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Proving that making a political point is more important to Republicans than anything else, including saving potentially millions of lives, an increasing number of Republican governors are announcing that they'll refuse the Medicaid expansion money from the federal government. Think Progress has been tracking the state's decisions and has found, so far, 10 Republican governors will refuse it, and another 19 are unsure.

That Supreme Court ruled that states could refuse the Medicaid expansion because the law went too far in allowing the government to take all existing Medicaid funding away from the states who refused to participate. Predictably, governors like Florida's Rick Scott, Louisiana's Bobby Jindhal, South Carolina's Nikki Haley and Wisconsin's Scott Walker are all ready to keep millions of people uninsured. They're willing to let their constituents die—hundreds of thousands in some states, millions in total—for their perverted notion of states' rights.
Chart showing how many people will be left out of medicaid expansion in 10 states who have said they'll refuse it
This is, by the way, basically free money they're refusing. The ACA provides 100 percent funding for the expansion in the first three years, 90 percent for the next five. Not taking this money is profoundly immoral, and probably profoundly stupid, too, when all those voters find out the scope of what they're being shut out of. That includes some powerful political forces, most notably hospitals who will have to keep taking on these patients regardless, and have been anxious to start getting their charity care dollars recouped.

And while it's still a little early to know exactly what the public opinion fall-out of the ruling will be, the early indications are that the majority of people want this political fight over the ACA to be over and done with already. Additionally, new CNN polling [pdf] shows that Republicans are fairly narrowly divided (for Republicans, anyway) on this part of the Supreme Court decision, with 48 percent saying it's a good idea to allow states to opt out, but 43 percent opposing that decision. Maybe rank and file Republicans aren't quite as bloodthirsty as the governors they elect. Well, and the people they let into Republican debates.

"Let 'em die" might not be the most effect campaign slogan for Republicans when voters start figuring out what their states will be missing out on.

Originally posted to Joan McCarter on Mon Jul 02, 2012 at 02:12 PM PDT.

Also republished by Daily Kos.

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Comment Preferences

  •  A quick glance at the map suggests (11+ / 0-)

    that it is the usual subjects. How about an "ideology over life" billboard campaign?

    We have only just begun and none too soon.

    by global citizen on Mon Jul 02, 2012 at 02:19:49 PM PDT

  •  Of course they will. (11+ / 0-)

    And some middle class folks, primarily whites, will cheer on those deaths.  

    There is a deep sickness in this nation, and it exemplifies itself in the tea party scream to keep the government's hands off of their Medicare.    There is an evil, a lack of compassion, by many who call themselves Christians but who would crucify Christ if he were to show up and ask them to follow his precepts, such as what you do to the least of these brothers and sisters of mine, you do to me.

    Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me.’

    Then he will say to those on his left, ‘Depart from me, you who are cursed, into the eternal fire prepared for the devil and his angels. 42 For I was hungry and you gave me nothing to eat, I was thirsty and you gave me nothing to drink, 43 I was a stranger and you did not invite me in, I needed clothes and you did not clothe me, I was sick and in prison and you did not look after me.’

    44 “They also will answer, ‘Lord, when did we see you hungry or thirsty or a stranger or needing clothes or sick or in prison, and did not help you?’

    45 “He will reply, ‘Truly I tell you, whatever you did not do for one of the least of these, you did not do for

    Matthew 25:31-46 (New International Version)

    I'm from the Elizabeth Warren and Darcy Burner Wing of the Democratic Party!

    by TomP on Mon Jul 02, 2012 at 02:23:16 PM PDT

    •  That's the liberal version of the bible so it (2+ / 0-)
      Recommended by:
      TomP, luckylizard

      doesn't count.  The one the Republicans follow are all about the golden idols (before Moses gets back).

      •  Says the same thing (2+ / 0-)
        Recommended by:
        Sherri in TX, ColoTim

        in every version.  No way to squirm their way out of it.

        There already is class warfare in America. Unfortunately, the rich are winning.

        by Puddytat on Tue Jul 03, 2012 at 04:59:09 PM PDT

        [ Parent ]

      •  That or Jesus (1+ / 0-)
        Recommended by:
        ColoTim

        Christ has become a ruthless free market capitalist who hates poor people.  I frequently post this statement in the comments section of the Houston Chronicle on line edition.  It usually shuts down the right wing Christian fundamentalists who hate poor people.  

        The lizard brains have been led to hate poor people who are not white.   Galveston, TX is a perfect example.

    •  Except that (4+ / 0-)
      Recommended by:
      luckydog, sethtriggs, Puddytat, cocinero

      One effect is that by keeping the working poor out of Medicaid, and thus out of insurance, there's the same cost shifting problem the ACA was set up to avoid.  Middle class folks won't die, of course, but they'll still be adversely affected.

      Of course, your low information voter might well not make the connection between lower rates with the bill properly implemented and higher rates with them not.  

      Difficult, difficult, lemon difficult.

      by Loge on Tue Jul 03, 2012 at 04:39:24 PM PDT

      [ Parent ]

    •  New Republican Slogan: (8+ / 0-)
      "Live Free and Die"

      "Beer is living proof that God loves us and wants us to be happy." -Benjamin Franklin

      by hotdamn on Tue Jul 03, 2012 at 04:39:29 PM PDT

      [ Parent ]

    •  No political advantage or profit in keeping God' (1+ / 0-)
      Recommended by:
      Puddytat

      children alive

      Bibles are there to keep the masses afraid of going to hell.

