Saturday, April 01, 2017

A Reply to Governor Brownback's Medicaid Expansion Veto Message

Governor Brownback:

Contrary to your allegation, Obamacare is not failing. That is a Republican fiction created to justify “repeal and replace” Obamacare. Your words allege, “Americans have seen their health care costs skyrocket…”. While that may be true, Obamacare doesn’t control health care costs.

Your words allege Americans have seen “…their coverage options deteriorate.” I don’t know what that means, but it isn’t true. Obamacare sets minimum coverage standards for subsidized policies to insure that access to adequate health care services exists and that premiums are comparable. Obamacare actually expanded coverage “options” for the Americans it covers.

Your words allege that Americans have seen “…their state budgets balloon as a result…” of Medicaid expansion.  You fail to mention that costs of expanding Medicaid are mainly paid by Federal funds and Medicaid spending has increased the taxable money in state’s economies.

You claim to have vetoed Obamacare expansion, but you didn’t. You vetoed participation by Kansans in that part of the Affordable Care Act that provides for expansion of Medicaid for persons who do not earn enough to be eligible for Obamacare, but earn too much to qualify for Medicaid. You also say expansion of Medicaid does not help vulnerable Kansans. Are not the “vulnerable” already in traditional Medicaid? If not, expansion to care for them is in order.

You say Medicaid expansion is “irresponsible and unsustainable”. You assume there is no will or way to finance health care for Kansans caught in a crevasse between traditional Medicaid and Obamacare. I doubt your characterization of expansion.

You say that Medicaid expansion “sends funds to Planned Parenthood and the abortion industry.” This is true only for those Kansans who would receive health services from Planned Parenthood. The funds do not benefit the “abortion industry”. Planned Parenthood is not an abortion provider in Kansas and Federal funds are prohibited for abortions.

You claim that Medicaid expansion “prioritizes able-bodied adults above the truly needy” and provides no “pathway out of poverty”. Since the “truly needy” in terms of income and disability qualifiers are already served by Medicaid, how does that prioritize those benefitted by Medicaid expansion ahead of them? Able-bodied adults who will benefit from Medicaid expansion are often characterized as the “working poor”. They simply don’t earn enough doing their job to purchase health insurance. Medicaid expansion was never intended to provide a “pathway out of poverty”, although many would argue that healthy people are more apt to succeed in escaping poverty.

You think that you are “fighting for Kansas”, but you are pitting your office against a great number of Kansans who need assistance with health insurance to pay for needed care.