Newsflash:
Issue Teams

For those still not convinced by the editorial board’s piece “ ‘This thing is working’ ” (April 21), the bone of contention is almost always about cost.

Many conservative legislators and their constituents all seem to be asking the same question: “How will Missouri pay for costs of Medicaid expansion?” The real question is: How can we afford not to?

When examining the recent successes of the Affordable Care Act, many of which were outlined by President Barack Obama in a speech last week, it’s difficult to settle on the most important number:

It’s not the unemployed who would benefit the most if Missouri expanded its Medicaid program through the Affordable Care Act.

 

 

It’s the cooks and waitresses, cashiers and cab drivers, housekeepers and parking attendants — people working low-wage jobs — who would be most likely to gain health care coverage, according to a report released Thursday by a group of Medicaid expansion supporters that spans the political spectrum.



One of Gov. Scott Walker’s explanations for rejecting a full expansion of Medicaid under the federal "Obamacare" health care law was this:

The feds won’t be good for the money.

And for more than a year, the Republican governor has cited a piece of recent state budget history as evidence.

Republican governors and likely 2016 presidential hopefuls Scott Walker of Wisconsin, Chris Christie of NewJersey, John Kasich of Ohio and former Republican governor Jeb Bush traveled to Las Vegas this weekend to attend the Republican Jewish Coalition’s meeting at top donor Sheldon Adelson’s Venetian resort.

Wisconsin Gov. Scott Walker won federal approval Thursday to expand Medicaid coverage to as many as 83,000 low-income childless adults while ending coverage for about 77,000 childless adults who earn between 100% to 133% of the federal poverty level.

Those taken off the state's Medicaid program, known as BadgerCare, will be directed to the new health insurance marketplace created by the Patient Protection and Affordable Care Act.

Gov. Steve Bullock said Friday that an expansion of the state's Medicaid rolls would have brought some assurances amid the turmoil surrounding the health care law's rollout.

The governor earlier this year backed a plan to expand Medicaid to the working poor earning less than 138 percent of the poverty level. He was opposed by Republican legislative leaders, and the proposal died before lawmakers adjourned.

In the debate about whether Wyoming will expand Medicaid, you need the facts.

First, the target population are adults without dependent children who earn less than 138 percent of federal poverty level, about $15,500 a year. Right now they fall outside the categories of people who can get Medicaid in Wyoming. Many are working, some of them full-time, but they are still very low-income.

Gov. Gary Herbert's proposed alternative to Medicaid expansion is getting attention from neighboring states that initially rejected the coverage available under President Barack Obama's health care law.

Herbert is in "active conversations" with fellow Republican governors who are rethinking whether to accept Medicaid expansion, Utah Department of Health Executive Director David Patton said.

There's a line of thinking about state-based resistance to the Affordable Care Act which holds that it is to some large degree an outgrowth of spite directed at Barack Obama specifically, and that it will begin to fade once Obama is out of office and the right stops treating anything but massive resistance to Obamacare as a form of collaboration with a particularly loathsome adversary.

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