      Republican care
      Don't get sick
      If you do get sick die quickly.

    •  Where are the Bishops on this? (6+ / 0-)
      Recommended by:
      Fury, Van Buren, cocinero, Bensdad, bkamr, tb mare

      We get that they don't like birth control, but will they be exhorting their flock to repeal ObamaCare or to care for the least of these?

      “when Democrats don’t vote, Democrats don’t win.” Alan Grayson

      by ahumbleopinion on Tue Jul 03, 2012 at 05:07:17 PM PDT

      [ Parent ]

    •  Heh, indeed. If Christ were alive today and said (1+ / 0-)
      Recommended by:
      bkamr

      he supported "Obama care" they'd want to crucify him.

      But then, that was supposed to be the lesson, wasn't it; forgive them for they no not what they do or some such?

      Do they honestly think Christ wouldn't support "Obama care"?

      Romney - his fingernails have never been anything but manicured.

      by Pescadero Bill on Tue Jul 03, 2012 at 05:20:11 PM PDT

      [ Parent ]

    •  This is what we need on a billboard (2+ / 0-)
      Recommended by:
      Americantrueandblue, bkamr

      In every state where the governor is rejecting the Medicaid funds, we need to erect double billboards.

      The first will be a "God" ad. Bold white letters on Black:

      "Whatever you did for one of the least of these, you did for me."
      -GOD
      On the second should be a sick, impoverished looking little white girl (white to appeal to the audience we are seeking) with the quote:
      "Die Quickly."
      -Governor (insert name of local right-wing nut-job governor here)
      These shouldn't be placed along freeways (those are expensive, and we are not after direct mass exposure), they should be placed in, or along roadways to conservative neighborhoods, preferably near a church (bonus points if next to a Catholic church).

      The idea isn't to get a lot of people to see these signs, but to get them talked about. If near a church the paster/minister/priest may feel obligated to mention them in their sermon/homily.

      Hopefully right-wing talk radio will feel obligated to mention these signs (derisively, of course).

      But those are the audiences that we seek. There will be some who will question the content, "Why do they think that Governor so-and-so wants children to die?" And then we have them, they've begun on the path to question right-wing authority.

      In many states, all we need is 1 or 2 percent to change the outcome of elections, and if we can get just a few people to hear the message, and question their preconceived notions, we will win in the end.

      Suspicion Breeds Confidence

      by tlf on Tue Jul 03, 2012 at 05:28:59 PM PDT

      [ Parent ]

  •  I'm not so sure they are (6+ / 0-)

    "letting" them die to make an ideological point. It seems more likely to me that this is part and parcel of the social darwinism they believe will hurry all those undeserving people on.

  •  Texas, (6+ / 0-)

    of course.

    Welcome to our little bitof Hell...

    Torture is Wrong! We live near W so you don't have to. Send love.

    by tom 47 on Mon Jul 02, 2012 at 02:24:51 PM PDT

    •  Really. OT, but this week I have witnessed (2+ / 0-)
      Recommended by:
      Puddytat, bkamr

      a 20 something 'like' George W Bush page on Facebook, and a 40 something Austin teacher, a former colleague, like Laura W Bush page.  

      If that wasn't enough, I was traumatized at a recent party at my Republican in laws when I learned that four of the attendees had read, or owned, GW Bush's new book.

      I did not run screaming into the street, but I wanted to.

      How did the Supreme Court decision on ACA help the 23 million still uncovered? Ask the 18,000 Doctors of http://www.pnhp.org ... they're not waiting, but working now to pass H.R. 676, the “Expanded and Improved Medicare for All Act .

      by divineorder on Tue Jul 03, 2012 at 04:56:16 PM PDT

      [ Parent ]

  •  It could be a head-fake by GOP Governors too (3+ / 0-)
    Recommended by:
    chuckvw, commonmass, Matt Z

    "We don't need someone who can think. We need someone with enough digits to hold a pen." ~ Grover Norquist

    by Lefty Coaster on Mon Jul 02, 2012 at 02:25:43 PM PDT

    •  They faked out their own heads? ^_^ (1+ / 0-)
      Recommended by:
      antirove

      The entire medical-industrial complex, AMA, AHA, insurance, pharma, equipment, and the rest, is going to come down on those heads in short order. We are talking about real money here. Do you have any idea how many scanners of all kinds 30 million fully-funded patients (Medicaid plus exchanges) will need for preventive care?

      And they won't have any trouble getting voters on board against the Free Riders, given that mandatory ER care costs us all about $1000 per family, and has resulted in a long string of ER closings going back more than two decades.

      Once enough of them start pushing the benefits for all the rest of us as hard as they used to push Operation Coffeecup (LPs of Ronald Reagan ranting about Socialized Medicine, to be played to your neighbors over coffee), it's game over.

      As with gay marriage, once it passed its tipping point, there well be a continual string of Republicans thrown under the bus in state after state.

