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Thursday, July 26, 2012

Why Do Republican Governors Want to Kill So Many of Their People?

Posted by on Thu, Jul 26, 2012 at 8:34 AM

After the US Supreme Court ruled that the federal government could not penalize states for choosing to opt out of the Medicaid expansion provisions of the Affordable Care Act, several Republican governors announced that they would do exactly that. It's an act of defiance that, according to a new study published in the New England Journal of Medicine, will end up killing thousands of their citizens:

State Medicaid expansions to cover low-income adults were significantly associated with reduced mortality as well as improved coverage, access to care, and self-reported health. ... Mortality reductions were greatest among older adults, nonwhites, and residents of poorer counties.

Oh. Well. As long as they're just killing poorer nonwhites, I guess that's okay.

The researchers compared mortality rates for 20 to 64 year olds in three states that substantially expanded Medicaid since 2000 to rates from neighboring states that did not. Researchers found that Medicaid expansion reduced the death rate by 19.1 per 100,000, or 6.1 percent. Rates of access to care, delayed care, uninsurance, and self-reported health status all significantly improved with Medicaid expansion.

While not announcing plans to opt out of Medicaid expansion if elected governor, attorney general Rob McKenna expressed pride in his role in the health care law suit, while stating concerns about the cost of Medicaid expansion in Washington state. He even claimed a victory of sorts following the court's ruling, kvelling "we achieved our goal of defeating the mandate on commerce clause grounds," as if what was truly at stake was some vague constitutional tangent rather than the lives of millions of un- and underinsured Americans.

Compassionate conservatism, and all that.


Comments (16) RSS

Oldest First Unregistered On Registered On Add a comment
The plutocracy, it's cold.
Posted by mubhappy on July 26, 2012 at 8:42 AM · Report this
Also, there's plenty of serfs to go around these days.
Posted by mubhappy on July 26, 2012 at 8:46 AM · Report this
Gee, you people are really fucked if Rob McKenna becomes your next governor.
Posted by Bugnroolet on July 26, 2012 at 8:49 AM · Report this
Under the Affordable Care Act, States that fail to create their own exchanges by 2014 will by default be placed under the exchange created by the federal government.
Posted by There, There, Chicken Little... on July 26, 2012 at 8:56 AM · Report this
Pope Peabrain 5
I've said it many times. Pro-life=Death!
Posted by Pope Peabrain on July 26, 2012 at 8:56 AM · Report this
emma's bee 6
@4: exchanges =/= Medicaid expansion. Did I type that slowly enough for you to comprehend?
Posted by emma's bee on July 26, 2012 at 9:03 AM · Report this
Goldy, you're presenting this position taken by Republican Governors as some sort of principled stand, where I believe it's simply a callous disregard for the dire consequences of a tactical maneuverer they expect will garner them votes in the future.

A stand against Obama now gains them votes. Running against the Federal take over in 2014 gains them votes. Stopping _those_ people from taking our money... Protecting the best health care system in the world...

Hell, the fact that this policy is more likely to kill Democrat constituencies, that's just icing on the cake.
Posted by A different kind of evil on July 26, 2012 at 9:05 AM · Report this
These Republican governors are one-man Death Panels, plain and simple.
Posted by Citizen R on July 26, 2012 at 9:08 AM · Report this
Kinison 9

Jay Inslee loves babies, vote for Jay!
Posted by Kinison on July 26, 2012 at 10:19 AM · Report this
While I'm no fan of the Affordable Care Act because I see it as a sell out to the insurance industry, I think it has become abundantly clear that death panels do indeed exist. They can be found in ALEC and in the offices of republican governors. This is the new normal for American politics - if republican's can't win elections because their priorities and policies are so noxious to the common good, the response is to either A) disenfranchise non-republican voters; B) kill them off for lack of access to health care or C) bankrupt them with medical bills and lock em up in debtor prisons. Of course the corporate media will pretend this isn't happening. Hey, did you hear that Kristen Stewart cheated on Rob Pattison?
Posted by screed on July 26, 2012 at 10:24 AM · Report this
Yes. I'm sure there will also be no financial blowback to the social safety net when the new stadium for billionaires The Stranger endorsed gets built with dwindling public dollars. Nope. None at all.
Posted by tkc on July 26, 2012 at 10:37 AM · Report this
Personally I see no problem with Republican Governors refusing to set up State insurance exchanges and expanding Medicare/Medicaid. It just means come 2014 the Feds will do it for them. Taking us one step closer to the real health care solution. A national single payer system combined with private insurance buy ups for those who can afford it. Works perfectly well in Germany to name one country.
Posted by Machiavelli was framed on July 26, 2012 at 10:41 AM · Report this
Raise tuition for four a four year degree to at least $80 grand and throw out affordable health care. That will keep America razor sharp.
Posted by sall on July 26, 2012 at 11:35 AM · Report this
Daddy Love 14
@ 11
"... the new stadium...gets built with...public dollars."

Wow, you don't understand that deal at all, do you?

Anyway, McKenna will lose, so fuck him.
Posted by Daddy Love on July 26, 2012 at 11:54 AM · Report this
@14 Wow, you don't understand the economics of a recession, do you?
Posted by tkc on July 26, 2012 at 5:32 PM · Report this
lostboy 16
… as if what was truly at stake was some vague constitutional tangent …

According to a several commentators (both pro and con), undoing much of the government's Commerce Clause powers is exactly what was at stake.

Whether McKenna was savvy enough to think so before it became convenient damage control is admittedly another question.
Posted by lostboy on July 29, 2012 at 2:08 PM · Report this

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