Skip to main content

Via TPM:

The White House's top health official made clear on Monday that it would not fund a partial Medicaid expansion for states that choose not to embrace the new funding under the Affordable Care Act.

Health and Human Services Secretary Kathleen Sebelius wrote a letter to governors saying the administration "continue[s] to encourage all states to fully expand their Medicaid programs."

In an accompanying blog post, she declared that "the law does not create an option for enhanced match for a partial or phased-in Medicaid expansion to 133 percent of poverty."

In other words, the states must take all or nothing. That sets up a dilemma for Republican governors, who have to decide whether to stonewall Obamacare or accept the generous funding to cover their low-income uninsured residents.

I don't have much to add, but that the Obama administration continues to surprise me with its ability to cleverly negotiate its opposition into a tough situation. Remember that the ruling for the Medicaid expansion was the only silver lining for the Republicans by the SC decision. Now Obama is taking that away too.

There is no way that the Republican Governors will reduce Medicaid coverage to patients already on the rolls. They will have no choice but to expand coverage as the Administration requests. Brilliant stuff.

Just to clarify my point, think about Republican posturing on Obamacare. They know as long as the benefits do not yet come in for Obamacare, they have a shot at removing it, or demagoguing it. But once the benefits start coming in, it's too late to remove it. That's why they tried so hard to get rid of it. Once it's in place, it is difficult to remove.

Same thing with Medicaid. Stopping rolls from expanding is easy. But removing people ALREADY on rolls is difficult, because it affects real people, and creates outrage.  Once the poor whites of that state, who are content on demagoguing the issue, start losing their benefits, they will realize the game being played and there will be outrage.  Can Governors do it? Well, yes they can. But, they will face poll numbers similar to Bush. Most will not make that decision. Im confident.

EMAIL TO A FRIEND X
Your Email has been sent.
You must add at least one tag to this diary before publishing it.

Add keywords that describe this diary. Separate multiple keywords with commas.
Tagging tips - Search For Tags - Browse For Tags

?

More Tagging tips:

A tag is a way to search for this diary. If someone is searching for "Barack Obama," is this a diary they'd be trying to find?

Use a person's full name, without any title. Senator Obama may become President Obama, and Michelle Obama might run for office.

If your diary covers an election or elected official, use election tags, which are generally the state abbreviation followed by the office. CA-01 is the first district House seat. CA-Sen covers both senate races. NY-GOV covers the New York governor's race.

Tags do not compound: that is, "education reform" is a completely different tag from "education". A tag like "reform" alone is probably not meaningful.

Consider if one or more of these tags fits your diary: Civil Rights, Community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, Media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don't fit in any of these tags. Don't worry if yours doesn't.

You can add a private note to this diary when hotlisting it:
Are you sure you want to remove this diary from your hotlist?
Are you sure you want to remove your recommendation? You can only recommend a diary once, so you will not be able to re-recommend it afterwards.
Rescue this diary, and add a note:
Are you sure you want to remove this diary from Rescue?
Choose where to republish this diary. The diary will be added to the queue for that group. Publish it from the queue to make it appear.

You must be a member of a group to use this feature.

Add a quick update to your diary without changing the diary itself:
Are you sure you want to remove this diary?
(The diary will be removed from the site and returned to your drafts for further editing.)
(The diary will be removed.)
Are you sure you want to save these changes to the published diary?

Comment Preferences

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site