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Gov. Jan Brewer, a shocking advocate for Medicaid expansion under Obamacare, has convinced members of her own party in the state's GOP legislature to take the money. That means another 300,000 low-income residents will get health care coverage.
Brewer, a conservative and avowed foe of President Barack Obama's health care reform law, announced her support for the Medicaid expansion in January, but faced stiff resistance from fellow Republicans in Arizona's House and Senate. During a marathon session that began Wednesday afternoon and stretched into the wee hours of Thursday morning before culminating in a final vote late Thursday afternoon, a handful of Republicans joined Democrats in the House and Senate to pass the Medicaid expansion.

Brewer played hardball with Republican legislative leaders in the state to get her way, earning their ire in the process. She followed through on her threat to veto any bill not addressing the Medicaid expansion last month. On Tuesday, she raised the stakes by calling a special session and forcing the temporarily adjourned legislature back to work on Medicaid and the state's budget.

It wasn't an electoral decision on Brewer's part. She's term-limited out of office after her final year in 2014. Whatever her motives, good on her for getting this done. It's smart for her state, and it's good for her constituents.

Originally posted to Joan McCarter on Thu Jun 13, 2013 at 02:59 PM PDT.

Also republished by Baja Arizona Kossacks and Daily Kos.

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Comment Preferences

  •  That is really amazing... (15+ / 0-)

    ...maybe a few other Republican/Red states will follow suit!

  •  Excellent (9+ / 0-)

    It is a terrible thing to see and have no vision. ~ Helen Keller

    by Pam from Calif on Thu Jun 13, 2013 at 03:07:37 PM PDT

    •  Over 55 and Poor? (4+ / 0-)
      Recommended by:
      Aeolos, atana, xlntsx, science nerd

      To Medicaid you will automatically go.  But, Medicaid is different than the subsidies in the Obamacare exchanges.  You only have to pay the subsidies back if your income goes up.  Medicaid is a  "collateral loan and a death tax on your estate."  The care you receive at age 55 and above must be paid back from the assets of your estate.
      With moves toward privatization in Medicaid cost recovery, what could possibly go wrong?  On the other hand, why hold the old and poor to a standard of cost recovery quite different from that applied to Congress or the ACA exchange subsidies?
      Jan?  Joan? Care to comment on this?

      •  Do you have a link for this? I'd like to read (3+ / 0-)

        more about what you've said, because it's something I hadn't heard before.  Thanks in advance.

        •  Medicaid as a "Collateral Loan" (3+ / 0-)
          Recommended by:
          atana, Lujane, science nerd

          "Collateral Loan"

          Wikipedia

          Estate Recovery

          The State of Michigan recently terminated the contract for Health Management Services (“HMS”).  HMS was the Texas company that was hired by the State to manage their estate recovery program.   The contract with HMS provided that they were paid on a contingency basis.
          Thanks for asking!
        •  Christian Science Monitor (5+ / 0-)
          Recommended by:
          atana, Aeolos, burlydee, Lujane, Mayfly

          CSM:

          "I felt like they were still there," says Ms. Clifford, who is retired. "I could see my mother standing at the sink washing dishes and my daddy watching TV, and I wanted to stay in the house because of that."

          Instead, the two-bedroom ranch-style home is for sale for $122,000, the subject of a bitter tug-of-war between the Cliffords and TennCare, Tennessee's healthcare program for the poor and uninsured. TennCare has laid claim to the home to recoup the cost of caring for Clifford's mother, who was on TennCare when she died three years ago.

          In the face of soaring Medicaid costs, Tennessee and every other state are required to set up a Medicaid estate-recovery program. Many have been launched only recently, and some – like Tennessee's – are becoming more aggressive. Often, they target the home because it's all that's left after beneficiaries have spent their assets to pay for nursing-home care.

          The clawback is not limited to nursing home care!  Over 55, and on Medicaid all your assets are subject to state liens for health care costs.
          •  The REAL Death Tax (5+ / 0-)
            Recommended by:
            atana, Mayfly, Lujane, splashoil, Mgleaf

            Is not the estate tax but the example given above.