      Two of the biggest insurance states, CT (The Hartford and others) and NJ (Prudential especially, and smaller companies like my actuary father's, Mutual Benefit), are going ahead with Medicaid expansion. NE (Mutual of Omaha and others) is on the fence. That's very likely the place to watch.

      Heineman: No rush to establish health care exchange

      Some advocates and health care providers, such as Dr. Bob Rauner of Lincoln, chairman of the Nebraska Medical Association's public health committee, said the court ruling should motivate action on providing an insurance exchange. Rauner is a fan of such exchanges, which he called a boon to small businesses.

      Some answers may be forthcoming July 19, when State Insurance Department officials are scheduled to brief legislators on health care issues.

      Other information may come out on July 12 at a planning meeting being convened by Nordquist and Campbell and involving consumer advocates, health care providers, insurance representatives and others.

      But the governor also took steps to comply with the law if it were upheld. He accepted nearly $6.5 million in federal funds to plan for the exchanges.

      Reluctance in Some States Over Medicaid Expansion
      The health care industry, sensing the skepticism in some states, is preparing a campaign to persuade state officials to accept the money for coverage of the uninsured.

      Hands off my ObamaCare[TM]

      by Mokurai on Mon Jul 02, 2012 at 03:13:30 PM PDT

      [ Parent ]

    •  It seems to be a risky strategy to actually follow (2+ / 0-)
      Recommended by:
      Puddytat, kareylou

      though with their threat, especially in states that are more on the swing side instead of all out winger.  

      Whether that is the case of not depends on how well voters are informed and whether they make the connection between their own access to health care and the GOP roadblock to expanding care.

      Also whether people who have health insurance care about those who do not.

      “when Democrats don’t vote, Democrats don’t win.” Alan Grayson

      by ahumbleopinion on Tue Jul 03, 2012 at 04:27:51 PM PDT

      [ Parent ]

  •  We have a wolf in sheep's clothing (7+ / 0-)

    running for governor here in Washington. Some Democrats think McKenna is a "moderate". As AG, he was part of the original lawsuit that led to this decision. Oopsie! Now he says he'll comply with medicaid expansion and creation of exchanges.

    I hope we don't have to rely on his change of heart, since he seems to have changes of heart fairly frequently.

    "I don't try to describe the future. I try to prevent it." - Ray Bradbury

    by chuckvw on Mon Jul 02, 2012 at 02:30:36 PM PDT

  •  But it's not "free money". It's the tax dollars (9+ / 0-)

    residents of this state paid in Federal taxes, at least in part. These states are coming between taxpayers and their doctors! They are also saying that they know better how the taxpayers' own money should be spent. FAIL.

    Santorum: Man on Dog; Romney: Dog on Car. Mrs. Romney: Fraud on Horse. equalitymaine.org

    by commonmass on Mon Jul 02, 2012 at 02:32:44 PM PDT

  •  Questions: If you live in a state that (3+ / 0-)
    Recommended by:
    WheninRome, myboo, luckylizard

    rejects it and you need medical attention can you go to another state?  Also what happens if you live in a state and have coverage and get ill or in an accident in a state where they have no coverage?

    •  If you get coverage, you are covered (2+ / 0-)
      Recommended by:
      Olympia, myboo

      All health insurance in the US covers you in any state.

      Cross-border Medicaid is an interesting question. Currently, some states severely limit out-of-state care.

      A Warning for Medicaid Beneficiaries Traveling Out of State

      However, many Medicaid recipients don’t realize that their health insurance coverage may not provide a full set of benefits should they require care while out of state. For example in some states Medicaid only covers out-of -state emergency room visits to stabilize emergency conditions. Should a beneficiary need to be admitted to a hospital in another state or if he must receive essential, regular psychiatric care or medications from an out-of-state provider, some states will not pay for the services through Medicaid. In these situations, a caregiver or other family member is often required to sign an agreement to pay for the services before the person with special needs can receive care.
      How might the ACA change this? Obviously, there is an answer to this question, but I haven't found it. I would like to think that with the Federal government paying for the expansion, it should have put in a cross-border provision, but what I like doesn't count for beans in the law.

      Hands off my ObamaCare[TM]

      by Mokurai on Mon Jul 02, 2012 at 03:24:41 PM PDT

      [ Parent ]

      •  I don't think so. (1+ / 0-)
        Recommended by:
        Olympia

        All health insurance in the US covers you in any state.

        In fact it doesn't. We have 50 sets of different insurance laws for every state and another set for DC.

        •  so it will resemble what we have in (1+ / 0-)
          Recommended by:
          True North

          Canada.  Different coverage in different Provinces.  We also have to purchase out-of-country coverage privately as our provincial plans and/or private employer plans  often have a top limit for services that are less than those charged in other countries.  The out-of-country coverage is used as a top-up protection.

  •  "Love it or leave it" (0+ / 0-)

    What those refuse-to-implement Republican governors are hoping for and counting on is that people who would have benefited from expanded Medicaid coverage in their state will move to liberal Medicaid "magnet" states.

  •  We need to personalize these abstract 30 to 50 (0+ / 0-)

    million Americans who do not have coverage, and whatever fraction could get it if these cruel and obstructionists goveners and other state politicians do not deny coverage for them by refusing federal medicaid expansion funds.

