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The Uninsured by Congressional District:

uninsured for health
Congressional districts with the highest percentage of uninsured are in the Southwest and
tend to be in areas with a large Hispanic population. Massachusetts has the lowest percentage
of uninsured due to its state-run health insurance, which has been in place since 2006.
Click here for an interactive version of this map.
That interactive version of that map above is based on the Census Bureau’s annual American Community Survey. All 435 congressional districts are ranked by Michael Mellody at the National Journal based on their share of uninsured residents. It comes as no surprise that Americans without health insurance are most heavily concentrated in minority districts represented by Democratic congresspeople.

But not only do many Republican districts in blue-collar and rural areas also contain high percentages of working-age citizens without health coverage, the overall difference between Democratic and Republican districts is also not great. The share of working-age people without insurance is 19.9 percent in Republican districts compared with 21.7 percent in Democratic ones.

This obviously makes no never-mind to Republicans willing to shut down the government in their vain and vainglorious efforts to stop Obamacare (as well as to squeeze more tens of billions of dollars out of an already hamstrung federal budget).

Ron Brownstein:

The big irony behind the scorched-earth Republican offensive against President Obama’s health care law is that its expansion of coverage to the uninsured would benefit House districts represented by Republicans nearly as much as those represented by Democrats. [...]

This dynamic underscores how thoroughly ideology is trumping interest as Republicans convert the budget and debt showdowns into their Thermopylae for blocking Obamacare. Because so many House Republicans represent districts with low coverage levels, these members are effectively seeking to prevent a substantial flow of federal dollars not only to uninsured individuals in their communities but also to hospitals, doctors, and other providers who now are delivering significant levels of uncompensated care. “This is really an ideological stand—and in American politics, it [eventually] tends to be more about economic self-interest,” says Robert Blendon, a Harvard School of Public Health professor who studies public opinion and health care.

While the shutdown spectacle continues with nothing but rumors regarding its possible end, Speaker John Boehner and the House Republicans who created the stand-off don't have much to say to constituents in their own districts who will benefit from the Affordable Care Act.

Except, of course, to declare that Obamacare is tyranny.

No word about the tyranny of their having no health coverage. Of having coverage but not for pre-existing conditions. Of living in the wealthiest nation on the planet, which spends more than any of the others per capita on medical care that reputedly is the best anywhere, yet remains outside the reach of so many tens of millions.

Instead, they keep ratcheting up their assault on the Affordable Care Act by deploying what they have shown themselves to be so very good at since the act passed in 2010: lying and fear-mongering. What they fear most is its success.

Originally posted to Meteor Blades on Fri Oct 04, 2013 at 08:47 AM PDT.

Also republished by Daily Kos.

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Comment Preferences

  •  They know that once the ACA succeeds..they are (27+ / 0-)


    No more fear of "Death Panels".
    No more fear of going broke to pay for health care.
    No more dying from lack of care.

    All the lies, all the fearmongering will have come to nothing.
    I cannot wait for the day!

    We cannot call ourselves a civilised society if we refuse to protect the weakest among us.

    by The Marti on Fri Oct 04, 2013 at 08:55:02 AM PDT

    •  Not to mention, they could give a rat's ass (6+ / 0-)

      about "those" people who don't have access to healthcare.   Open those state parks and memorials - "F" the little people.

      How can the GOP trust a woman to "raise" if they do not trust a woman to "choose".....

      by left my heart on Fri Oct 04, 2013 at 10:20:23 AM PDT

      [ Parent ]

      •  Oh, so you "speak" republican, too! ;-) (0+ / 0-)

        Didn't take much to translate that little photo op at the memorial, did it? :-)

        I cannot wait to see how long it takes them to start complaining about the menu in the cafeteria, now that it's gonna be "turkey chili" for the duration!  How fitting...I'm waiting for them to have to eat crow.

        The ACA will succeed, because the majority of us want it to.  We voted for it, we campaigned for it, and it. is. the. Law.

        And I don't give a fat rat's clavicle if the Rs like it or not.

        We cannot call ourselves a civilised society if we refuse to protect the weakest among us.

        by The Marti on Fri Oct 04, 2013 at 10:50:54 AM PDT

        [ Parent ]

    •  But By The Time The ACA Succeeds, The GOP Will (2+ / 0-)
      Recommended by:
      The Marti, bryduck

      just lie, and claim that they were always "for" Obamacare all along - just like they now claim they want to "save" Social Security and Medicare. Of course, for the past 70 years, Republicans have done nothing but oppose and try to decimate these 2 extremely popular Social programs. But instead of owning up to it, because they want the votes of senior citizens (who LOVE Social Security and Medicare) the GOP lies and pretends to be trying to "save" those programs, when in reality, all they want to do is privatize them. They Rethugs will do the same with the ACA when it succeeds - they NEVER own up to their mistakes, they just lie about it.

      •  They can try...but there is too much audio/video/ (0+ / 0-)

        print/everything out there for them to deny it.

        All we have to do is throw their own excrement right back in their faces.

        Or, as I like to say,"Drop the screen, roll the footage."


        It's so frustrating to know, ahead of time, that they will pull the same old stunts and get away with some of them, with some people.  But we are better than that, and we have the truth on our side.

        That helps, doesn't it?

        We cannot call ourselves a civilised society if we refuse to protect the weakest among us.

        by The Marti on Fri Oct 04, 2013 at 10:42:29 AM PDT

        [ Parent ]

        •  But it does NO good (1+ / 0-)
          Recommended by:
          Old Sailor

          for us to do that here on DailyKos (or even for somebody like Jon Stewart) to do it on TDS, and he does it all the time, and very well.  Until the MSM does it, often and hard, the majority of the American people will not get it.