            So much of people of modest means assets must go to health care and end of life expenses that their relatives inherit NOTHING.

            I would love to see the estate tax raised and older persons assets protected so their families can inherit something.

            Really one of the few ways we can cut the inequality.

          •  This is exactly why the neoliberal left is asleep (3+ / 0-)
            Recommended by:
            splashoil, Lujane, Icarus Diving

            at the wheel about Obama care.
            It has been a Trojan Horse for a new program of privatized, profit driven (yet government sponsored) health care for Americans.
            The AARP should be opposed to ObamaCare as every baby boomer heading into retirement.

            Unions rightfully should be opposed too for the undermining of their multi-employer health plans that for years were the only responsible collective programs comparable to the public option.

            What'd they get for being responsible all those years? ObamaCare.

            Obama said no one will have to leave their current plans but that was a bold lie. Now the multi-care plans are burdened with all the extra coverage of ObamaCare but without the subsidies distorting the "free" market approach of private insurance meets Big Government.

            This is bound to fail. And guess what? Government intervention will be blamed once again. That will be the real cost and legacy of the Rube Golberg workaround to real and significant change with health care: Obama Care.

            NO CE/CW. NO UNION BUSTING

            by Aeolos on Fri Jun 14, 2013 at 10:54:12 AM PDT

            [ Parent ]

            •  Aeolos, please consider doing a diary re your take (2+ / 0-)
              Recommended by:
              splashoil, Lujane

              on Obama's health plan. It appears you have thought about a lot of the details and I don't understand them.

              My opinion at present is that Obamacare is a good idea and a first step--like the beginning of Social Security.  

              I do believe that the big insurance companies in the US have too much power (and they misuse it) but I don't see how Prez Obama could possibly have shut them out of health care realistically speaking.

              Fiscal conservative: a Republican ready to spend $5 to save a dime--especially if that dime is helping a non-donor.

              by Mayfly on Fri Jun 14, 2013 at 11:30:10 AM PDT

              [ Parent ]

          •  What if you don't have any assets? (2+ / 0-)
            Recommended by:
            Lujane, splashoil

            Those of us who have no house, savings, 401(k), or anything else of value -- what happens to those people? Are they going to do a so-called wallet biopsy before they allow us to register for the program?

            This is the first I've heard of this for the ACA Medicaid expansion, although I've heard of this happening for years otherwise. That's how older people qualify for Medicaid to pay for their nursing home care -- they spend down their assets to nothing and are double-eligibles for Medicare/Medicaid.

            Are they going to try to recoup that money now from the surviving families? That seems not only wrong but also illegal.

            "The difference between the right word and the almost-right word is like the difference between lightning and the lightning bug." -- Mark Twain

            by Brooke In Seattle on Fri Jun 14, 2013 at 10:57:06 AM PDT

            [ Parent ]

        •  As Sleepy says.... (3+ / 0-)
          Recommended by:
          atana, rabel, Lujane

          Sleepy:

          sleepy says:
          May 7, 2013 at 7:51 pm
          A real screw job isn’t it?

          I am 62 yr. old and lost my job a couple of years ago. I have assets–a home and some savings that I draw down on to stick it out until SS and Medicare kick in. I am far from wealthy, but am fortunate that my home is paid for and that I can live on about $1000/month from my savings.

          My present income, effectively zero, will force me into Medicaid. I would much rather buy some BS policy on the exchanges than have the state scoop whatever I have accumulated over a lifetime of work, and would like to leave to my son and grandkids.

          But, it looks like by law I will be prohibited from buying that BS policy.

