Medicaid Expansion Approved by Virginia General Assebly

Ralph Northam on inauguration day 2018.

In a major triumph for Governor Ralph Northam and Virginia Democrats - not to mention the tens of thousands of working Virginians who will benefit - the Virginia General Assembly has approved Medicaid expansion.  The move will end Virginia's export of taxes that have accrued to adjoining states which previously embraced Medicaid expansion, an aspect of the Affordable Health Care Act which Congressional Republicans have worked to kill with no regard for the millions of Americans who will be harmed through either a loss of health insurance coverage or significantly increased health insurance premiums all so the 1% could reap obscene tax cuts.   Many of Virginia's rural hospitals, especially in Southwest Virginia where bigotry and religious extremism make it difficult to attached a new industrial base, that have been teetering on bankruptcy  or closure, will be among the big winners on this development.   Here are highlights from the Virginian Pilot:

The Republican-controlled Virginia General Assembly gave final approval Wednesday evening to a state budget expanding Medicaid coverage to the state's poor, acting swiftly after the Senate broke years of partisan gridlock on the issue.

The House of Delegates voted Wednesday only about an hour after the state Senate voted in favor of expansion. Several Republicans in both chambers joined with Democrats to support Medicaid expansion.

The House had previously endorsed expansion, while the Senate had held out in opposition until Wednesday.

Democratic Gov. Ralph Northam is expected to sign the budget in coming days that continues the plan. Expanding Medicaid was a key provision of then-President Barack Obama's health care overhaul, and a tally from the Kaiser Family Foundation shows Virginia will become the 33rd state to approve Medicaid expansion.

Senate passage came by a 23-17 vote with four Republicans joining Democrats for passage. The House quickly followed about an hour later with a lopsided 67-31 final endorsement.

Wednesday's voting marked the end of a more than four-year battle over whether Virginia should expand the publicly funded health care program for the poor. 

Virginia Democrats have pushed for years to expand Medicaid, saying their state should not pass up the roughly $2 billion in extra federal funding the program would bring to the state.  Sen. Ben Chafin, a Republican lawmaker from Virginia's economically depressed southwest coal country, announced his support for expansion on the Senate floor. He said his rural area needed expansion to help bolster its hospitals and provide care for constituents in need.  "I came to the conclusion that no just wasn't the answer anymore," Chafin said.

Expanding Medicaid to cover more low-income families was a key provision of the Affordable Care Act secured by then-President Barack Obama.

A federal-state collaboration originally meant for poor families and severely disabled people, Medicaid has grown to become the largest government health insurance program, now covering 1 in 5 people. Obama's health care overhaul gave states the option of expanding Medicaid to cover more low-income adults.

The GOP-controlled General Assembly's support for Medicaid comes despite Trump administration rejections.

Last year, Virginia saw its state legislature reshaped by an anti-Trump wave as Democrats made unexpectedly large gains in the state House. And a failure by the GOP-led Congress to repeal and replace the health law helped spur several of Virginia's Republican state legislators to flip positions.

Democrats campaigned heavily on expanding Medicaid last year and some House Republicans were eager to take the issue off the table before next year's election, when both House and Senate seats are up.

Jeb Bush’s Plutocratic Fantasy Land

Bush vacation "compound" Kennebunkport, Maine - Meanwhile, Jebbie wants us to "work longer hours"

Not to beat a news item to death, but Jeb Bush's statement that working Americans suffering from declining wages need to "work longer hours" underscores just how out of touch he is from reality, especially the reality most Americans live in.  Making matters worse, Jebbie supports more GOP voodoo economic measures that will benefit the very wealthy and screw over average Americans even more.  A piece in Salon lays out the case that Jebbie is living in a "plutocratic fantasy land."  Here are excerpts:

It’s possible that you can forgive Jeb Bush for not knowing about regular people, when in an interview with the New Hampshire Union Leader on Wednesday, he demonstrated a complete lack of appreciation for how hard Americans work — and for how little. Perhaps you can also forgive him for not recognizing that, in fact, Americans work more than their counterparts in other industrialized countries, that we get less vacation time, less maternity leave, and retire later than most anyone else, and that that trend is only intensifying. He’s from a family of millionaires, after all, whose parents were the millionaire children of yet other millionaires before them. It’s an unfortunate reality that the elite who enjoy that sort of privilege simply don’t have the means to understand the lives of those above whom they reside in luxury.