          •  You'd be surprised at how many eyes see what we do (1+ / 0-)
            Recommended by:

            here.  Not just the eyes of our allies, but the eyes of people who come looking to mock, but keep reading because we tell the truth.

            We also get quoted on social media.  So it's worth talking about it here, and referencing Jon Stewart and (increasingly) Stephen Colbert. We have a lot to share, and the better we do it--as calmly and reasonably as we can--the better our chances to change minds.

            As peoples' minds change, we keep changing the landscape.

            If I didn't believe that, I wouldn't be here.  And look!  Here I am!  :-)

            We cannot call ourselves a civilised society if we refuse to protect the weakest among us.

            by The Marti on Fri Oct 04, 2013 at 01:27:22 PM PDT

            [ Parent ]

      •  In the case of Social Security, it's... (4+ / 0-)

        ...closing on 80 years of Republican opposition.

        Don't tell me what you believe, show me what you do and I will tell you what you believe.

        by Meteor Blades on Fri Oct 04, 2013 at 11:57:58 AM PDT

        [ Parent ]

    •  I can see the ads.."my cousin in the other state (2+ / 0-)
      Recommended by:
      The Marti, Faito

      is now covered but my family was prevented from getting affordable care by Senator XX"

      "The poor can never be made to suffer enough." Jimmy Breslin

      by merrywidow on Fri Oct 04, 2013 at 10:53:56 AM PDT

      [ Parent ]

    •  DONE. ;o) n/t (1+ / 0-)
      Recommended by:
      The Marti

      "Daddy, every time a bell rings, a Randian Libertaria­n picks up his Pan Am tickets for the Libertaria­n Paradise of West Dakota!"

      by unclebucky on Fri Oct 04, 2013 at 11:10:38 AM PDT

      [ Parent ]

    •  I wish your 3 "No more..." (1+ / 0-)
      Recommended by:

      sentences were correct.  But it's not that simple nor easy.  Here are two factors which contribute to hurting the most vulnerable:

      1) States can voluntary expand or refuse to expand Medi-Caid.  Many of the poorest, most vulnerable who have relied on Medi-Caid for care will now be denied.

      2) Several little known and back-handed new programs will be used to reduce Medicare funding and benefits for the elderly.  Again, impacting some of the most vulnerable.

      For information on the former, go to the Oct 3, 2013 Democrcy Now program:      
      Has GOP Already Defeated Obamacare? State Opt-Outs Leave Millions of Poor Without Health Insurance

      For the Medicare diversion of funds, see this

      I have followed these aspects because they apply to me as a low income senior citizen.

      the war being the relentless ...struggle... by the rich against the poor. " by Andrew O'Hehir in "Salon"

      by dharmasyd on Fri Oct 04, 2013 at 12:37:37 PM PDT

      [ Parent ]

    •  The GOP has nothing left in the tank. (0+ / 0-)

      The GOP has been talking about the dangers of socialism and advocating so-called "smaller government" since at least 1980; but it really started with Johnson's Great Society in the 1960s. Now with the ACA up and running people will see the benefits of the law as they buy insurance on the exchanges. The conservative "smaller government" message will fall apart and the Republicans won't be able to fight the tyranny of socialism anymore. They have nowhere to go and nothing to fight for anymore and they know it. The government shutdown is the last gasp of the GOP in its current form. Eventually this will lead to a major realignment of both parties.

  •  In 2014 (10+ / 0-)

    Voters need to act.

    Should Daily Kos be taking notes now to plan a follow-up campaign?

  •  seriously, all I can say is I hate the fuckers... (15+ / 0-)

    it's so depressing to see what's going on.  
    I just want to start kicking the republican bastards in the balls...

    sigh... I need to get a grip...

    "It is horrifying that we have to fight our own government to save the environment." *Ansel Adams* ."Even if you are on the right track, you'll get run over if you just sit there."*Will Rogers*

    by Statusquomustgo on Fri Oct 04, 2013 at 08:55:55 AM PDT

  •  Thank you. (16+ / 0-)

    I was looking at an older version of this table just the other day.

    If even some small percentage of the uninsured who get insured become or switch to becoming Democrats, there should be enough critical mass to sway both future state and national elections.

    What happens to the electoral college when Texas goes blue based on health coverage? Even in the most gerrymandered Republican district, self -interest will have to kick in at some point when Average Joe finds out he can finally get coverage and have his knee replaced or Average Joe Jr. can get his asthma inhalers or Mrs. Average Joe can get help with her breast cancer, etc.

    “Human kindness has never weakened the stamina or softened the fiber of a free people. A nation does not have to be cruel to be tough.” FDR

    by Phoebe Loosinhouse on Fri Oct 04, 2013 at 08:57:36 AM PDT

    •  Let's take a look at the numbers (9+ / 0-)

      Per the article, 14.6% of the residents of GOP Congressional districts are presently uninsured. Of course, those people have friends and family. So let's guess that perhaps 25% of the voters will have someone they care about who is helped.

      Now, for how many of them will it motivate a change in voting? I suspect the answer will be depressingly low, around 1/10th of those helped.

      Still, move 2.5% from (R) to (D), that's a 5% swing. It might take away a few districts, and everything helps.

      What it will do, though, is move some STATES from red to purple, or purple to blue. A 5% move in a state is huge.

      The following red states become purple, looking at 2012 results: AZ, GA, MO, SC!
      The following purple states become blue: CO, IA, MN, NV, NH, PA, WI
      The following toss-up states go to lean blue: FL, PA, VA

      Given that Obama won easily, if we see a 2.5% switch, 5% shift in 2016 it's going to be a massacre. Even if Texas isn't in play, yet, a GOP candidate playing defense in Georgia and catch-up in Florida is hurting.