    We need to get specific real people, with typical conditions asking Mitch McConnell and others, will you look Barbara Jones in the eyes and tell her to die because her juvenile diabetes, or hemophilia will go untreated?

    Or, look John Smith in the eyes, and tell him this senior citizen and others like him to go without his meds because your state will not close the donut hole for prescription meds.

    Or, tell my son he can not have a secondary back surgery to fix the curvature caused by his growing out of his original metal pipes he had put in when he broke his back as a teenager?  

    Will Republicans persist along this mean spirited selfishness if they have to look real people in the eyes and deny them medical care that virtually all other modern countries provide for their citizens.

    Will Republicans look at infant mortality rates and say they are happy to see the US somewhere down below 17th in world standards with several third world countries leading us?

    Will American voters re-elect them if they do?

    Let's hold them accountable for this dastardly BS.

    The means is the ends in the process of becoming. - Mahatma Gandhi

    by HoundDog on Mon Jul 02, 2012 at 03:04:02 PM PDT

    •  No point showing real people to Mitch McConnell (1+ / 0-)
      Recommended by:
      HoundDog

      or to a Tea Party convention. They have looked people in the eye and then shouted them down.

      We have to get through to the real people behind the organized bloviation and posturing. Fortunately, the health care industry, seeing the prospect of real money in front of them, is with us in this round. That is not my fantasy, it is reporting in the media.

      Hands off my ObamaCare[TM]

      by Mokurai on Mon Jul 02, 2012 at 03:30:05 PM PDT

      [ Parent ]

    •  I think it's looking corporations in the eye (0+ / 0-)

      that will change their minds. As was mentioned in the diary there are alot of "people" waiting in line to get their
      hands on their piece of the pie. They will not go quietly in the night. There is too much money at stake.

      A month from now, these states will be quietly implementing ACA, if they aren't already.

      Today's problems are yesterday's solutions. Don Beck

      by Sherri in TX on Tue Jul 03, 2012 at 06:34:00 PM PDT

      [ Parent ]

  •  Couldn't a case be made for negligent homicide (3+ / 0-)
    Recommended by:
    myboo, Militarytracy, IreGyre

    against a governor if a citizen of his state dies because they couldn't get the medical help they needed due to a lack of funding? It's like a doctor who refuses to give a patient medicine that's sitting right there on the shelf.


    Not this mind and not this heart, I won't rot • Mumford & Sons

    by jayden on Mon Jul 02, 2012 at 03:47:45 PM PDT

    •  I was wondering the same for the immigrants that (0+ / 0-)

      will not be covered.  I still do not understand how they cannot use their own money and buy policies regardless of their legal status and/or birthplace.  I guess they can still go to the ER or will they be denied now?

  •  here's the issue (1+ / 0-)
    Recommended by:
    Fury

    "The ACA provides 100 percent funding for the expansion in the first three years, 90 percent for the next five."

    And then after 8 years?  A slow leak of funds ( but still with the mandate) until it's another federal unfunded mandate.  Look we all want better health care ( I was just thinking today wouldn't it be better to get people hip and knee replacements when they are say 40, and not when they are 75?) but if there is a chance that the states and counties will need to fund even 1 dollar of it at some point, it's not going to be fair or universal.  Is there no one brave enough to just expand Medicare for all, and be done with it?

  •  Gov. Braindead (Branstad R-IA) (1+ / 0-)
    Recommended by:
    cocinero

    strikes again.  I can't wait to vote against that sorry piece of work.  How we got stuck with him again after having once rid ourselves of him defies reason.

    -7.62, -7.28 "Hold fast to dreams, for if dreams die, life is a broken winged bird that cannot fly." -Langston Hughes

    by luckylizard on Mon Jul 02, 2012 at 05:12:42 PM PDT

    •  The legislature may have a different idea (1+ / 0-)
      Recommended by:
      luckylizard

      This will be decided next year after the new legislature convenes. Currently, the Dems have a 26 to 24 margin in the state senate. This is one more reason why it is critical for the Dems to maintain control of the state senate.

      Branstad would like to implement the full Scott Walker/ALEC agenda beginning with ending collective bargaining by public employees. Republicans in the legislature want to put a constitutional amendment on the ballot to end marriage equality and some want a life-begins-at-coception law or amendment. The Democratic Senate blocked all of this.

      I'm not sure if Branstad on his own can turn down the Medicaid expansion.

      •  As I've read more, (1+ / 0-)
        Recommended by:
        cocinero

        I get the idea that you may be right.  If the Senate gets to weigh in, we may be alright.  The rest of the stuff is just nuts.  We are already a right to work state.  In my own experience as a union member, that hasn't caused unions to be ineffective, but it does make us vulnerable to the terrible crap you describe.