So perhaps you can think of him more like a prince than a former governor: Princes perform their princely duties to uphold the family’s prestige. That’s just the way it goes.

[W]hat shouldn’t be forgiven is when someone like Jeb Bush, entirely ignorant of how the rest of us live, seeks to tell us what we’re doing wrong; when he blames us, indicts us and thereby makes demands. And what’s most egregious is when it’s in the service of his fellow elites, when telling us to work even harder and longer is precisely what fills the pockets of his wealthy friends and supporters. It shifts the blame from the banks and the job off-shorers onto everyone else, and then presents the solution as something that hurts us more and pads the profits of those very same culprits.

[Bush is seemingly] unaware of how U.S. worker productivity has risen some 80 percent since the 1970s, or that we’re actually the most productive workforce in the world, yet with little in the way of commensurate wage and salary increases since the time his father joined President Reagan in the White House in 1980.

Jeb? I seem to remember a Wall Street crisis in the last year of your brother’s tenure, and millions of people losing their jobs because of it, but I don’t remember any sort of “productivity crisis” or “laziness crisis” on our end. I saw a crisis of financial capitalism in which the capitalists wrecked the ship and we lost our jobs. We didn’t abandon them. We’ve been taking care of our end of the bargain, us workers. It’s your lot that’s dropping the ball.

Mr. Bush. You have a multimillion-dollar vacation estate built by your great-grandfather. Your campaign donors are a who’s who of corporate elites. A career spent with some of the biggest banks in the world and your own private equity firm has people comparing you to Mitt Romney. And now you’re telling us that we’re the problem. Please proceed, Governor.

He and his ilk aren’t the problem, goes his logic, but rather that “high-sustained growth means that people work 40 hours rather than 30 hours.” You don’t know why Americans are kept working 30 hours per week? How can you not know that? They don’t choose to work less, it’s that their employers (you know, your buddies) have weekly thresholds that determine full-time work, and full-time work means that the company must provide benefits in addition to wages.

The blame he assigns to workers is moral, though: We choose “being dependent on government,” he says, “rather than getting in line.” It’s a moral failing that he’s comfortable assigning to us in what was supposed to be an attempt to mend the mistake he’d made earlier. 

It’s still our fault, according to Bush. A dynastic front-runner of the GOP, swimming in millions and millions in corporate and Wall Street elite donations and literally swimming at his vacation estate, tells us that we’re the problem, that we’re living too easy. 

I'm sorry, but Bush is an arrogant, despicable ASSHOLE.  We do NOT need him in the White House. Hillary has her faults, but at least she grew up in a normal American household and still remembers where she came from.  Unlike Jebbie, she is not utterly out of touch with reality.

 

Jeb Bush: "People Should Work Longer Hours"

Like so many others born with a silver spoon in their mouth who have NEVER known the financial struggles and what life is like without a financial safety need has a message to hard working Americans: you need to work longer hours.  Many of us are maxed out time wise and don't have the luxury of finding jobs falling into our laps because of who are daddy or granddaddy are/were.  The man is an asshole - not to mention hostile to gay rights, including employment non-discrimination protections. Message to Jebbie: Americans already work longer hours than citizens of advanced countries and we have crappy health care coverage and now less social mobility than in Europe.  Talking Points Memo looks at Jebbie's statement which I hope will go down with Mitt Romney's 47% remark as symbolic of how clueless Bush and his entire family are to the concerns and neeeds of regular working Americans.  Here are story highlights:

In an interview with the Manchester Union-Leader, the first-in-the-nation primary state's most-read paper, former Florida Gov Jeb Bush insisted “people should work longer hours", as a key part of his plan to drive higher economic growth.

The comment is already being treated as a gaffe. But it is actually an accurate if perhaps over-candid explanation of his economic plan, which seeks to combat stagnant or declining wages by getting people to work more hours.

Bush has argued that his economic plan could allow the US to achieve average growth rates of 4% "as far as the eye can see", a figure most economists believe is unrealistic for a mature economy like the United States. The "longer hours" comment was in reference to the historically low labor force participation rates the United States has seen in the aftermath of the 2008 economic crisis.

