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Friday, June 14, 2013

Jan Brewer Saves Obamacare in Arizona

     I'm taking some license but I love this title as I know she would most certainly not like it. However, you have to hand it to her-she has done a great job. If anything she proves that it takes a GOPer playing hardball to stop GOP obstruction. She basically told them that she would pass nothing they sent her till they approved the Medicaid expansion. 

     "The Arizona governor aggressively promoted the Medicaid expansion since taking her surprising public stand earlier this year. Brewer assembled a coalition of health care interests and business groups and worked alongside Democratic legislators in addition to campaigning across the state in service of extending health coverage to hundreds of thousands of poor Arizonans using Obamacare funding."

     "Brewer played hardball with Republican legislative leaders in the state to get her way, earning their ire in the process. She followed through on her threat to veto any bill not addressing the Medicaid expansion last month. On Tuesday, she raised the stakes by calling a special session and forcing the temporarily adjourned legislature back to work on Medicaid and the state's budget."
     "Republican legislative leaders and conservative lawmakers have bristled at Brewer's embrace of the expansion, a key component of Obamacare, andobjected to her calling a special sessionwhen the legislature was scheduled to reconvene later in the week anyway."
    "I'm deeply and profoundly disappointed at the manner in which this came down," said Senate President Andy Biggs, before voting against the measure Thursday.

     http://www.huffingtonpost.com/2013/06/13/arizona-medicaid-expansion_n_3430371.html?1371159023

     This now brings to 29-plus the District of Columbia-the states that have approved the Medicaid expansion. During their relentless opposition to Obamacare since its inception-and before-the GOP has claimed that the more people hear about ACA the less they like it. More likely it's the more confused they get with all the misinformation out there the less they like it. 

     However, the more they actually have experience with Obamacare itself, the more they will like it. It's like other government programs. In 20 years no Republican will admit to wanting to gut Obamacare-they'll be trying to save it like they're always trying to save Medicare and Social Security. 

     The idiotic recalcitrance of state GOP Governors and legislatures is actually giving us the opportunity to what we don't get too much in economics-natural experiments. Effectively GOP opposition will create a two-tiered healthcare system among the states. 

     States who insist on turning down this free gift to the states will earn the ire of their constituents at some point 

     "Arizona is among the 29 states and the District of Columbia with chief executives who support expanding Medicaid under Obamacare to anyone who earns less than 133 percent of the federal poverty level, which is $15,282 for a single person this year. Majority-Republican legislatures in a number of states have stymied expansions endorsed by their governors, including Florida's Rick Scott (R), Ohio's John Kasich (R), Michigan's Rick Snyder (R), Missouri's Jay Nixon (D) and others."

     "This is a big deal because Arizona and Gov. Brewer are very conservative," said Ron Pollack, executive director of Families USA, a consumer advocacy organization that supports the health care reform law. "It shows that at least for this governor and this state, practicality and common sense has prevailed over ideology and partisanship," he said. "This is a reflection of what we're going to see over time in many other states across the country."
      "But about a dozen Republican governors, including Rick Perry of Texas and Bobby Jindal of Louisiana, remain opposed to broadening the program, citing opposition to Obama's health care law and the expense of the expansion. The Supreme Court ruling that upheld the law last year gave states the right to opt out of its Medicaid provisions."
     "Under the law, the federal government will pay the full cost of the Medicaid expansion from 2014 through 2016, after which the federal share will gradually decline until it reaches 90 percent in 2022 and beyond. Currently, the federal government covers an average of 57 percent of Medicaid costs and the states pay the remainder."
     Greg Sargent was talking about how the GOP keeps losing it's 'rebranding' message. 
      The trouble is that the rebranding is just skin deep anyway-of course the House GOP messes even that up. My guess after the election was that they relaly wound't learn anything and certainly not what they need to learn. Seeing them in the first 6 months this new year nothing has changed. They have only two plays. 
     1. Impede and obstruct
     2. Failing that Investigate and impeach
      As I said in a post yesterday, their opposition since 2009 has been remarkably unprincipled as they have taken the stimulus funds they refused to vote for, etc. Yet what's even worse is their true principles. They have been showing us that the GOP War on Women is far from being a figment of anyone's imagination, very real. Judging by what they've been doing postelection especially at the state level, it's a wonder any woman ever votes GOP. 
      On Obamacare they are also poised to take a very unpopular position. Conservatives often boast about the GOP Governors and state legislatures, however, opposition to Obamacare which will likely only get more popular with the passing of the next few years after being fully implemented will actually be the way for them to lose all these states when the contrast with the blue states with the Medicaid expansion and which cooperates fully with ACA becomes clear. 
      The modern GOP has always gotten its red state voters by a certain Faustian bargain. But while they like the GOP's reactionary social agenda as being showcased in the GOP states with abortion, even red states don't like being deprived of government benefits. Oppostion to ACA is how they'll lose even their White, bigoted base. 

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