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With six Republican governors -- and counting -- embracing Medicaid expansion in their states, the issue has become something of a test for the party's various state chief executives: will arithmetic trump ideology or not?
To reiterate a point we've discussed, the way the Affordable Care Act is structured, Medicaid expansion is a great deal for states, and should be a no-brainer for governors who care about lowering health care costs, insuring low-income families, improving state finances, and helping state hospitals. But many Republican governors remain afraid of their party's far-right base, and don't want to be seen implementing a key provision of "Obamacare."
That list now includes Wisconsin Gov. Scott Walker (R), who yesterday became the 13th governor to reject the ACA's Medicaid expansion, despite the fact that the policy would have covered 235,000 of his low-income constituents with Washington picking up the vast majority of the tab.
But unlike the other 12 GOP governors, Walker's story comes with a twist. As Sarah Kliff explained, Wisconsin "is in a bit of a weird position."
Before the Affordable Care Act passed, it was one of just three states providing coverage to childless adults up to 200 percent of the federal poverty line ($22,240 for an individual). There are a few caveats here: The benefit package is more limited than what is offered to other Medicaid enrollees and it has had an enrollment cap since 2009, which means it limits the number of enrollees who use this coverage.
Most states provide Medicaid coverage to pregnant women, the disabled and children. Some include low-income parents. But very few offer coverage to childless adults. That's why the health law's Medicaid expansion is such a big deal: It will expand coverage to everyone under 133 percent of the poverty line.
This might sound a little complicated, but here's the detail to remember: from Walker's perspective, Medicaid expansion is less important in his state because Wisconsin is going to cover a lot of the same folks anyway.
And what about those who don't? That's the politically interesting part.
For folks whose income would qualify them for federal Medicaid coverage under expansion, but make too much for Wisconsin's eligibility levels, Walker intends to use ... Obamacare.
Wisconsin Gov. Scott Walker, avowed Obamacare foe, proposed an ambitious plan Wednesday to cut his state's uninsured population in half -- by getting them covered through Obamacare.
The Republican announced that he is rejecting Medicaid expansion and the billions of federal dollars that would come with it. In fact, he's proposing a net cut in the state Medicaid program.
Walker would take thousands of people currently on Wisconsin's relatively generous Medicaid program -- people who are above the federal poverty level -- and move them into the Obamacare exchange instead, where they can get federally subsidized private insurance.
So Walker will rely on Obamacare in order to avoid implementing Obamacare.
Far-right activists will probably find this tolerable, though if the Wisconsin governor seeks national office in the future, this may be somewhat difficult to explain.





The states that don't use the expanded medicaid program are doing nothing more than hurting everyone in their states. It would be like me telling my employer not to give me the 401k matching that I get. How dumb can these idiots be?
We're talking about the GOTP here - they've shown a zealousness for idiocy, meanness, purposely hate-filled policies and an overwhelming lack of empathy for "the least of these". So why are we surprised?
I like how Kyle Cheney over at Politico frames this as "an ambitious plan" when Walker is essentially washing his hands and dumping his low income residents into the federal Obamacare program.
Kyle's just doing his job, promoting the right wing agenda at the far right disinfomation conspiracy known as the Politico. Only people who can pass the IQ test low enough to work in Washington take that place seriously.
Don't look behind the curtain...there is no one behind the curtain.
When he goes to prison he would lose Medicaid eligibility but probably not Obamacare. This man schemes ahead.
The sooner he is in the slammer...the better!!!
Hey, don't be so hard on these
ignoramusesgovernors- being a Tenther is no piece of cake!For example, should we tear up the parts of the Interstate Highway System that run thru our states, and replace it with our own, home grown and funded roads? And, should we pave them with gravel, or oyster shells?
Plus, the Post Office, don't forget the Post Office!
A bowl of oatmeal would be a better governor than Scott Walker! -Kevo
FYI, Rachel's Special on Monday is not showing on TV listings. Zap2It is even wrong. While my DVR will pick it up because it's showing the regular new TRMS, you can't find it via a search for Hubris.
Am I the only one who thinks the current crop of Repub governors don't have a national future?
The fact that the sheeple keeps voting for these types - I don't think that they're going to pay a political price. But you keep hope alive....
http://host.madison.com/wsj/news/local/govt-and-politics/scott-walker-rejects-medicaid-expansion-proposes-alternate-plan-to-cover/article_3bf0f724-7617-11e2-b2aa-0019bb2963f4.html
http://www.wispolitics.com/index.iml?Article=289981
This isn't the standard Medicaid Expansion story, Walker is probably doing exactly what is prudent. The real problems happen in states that provide minimum medicaid eligibility. Republican leaders blocking Medicaid Expansion are really, really hurting the poor for no good reason. They are also hurting their white rural base since the loss of DSK payments without the Medicaid Expansion replacement money in rural hospitals will undoubtedly force many of them to close.
Most Republican "ideological" positions are of little personal importance to the Republican base, they just sound good to Frank Luntz focus groups, but here Republican ideologues are going to inflict real pain on their own in the service of their ideology. Scary.
BWAH! HA! HA! HA! HA-HA-HA-HA-Ha-ha-ha-ha ha ha!!!!
AHHHHHH! HA! HA! HA! Ha ha ha ha ha hah !!!
As I watch the docking of the Carnival Triumph cruise ship, I am repeatedly reminded of another reason the U.S. government`s services are needed. The U.S. Coast Guard was essential in taking care of the passengers and the actual docking of the boat. They brought food and other supplies out to the ship. Just one more use of our taxes.