        Marriage equality began with a great bang here, but I haven't seen much ado about it lately, except from the GOP.  Real people simply aren't affected unless they're gay.  I do wish it had been a reality a couple of decades ago.  It would have protected me from some significant losses in a break-up.  :-(

        -7.62, -7.28 "Hold fast to dreams, for if dreams die, life is a broken winged bird that cannot fly." -Langston Hughes

        by luckylizard on Wed Jul 04, 2012 at 04:34:56 AM PDT

        [ Parent ]

        •  Marriage equality in Iowa is probably safe. (1+ / 0-)
          Recommended by:
          luckylizard
          Amendments need to be approved by simple majorities in both the House and Senate in two consecutive general assemblies, then must be approved by a simple majority of voters in the next general election.
          However, if the GOP controls both chambers of the legislature, they will try to put it on the ballot for a vote, and it's just wrong to subject someone's civil rights to a popular vote.

          The soonest they could do it would be to pass the amendment in the 2013-2014 assembly, pass it again in 2015-2016, and put it on the ballot in the 2016 general election. I think it would fail. Popular opinion is continuing to change toward acceptance of marriage equality. The GOP might want it on the ballot anyway to help turn out their knuckle-dragging base.

        •  Iowa has had public employee bargaining (1+ / 0-)
          Recommended by:
          luckylizard

          since 1975. Strikes are not allowed. Impasses are settled through mediation, then final-offer arbitration. It has worked well for employees and taxpayers.

          I was chief negotiator for teachers in a small school district the first year the law went into effect.

          The law was signed by Gov. Robert Ray, the last reasonable Republican governor. His Lt. Governor, Art Neu, lives in my town. He's another good guy. He said he couldn't be nominated for dog catcher in the current crazy GOP.

          Branstad is a hyper-partisan tin horn dictator. He only looks reasonable in comparison to Bob Vander Plaats or Steve King.

          •  Ray was a good guy. (1+ / 0-)
            Recommended by:
            cocinero

            He was responsible for us getting so many immigrants into the state, especially the boat people from Vietnam.  I can't imagine anyone from either party trying to do that now.  It's pretty sad....

            I've never thought that Branstad was very smart.  He's easily influenced by the political whim of the day.  I didn't like him before, but I can't stand him now.

            -7.62, -7.28 "Hold fast to dreams, for if dreams die, life is a broken winged bird that cannot fly." -Langston Hughes

            by luckylizard on Wed Jul 04, 2012 at 10:31:13 AM PDT

            [ Parent ]

            •  When Mrs. Cocinero see Branstad on TV, (1+ / 0-)
              Recommended by:
              luckylizard

              she says she wants to pinch his pouty lips. She hates Kim Reynolds too.

              I don't think Branstad will run again in 2014. He may be grooming Kim Reynolds to run as his replacement. He certainly makes sure she gets lots of visibility.

              •  I've noticed that they (1+ / 0-)
                Recommended by:
                cocinero

                seem to be joined at the hips.  I also concur with Mrs. C.  Terry just has a face that's begging for a good pinch.  Or something....

                -7.62, -7.28 "Hold fast to dreams, for if dreams die, life is a broken winged bird that cannot fly." -Langston Hughes

                by luckylizard on Thu Jul 05, 2012 at 09:21:43 AM PDT

                [ Parent ]

  •  Those numbers total (0+ / 0-)

    3 1/2 million people - 1% of the country.

    'Nice' symmetry there.  :(

    I am not religious, and did NOT say I enjoyed sects.

    by trumpeter on Tue Jul 03, 2012 at 10:09:33 AM PDT

  •  The Problem Is With (0+ / 0-)

    Distribution of the benefits of government to regular people, instead of the 1%, which is in direct violation of the precepts of the Republican Party.

    "I'll believe that corporations are people when I see Rick Perry execute one."

    by bink on Tue Jul 03, 2012 at 04:19:38 PM PDT

  •  Yet another reason why reelecting Obama is (4+ / 0-)
    Recommended by:
    annieli, sancerre2001, cocinero, kareylou

    so important. These assholes may be evil/politically tone deaf enough to reject extra Medicaid funding, but I believe the ACA gives HHS the authority to set up insurance exchanges in states that refuse to do so.

    "True Patriotism, it seems to me, is based on tolerance and a large measure of humility."- Adlai Stevenson

    by liberaldeminpittsburgh on Tue Jul 03, 2012 at 04:20:49 PM PDT

  •  That's the first ... (2+ / 0-)
    Recommended by:
    martini, cocinero

    ... time I've seen the word "bloodthirsty" used to describe Republican governors. Well done, Joan! That is exactly true.

    I would tip you, but the man took away my tips.

    by Tortmaster on Tue Jul 03, 2012 at 04:31:15 PM PDT

  •  The people who might die wouldn't (3+ / 0-)
    Recommended by:
    liberaldeminpittsburgh, ljb, kareylou

    vote for those governors, anyway, so it saves the goons the trouble of having to purge them from the voter roles.

    •  Ow! That's Really, Really Cold! (1+ / 0-)
      Recommended by:
      martini

      True perhaps but cold so the only solution is to go on the offensive for those who wouldn't vote for those a-holes.

      Time is an enormous, long river, and I’m standing in it, just as you’re standing in it. My elders are the tributaries, and everything they thought and every struggle they went through & everything they gave their lives to flows down to me-Utah Phillips

      by TerryDarc on Tue Jul 03, 2012 at 04:55:12 PM PDT

      [ Parent ]

    •  I'm not so sure of that. (2+ / 0-)
      Recommended by:
      cocinero, martini

      There are so many useful idiots who vote against their best interest every cycle. Some may vote for the Gov who 'stuck it to the libs', even as they die of some preventable illness.

