Posted: 02/25/14 00:49
by Dave Mindeman
The lengths Republican governors and legislatures will go to discredit the Obamacare program is becoming legendary.
The newest tactic is to use semantic naming to "accept" the Obamacare Medicaid expansion money, but just call it something else.
They request a waiver from the program - accept the money - and use it for the same purpose. This is the tactic from Governor Mike Spence in Indiana....
On Friday, Pence met with Health and Human Services Secretary Kathleen Sebelius to ask for a waiver for the Healthy Indiana Plan, which helps about 45,000 low-income residents with personal health funds linked to insurance plans with high deductibles. Pence wants to use the federal money earmarked for Indiana's Medicaid expansion to grow that program instead.
"I've made it very clear that I have no interest in expanding traditional Medicaid in Indiana," he said. "I think Medicaid is a deeply flawed system. I think it's broke, and broken, and it ill serves the people that are covered. We're currently in negotiations with the administration about using the resources that are available for Medicaid expansion to expand the Healthy Indiana Plan."
Pennsylvania and Utah want to just add details...
Pennsylvania Gov. Tom Corbett (R) has sought a waiver to include work requirements in Medicaid expansion, while Utah Gov. Gary R. Herbert (R) said last month that he will push to expand Medicaid in some form during this year's legislative session.
Gov. Scott Walker blasts Obamacare all the time. Still...Medicaid expansion???
Wisconsin Gov. Scott Walker (R) has performed his own version of this political jujitsu: His state has curtailed Medicaid to the point at which it covers only those who make up to 100 percent of the federal poverty level -- $23,550 for a family of four. Those who earn more and who don't have dependent children are covered under BadgerCare, a program that received Medicaid expansion money.
Obamacare = Badgercare with Medicaid expansion money. Semantics.
In New Hampshire, the Republican legislature wants to use Medicaid expansion money to buy private health insurance for low income citizens.....
In New Hampshire, the state Senate has agreed on a plan that ultimately will use federal Medicaid money to pay for private insurance for those newly eligible for Medicaid. Gov. Maggie Hassan (D) said that her state's Democratic-controlled House preferred a straight expansion of Medicaid, as other states have done, but that the state Senate, which is narrowly controlled by Republicans, would not approve it.
Gosh....sounds like Obamacare.
Arkansas legislature wants to use another name....
Arkansas legislators are trying to pass a similar measure that would use the Medicaid money to fund what they call the "private option." State law requires three-quarters of both legislative chambers to approve any appropriation; the private option has passed the Republican-controlled Senate and remains just two votes short of passing the GOP-led House.
"Private option" = More Obamacare.
State after state that refused the Medicaid Expansion from the ACA are now feeling the heat of having too many uninsured people looking for a way to get health care. And GOP governors and legislatures are accepting that money as long as they can change the name under which it is accepted.
Watch this space. As Republican governors brag about how many more people get health insurance in their state, they will pat themselves on the back for their ingenuity and problem solving skills.
And all they have really done is implemented the ACA expansion that was offered to them in the first place.
Obamacare is succeeding.....in all of its newly convoluted forms.