Sheville

Get Free Email Updates!

Get progressive community news & events.

I agree to have my personal information transfered to MailChimp ( more information )

I will never give away, trade or sell your email address. You can unsubscribe at any time.

Leprechauns at the Gate! and N. C. Medicaid expansion

 

 

 

 

Written by Jane Edwards

What happened: When NC Gov. Roy Cooper took over the governor’s office on Jan. 1, he declared his intent to move ahead with Medicaid expansion as a first big policy initiative for NC.   Obama was still in office, so Federal health officials promised to give the state’s expansion request a speedy review – mindful of Trump’s and the Republican-controlled Congress eagerness to pull the plug on Obama’s entire approach to health care reform in which a larger role for Medicaid is a key component.

Then, Senator Phil Berger, President Pro Tempore, NC(R) and Representative Tim Moore, Speaker, NC(R),  rushed to the court of Federal Judge for the Eastern District of North Carolina, (G.W. Bush appointee) Louise W. Flanagan, to enlist her aid in extinguishing Gov. Cooper’s Medicaid Expansion plans. 

Berger and Moore accused Cooper of violating the law passed by NC‘s Republican-led legislature, while Gov. McCrory was still in office, which required any Medicaid expansion to proceed only with legislative approval.  They argued that the state would have to cover part of the expansion (in fact, no more than 10-percent) and that the new governor was unilaterally committing the state to a tax increase (something the governor couldn’t actually do – that’s a legislative function).  

Judge Flanagan accepted Berger and Moore’s non-sensical arguments and obliged the two legislators by issuing a temporary restraining order that kept both Cooper and federal officials from moving ahead with Medicaid expansion for two weeks.

The result: The Trump administration, rather than officials reporting to Obama, have the final call on NC’s Medicaid expansion. This represents a major setback for those seeking better health care access for the poor, and a victory for the conservatives in the legislature for whom holding down taxes has greater importance than the well-being of their constituents – economically-challenged people potentially served by an expanded Medicare program.

NC’s legislators oppose any expansion under the Affordable Care Act, despite the billions of dollars in federal funds and access to health care that expanded Medicaid would bring to the state. Gov Cooper’s efforts to exploit a potential route around the opposition continued as the federally imposed restraining order was set to expire. However, on January 27, Judge Flanagan responded to another stay request from Berger and Moore, now joined by Trump’s Health and Human Services (HHS), and extended the filing date in the case until March 31 (effectively extending the temporary restraining order).  Gov. Cooper could try to negotiate with the new team at HHS; however, it is unlikely that the Trump administration, hostile to all things ACA, would approve of any expansion of Medicaid.

NC’s legislature would rather privatize Medicaid.  Their plan comes from the conservative idea that private businesses are more efficient at managing health care than the government would be.  Just look how well privatized prisons are managed. The fact is, Medicare, by and large, is a fairly efficient program. Seniors manage to get a lot of health care they are happy with for a decent price. Also, there is the biggest unknown with privatization:  whether Medicare – in its current form as a single-payer, guaranteed-coverage, fee-for-service system – will remain intact.      

Gov. Cooper has pointed the way toward a more sensible, humane approach to meeting the health-care needs of NC’s citizens.  If his approach was allowed to proceed, it would be to North Carolina’s credit and advantage.

As for Trump’s promise to leave Medicaid alone? That promise is no more meaningful than a promise to protect swaddling babes from hungry leprechauns.

The cast of villains to this story, if you are interested:

Senator Phil Berger

President Pro Tempore

2017-2018 Session

Republican – District 26

Guilford, Rockingham

N.C. Senate

16 W. Jones Street, Room 2007

Raleigh, NC 27601-2808

(919) 733-5708

Phil.Berger@ncleg.net

 

Representative Tim Moore

Speaker

2017-2018 Session

Republican – District 111

Cleveland

N.C. House of Representatives

16 W. Jones Street, Room 2304

Raleigh, NC 27601-1096

919-733-3451

Tim.Moore@ncleg.net

 

Louise W. Flanagan, Judge of the United States District Court for the Eastern District of North Carolina

United States Courthouse

413 Middle Street

New Bern, NC 28560

252.638.8534

252.638.1529 fax

 

 

 

 

 

 

 

 

Tags: , , ,

SheVille Team

We are a one-of-a-kind magazine that provides local, regional, national and international information about women’s lives and education, performing and visual arts and writing, the environment, green living and sustainability and regional Western North Carolina business, people and events. “Villages preserve culture: dress, food and dance are a few examples. As villages grow in population and turn into towns, local cafes make way for large American chains. Handmade leather sandals are discarded for a pair of Western sneakers. Due to its small size, a village fosters a tight-knit sense of community. Justpeace.org explains the meaning of the African proverb, “It takes a village,” by stating that a sense of community is critical to maintaining a healthy society. Village members hold a wealth of information regarding their heritage: they know about the ancient traditions, methods of production and the resources of the land. When villages become dispersed or exterminated in times of war, this anthropological knowledge disappears. Large cities are not as conducive to growing and producing foods such as fruits and vegetables. Villages, on the other hand, usually have ample amounts of land and other resources necessary for growing conditions.” The Importance of Villages by Catherine Capozzi Our Mission SheVille.org provides readers with information important to women’s lives and well-being. We focus primarily on the areas of education & health, business & finance, the arts & the environment. We are particularly interested in local & regional resources, organizations & events.
Asheville, NC Current Weather
46°
clear sky
humidity: 65%
wind: 3mph S
H 72 • L 58
62°
Tue
61°
Wed
49°
Thu
Weather from OpenWeatherMap

Subscribe to Articles