If you live in a state with a Republican governor, like I do, your governor cares much much more about making an anti-Obama political stand than about (1) you, (2) common sense, (3) cash from the federal government to help you, (4) sick people, (5) poor people, (6) healthy people, (7) hospitals, and (8) did I mention you? Just get a load of this latest story developing after Obamacare was upheld by the Supreme Court except for the part where states would be forced to accept government money to expand Medicaid to insure more citizens.
Ten GOP governors have said definitively that they will not accept the funds, while 19 are still considering other options. Sixteen states, all with Democratic governors, have committed to expanding their programs. Starting in 2014, the Affordable Care will expand Medicaid to families earning up to 133 percent of the federal poverty level (FPL) and provide subsidies to those at up to four times the FPL to purchase insurance in state-based exchanges. But:
Not a single Republican governor has pledged to accept the new Medicaid funds and three Democrats are also considering turning down the money. In total, these states would give up $291.4 billion in federal funds and leave 10,297,221 Americans uninsured.
As Ezra Klein explained in the Washington Post, the health care law's Medicaid provision should be "too good to pass up." After all, the federal government will pick up 100 percent of the cost for the first three years and 90 percent for the next five. And as it turns out, this latest example of "red state socialism" is a particularly sweet deal for Republican governors whose constituents will benefit most, thanks in no small part to blue state taxpayers:
To get a sense of what an incredibly, astonishingly, unbelievably good deal that is, consider this: The federal government currently pays 57 percent of Medicaid's costs. States pay the rest. And every state participates. Republican governors are denying a chance to expand Medicaid to insure more citizens with the federal government paying 100 percent of the costs.
And somewhat perversely, the states that get the best deal under the law are states like Texas, which have stingy Medicaid programs right now, and where the federal government is thus going to pick up the bill for insuring millions and millions of people. In states like Massachusetts, where the Medicaid program is already generous and the state is shouldering much of the cost, there's no difference for the federal government to pay.
The Republican Brain: "If Rush says sumthin' is bad, it is bad, and all your fancy numbers that show how much my state will be helped by Obama mean nuthin'. Let's vote that commie bastard out of office and keep our health care shitty!!!"
Fucking idiots. Oh, and this time (thanks to Governor Fatso McIdiot and the fools who voted for him), my state is one of them.