Medicaid expansion

The Ted Cruz Show (Hair-on-Fire Apoplexy)

Sen. Ted Cruz (R-TX) responds to the 2015 State of the Union address in an online video, 20 January 2015.

“As ridiculous as Cruz’s posturing seems, it’s important to remember the broader context: national GOP candidates have a built-in incentive to be as hysterical as possible right now, in the hopes of currying favor with the party’s base. Mild, reasoned disappointment with the court doesn’t impress far-right activists; unrestrained, hair-on-fire apoplexy does.”

Steve Benen

This is an obvious point, or, at least one might think.

Steve Benen points to his msnbc colleague Benjy Sarlin’s report Friday last detailing the 2016 GOP presidential reactions following the Supreme Court’s 5-4 decision in favor of same sex marriage:

Sen. Ted Cruz (R-Tex.) went so far as to call for a constitutional convention to overturn the court’s decision while campaigning in Iowa, according to CNN. In an interview with Sean Hannity he called the back-to-back rulings on health care and gay marriage “some of the darkest 24 hours in our nation’s history.”

While the Texas junior is hardly the only Republican presidential candidate opting to skip out on posturing his response within the realm of general dignity, Mr. Benen responded aptly:

Hannity, incidentally, found Cruz’s rhetoric quite compelling, responding, “I couldn’t say it more eloquently.”

For what it’s worth, it’s not hard to think of some genuinely tragic 24-hour periods in American history. The Lincoln assassination comes to mind. So does the time British troops burned the White House. There were days during the Civil War in which tens of thousands of Americans died on the battlefield. Just in the last century, we witnessed the JFK assassination, Pearl Harbor, and a corrupt president resign in disgrace.

For the Republican presidential hopeful, learning that Americans will have health benefits and loving couples will get married belongs on the same list.

The thing is that Mr. Cruz is not entirely wrong; the rest, as Benen points out, is a matter of perspective.

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The Affordable Cow Act

"The MO Senate is now debating the Affordable Cow Act. Insurance subsidies for dairy cows is okay. Not for people though. #moleg" (Missouri State Rep. Jeremy LaFaver, R-25, via Twitter, 19 March 2015)Obamacow.

Obamacow.

Obamacow.

Missouri is the “Show-Me State”―

Touted by sponsor Rep. Bill Reiboldt, R-Neosho, as the Dairy Revitalization Act, the measure earned a second nickname Thursday: “Obamacow.” The name stems from a provision of the bill that would subsidize federal dairy insurance for up to 70 percent of farmers’ premium payments.

Before voting in favor of the bill, Republican Sen. Ryan Silvey of Kansas City questioned helping provide dairy insurance while the majority party has resisted growing a federal health care program for low-income adults. Silvey is one of the few GOP members who this session has joined Democrats in calling to expand eligibility for Medicaid.

Silvey called the bill “Obamacow,” drawing a parallel with the term “Obamacare.” That term is used by some Republicans to describe President Barack Obama’s Affordable Care Act, under which states can receive enhanced federal funding if they raise eligibility for adults earning up to 138 percent of the federal poverty level — or $33,465 for a family of four.

(Ballentine)

―and what they’re showing is not quite inexplicable.

And it’s almost funny.

Obamacow.

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Ballentine, Summer. “Bill to help Missouri’s dairy industry heads to governor”. SFGate.com. 19 March 2015.

LaFaver, Jeremy. “The MO Senate is now debating the Affordable Cow Act”. Twitter. 19 March 2015.

A Reminder of the Stakes

Steve Benen considers one of the quieter, yet more important stakes on the table in today’s midterm election:

We’ve probably all seen comparisons between the 2014 elections and “Seinfeld” – it’s the campaign cycle about “nothing.” The analyses are understandable, given just how little focus there’s been on anything resembling substance. Quick quiz: name the defining issue of this year’s elections.msnbc

If you said, “Ebola-carrying terrorists hiding in Mexico,” you appreciate just how vapid much of this campaign season has been.

But for many Americans, a great deal is at stake today. These families may not get a lot of attention, and they may not be as fascinating to political reporters as Bruce Braley’s neighbor’s chickens or Alison Lundergan Grimes’ 2012 presidential preference, but they’re probably wondering today whether the election results will allow them to receive affordable medical care.

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Benen, Steve. “Medicaid expansion on the line in many key races”. msnbc. 4 November 2014.

A Different Disgrace Out of Mississippi

The Great Seal of the State of Mississippi

“It’s as if you gave me a car, I took off the wheels and refused to put gas in the tank, and then blamed you when the car doesn’t go anywhere. In this case, Bryant is blocking the law’s full implementation and whining that the law isn’t working effectively. Under the circumstances, shouldn’t the governor be bragging? He is, after all, getting the results he set out to achieve.”

Steve Benen

There is not, really, anything to add, except perhaps to remind for those inclined toward disbelief that this is, after all, Missouri, where they have a nasty tendency toward self-destructive blatancy such as skipping the pretense about patient health and crowing that they are trying to violate the constitution, or explaining the need for the return of coat-hanger abortions.

It’s an interesting trick, isn’t it? Bryant has done as much as he can to sabotage the ACA in Mississippi, and by standing in the way of Medicaid expansion, among other things, the governor has largely succeeded in hurting his state on purpose. As “Obamacare” sharply reduces the uninsured rate elsewhere, Mississippi is being left behind, by its governor’s design.

And so he’s blaming the White House.

In other words, no matter how stupid Gov. Phil Bryant might sound in trying to blame his successes on the president in order to denounce Obama for their damaging effects, it is, after all, Mississippi. When conservatives remind you of “Middle America” and “family values”, these are the “values” they are invoking.

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Benen, Steve. “Chutzpah Watch, Mississippi edition”. msnbc. 29 July 2014.

—————. “Mississippi lawmaker: Coat hanger abortions might come back. ‘But hey …'”. msnbc. 6 September 2013.

The Deal With Deal?

AJC-file-NathanDeal-detail-bwThere comes a point when the political discourse achieves such stupidity that, well … er … right.

Steve Benen explains the (ahem!) deal down in Georgia:

Georgia Gov. Nathan Deal (R) has a problem: rural hospitals keep closing, overwhelmed by financial troubles they can’t solve on their own. The obvious solution – accepting Medicaid expansion under the Affordable Care Act – is the one thing Deal refuses to even consider.

There is no great mystery here as to why the rural hospitals can’t keep their doors open. These facilities have routinely covered low-income Georgians who don’t have insurance, leading to facilities that can’t pay their bills. Medicaid expansion would “help rural hospitals by turning many of their uninsured patients into paying patients,” but the governor and GOP state policymakers won’t budge.

But don’t worry, Deal is ready to think outside the box.

So what’s the deal with Deal? The Georgia Republican has decided he has a problem with the 1986 EMTLA—Emergency Medical Treatment and Labor Act—which formalized hospital obligations to care provision. In other words, the deal is that Gov. Deal wants hospitals to stop treating the poor.

Yes, really. Sigh.

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