      How many divisions does OWS have?

      by Diebold Hacker on Tue Jul 03, 2012 at 05:18:11 PM PDT

      [ Parent ]

  •  They will take the money (1+ / 0-)
    Recommended by:
    Fury

    Just as they did with the stimulus. They will brag about how great they are for the state.

    "He made us all to be just like him" So, if we're dumb, then god is dumb and maybe even a little ugly on the side. Frank Zappa

    by Cairns on Tue Jul 03, 2012 at 04:38:16 PM PDT

  •  They're just holding out until the election (4+ / 0-)
    Recommended by:
    ahumbleopinion, Fury, Mimikatz, cocinero

    They're still desperately hoping RMoney will win and repeal it, LOL. On November 7th they'll be rushing to the trough.

  •  Nullification threat from asshat OK lawmaker (1+ / 0-)
    Recommended by:
    sethtriggs

    Scumbag Rep. Mike Ritze put this out today:

    Lawmaker Plans to File Bill to ‘Nullify’ Individual Mandate

    OKLAHOMA CITY – State Rep. Mike Ritze plans to reintroduce a bill to “nullify” the individual mandate in the 2010 federal health care legislation in Oklahoma.

    “I disagree with the Supreme Court’s ruling and believe that state governments were intended to serve as a check on the federal government,” said Ritze, R-Broken Arrow. “The Patient Protection and Affordable Care Act, which is better known as ObamaCare, is an example of federal overreach and my legislation will authorize the state to resist it and ban the enforcement of it.”

    Ritze said his legislation would authorize the Oklahoma attorney general to defend citizens who fail to purchase health insurance against the federal government and criminalizes the enforcement of the individual mandate.

    “My hope is that ObamaCare will be repealed, but I do not think that means we have to wait for the repeal to happen. Oklahoma lawmakers should do what they can to support our choice to make our own health care decisions,” Ritze said.

    Oklahoma: birthplace of Kate Barnard, W. Rogers, W. Guthrie, Bill Moyers & Eliz. Warren. Home to proud progressive agitators since before statehood. Current political climate a mere passing dust cloud; we're waiting it out & planning for clearer days.

    by peacearena on Tue Jul 03, 2012 at 04:41:19 PM PDT

    •  I've been worried that (1+ / 0-)
      Recommended by:
      Americantrueandblue

      we're heading towards a constitutional crisis that will make Watergate look like a picnic.

      One of the themes I saw in the last few SCOTUS decisions was an attempt to step on this rash of states feeling like they can pick and choose what federal laws/decisions they follow.  The AZ SB1070 decision basically said "you can keep the 'let me see your papers' facet of the law, but it can't step on the Federal perogative"...the MT decision said "too bad about your century old law, CU is the new law of the land".

      But then, oddly, the ACA decision left this Medicare issue as a loophole you can fly a 747 though.

  •  Assuming There Will BE a Medicaid Expansion. (1+ / 0-)
    Recommended by:
    cocinero

    It needs funding, and that needs House Republicans.

    We are called to speak for the weak, for the voiceless, for victims of our nation and for those it calls enemy.... --ML King "Beyond Vietnam"

    by Gooserock on Tue Jul 03, 2012 at 04:42:14 PM PDT

  •  New Jersey? (4+ / 0-)
    Recommended by:
    TerryDarc, sethtriggs, Fury, ferg

    Wow!  Between refusing to build the tunnel and now this, I'm wondering how they like their governor now?

    Sometimes I wonder whether the world is being run by smart people who are putting us on or by imbeciles who really mean it. --Mark Twain

    by SottoVoce on Tue Jul 03, 2012 at 04:42:19 PM PDT

  •  Fact of the matter is that our federal (1+ / 0-)
    Recommended by:
    Americantrueandblue

    government issues and is in charge of managing our currency.  Congress has "delegated" this obligation to private banks, even though it retains the authority to appoint the governors of the Federal Reserve. That said, the notion that the federal government is dependent on some sort of authorization from the financial sector before it can create and spend money is a gross charade.  The federal government is the source and the guarantor, in the people's name, of U.S. currency.  The individual states are in a different situation because they do not create their own currency.  Money is something Washington provides. Telling Washington not to send any merely deprives the citizens of some states of the use of money to lubricate exchange and trade.  Of course, people still have the option of bartering their goods and services, but that's inefficient when considerable distances and time are involved.

    Why would some governors want to hamstring the citizens of their state?  Because they are in a punitive mode.  Instead of providing for the general welfare, they prefer deprivation as the default so any relief gets them enough kudos to get re-elected.

    Willard's forte = "catch 'n' cage"

    People to Wall Street, "let our money go."

    by hannah on Tue Jul 03, 2012 at 04:47:11 PM PDT

  •  just peacocks showing their plumage (3+ / 0-)

    I think they will take the money in the end:

    "Sir, under the ACA the federal government will at first pick up the entire cost and later 90% of the cost of Medicaid expansion. Millions of Floridians lack insurance. Given that Floridians will continue to pay federal taxes, some of which will help fund this expansion whether or not our state participates, can you explain why you support sending tax dollars to Washington while denying Floridians any of the benefits of that expansion or those funds?"

