Tuesday, August 9, 2016

Listen Up GOP Weasel-Run States: DEMS Get Things Done While You Mope Around

Newly-elected LA Gov. John Bel Edwards (D) 

Great story here from the Boston Globe: Medicaid Expansion under the ACA (Obama-care). It is a success story anyway it is measured – except by GOP standards. 

Bobby Jindal (R) whom Edwards replaced in January had rejected the expansion on the grounds  that expanding access would “jeopardize the care of the most vulnerable in our society.” (Yes, we are all still laughing about that crazy-ass statement).

Introduction and Some Facts:  According to the Kaiser Family Foundation, approximately 3 million more Americans would receive access to care if Medicaid expansion occurred in every state.

But to date right now, 19 GOP-controlled states continue to refuse Medicaid expansion, a different choice is being made – they are not willing to help people in dire need in millions of cases for health care and the GOP illogic is simple: They continue to refuse to put political preservation and hatred of President Obama above the needs of their citizens. In short, wait Mr. Obama out until the GOP wins back the W/H and then “repeal it.” Okay, repeal and replace it with what? Oh, the same old “Back to the Future” that brought us to seek and get reform in the first place?  – Folks that ain’t gonna work or happen.  

Not surprisingly, these same 19 states, mostly RED states, are among the unhealthiest in the nation, with some of the highest rates of illnesses and deaths from diseases that are often easily preventable.

Just imagine 3 million Americans who right now can’t see a doctor or a dentist, can’t fill prescriptions, and can’t get the drug or alcohol treatment that could turn their lives around. They are put in the impossible position of having to choose between their health — and the health of their family — and putting food on the table.

As newly-elected Gov. Edwards (the only one in the South) said last January when he took office about the impact of broadening access to care for LA: “This will not only afford them peace of mind, but also to help prevent them from slipping further into poverty and give them a fighting chance for a better life.” He is 100% correct. Preventive care in the long run saves money – why can’t GOPer’s see that… just like maintenance of anything: your car, home, plane, other equipment in your garage – keep it up to date and working is the same thing – prevent longer term cost. Only with health care we are talking about lives.

The results speak for themselves: Take this one expansion study in Arkansas and Kentucky (plus the non-expansion in Texas at the time). 

“Poor adults who started getting access to more care and who had been skipping medications because of cost and trouble paying medical bills declined significantly and the share of individuals with chronic conditions who obtained regular care increased, plus the percentage of residents who were able to simply have a medical checkup jumped by 7 points.” However, in Texas (the state that often talks of secession) and where expansion has not taken place, there’s been little success in reducing uninsured rates or improving health care outcomes – more on Texas part here (Texas Tribune).

LA is a great public policy story — one that shows how a targeted effort using government resources for the most vulnerable can produce positive, even life-changing results. But the political part of the story is less great in those 19 states that have continued to reject calls for expansion and again, not coincidentally, all 19 of them have either a Republican governor or a Republican state legislature in charge. While many of these states have argued that the costs will be prohibitive, it’s long past time to discard this dishonest talking point. The evidence simply is not there.

For example, where the BS is deep, in VA, the GOP-controlled legislature has long resisted a push from the state’s governor, Terry McAuliffe (D) to expand Medicaid for more than 400,000 Virginians, with their bogus claims that it would cost the state $1 billion. The actual cost as estimated by the fact-checking sites, like Politi Fact, found it would be only around $3 million.

This story of political change reinforces an old cliché that says:The GOP creates and ducks problems while DEMS get things done.”  I wonder, why are GOPers serving in public office? 

So, a big Kudos to the voters of Louisiana for putting Gov. Edwards in while saying bye-bye to former Gov. Jindal. 

Thanks for stopping by.

No comments: