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View Diary: Andrew Cuomo realizes he has a problem on his left (238 comments)

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  •  And he lost to George 'Mr. Bland' Pataki... (16+ / 0-)

    mostly by not even trying. He campaigned as if it was a coronation, and got his ass kicked by the most colorless politician on the planet.

    •  More proof that (for Republicans)... (2+ / 0-)
      Recommended by:
      tikkun, Alice Olson

      ...the best candidate is a stealth candidate.

      "If you're going to go down with the ship, make it a submarine." - Wayne Shorter

      by Oliver Tiger on Wed Apr 23, 2014 at 05:16:40 PM PDT

      [ Parent ]

    •  Pataki ended up being to the Left of both Cuomos (3+ / 0-)

      particularly on fiscal matters. Democratic governors in NYS tend to be fiscal conservatives.

      •  Not so. NY Dems tend to be Wall-Street toadies, (2+ / 0-)
        Recommended by:
        Gentle Giant, Alice Olson

        but Pataki worked long and hard to make NY State taxes even more regressive, and to escalate deregulation.

        And while Pataki got credit for expanding lands protected from development by the State, most of this was Hudson Valley land that (coincidentally, I'm sure) markedly increased the value of the very large estates owned by Pataki and his friends & neighbors.

        Mario Cuomo at least nodded to the teachers' unions, and to his great credit supported a State Health Commissioner who was extremely aggressive in going after doctors and hospitals to improve the quality of care. (Trust me on this; David Axelrod was loathed by the medical community because he was so relentless in demanding better care and going after bad practitioners.)

        •  Pataki was a big spender (1+ / 0-)
          Recommended by:

          particularly in healthcare. Ask the health care workers union.

          And he really was a big environmentalist, not just in the areas where his family owned land.

          Andrew Cuomo has turned NY Medicaid from the best health insurance in America to something mediocre.

          •  NY Medicaid has *always* been mediocre. (0+ / 0-)

            It has always included countless 'gotcha's' and endless rolls of red tape. It has always been excruciating to deal with as a provider, which has more to do with why most private docs don't participate than its relatively low rates.

            Nowadays its Medicaid managed care versions are a bit less toxic. And it remains far better than anything in any Southern state.

            And it goes without saying that a solid majority of Medicaid dollars goes not to provide health care to the poor, but to pay for nursing home care for middle class and affluent elderly folks in nursing homes. Including George Pataki's millionaire dad.

            •  My wife treats Medicaid patients (0+ / 0-)

              as a physician and NY Medicaid has never in almost a decade ever rejected a treatment recommendation. She can't say that about any other insurer.

              That is changing with Managed Care. You are right about it being better than other states, though.

              And it is not true that the majority of Medicaid dollars go to nursing home care; it is actually about a third.

              •  My mistake. (0+ / 0-)

                That's correct, it spends less on nursing homes overall. But per-capita it spends far, far more on each nursing home resident than on (say) sick kids or poor adults.

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