  •  I See Torches and Pitchforks (2+ / 0-)
    Recommended by:
    BornDuringWWII, cocinero

    In the future of state legislatures/governors who refuse Medicaid for their states - either that or their constituents are already dead.

    Time is an enormous, long river, and I’m standing in it, just as you’re standing in it. My elders are the tributaries, and everything they thought and every struggle they went through & everything they gave their lives to flows down to me-Utah Phillips

    by TerryDarc on Tue Jul 03, 2012 at 04:51:14 PM PDT

  •  GOP held out in Arizona till 1982 Medicaid (4+ / 0-)
    Recommended by:
    sethtriggs, ljb, ferg, SoCalSal

    Also mentioned on L.O.
    http://news.firedoglake.com/...

    Furthermore, looking to history, Medicaid itself was created in 1965. It remains a voluntary program, and Arizona held out for 17 years, until 1982, becoming the last to create their own program for their state. So if all states, including the red states, have Medicaid now, doesn’t that suggest all states will take the expansion over time?

    Not blaming Bush for the mess we're in, is like not blaming a train engineer for a fatal train wreck because he's no longer driving the train.

    by JML9999 on Tue Jul 03, 2012 at 04:52:02 PM PDT

  •  How long do the states have to make this decision? (0+ / 0-)

    Could this be reversed after the election? Are they simply counting on Romney winning and repealing ACA?

  •  Legislatures and stimulus grants (1+ / 0-)
    Recommended by:
    cocinero

    Who decides whether the state expands Medicaid?

    Does the legislature have a role in this? Governors are quick to spout off, but sometimes legislatures—even Republican ones—go another direction.

    With the federal stimulus funds, either the governor or the legislature could approve it.

    Two governors that I recall who refused the money (or would have), but had their legislatures decide otherwise, were Mark Sanford and Sarah Palin.

    I suspect this is different, and it would take an override vote if the governor nixes a bill to accept the expansion.

  •  They'll take the money, (1+ / 0-)
    Recommended by:
    cocinero

    just like they took TARP money, nary a peep....

    "We believe that the people are the source of all governmental power; that the authority of the people is to be extended, not restricted."-Barbara Jordan

    by sancerre2001 on Tue Jul 03, 2012 at 04:53:53 PM PDT

  •  if this is what voters want, then they get it ... (2+ / 0-)
    Recommended by:
    Bensdad, cocinero

    if the voters in these states don't protest and meekly stay on the sidelines, they cannot blame politicians inflicting this pain ...

    the voters have the power to make their voices heard ... through peaceful protests and making their choices clear in the ballot box

    if voters dont vote this fall, they effectively lose the right to complain ... as simple as that ...

  •  They pay in don't they? (4+ / 0-)

    All states pay into the federal kitty.
    Why would a Republican not want to return that money to the citizens of their state?

    ???

    F*ck those idiots and the voters they rode in on.

    by roninkai on Tue Jul 03, 2012 at 04:58:50 PM PDT

  •  So.... (0+ / 0-)

    "That Supreme Court ruled that states could refuse the Medicaid expansion because the law went too far in allowing the government to take all existing Medicaid funding away from the states who refused to participate"

    Can we get the Supreme Court to rule that taking away funds from states for other things is unconstitutional too?

    Like New York can't get their highway funds cut off if they lower the drinking age to 18.  Or New Hampshire doesn't get their highway funds cut off because they don't have a seatbelt law and people aren't required to purchase auto insurance?

    That would be great.

  •  Unfortunately for President Obama's reelection (2+ / 0-)
    Recommended by:
    Americantrueandblue, Bensdad

    campaign, the Medicaid expansion (in whichever states choose to take advantage of it) does not happen until 2014.  

    Otherwise, the citizens of those 10 (or 29) states would rise up and throw out their Governors and legislators when they discovered that their friends, relatives, and "other people" living in opt-in states suddenly had much better medical coverage than they have.

    We must drive the special interests out of politics.… There can be no effective control of corporations while their political activity remains. To put an end to it will neither be a short not an easy task, but it can be done. -- Teddy Roosevelt

    by NoMoJoe on Tue Jul 03, 2012 at 05:05:06 PM PDT

  •  Track 'Em....... (1+ / 0-)
    Recommended by:
    cocinero

    Take Chris Christie for instance.  He's considering refusing  $9.3 BILLION Medicaid dollars & denying coverage to 390,490 people.

    Where are those 390,490  going to go when they need medical care.....the ER?  That ought to go over well, especially when physicians & hospitals will not be receiving reimbursement anymore.  

    Pregnancies tend to have better outcomes when mothers receive prenatal care.  Infants need checkups, etc.

    Those states who refuse to set up the exchange will be compared to those who do.  It's not going to be a pretty comparison.  

  •  Pro-life (3+ / 0-)
    Recommended by:
    rhauenstein, Tyler R, OrdinaryIowan

    until they're born.