But numerous public opinion surveys and economic studies have shown that US workers log more hours than workers in any other industrial economy. The majority of Americans already work more than 40 hours a week. In fact, a 2014 Gallup poll found that 40% currently work more than 50 hours a week. The average American worked 11 hours per week more in 2006 than they or the equivalent worker did in 1979.

In response to criticism from Democrats, Bush's spokesperson replied: "Only Washington Democrats could be out-of-touch enough to criticize giving more Americans the ability to work, earn a paycheck, and make ends meet."

Under Bush's plan we will be further along the way on the GOP plan of returning America to the evils of the Gilded Age when the few had fabulous wealth and the rest of us worked our asses off to scrape by.  The Sun-Sentinel has this on target quote from the DNC chair:

Democratic National Committee Chair Debbie Wasserman Schultz, D-Weston, said Florida knows Jeb Bush best, having watched him as governor.  

 "Jeb Bush only looks out for himself and people like him. He never has, and never will, fight for middle class families,'' she said, portraying him as an uncompromising political bully who "always thinks he's right'' and would be incapable of breaking the logjam in Congress.

"We used to call him King Jeb,'' said Wasserman Schultz, who served in the state Legislature during part of Bush's governorship.  "No matter what the voters, or the Legislature, or the courts say, at the end of the day Jeb Bush is going to get things his way, come hell or high water.''

No More Liberal Apologies

Some of my former Republican colleagues - especially those who seem to have suffered a "Stepford Wife" like transformation and ceased thinking independently, preferring instead to imbibe gallons of "Kool-Aid" - claim that I have gone all mindless liberal.  I maintain that I haven't changed but that it is the GOP which has changed.  It's changed into something ugly, selfish, racist and anti-Christian despite its self prostitution to the Christofascist.  Much I my "liberalism" I would describe instead is a continuing grasp on common sense and a realization that the GOP's war on workers and other groups hated by the Christofascists and Tea Party is steadily destroying the lives of average Americans and creating a toxic business climate in the long run.  While I make no claim to have her savvy, Senator Elizabeth Warren makes some points that support my view.  Here are excerpts from a column in the Washington Post:

What all the descriptions miss is Warren’s most important contribution to the progressive cause. She is, above all, a lawyer who knows how to make arguments. From the time she first came to public attention, Warren has been challenging conservative presumptions embedded so deeply in our discourse that we barely notice them. Where others equivocate, she fights back with common sense.

Since the Reagan era, Democrats have been so determined to show how pro-market and pro-business they are that they’ve shied away from pointing out that markets could not exist without government, that the well-off depend on the state to keep their wealth secure and that participants in the economy rely on government to keep the marketplace on the level and to temper the business cycle’s gyrations.

Warren doesn’t back away from any of these facts.  . . . .  “There is nobody in this country who got rich on his own,” she said. “Nobody. You built a factory out there? Good for you. But I want to be clear: You moved your goods to market on the roads the rest of us paid for. You hired workers the rest of us paid to educate. You were safe in your factory because of police forces and fire forces that the rest of us paid for.” It was all part of “the underlying social contract,” she said, a phrase politicians don’t typically use. 

Warren’s book tells her personal story in a folksy way and documents her major public battles . . . But the book is most striking for the way in which her confident tone parallels Ronald Reagan’s upbeat proclamations on behalf of his own creed. Conservatives loved the Gipper for using straightforward and understandable arguments to make the case for less government. Warren turns the master’s method against the ideology he rhapsodized.
Would you rather fly an airplane without the Federal Aviation Administration checking air traffic control? Would you rather swallow a pill without the Food and Drug Administration testing drug safety? Would you rather defend our nation without a military and fight our fires without our firefighters?”  How often are our anti-government warriors asked such basic questions?

But doesn’t being pro-government mean you’re anti-business? Well, no, Warren says, quite the opposite. “There’s nothing pro-business about crumbling roads and bridges or a power grid that can’t keep up,” she writes. “There’s nothing pro-business about cutting back on scientific research at a time when our businesses need innovation more than ever. There’s nothing pro-business about chopping education opportunities when workers need better training.”

At the end of a long liberal era, Reagan electrified conservatives by telling them they didn’t have to apologize anymore for what they believed. Now, Warren insists, it’s the era of liberal apologies that’s over.