          I keep waiting for the ACA fluffers here to justify this and explain it...
        •  Riverdaughter nails this (3+ / 0-)
          Recommended by:
          atana, rabel, Lujane

          Riverdaughter:

          But that’s not really true.  I’m not surprised that neither Digby or Krugman are seeing who are going to get slammed by Obamacare most severely because it has become almost a habit not to talk about them.  I’m referring to the millions of long term unemployed, many of whom are over 50, who are now forced to cobble together some kind of living as self-employed.  That affects just about everyone I know who was laid off since 2008.  To these people, the premiums are not just a nuisance.  They are extremely burdensome.  And if Lambert has been reading the tea leaves correctly, lumping these people into the Medicaid pot puts whatever estate they have left at risk.  So, to recap, Obamacare is putting an extra burden on these people who are now forced to a.) work for themselves, b.) pay all of the payroll tax by themselves and c.) pay for their own retirements.
          Quote does not do justice the the whole piece.  We needed Single Payer, and we ended up with this pos.  Maybe if you are very young, you can be blasé about what is being done to the 55 plus folks who lost their jobs.  Outside of this cocoon I don't hear that much clapping.
          •  Single payer (1+ / 0-)
            Recommended by:
            Lujane

            would have been great, or at least the "government option", or a Medicare expansion to 50 or 55 and over.  Many things would have been better, but they weren't gonna happen with Congress as it was at the time, and it won't be possible probably for another ten years until the Repubs are extinct as a party.  
            So, for all the folks constantly bashing the ACA as an inferior product, what would you prefer at this point, that we go back to the way things were before the ACA?  Millions of children and adults would say otherwise.  Is it better that older adults be allowed to die an early death rather than take the Medicaid expansion?  
            What is your solution beyond "Obamacare sux, he should have stomped his feet and held his breath longer until we got everything we want?"  

            •  Replace O'care w Single Payer! (0+ / 0-)

              Don't waste energy defending a dead horse.  And please stop the fluffing.  Correntewire has a great new thread going where you can ask questions.  Know the beast and then move toward replacement!

              •  Q & A at Correntewire (1+ / 0-)
                Recommended by:
                xlntsx

                Affordability & Subsidies

                Coverage may be unaffordable for low-wage workers

                The law is complicated, but essentially companies with 50 or more full-time workers are required to offer coverage that meets certain basic standards and costs no more than 9.5 percent of an employee's income. Failure to do so means fines for the employer. (Full-time work is defined as 30 or more hours a week, on average.)

                But do the math from the worker's side: For an employee making $21,000 a year, 9.5 percent of their income could mean premiums as high as $1,995 and the insurance would still be considered affordable.

                Even a premium of $1,000 — close to the current average for employee-only coverage — could be unaffordable for someone stretching earnings in the low $20,000's.

                With such a small income, "there is just not any left over for health insurance," said Shannon Demaree, head of actuarial services for the Lockton Benefit Group. "What the government is requiring employers to do isn't really something their low-paid employees want."

                Based in Kansas City, Mo., Lockton is an insurance broker and benefits consultant that caters to many medium-sized businesses affected by the health care law. Actuaries like Demaree specialize in cost estimates.

                Another thing to keep in mind: premiums wouldn't be the only expense for employees. For a basic plan, they could also face an annual deductible amounting to $3,000 or so, before insurance starts paying.

                "If you make $20,000, are you really going to buy that?" asked Tracy Watts, health care reform leader at Mercer, a major benefits consulting firm.

                Join us and help us find out just how it works!
      •  I'm not Jan or Joan, (1+ / 0-)
        Recommended by:
        Mgleaf

        but this is nothing new and NOT connected to Obamacare.  Medicaid has always had the payback portion.  That's why, when some people are going to go on Medicaid, they transfer most of their assets to relatives... that way the assets are protected from the claims.  

        I know that recently Medicaid adopted a reasonable time-frame of transfer which can trip up people thinking all I have to do is transfer before I go into a nursing home.  

        The original intent was to make sure Medicaid went to those it was intended for ... the truly poor and needy.   I'm not saying that's right, but I am saying that's the way it's been ... and that needs to be changed as we go forward.

        No, at this point Medicaid for all will NOT work as long as the asset test and asset claim is still in effect.  

        •  Obamacare was built with Clawback (0+ / 0-)

          You say nothing to do with it?  Why is it not addressed?  The clawback is plainly a feature, malevolent and below the radar.  This whole program is bogus.  Just use birth certificates with Medicare for all.  Don't build a house of cards with free subsidies for some and brutal clawback for others.

          •  Asset Test has been waived. (0+ / 0-)

            But clawback is still there.  Get the poor folks using the program then tell them about their house car and truck!  This is just so cynical and wrong.
            My neighbors in Canada just twenty minutes North have universal coverage with the same standard of care for everyone rich or poor.  No copays, deductibles, or medical bankruptcy.  Drugs are 1/4 to 1/3 cost in US.  Something is wrong here that such a loser plan O'care is even being fluffed.

            •  AHCCCS is more like health insurance (1+ / 0-)
              Recommended by:
              splashoil

              AHCCCS makes monthly payments on your behalf, whether or not you actually use any medical care that month.

              Capitation Payments: The AHCCCS program is ba
              sed on cost containment through preventive
              care rather than emergency care. AHCCCS contracts with “program contractors” which in turn
              are responsible to ensure the delivery of all
              covered medical services to ALTCS members.
              AHCCCS pays program contractors a monthly “capitation” payment prospectively for each
              enrolled ALTCS member. This capitation concep
              t is patterned on the wa
              y many individuals pay
              for private health care insurance. AHCCCS pays
              the monthly capitation payment to the program
              contractors for each month the A
              LTCS member is enrolled, rega
              rdless of whether the ALTCS
              member received a medical service during the mont
              h. If the ALTCS member is on Medicare, the
              capitation payment amount for months of service
              on, or after, January 1,
              2010 that is subject to
              estate recovery will be the amount paid to th
              e program contractors ad
              justed to remove the
              actuarially determined amount of the
              Medicare cost sharing portion.
              The average contract year 2011
              monthly capitation payment
              to program contractors is
              approximately $3,340. It is approximatel
              y $3,020 without the Medicare benefit.
              It is important
              to be aware that capitation payments can
              exceed the actual costs of services provided
              during the month.
              Before enrolling in ALTCS, if an applicant or
              family member is concerned about AHCCCS’
              claim that will be filed against the estate, the ap
              plicant and/or family member should evaluate the
              financial benefits of enrolling the applicant in
              ALTCS. Because ALTCS payments made on the
              member’s behalf can exceed the actual costs of se
              rvices provided, and accrue even if no medical
              service is provided, it is
              very important that ALTCS applican
              ts (and family members) make an
              informed decision about enrolling in ALTCS.
              This is especially
              true for those ALTCS
              applicants who elect to remain in their ow
              n home and do not enter a nursing home.
              The
              applicant and family member should review whethe
              r it is better financially and medically for the
              applicant to pay for his/her n
              eeded medical services out-of-pocket (what won’t be paid by
              Medicare and/or other insuranc
              e) rather than enrolling in A
              LTCS and incurring a claim against
              their estate. Individuals who do not require ma
              ny medical services may
              not wish to enroll in
              ALTCS because their estate w
              ill be responsible for payment to AHCCCS of all ALTCS
              payments that are listed in question 5 above
              link

              When you're over age 55, they begin accumulating all the charges spent to support you, and that is claimed against your estate.

              •  more on this recovery for AZ (2+ / 0-)
                Recommended by:
                paradise50, splashoil

                although this is dated, it verified the methodology AZ uses to recover record amounts of $ from medicaid outlays. In fact AZ is #1 in recovered money as of 2004 anyways.

                2004 High and Low State Collection Rates

                    The three states that recouped the largest share of their nursing home spending are Arizona (10.4%),* Oregon (5.8%), and Idaho (4.5%).
                    Five additional states recouped >2.0% of nursing home spending: Iowa (2.9%), Minnesota (2.8%), Wyoming (2.7%), Maine (2.5%), and Massachusetts (2.0%).
                    Three states reported minimal recoveries (rounding out to 0%): Louisiana, New Mexico, and Utah.
                    Four states did not report any estate recoveries: Alaska, Georgia, Michigan, and Texas.

                * Arizona's estate recovery collections, as a percentage of nursing home spending, are not comparable to any other state because comprehensive prepaid managed care contracts dominate that state's Medicaid program. Nursing home care provided under these contracts is not identified separately for reporting purposes.

                It appears to me that all age 55+ Medicaid coverage, not just nursing home, etc., is charged back to the estate after your death. And the states have the option to pursue moneys, etc., other than just the probate items.
                States can choose to implement the minimal estate recovery guidelines mandated by OBRA 93, or they can implement a variety of options permitted by federal law to expand their estate recovery activities to reach more people and include more types of assets (see Table 4, below). For example, they can: use liens to secure Medicaid's right to recover; recover from recipient assets that bypass probate; or recover Medicaid spending for additional services beyond the required minimum of long-term care and related services.
                •  ...yes, my mom was totally broke... (2+ / 0-)
                  Recommended by:
                  splashoil, BarkerSr

                  ...she lived in Texas. She ended up in a nursing facility in the end for a few weeks. She was on Medicaid. Even though I had nothing to do with this situation and live in California (from Colorado...never lived in Texas)...both the nursing home and the state of Texas pressured me to pay them back for her Medicaid costs while in that nursing home. No matter what I did, they kept coming at me. My mom had nothing...no estate...nothing. She was living in her brother's home.

                  After consulting lawyers in California I finally decided just to pay off the state of Texas and that nursing home (in Longview, TX) as they were about to sue me and go after what I own. I doubt it would have worked, however, it would have costed me several $10's of thousand of dollars to defend myself.  It was simply less expensive to pay them off.

                  This is a standard ploy...make it more expensive for you to defend yourself against what isn't really legal than to just pay they off. I must admit, it is a strategy that works!...

                  Welcome from the DK Partners & Mentors Team. If you have any questions about how to participate here, you can learn more at the Knowledge Base or from the New Diarists Resources Diaries. Diaries labeled "Open Thread" are also great places to ask. We look forward to your contributions.

                  Ignorance is bliss only for the ignorant. The rest of us must suffer the consequences.

                  by paradise50 on Sun Jun 16, 2013 at 10:59:58 AM PDT

                  [ Parent ]

        •  xintsx, respectfully, the ACA "does away with" the (1+ / 0-)
          Recommended by:
          BarkerSr

          "asset test."

          The ONLY test beginning in 2014, is "income."

          So, now a 56 year old plumber, who is unemployed for over 30 days (but who is not disabled, or planning to retire, and does NOT need to be put in a skillled nursing facility (SNF) can be thrown into the Medicaid program (certainly if he has no opportunity to purchase health care insurance through a spousal plan).

          So, let's say 'said plumber' suffers a heart attack in the 2-3 months he's on Medicaid, and has open heart surgery.  

          EVERY cent that the Medicaid program spends on him, can be recouped, even if he NEVER has to go onto the program for nursing home care in his last years.  [Liens on one's home can be levied during one's lifetime, in some instances.]

          Now, this does NOT apply t o everyone 'on Medicaid.'

          Just adults AGE 55 to AGE 64 (under present law)--since one will presumably 'be on Medicare' beginning Age 65.

          THAT"S RIDICULOUS!  And I don't believe that 'The American People' will stand for this, when they realize it.

          Mollie

          "Only he who can see the invisible, can do the impossible."-- Frank L. Gaines


          hiddennplainsight

          by musiccitymollie on Sun Jun 16, 2013 at 01:18:27 PM PDT

          [ Parent ]

          •  5 year lookback (1+ / 0-)
            Recommended by:
            musiccitymollie

            This whole question now makes me wonder when the 5 year look-back period begins. That is the time Medicaid looks back for any giving of gift or assets to family members. If you start Medicaid regular health insurance at 55, you may be challenged on any assets you gave away since you were 50 I'm guessing.

            •  You're probably correct, BarkerSr. Honestly, (1+ / 0-)
              Recommended by:
              BarkerSr

              I haven't had a chance to check into this aspect of the MERP (Medicaid Estate Recovery Program) as it relates to the ACA, beginning in 2014.

              If you run across anything in the ACA that addresses the 'look-back period,' I hope you'll post it.  (I'll do the same.)

              Your assumption is probably correct.  It went from 3 years to 5 years quite a few years ago.  I'm wondering if they haven't (or won't decide to) changed this law in regard to the "Medicaid expansion" which begins in 2014.  (BTW, just wondering--haven't seen anything on this, at all.)

              Thanks for your reply.  Look forward to exchanging info on this topic. ;-)

              Mollie

              "Only he who can see the invisible, can do the impossible."-- Frank L. Gaines


              hiddennplainsight

              by musiccitymollie on Sun Jun 16, 2013 at 09:35:47 PM PDT

              [ Parent ]

  •  Jan Brewer is less evil than I thought (3+ / 0-)
    Recommended by:
    Lujane, Matt Z, falconer520

    she was.

  •  I'm going with a third (13+ / 0-)

    definition, as I understand it being a Catholic:

    For Governor Brewer, this advocacy is a mitzvah.  We are all flawed in varying degrees and yet we are all capable of at least one moment of grace and selflessness.

    Blessings for her powerful and relentless advocacy in this particular benefit for so many.

    " My faith in the Constitution is whole; it is complete; it is total." Barbara Jordan, 1974

    by gchaucer2 on Thu Jun 13, 2013 at 03:09:04 PM PDT

  •  If this pushes other GOP governors... (10+ / 0-)

    to follow suit, then this can really do some good.

    What a concept... elected officials actually advocating for their constituents, such a novelty in the GOP.

    She may have wagged her finger in Obama's face, but at least she didn't do the same to the 300,000 people who won't be showing up in emergency rooms now.

    Education is the progressive discovery of our own ignorance. -Will Durant

    by Blue Dream on Thu Jun 13, 2013 at 03:12:40 PM PDT

    •  Can we figure out how to get her to talk to (1+ / 0-)
      Recommended by:
      JerryNA

      Rick Perry?

      Oh, wait. He's called the Texas Lege back into session to try to cement the GOP gerrymandering in place, and to restrict abortion, and some other stuff Germaine only to the RW base of the GOP. Public education? Not so much. Transportation? Nah. So, not much hope for addressing health care.

      I'm part of the "bedwetting bunch of website Democrat base people (DKos)." - Rush Limbaugh, 10/16/2012 Torture is Wrong! We live near W so you don't have to. Send love.

      by tom 47 on Fri Jun 14, 2013 at 03:49:23 AM PDT

      [ Parent ]

    •  Better concept. (2+ / 0-)
      Recommended by:
      True North, Matt Z

      Incumbent Governor loses reelection.

      Exit poll cite stupidity on Medicaid.  

      The highest form of spiritual practice is self observation with compassion.

      by NCJim on Fri Jun 14, 2013 at 10:21:59 AM PDT

      [ Parent ]

  •  Excellent (11+ / 0-)

    Brewer had to really twist arms in the Legislature to get this. I do not for one minute believe her motives were altruistic. Rather they were purely fiscal.

    Either way this is excellent for a whole lot of Zoners who have been falling through the big holes in the net.

    Society is like a stew. If you don't stir it up every once in a while then a layer of scum floats to the top. ~Edward Abbey

    by cosmic debris on Thu Jun 13, 2013 at 03:17:44 PM PDT

  •  Perhaps she wants to replace Grumpy Old Man (4+ / 0-)
    Recommended by:
    Lujane, JoHafford, Mayfly, Matt Z

    McCain in the senate. But I think teabaggers will not be amused.

    "They will not collect a ransom in exchange for not crashing the American economy. The full faith and credit of the United States of America is not a bargaining chip."

    by TofG on Thu Jun 13, 2013 at 03:26:42 PM PDT

  •  It's all about the money with Brewer. (13+ / 0-)

    It galls her to do this.....but the money people of AZ told her: DO IT.

    Tea Baggers are PISSED!!!!!

    Pretty funny, actually - helping AZ folks for all the wrong reasons.

  •  A Legacy Bid (1+ / 0-)
    Recommended by:
    Lujane

    Perhaps this is her bid at leaving a legacy for Arizona. Whatever it was, I'm glad she did it.

    We were put here to help each other through this thing, whatever `this thing' is. ~ Kurt Vonnegut

    by Sister Inspired Revolver of Freedom on Thu Jun 13, 2013 at 04:05:57 PM PDT

  •  Must resist urge to suggest she was inebriated.n/t (2+ / 0-)
    Recommended by:
    JoHafford, Ellen Columbo

    One failed attempt at a shoe bomb and we all take off our shoes at the airport. Thirty-one school shootings since Columbine and no change in our regulation of guns. --- John Oliver

    by voroki on Thu Jun 13, 2013 at 04:13:57 PM PDT

  •  Good for her--we should bake her a cake. (0+ / 0-)

    Torta, ponqué, you know.

    You know, I sometimes think if I could see, I'd be kicking a lot of ass. -Stevie Wonder at the Glastonbury Festival, 2010

    by Rich in PA on Thu Jun 13, 2013 at 05:24:38 PM PDT

  •  Maybe She Is Not All Evil (1+ / 0-)
    Recommended by:
    Lujane

    I will give her a high five and a fist bump.  

    "Don't Let Them Catch You With Your Eyes Closed"

    by rssrai on Thu Jun 13, 2013 at 06:20:35 PM PDT

  •  Maybe I'm too cynical, but does this (0+ / 0-)

    benefit her criminally insane, rapist/kidnapper son in any way? Isn't he in a state hospital, presumably without income and insurance?

    It just seems out of character for her unless there's a personal benefit somewhere.

    "...Males are biologically driven to go out and hunt giraffes.” —Newt Gingrich in 1995

    by BadKitties on Thu Jun 13, 2013 at 06:51:14 PM PDT

    •  Senator Jan Brewer (0+ / 0-)

      is what she wants. She's moving to the center so when McCain retires in 2016 her legacy will be AHCCCS expansion and not SB1070.

      The problem is they're both her, and if she signs HB2305 along with HB2010, it just proves it.

  •  Gooper commentariat heads exploding. (0+ / 0-)
  •  Awesome! (0+ / 0-)

    Not only good for AZ citizens, the more states that take the program, the more pressure builds on holdouts. I'm still looking at you Phil Bryant, you dumb suburban cop you.

  •  Arizona is going broke (0+ / 0-)

    Taking the Medicaid expansion funds is a huge shot in the arm.

    She doesn't want to be remembered as the governor that bankrupted Arizona.

    •  Other GOP governors weren't bothered. (0+ / 0-)

      They just lied about rising bond debts and bragged about lowering taxes (don't mention rising "fees") and firing state employees.

    •  The AZ medical industry is huge. (0+ / 0-)

      They take care of lots of unhealthy snowbirds, for example.

      Surprisingly good medical care in AZ despite Tea Baggers' penchant for hating good health care. One of the few actually thriving industries in a state that does not have that much thriving industries.

      I mean, sure, telemarketing operations are big in the Valley, but that doesn't bring a lot of big-buck jobs. Medical industry does. And they said: put this money into our industry and phuque the Tea Baggers.

      $$$Billions has a very loud voice.

      Brewer being pragmatic to big business, not wanting to be  nice to people. Sheesh!

  •  Woo Hoo! Congrats, AZ (0+ / 0-)

    Everyone deserves access to affordable health care.  It's a basic human right.

    I hope Ohio sees the light, but its not likely.  They seem to be holding out for a plan that allows them to privatize it to their buddies.

    "If you can't take their money, eat their food, drink their booze and then vote against them, you have no business being in DC."

    by Betty Pinson on Fri Jun 14, 2013 at 10:37:26 AM PDT

  •  Brewer's stance here is a good example (0+ / 0-)

    for other GOP governors, who support Medicaid expansion and have GOP legislatures.

    In one such instance, MI, there was some good news yesterday as well. The House passed expansion, although I dont know its prospects in the Senate.

  •  ACA is a medicare change (0+ / 0-)

    One central idea behind the ACA is that an ounce of prevention is worth a pound of cure.

    The hospitals are already obliged to treat anyone who shows up needing emergency medical care.  The 300,000 people "added" in AZ already had legal entitlements to care, dating back to 1965 I believe.

    The ACA "expansion" is really just changing the existing program which covered everyone anyway.  According to the experts, the CBO and Gov Brewer, these changes make the health care programs cheaper on an overall basis.

  •  When push comes to shove. (0+ / 0-)

    ....they always take the money.

    That's what they do.

    "Pay no attention to that man behind the curtain!"

    by jkay on Fri Jun 14, 2013 at 10:41:41 AM PDT

  •  It absolutely was electoral. (0+ / 0-)

    McCain is going to retire in 2016.

    Jan is going to run for Senate.

    This is the same reason she's probably going to sign HB2305. Mark me on it.

  •  so health care now sucks a little less? (2+ / 0-)
    Recommended by:
    Yonkers Boy, burlydee

    My understanding is that Brewer's motivation was a bunch of hospitals (i.e., medical corporations) letting her know that taking care of the uninsured was going to bankrupt them.

    My problem with what's happened here in AZ goes back to her 2011 decision to cut off "adults without dependents" from access to AHCCCS (ironically pronounced "access" - this is AZ's medicaid program) in order to balance the state budget, a move that pleased the rabid right here but also required approval from the federal court (which she got).

    I moved here three years ago to take care of my parents. At the time they were both in their late 80s and my mother was bedridden. My dad was doing a terrible job of taking care of her, so I moved in. My mom passed away in 2011. My dad is now 91 and in steadily declining health. If I were to leave he'd end up in an assisted living facility within a matter of weeks.

    There's no way I can work, assuming I could even find a job here at my age worth taking, as employers aren't particularly willing to hire someone who is obligated to drop whatever he's doing and run home to help get "dear old dad" out of whatever he's gotten himself into ...

    But that's not the worst of it. Last March, a day before my 59th birthday, I got a hernia while out riding my bike. Bike riding was my "sanity salvation device." I used it to burn off the tons of negative energy one accumulates taking care of an aging parent. I also used it to raise money for the Leukemia & Lymphoma Society, having ridden the 111 mile El Tour de Tucson last year with Team In Training and raising $1400 in the process.

    I was on my 9th ride of a new training regimen, having taken off 2 months because I hate riding in cold weather, when I got the hernia and it put an immediate stop to the riding. It took just a matter of days to find out you don't want to be living in AZ in my situation without medical insurance. There's absolutely no way for me to get this damn thing fixed here.

    I'm glad that things are looking better for many "adults without dependents" here (I think there are 140,000 of us with no access to AHCCCS at the moment). Given that the bill doesn't go into effect until next year it doesn't do me and my hernia any good now. And my hernia, as most do, is just getting progressively worse. At some point it will become too bad for me to do what I came here to do in the first place.

    I'm also not terribly clear on whether or not the bill that just got passed will do anything for me in January anyway. The hernia will be considered a "pre-existing condition," and I'm not sure it would even qualify for coverage.

    So, instead of the Health Care Suckage Meter® being pegged a lot, it's now just pegged a little.

    Ain't life wonderful?

  •  They're Greedy.... (0+ / 0-)

    and finally see that NOT accepting expanded Medicaid will cost them a LOT more.

    Mind boggling conservative but also greedy.  

    Remember that.

    ... the watchword of true patriotism: "Our country - when right to be kept right; when wrong to be put right." - Carl Schurz; Oct. 17, 1899

    by NevDem on Fri Jun 14, 2013 at 10:58:35 AM PDT

  •  The picture jogged a childhood memory (0+ / 0-)

    of how I used to draw and color that flag.  I would blow out the gold crayon, and you can't buy them separately.

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