      I'm on a mission! Testing the new site rules.

      by blue aardvark on Fri Oct 04, 2013 at 09:30:13 AM PDT

      [ Parent ]

      •  Logic (2+ / 0-)
        Recommended by:
        this just in, blue aardvark

        Good analysis!

        If more people are healthy because they are insured, they will be thankful to the Democratic administration and more likely to vote Democratic.

        In states where less people are uninsured, Democratic candidates are more likely to be elected.

        •  Like those people on Medicare (0+ / 0-)

          screaming "Don't let government touch my Medicare"? Yeah, they don't vote D in gratitude, and neither will their sons and grandsons (and most of their daughters and granddaughters.)

          "Lone catch of the moon, the roots of the sigh of an idea there will be the outcome may be why?"--from a spam diary entitled "The Vast World."

          by bryduck on Sat Oct 05, 2013 at 09:46:48 AM PDT

          [ Parent ]

    •  Sadly, until the 2020 census impacts the 2022 (4+ / 0-)

      mid-terms I think the ReThugs will hold the House for several more cycles then give way to a slim Dem majority (that will then be hampered by the Blue Dog/Third Way dregs) because of the existing gerrymandered districts plus ReThug Koch-Kash advantage.  Semi-recent history: incumbent House members win a huge % of the time (80% + off the top of my head) due to $$$ advantage and drawn for them district lines.

      That's why they can behave this deranged now, they know they're holding the House for a while. digby pointed out that - due to the district lines - most Rs are more worried about a Teahadist challenge from their right flank than from any Dem. So they follow the Goehmert/Cruz bullshit, out of fear.

      Barring CrazyTimes*, when that 2022 redistricting lands on top of the demographic shifts (happening every year) we should be crushing them in the House for a long time.  Or CrazyGoodTimes when folks throw off the shackles of Fox/CorpMedia lies, see what's happening, enjoy ObamaCare and toss these lying freaks into the trash bin!

      * Again, barring another Civil War (or as they would call it, after halftime), total economic/systemic crash or nuclear catastrophe.

      As of 9pm 8/30/13: RETIRED Pie Warrior. Substance over Sh*t Flinging (as best as I am able) ~ JV

      by JVolvo on Fri Oct 04, 2013 at 09:51:49 AM PDT

      [ Parent ]

    •  "What happens to the electoral college when ... (1+ / 0-)
      Recommended by:

      Texas goes blue?"

      My guess: shut down the government and assemble restive, paranoid RWNJs in every town square until the ALEC Fair And Balanced Vote Amendment, which decides Senate and Presidential races on a square-miles-per-vote basis, is ratified.

    •  The problem (1+ / 0-)
      Recommended by:

      is that millions of poor people who are not insured, and who were missed by ACA, and who don't meet states' new Medicaid requirements ... do not vote.

      And the next outfits like "ACORN" (OMG!  Communist ACORN!) which will do those huge voter registration drives will be targeted without mercy by the noisy right wing media machine.

    •  Texas goes blue --> GOP fractures or dies (0+ / 0-)

      As long as Texas is reliably red, there is minimal pressure on the GOP to change its policies, because they will still be competitive for national offices overall, even for the Presidency (though that's rapidly declining).

      But as Texas elects Democratic Senators, a Democratic majority of Representatives, and finally gives its electoral votes to the Democratic candidate (in that order), then the jig is up for the GOP; they will no longer be a nationally competitive party, and no one can deny it. So the day after that happy result, I predict a nontrivial group of moderate Republican politicians will openly break with the GOP, and the end result will either be a GOP that completely jettisons the religious right / nativists / GoldisGod types; or a GOP where the moderates abandon the GOP en masse to a new party, or even become Democrats.

      Long-term, we will still have two major parties, but there will be a sizeable shift to the left.


  •  America's version of state-sponsored terrorism: (15+ / 0-)

    GOP denial of healthcare coverage

    No word about the tyranny of their having no health coverage. Of having coverage but not for pre-existing conditions. Of living in the wealthiest nation on the planet, which spends more than any of the others per capita on medical care that reputedly is the best anywhere, yet remains outside the reach of so many tens of millions.

    Warning - some snark may be above‽ (-9.50; -7.03)‽ eState4Column5©2013 "I’m not the strapping young Muslim socialist that I used to be" - Barack Obama 04/27/2013

    by annieli on Fri Oct 04, 2013 at 08:59:12 AM PDT

  •  So how long until MDs and hospitals (5+ / 0-)
    Recommended by:
    88kathy, The Marti, shoeless, Chas 981, Faito

    start speaking out in very public ways?

    It's going to be pretty hard to keep your constituents sold on "Obamacare is EVIL" when their doctor is telling them they'd be better off if they signed up for the ACA.

    I'm on a mission! Testing the new site rules.

    by blue aardvark on Fri Oct 04, 2013 at 09:13:51 AM PDT

    •  From what I am reading DRs are the ones (3+ / 0-)
      Recommended by:
      True North, shoeless, this just in

      scaring people about ObamACAre. I wish they would get public if there actually is support in the medical community.

      Only gun owners can control their guns and they say oopsie way too much. I lost it, I forgot it, it just went off. Support Gun Kill Speed Limits and Gun Ownership Speed Limits.

      by 88kathy on Fri Oct 04, 2013 at 09:20:32 AM PDT

      [ Parent ]

      •  Doctors have a pretty cushy gig when their patient (2+ / 0-)
        Recommended by:
        brae70, shoeless

        population is largely made up of people with health insurance, which are often middle class people with good jobs at big corporations or government employees.  Some are not too fond of the quality of care measures in the ACA nor the idea that they will have to provide care for more poor people.

