObamaCare, but the Republican bill in both chambers is set to end the federal funding for that expansion.

This seems like just the kind of act a simple bi-partisan effort he might have signed on to. Neighboring Massachusetts GOP Gov. Baker joined in, and Gov. Kasich, whom Scott supported for President, also signed the letter to Senator McConnell.

Maybe signing on to the multi-state Climate Change Alliance (under pressure) fulfilled his monthly quota for bi-partisanship. But he’s a busy man meeting a host of challenges  facing a possible state government shutdown with down-to-the-wire state budget veto negotiations  and, of course, he’s somehow finding time to race his car.

Expanding Medicaid equals more voter participation

A recent study of voter participation shows higher voter turnout in states that have expanded Medicaid under the American Affordable Care Act (ACA / Obamacare). For people with low income, Medicaid is the largest source of funding for medical and health-related services.Kaiser Health-14-2016

The study, Expanding Medicaid, expanding the electorate: the Affordable Care Act’s short-term impact on political participation, compared voter turnout data from 2014 and 2012 for 435 U.S. House races.  Controlling for local factors, its author found:  […] that increases in Medicaid enrollment as a result of Medicaid expansion were related to considerably higher voter turnout in 2014.

Past research has shown people that receive public assistance are less likely to vote, so these results are significant. According to study author Jake Haselswerdt, assistant professor of political science and public affairs at the University of Missouri: “Having access to health insurance could play a role in increasing voter participation as healthy people are much more likely to vote than unhealthy people, and insurance increases people’s financial stability, which also makes them more likely to vote.” Backlash to expanded enrollment, he notes, may also affect voter turnout.

[Updated Ed.]Although Donald Trump made campaign promises not to cut Medicaid benefits, [Trump has ] endorsed two changes to the bill affecting Medicaid, under the pending GOP plan. The actions taken by GOP legislators in Congress make plain how they feel about Medicaid. Republican-sponsored ACA repeal legislation (Trumpcare) now in Congressional committees would hand Medicaid back to the states, and cut program funds by $880 billion in the next 10 years —  effectively limiting expansion. The non-partisan Congressional Budget Office estimates that under the GOP bill 14 million fewer people would have Medicaid coverage in 2026.

Whether by design or accident, the GOP’s efforts to slash Medicaid may not only hurt the health of lower income  U.S. citizens, but they also seem to fit in nicely with the Republicans’  long running campaigns to suppress voter participation — also known as “voter fraud prevention legislation.”

Well, that works: “American Health Care” that isn’t affordable, and laws to counteract non-existent “voter fraud.” Paging George Orwell …