    The British sent their criminals to Australia and their religious nuts to America. The Australians got the better of that deal.

    by EWembley on Tue Jul 03, 2012 at 05:16:10 PM PDT

  •  Why is the media LYING about this? (1+ / 0-)
    Recommended by:
    Icicle68

    if the governors dont set up an option for it citizens, the federal government will set it up for them.  The media continues to refuse to tell the entire truth about this....WHY?

    •  This post is about Medicaid expansion, and (1+ / 0-)
      Recommended by:
      kareylou

      Medicaid is administered by the state governments. The DHHS can/will set up insurance exchanges, which are entirely different than Medicaid, and nothing in the ACA says the fed will take over state Medicaid programs.

      The sh*t those people [republicans] say just makes me weep for humanity! - Woody Harrelson

      by SoCalSal on Tue Jul 03, 2012 at 06:36:50 PM PDT

      [ Parent ]

  •  Wow. Chris Christie said NO? in New Jersey?? (0+ / 0-)

    Holy cow.

    When are those people in NJ going to wake up??

    "The battle, sir, is not to the strong alone; it is to the vigilant, the active, the brave." -- Patrick Henry

    by BornDuringWWII on Tue Jul 03, 2012 at 06:00:30 PM PDT

  •  Doctors and Hospitals will Lobby for this money (0+ / 0-)

    as explained by Donald Berwick on Up with Chris Hayes and stated by Howard Dean.

    In PA - I am already encouraged by these comments.

    Muller, who oversees a $4 billion-a-year sprawl of academic hospitals and health care services, spoke on a panel convened by Penn's Leonard Davis Institute of Health Economics to discuss the implications of the U.S. Supreme Court's decision upholding the health reform law.

    "I am very glad the justices upheld the act because otherwise, there would have been chaos," said Muller, also the former CEO of the University of Chicago Hospitals and Health System and, earlier in his career, Deputy Commissioner of the Massachusetts Department of Public Welfare where he oversaw the state's Medicaid program.

    This guy - and many more Hospital Admins will have a lot of influence on even Repug Governors.

    we need more Dems in Congress - please support PA-6 Manan Trivedi

    by PAbluestater on Tue Jul 03, 2012 at 06:54:21 PM PDT

  •  Of course, Scott Walker is on the list nt (0+ / 0-)
  •  Georgia? (0+ / 0-)

    Last I had heard, Governor Deal was still in the "haven't decided" camp, and my quick search doesn't seem to turn up any articles about his administration having decided to refuse the expansion (or refuse to set up the exchanges).

    Does anyone know what Think Progress's source is for putting Georgia in the "won't implement" group?

  •  Can states put this to a vote? (1+ / 0-)
    Recommended by:
    Americantrueandblue

    I wonder if the citizens of a state can make this an amendment or question on the election ballot? If nothing else the Governor of a state should consider the citizens will before he goes and denies the Medicare Expansion.

    Also, what will this denial of services mean for the state as a whole? For example, Florida is a retirement state. If they refuse the Medicare Expansion how will this affect their status for residents? Will they stop moving to Florida and suddenly go somewhere else to retire? When it comes down to the dollars and cents in someone's meager family budget where you live might make a difference.

    Refusing the Medicare Expansion this year might not mean that future Governors can't adopt it for their state. At this highly charged partisan point in time, we are seeing stupid statements coming out of the far right. I have my doubts they will take it all the way though. Because no matter what politics are in play..

    Federal money is still money in the  state budget.

    "I think it's the duty of the comedian to find out where the line is drawn and cross it deliberately." -- George Carlin, Satirical Comic,(1937-2008)

    by Wynter on Wed Jul 04, 2012 at 03:13:58 AM PDT

  •  Thank you, Gov. Beshear (0+ / 0-)

    Not much else to say except it's great to be in a "red" state with a blue governor.  We will be blue in the next election.  Obamacare will be such an economic boon for this state as well as drastically increasing the health of our not-so-well population.  There is a strong progressive tradition in this state.  ACA and Governor Beshear's implementation will allow that to flourish.

  •  something that resonates (1+ / 0-)
    Recommended by:
    Americantrueandblue

    Free Money isn't free, it comes from other taxpayers.

    If you want to get the attention of people who despise paying taxes tell the truth to them.

    Their tax money is going to be used in other states to insure their Medicaid eligible families and individuals.

    I really want the people in Florida to come to the very real understanding that the Federal Government has offered 20 billion of their tax dollars for the purpose of insurance coverage for Floridians.

    I want them to understand their Governor Rick Scott said no to offer.

    I want them to understand that the Governor's decision is based on his political ideology.

    I want them to understand thousands of Floridians will die because of the Governor's political ideology.

    I want them to label it murder by ideology.

    I want them to vote Rick Scott out of office in 2014.

    I want Rick Scott to be shamed and scorned by Floridians to the point he leaves the state in disgrace.

    "A functioning Democracy must defy economic interests of the elites on behalf of citizens" Christopher Hedges Econ 3.50&Soc. 5.79

    by wmc418 on Wed Jul 04, 2012 at 05:15:31 AM PDT

  •  I think it's (0+ / 0-)

    also worth noting that Rhode Island actually has an independent for governor who was formerly a Republican (albeit a rather liberal Republican) though this chart has Rhode Island as a state with a Democrat for governor.

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