        “The future depends entirely on what each of us does every day.” Gloria Steinem

        by ahumbleopinion on Fri Oct 04, 2013 at 10:13:09 AM PDT

        [ Parent ]

      •  A family friend (1+ / 0-)
        Recommended by:

        is a cardiothoracic surgeon.  Good guy.  Self described social liberal and fiscal conservative, who probably held his nose and voted for Romney (mostly for tax reasons).  He said all of his surgeon buddies would fight, hard, to block a system like, say, the UK has, where everybody has basic coverage and if you can afford it and want it, you can have private insurance, which means shorter lines and more choice.  He said too many surgeons in particular have a huge profit motive to keep things the way they are.  I believe him--he wasn't being a douche.  He was being honest.  

        My spouse is CFO of a small hospital in a middle to lower middle class town.  Says 48% of ER bills go unpaid.  48%!  

  •  Of course they ignore them (6+ / 0-)

    Because they don't caaaaaarrrreeeeeee!!!!!

    And the sad thing is a lot of those people they are ignoring have been convinced by them that it would be wrong to get insured under the ACA.

    "If you tell the truth, you'll eventually be found out." Mark Twain

    by Steven D on Fri Oct 04, 2013 at 09:19:38 AM PDT

  •  GOP and the ACA (0+ / 0-)

    To quote from the Democracy Corps report out today, to the Republican base, "Obama is big government--but much bigger--they believe he is building dependent minorities that will give the Democrats a governing majority."

    Right-wing populism in the U.S. is deeply connected to racism, as we all know.

    For that reason, I'm sure that many of the low-income white conservatives hate "Obamacare." They think it is a program devised by the president to help "bla people"--exclusively so. They might be so proud as to be ignorant of their own condition.

    They probably know little about the law itself. They might not even have ever heard of the "Affordable Care Act."

    I've never understood why Democrats embraced the term "Obamacare" because it's just a dog whistle to Republicans.

    •  Well (0+ / 0-)

      since Obama himself now calls it Obamacare it's hard to stick with the duller Affordable Care Act.

      Millions of middle and lower middle class white Americans are scared shitless about the 'browning' of America.  They will continue to vote for old white male Republicans out of a sense of racial loyalty and a belief that they're voting for yesteryear, when things were better, but they end up voting in pols who will screw them without consequence or twinge of conscience.  I wouldn't really care except that they're screwing lots of others, too.

  •  Thermopylae (1+ / 0-)
    Recommended by:

    Love the reference!

    •  Didn't turn out so well for the Spartans. (0+ / 0-)

      And they're buying time for the Koch brothers...  

      Seriously, though, someone on the GOP side realized this is pretty much their last chance to retain power.  Now or never.

      All or nothing.

      So they're going to do the full monty, and I bet that includes a credit default and an impeachment trial.

      Happy little moron, Lucky little man.
      I wish I was a moron, MY GOD, Perhaps I am!
      —Spike Milligan

      by polecat on Fri Oct 04, 2013 at 10:28:59 AM PDT

      [ Parent ]

  •  The Texas, Ok., L:ouisiana bits on that map are (2+ / 0-)
    Recommended by:
    Chas 981, burnt out

    really appalling. Could a Democratic governor (guess who) in Texas with a majority GOP leg. do something nabout it?

    •  Nope, that's the problem we have here in Missouri. (0+ / 0-)

      Our governor did everything he could do to convince the Republican dominated general assemble to do the right thing, and they basically laughed in his face and voted not to expand medicaid. They have a veto proof majority in both houses. The teabaggers that elected them, many of whom will suffer because of their stupidity, cheered them on. Ignorant bunch of assholes.

      Just give me some truth. John Lennon

      by burnt out on Fri Oct 04, 2013 at 01:17:15 PM PDT

      [ Parent ]

  •  Abraham Lincoln: (3+ / 0-)
    Recommended by:
    rg611, greenbird, Faito

    Public sentiment is everything. With public sentiment, nothing can fail. Without it, nothing can succeed.

    When given the chance, the public with find that the Affordable Care Act is not the monster the Republicans have been making it out to be. Let the public choose their future.

    As a result of a nasty blow to my head, I’ve begun making self fulfilling prophecies. I now live in fear of my own future. - UID 16382

    by glb3 on Fri Oct 04, 2013 at 10:18:25 AM PDT

    •  The media (0+ / 0-)

      need to keep debunking the lies being pumped out by the right wing noise machine.  Of course I have no confidence that they'll do this.

    •  Sadly, his Republicans (0+ / 0-)

      are not like these Republicans, and they are masters at manipulating "public sentiment" to their ends, even as it is radically opposed to what "the public" wants.

      "Lone catch of the moon, the roots of the sigh of an idea there will be the outcome may be why?"--from a spam diary entitled "The Vast World."

      by bryduck on Sat Oct 05, 2013 at 09:49:46 AM PDT

      [ Parent ]

  •  Nice, clear map (3+ / 0-)
    Recommended by:
    greenbird, Meteor Blades, Chas 981

    that tells a very clear story.

    Check out that light pink outlier in Massachusetts.

    Fry, don't be a hero! It's not covered by our health plan!

    by elfling on Fri Oct 04, 2013 at 10:19:34 AM PDT

  •  How long will it take . . (2+ / 0-)
    Recommended by:
    brae70, Faito

    . . before the sleeping giant finally wakes up?

  •  Well.... (1+ / 0-)
    Recommended by:

    It's not like these clowns appointed themselves to Congress. Their uninsured constituents either voted for them or couldn't be bothered to cast a ballot for their opponent, so this is what they get. Elections have consequences.

    Just another day in Oceania.

    by drshatterhand on Fri Oct 04, 2013 at 10:24:49 AM PDT

  •  So, let your voters die? (1+ / 0-)
    Recommended by:
    Shrew in Shrewsbury

    that's a strategy?

    Oh lord, these people, these people...what will it take to take an ideological stance that is actually good for human


  •  Their Life Expectancy Is Plunging In Reddest Areas (1+ / 0-)
    Recommended by:
    Meteor Blades

    In areas that voted for McCain and Romney, the life expectancy for white women is down 3 years.

    The story is out there, and it would be a great Frontline episode, but only Mother Jones has touched it.

    Men are so necessarily mad, that not to be mad would amount to another form of madness. -Pascal

    by bernardpliers on Fri Oct 04, 2013 at 10:25:42 AM PDT

  •  I bet the Supremies are kicking themselves now (1+ / 0-)
    Recommended by:
    Meteor Blades

    They could have prevented all of this just by declaring ObamaCare to be unconstitutional communism.  (snicker)

    (Of course, in reality that would simply have resulted in the Goppers choosing a different hostage.)

  •  I'm almost convinced Ted Cruz is a Dem plant. (2+ / 0-)
    Recommended by:
    merrywidow, Faito

    Per my theory.....Cruz is a secret Dem planted in Steven Colbert's used suits.

    Cruz is performance art.

    He is the very embodiment of the Tea Party insanity, which he maximizes to the fullest Steven Colbert-like inanity. No question about it.....Ted Cruz is the new Steven Colbert. Highly educated, highly cynical.

    Remember when Colbert hosted the big Washington DC roast and just destroyed the repubs and Bush who were sitting there laughing their asses off?! (Good times!) Cruz doing the same damn thing today! He's got them eating out of the palm of his hand.

    Performance art.......think about it. Quick question: Who's doing more to destroy the Tea Party than their standard-bearer Ted Cruz?

    See what I mean?

    "radical, ideological wet dream"

    by Scottsdalian on Fri Oct 04, 2013 at 10:32:13 AM PDT

  •  One of these numbers will soon change dramatically (0+ / 0-)
    The share of working-age people without insurance is 19.9 percent in Republican districts compared with 21.7 percent in Democratic ones.
    Obviously, many more Democrats than Republicans will sign up for Obamacare.

    The problem with political jokes is they get elected.

    by shoeless on Fri Oct 04, 2013 at 10:32:41 AM PDT

  •  Their Thermopylae....cuz they are Trojan Whores (0+ / 0-)

    Ayn sucks. Please know I am not rude. I cannot rec anything from this browser. When I rec or post diaries I am a guest at some exotic locale's computer.

    by Floyd Blue on Fri Oct 04, 2013 at 10:41:06 AM PDT

  •  And Oklahoma seems to be one of the worst (1+ / 0-)
    Recommended by:
    Meteor Blades
    As the Obama administration and its emissaries began coaxing Americans to sign up for health insurance this week, they were facing not just countless misconceptions about the law in red states like Oklahoma, but also a stigma — its attachment to a president unpopular here — that may drive potential consumers away.

    States like California are spending millions to promote the law, but here it is difficult to find a trace of information about it beyond cable news. Officials at two organizations that received grants for outreach say they are still training navigators on what they can and cannot do.

    There are no billboards along the highways, no public service announcements on the radio. At a number of health clinics, there were no fliers last week about the law's insurance marketplaces.

    That's just fine with many leaders in a state where Obama lost every county. During an interview at his office facing the state Capitol, Atty. Gen. Scott Pruitt, a Republican, said he was more concerned about "public protection" and privacy concerns related to the law than whether people know where to sign up for insurance.

    "Folks want something to be done because they are fearful," said Pruitt, who said the lawsuit might offer the "last best hope" to topple the Affordable Care Act.

    Obamacare meets extra resistance in Oklahoma
  •  They're not ignoring these uninsured people. (1+ / 0-)
    Recommended by:

    They know full well they're there. And they're scared to death that if they get affordable health care that they'll get dependent on the government -- and maybe won't be so reliably Red any more. As was demonstrated recently in focus group testing of hard right Teapublicans, they're convinced that Democrats couldn't care less about the health of the people, but only want to construct this "monolith" to make people dependent on government handouts so we can gain electoral advantage.

    No kidding. That's really what they think.

    Never doubt that a small group of committed people can change the world. Indeed, it is the only thing that ever has. --Margaret Mead

    by The Knute on Fri Oct 04, 2013 at 10:43:48 AM PDT

    •  The thing is (1+ / 0-)
      Recommended by:

      Red staters all over the US are just as dependent as anyone on the government.  They use Medicare; they collect Social Security.  They latch onto whatever federal teat is close by.  They use all the deductions that put them into the 47% who duck federal income taxes.  And they are nothing if not deeply, hypocritically, reliably Red.

    •  They learned this from Reagan and Kristol (0+ / 0-)

      Ronald Reagan cut an LP record in 1961 for the American Medical Association's Operation Coffee Cup to denounce Medicare as evul Soshulism and a trap for the unwary to get them to give up !!Liberty!! for mere government benefits like not dying of poverty or disease. Bill Kristol wrote the plan to kill "Hillarycare" in 1993. As I explained in a 2009 Diary, this was because Kristol correctly pointed out that Health Care is The sum of all GOP fears.

         Passage of care plan, in any form, would guarantee and likely make permanent...the largest federal entitlement program since Social Security. Its success would signal a rebirth of centralized welfare-state policy at the very moment we have begun rolling back that idea in other areas.

          But the...proposal is also a serious political threat to the Republican Party...It will revive the reputation of the party that spends and regulates, the Democrats, as the generous protector of middle-class interests. And it will at the same time strike a punishing blow against Republican claims to defend the middle class by restraining government.

      As the Founder of Conservatism in name only, Edmund "Tax and Spend" Burke put it in his Letter to a Noble Lord,
      Mere parsimony is not economy. Expense, and great expense, may be an essential part in true economy. Economy is a distributive virtue, and consists not in saving but selection. Parsimony requires no providence, no sagacity, no powers of combination, no comparison, no judgment.
      Conservatives: Endangered species?

      And there you have the Republican Party in a nutshell. [pun intended]

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Fri Oct 04, 2013 at 01:45:01 PM PDT

      [ Parent ]

  •  Something interesting about that map. (2+ / 0-)
    Recommended by:
    Meteor Blades, Chas 981

    The country to the north of the US has no red or pink on it at all.

    The problem with political jokes is they get elected.

    by shoeless on Fri Oct 04, 2013 at 10:48:58 AM PDT

  •  That's not irony -- it's strategy (1+ / 0-)
    Recommended by:
    Meteor Blades

    GOP is worried that the poor people whose interests they rape will realize that government programs actually help them, which is why they want to stop the ACA before it helps people. There is neither irony, irrationality, or poor logic. There is a great deal of cynicism, but cynicism with a Dick Cheney smile is part of the GOP brand.

    "Your victory has demonstrated that no person anywhere in the world should not dare to dream of wanting to change the world for a better place." -- Mandela

    by agoldnyc on Fri Oct 04, 2013 at 10:49:25 AM PDT

    •  Nixon strategist Lee Atwater (1+ / 0-)
      Recommended by:

      on the Republican Southern Strategy: It's OK

      as long as Blacks get hurt worse than Whites.
      And all of the rest of the enemies in the War on Everybody, now including other minorities, women, immigrants, LGBTs, the young, the old…even each other.

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Fri Oct 04, 2013 at 01:48:15 PM PDT

      [ Parent ]

  •  Speaking with a Republican relative and hearing (0+ / 0-)

    the right wing spin come at me, all I asked was "why deny someone affordable healthcare?".   The response was just we will see if it's affordable and we'll see if it works.  Just maybe they will wake up to the perceived boogeyman they were given.  But I doubt it.    

    Do not adjust your mind, there is a flaw in reality.

    by Shrew in Shrewsbury on Fri Oct 04, 2013 at 10:49:44 AM PDT

  •  Ron Brownstein Obviously Doesn't Get Rethug (2+ / 0-)
    Recommended by:
    merrywidow, Meteor Blades

    psychology - hey Ron, THEY DON'T CARE ABOUT LOW INCOME UNINSURED PEOPLE, EVEN THOSE PEOPLE WHO ARE REGISTERED REPUBLICANS!! All the Rethugs care about are the 1% (think the Koch brothers and the Walton family) and corporate interests. If you don't fit into one of those categories, they don't give a shit about you. They only "care" about the ignorant base on election day - and to get the low information/low income base out to vote for the Rethugs, they use fear and social issues to manipulate them (the Democrats are going to take your guns!, they are aborting babies!! they are allowing queers to get married!! death panels!! socialized medicine!! Sharia law is taking over our country!! lazy blacks on welfare!!.... fill in the blank). The Republicans have been getting these idiots to vote against their economic self interest for the last 35 years or so. To help things along, the Rethugs also have help - a 24/7 right wing noise machine (Fox News, Rush Limbaugh) and a backup plan - it's called voter suppression, to make sure Democratic leaning constituencies (students, the poor, minorities, etc.) have a harder time voting.

    •  This turns out not to be the case (0+ / 0-)

      The rich mostly care only about the rich, and getting others to vote for their privileges and entitlements.

      All other Republicans care deeply about not letting somebody "get away" with something, whether that is uppity non-Whites getting help to get level with poor Whites, or even ahead; Affirmative Action; or non-Fundamentalists following the Antichrist teachings of science and family planning. Also, many neo-Confederates (card-carrying members and fellow travelers) care deeply about not having the Yankee tyrant government help them or anybody else with anything whatsoever, or even regulate those who would harm them along with the rest of us.

      There are many others who are down with government help for those Real Amurkens who deserve it but not for evul Soshulist, lazy moocher, Brown and Black people who are the real Racists, they are told. Help for pseudo-Christians of their sort is jes' fine, but not for real Christians or non-Christians.

      There is a good deal more of this known. For example,

      The 7 Types Of Republicans And How To Debate Them

      The advice given is to demand facts to back up claims where possible, and don't bother arguing with them otherwise. On their solutions for the issues, ask, "How would that work?" and then ask about the effects of the promised effects.

      The essential point, not in this article, is that to be effective you should rarely present facts of your own, and if you do so, do it only once, to avoid getting their backs up further, and then listen to them. But insist on hearing the supposed sources of their "facts", especially the data on the effectiveness of policies they support.

      If you can get them talking about their fears and desires, you have a better chance of real engagement on the issues.

      There are many other analyses.

      Here is a version of the divisions from more of a Conservative point of view.

      What Are the Different Types of Conservatives?

      And here is a more nuanced, scientific version of part of the problem.

      The Republican Brain: The Science of Why They Deny Science- and Reality

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Fri Oct 04, 2013 at 03:13:53 PM PDT

      [ Parent ]

  •  PLEASE (0+ / 0-)

    Quit playing the Lynch Mob's game and call it what it is, the Affordable Care Act or the ACA!

    "The test of our progress is not whether we add to the abundance of those who have much. It is whether we provide enough to those who have little. " --Franklin D. Roosevelt

    by jg6544 on Fri Oct 04, 2013 at 10:54:29 AM PDT

  •  "The big irony behind the scorched-earth" is that (0+ / 0-)

    ...the Republicans could have justifiably treated HeritageRomenyObamaCare as a great victory for them.

    In return for the votes of even a few Republicans (and especially for enough of them to make it a "bipartisan" bill), they could have obtained even more concessions on a package that was already closer to Republican principles than to Progressive ones.

    Boehner's no-plan-B approach of recent weeks is pretty small potatoes in comparison with the Republicans' 2008 decision to go all-in on persuading Americans that American health-care finance did not need fixing.

  •  As aside on "free market" Texas... (2+ / 0-)
    Recommended by:
    merrywidow, Meteor Blades

    Ironic that Republicans keep spouting "free market" for a health care system that is nothing of the sort, but...

    We are leaving for Texas this weekend.

    One thing we did was (after much aggravation) arrange to have high speed internet installed at the house where we'll be staying.

    Here in communist Illinois, we were able to choose service that did not force us to rent company equipment and -- whoa! we could actually reach the company on the phone.

    In "free market" Texas, we are forced to rent a company modem that will probably be inferior to the equipment we own and when we tried to call to order service and ask a few questions, we wait on the line 20 minutes 20 MINUTES! before giving up and going online.  If the company (Charter Communications) is that cavalier with new service orders (ie, new revenue)  I hate to imagine what's going to happen if we need any kind of customer service.

    LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

    by dinotrac on Fri Oct 04, 2013 at 10:58:50 AM PDT

  •  Quick question (0+ / 0-)

    What's the white, Massachusetts-shaped state in the Northeast there? Is everyone there insured or something? If only the rest of the country would adhere to whatever plan they used to make sure folks are insured. Someone should point that out to Republicans; maybe they could create a plan based on that state's plan that could be used for the whole country. Who came up with that state's model, anyway? Must have been a real genius....

    The Bush Family: 0 for 4 in Wisconsin

    by Korkenzieher on Fri Oct 04, 2013 at 11:02:51 AM PDT

  •  Rubber Hitting The Road For Voting Against Your (0+ / 0-)

    own interest. Fans of cognitive dissonance will see a lot of it on display over the next few weeks. There will be a lot of whispering in these districts. "Obamacare will really help me and my family but if I can't talk to anybody about it"

  •  Ooooo, look at Massachussetts! ROMNEYCare! n/t (0+ / 0-)

    "Daddy, every time a bell rings, a Randian Libertaria­n picks up his Pan Am tickets for the Libertaria­n Paradise of West Dakota!"

    by unclebucky on Fri Oct 04, 2013 at 11:10:15 AM PDT

  •  This next year GOTV. Vote early, but not often n/t (0+ / 0-)

    "Daddy, every time a bell rings, a Randian Libertaria­n picks up his Pan Am tickets for the Libertaria­n Paradise of West Dakota!"

    by unclebucky on Fri Oct 04, 2013 at 11:12:40 AM PDT

    •  I always tell people to vote early and often (1+ / 0-)
      Recommended by:

      with their feet and their wallets, with letters to the editor, with dKos Diaries and comments, with Twitter and Facebook, with contributions of time or money, whatever has an effect on facts and opinion in the world of reality, no matter how small. Election day is only one of the times we get to speak.

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Fri Oct 04, 2013 at 03:18:37 PM PDT

      [ Parent ]

      •  Yeah, that "vote early and often" was a (0+ / 0-)

        malapropism of our old Mayor Richard J. Daley.

        He would always make those kinds of excursions.



        "Daddy, every time a bell rings, a Randian Libertaria­n picks up his Pan Am tickets for the Libertaria­n Paradise of West Dakota!"

        by unclebucky on Sat Oct 05, 2013 at 12:03:03 PM PDT

        [ Parent ]

  •  The Uninsured (1+ / 0-)
    Recommended by:
    Meteor Blades

    It would help if those uninsured would register to vote and those that vote, stop voting Republican. You might then find out how fast you will have health care.

    •  It's our job to get them registered... (2+ / 0-)
      Recommended by:
      dharmasyd, Mokurai

      ...and get them out to vote.

      Don't tell me what you believe, show me what you do and I will tell you what you believe.

      by Meteor Blades on Fri Oct 04, 2013 at 11:38:53 AM PDT

      [ Parent ]

      •  Our job? (0+ / 0-)

        I registered myself the first week I was old enough to vote. No one had to take me by the hand and tell me what my responsibilities as a citizen are.

        •  You argue like a "We built that" Republican (1+ / 0-)
          Recommended by:
          Meteor Blades

          It took your parents, your teachers, writers of civics textbooks, historians, journalists, judges, politicians, activists, and many more to create an environment in which voting was obvious to you. It took hundreds, even thousands of years of struggle to get you the right to vote in the first place.

          You don't get to look down on those who don't have your advantages.

          Ceterem censeo, gerrymandra delenda est

          by Mokurai on Fri Oct 04, 2013 at 03:21:40 PM PDT

          [ Parent ]

        •  You're arguing at a site dedicated to... (0+ / 0-)

          ...electing Democrats that GOTV, which includes persuading people who haven't registered or voted (for any number of reasons, including disgust at the political system), that we should just sit on our heels?

          Don't tell me what you believe, show me what you do and I will tell you what you believe.

          by Meteor Blades on Fri Oct 04, 2013 at 10:15:44 PM PDT

          [ Parent ]

  •  what occurs to me after this week (1+ / 0-)
    Recommended by:

    of 'shutdown' madness, that at long last, the Republicans aren't getting away with it.  I remember in the first few weeks of Obama's first term, the Republicans got away with slamming the wildly successful Cash for Clunkers program, and the newly-minted progressive champion Rachel Maddow would cover this ridiculousness on her fledgling show.

    Now, 5 years later, conservative newspapers are vilifying the Republicans and giving them complete ownership of this shutdown debacle.

    "Kossacks are held to a higher standard. Like Hebrew National hot dogs." - blueaardvark

    by louisev on Fri Oct 04, 2013 at 11:13:50 AM PDT

  •  Remember that Republicans don't care about this (1+ / 0-)
    Recommended by:
    Meteor Blades

    You are using data. Republicans don't care about data. They go with their guts.

    Remember that Republicans believe that all you have to do is work hard and you can achieve anything. The only reason that you don't have health insurance is because you are lazy. Work harder. Sure, you are working 80 hours/per week at 3 part time jobs. Good for you. (Remember Bush at his town hall meeting acted like it was no big deal that a young woman had to work 3 jobs to make ends meet.)

    Republicans simply don't care about the poor.

    Be involved!

    by ecthompson on Fri Oct 04, 2013 at 11:26:18 AM PDT

    •  Republicans are using data (0+ / 0-)

      Particularly the 80 House Republicans who demanded the shutdown in a letter to Speaker Boehner. They know perfectly well that they are in gerrymandered districts that give them 20 or 30 point advantages on Election Day. It is this that allows them to ignore all of the data on the issues.

      But Republicans in contested, swing districts cannot. They know that they will be the big losers no matter which way the current kabuki plays out. They know that both the Tea Parties and the Democrats will be gunning for them in the midterms.

      Part of their problem is the general Republican unskewing of the polls. Even the moderates in the most vulnerable districts believe that their constituents are significantly more Conservative than they are. We have to get out there and show them the hard way.

      Experience teaches a dear school, but fools will learn in no other.
      Benjamin Franklin, Poor Richard's Almanac

      However, Franklin was wrong. It is the friends of the fools who learn these hard lessons while the fools are out earning their Darwin Awards.

      Fools rush in where angels fear to tread,
      And the angels are all in heaven, but most of the fools aren't dead.
      James Thurber, Further Fables for Our Times

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Fri Oct 04, 2013 at 03:32:38 PM PDT

      [ Parent ]

  •  For about 20 years, I calculated the percentage (2+ / 0-)
    Recommended by:
    Meteor Blades, Eric Nelson

    and number of uninsured children (ages 0 through 18) by state for a well-known advocacy organization. I used a federal data set, averaged 3 years of data, then ranked the states by percentage of children who were uninsured.
    Most of the time, Texas was either the worst state or the second-worst state. The state government just had no interest in making things better for children in Texas.
    So ignoring the uninsured is not new policy in Texas -- it's their standard operating procedure. Hating Obamacare is just an added incentive to continue their neglect.

    While Democrats work to get more people to vote, Republicans work to ensure those votes won't count.

    by Tamar on Fri Oct 04, 2013 at 11:50:11 AM PDT

  •  And yet I'm sure their constituents (1+ / 0-)
    Recommended by:

    will still vote them back in mostly because there's no way they can vote for a hippy-trippy atheistic Socialist member of the Democrat Party who wants to give all their money to minorities and gays.

    Until that changes, we'll be in the mess we're win.  

    "Those who have wrought great changes in the world never succeeded by gaining over chiefs; but always by exciting the multitude." - Martin Van Buren

    by puakev on Fri Oct 04, 2013 at 12:11:09 PM PDT

  •  Oh look! (0+ / 0-)

    Look at that shiny light pink that is Massachusetts! Though I'm a little disappointed in the 4+% uninsured in some districts...

    Soon, most of the country will look light pink!

  •  Picture the flow of federal dollars (which is what (0+ / 0-)

    all our dollars are) as if from a garden faucet. If one is on a municipal water system, the system sets the pressure at the pumps to deliver a certain number of gallons per minute, when the faucet is opened all the way. Of course, a conscientious householder is not going to open the faucet, except when water is needed. The householder has control. If the faucet valve does not close all the way, he'll have a drip and, eventually, a trickle.
    When it comes to the flow of our currency, Congress is like the householder. The extent to which it opens the faucet determines whether we get a trickle or a drip or, as is currently the situation, a complete shut off.
    If you say that's not accurate because other enterprises are not seeing a restricted flow of dollars, I'd say that's because these enterprises (corporation, banks, mercantile establishments) have not given Congress reason to be irked. They are, for the most part satisfied with what Congress sends their way. Moroever, they are not even concerned that, if householders get more, they will get less, because, unlike water, dollars are in infinite supply. There is no reason for them to be scarce, other than that Congress like to turn the faucet on and off.

  •  Weber is our representative (1+ / 0-)
    Recommended by:
    Meteor Blades

    So, this is my Congressman. In May he had a town hall. I and some others asked some pretty hard questions. I was told we would talk about "that" after the meeting. I said absolutely not and proceeded to ask again and again until I got answers. "Freedom" was a common answer. Anyway, Weber was supposed to have another town hall in August (I planned to attend). I did not see a notice of a town hall but did notice he met with the Tea Party. Anyway, this is what we are dealing with in Texas. I hope the rest of the country realizes there are sane, rational people in Texas and not all of our representatives are Tea Party.

  •  Poor people don't vote. (0+ / 0-)

    Until they do, Republicans will continue to treat them as lawn furniture, and the numbers of uninsured will continue to grow.

    "I never meant to say that the Conservatives are generally stupid. I meant to say that stupid people are generally Conservative. -- John Stuart Mill (March, 1866)

    by Blood on Fri Oct 04, 2013 at 05:58:10 PM PDT

  •  Take note of that MA uninsured number (1+ / 0-)
    Recommended by:
    Meteor Blades

    I've been a grateful recipient of the program here called Commonwealth Care...Romney's "signature" program, no less! When I arrived here in 2002 with my daughter, we were fairly destitute right away. It took me 4 yrs to start earning a liveable wage but never enough to pay for insurance on my own and too much for Medicaid. When Commonwealth Care kicked in I was able to get insurance for us at less then $200 a month! I tell anyone I can how this has been a lifesaver for me and I know the ACA will work out to be a lifesaver for millions. I'm a nanny so do not have access to employer provided insurance. I'm fortunate enough now to have a great income, the ACA may not give me subsidies like Commonwealth Care did, but the state tells me I will have more affordable self-coverage then I did before.

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