Red States Remain Adamantly Opposed to Medicaid Expansion


A lot of people, myself included, have hoped that pressure from health care groups will eventually persuade even deep red states to enact the Medicaid expansion that’s part of Obamacare. After all, the expansion is almost entirely paid for by the federal government, and the loss of Medicaid money hurts doctors and hospitals in the affected states.

Today, Dylan Scott reports that the key word here is “eventually.” For now, anyway, red-state politicians are adamant about never, ever expanding Medicaid by even a dime:

Top officials for powerful trade organizations in three of the largest states not expanding Medicaid under Obamacare told TPM that they have effectively given up that fight until political conditions change, setting their sights on 2015 at the earliest.

“What I’m really struggling with is — I don’t even know how to talk about expanding Medicaid without just pissing Republicans the hell off and making them think I’m part of the problem,” said a top official for one of the industry groups, who spoke on the condition of anonymity to talk frankly about the political reality in their state and avoid upsetting the chances of expansion in the long term.

….These organizations approached Medicaid expansion as a typical legislative issue last year — the kind where the promise of billions in federal dollars and opportunity to insure thousands of your constituents would trump ideological purity….”We found that this issue is much bigger than that. The influences are much stronger than a state-derived influence in terms of keeping states in the ‘No’ column,” a trade group official in a third state said. “We can’t even call it Medicaid expansion here. That’s a politically incorrect way of saying it.”

Ideological purity continues to trump the prospect of helping the poor, even when that help is all but free. Ladies and gentlemen, this is your modern Republican Party.

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate