Bevin Makes His Move

As promised, newly elected Kentucky GOP Gov. Matt Bevin announced today that the plan is to scrap Medicaid expansion for 400,000 Kentuckians and to replace it with…something…in 2017.

Bevin, who campaigned on a pledge to reshape Medicaid and the expansion under the Affordable Care Act, said it will take time to change the program but he expects to succeed.

“We are going to transform the way Medicaid is delivered in Kentucky,” Bevin said.

Bevin has enlisted the help of Mark Birdwhistell, a former secretary of the Cabinet for Health and Family Services under former Gov. Ernie Fletcher.

Birdwhistell, vice president for health services at the University of Kentucky, said he’s ready for the challenge.

“The people of Kentucky need a Medicaid system that is affordable and sustainable,” he said.

Bevin and Birdwhistell said Kentucky will begin work on a waiver they will ask the federal government to approve to let Kentucky establish its own Medicaid plan, as Indiana and some other states have done.

They expect to introduce the plan in 2017.

Bevin Wednesday morning voiced support for a Medicaid waiver system similar to the one used by Indiana to hold down costs and said an effort during the coming six months will show “whether this will work or not.”

Bevin went on to blame former Gov. Steve Beshear for getting Kentucky into an “unsustainable” Medicaid expansion which he called a “lie”, and mentioned Indiana’s Healthy Insurance Plan program as the model, which of course leaves the question “If Indiana’s Medicaid expansion replacement plan is working so well, why is GOP Gov. Mike Pence so upset about it being evaluated?”

Richard Mayhew can probably answer way more about this than I can, but so far to me it looks like Bevin is trying to set up Steve Beshear (and of course President Obama) to blame when a “workable alternative” to the current expansion magically fails to materialize six months down the road.

 

Richard Mayhew here: I am even more cynical than Zandar but more optimistic.  Bevin looks like he is setting up a committee to set up a committee.  It is a bureaucratic dodge as every hospital executive in the state has talked to Bevin’s people by now and told them they need Medicaid expansion to balance their books.  What will happen is the alternative plan will be more punitive, more confusing and more expensive than a straight up expansion but it will still cover 400,000 or more people in the summer of 2017.  It just won’t be called Medicaid Expansion, it will be Bevin AwesomeCare with Health Savings Accounts and Personal Responsibility Initiative Points.

Dispatches From Bevinstan

The Kaiser Family Foundation discovers the problem with Kentucky and Medicaid expansion here now that Matt Bevin has taken office.

Majorities of Democrats (89%), Independents (75%), and even Republicans (54%) want to keep the state’s Medicaid expansion as is.

Of the people who voted for Matt Bevin last month, 50% want him to cut Medicaid.

My problem is with the 42% of Bevin voters who expect Bevin to keep Medicaid as is.  “Bevin won’t take coverage away from me“, they said. “Just, you know, those people.”  And Bevin may in fact figure out a way to do it.

But my guess is there’s going to be a substantial chunk of Bevin voters who are going to find out the hard way that when politicians tell you exactly who they are, you should believe them…

Sow The Trump, Reap The Whirltrump

The Trump campaign, not racist or anything, just number one with white supremacists as Team WIN THE MORNING accidentally commits journalism to tell us.

The Ku Klux Klan is using Donald Trump as a talking point in its outreach efforts. Stormfront, the most prominent American white supremacist website, is upgrading its servers in part to cope with a Trump traffic spike. And former Louisiana Rep. David Duke reports that the businessman has given more Americans cover to speak out loud about white nationalism than at any time since his own political campaigns in the 1990s.

As hate group monitors at the Southern Poverty Law Center and the Anti-Defamation League warn that Trump’s rhetoric is conducive to anti-Muslim violence, white nationalist leaders are capitalizing on his candidacy to invigorate and expand their movement.

“Demoralization has been the biggest enemy and Trump is changing all that,” said Stormfront founder Don Black, who reports additional listeners and call volume to his phone-in radio show, in addition to the site’s traffic bump. Black predicts that the white nationalist forces set in motion by Trump will be a legacy that outlives the businessman’s political career. “He’s certainly creating a movement that will continue independently of him even if he does fold at some point.”

Yes, that movement is called “The Republican Party” as Bloomberg News reminds us.

Almost two-thirds of likely 2016 Republican primary voters favor Donald Trump’s call to temporarily ban Muslims from entering the U.S., while more than a third say it makes them more likely to vote for him.

Those are some of the findings from a Bloomberg Politics/Purple Strategies PulsePoll, an online survey conducted Tuesday, that shows support at 37 percent among all likely general-election voters for the controversial proposal put forward by the Republican front-runner.

“We believe these numbers are made up of some people who are truly expressing religious bigotry and others who are fearful about terrorism and are willing to do anything they think might make us safer,” Doug Usher, who runs polling for Washington-based Purple Strategies, said in his analysis of the findings. “This indicates that, despite some conventional wisdom expressed in the last 48 hours, this is unlikely to hurt Trump at least in the primary campaign.”

Why would it, when the entire party is currently running a dozen nativist assholes for President and has been as loudly and as boldly racist as possible for a long time and virulently so since Barack Obama came on the national scene?  Why would it when a bunch of Republican governors are trying to kick brown people out of their states? Why would it when you have a racist asshole base that finds Trump’s nuclear-powered foghorn hate speech towards anyone darker than a paper bag a refreshing reason to vote for the guy?

Trump is not the cause, he is the inevitable result of today’s GOP, and much like herpes the body politic breaks out in overt racism and produces pustules like The Donald time and time again in American history, it’s just a matter of how big they get and how sick we get before they are lanced.  The names are different, the disease remains the same, and America has been infected with it since the start, kids.

The fact is if he was the GOP nominee, he’d get 45% of the popular vote minimum. Maybe he’d lose 55-45 to Clinton or Sanders, but maybe not. And if anything, Trump is heavy cover for the kinder, gentler racist fascism of Cruz, Rubio, Carson, and the rest of the GOP. The country club section of the party on their fainting couches saying that Trump doesn’t represent them were very happy to support calls to limit Middle Eastern immigration to Christians.

Trump is just the latest face on this evil Mr. Potato Head of nativist hatred, the problem is with all the Republicans who like the cut of his jib…and oh yeah, the Democrats looking the other way and/or still playing the “not a dime’s worth of difference” game.

We’re just going to have to weed out the garden again, and that’s going to take work.  It’s what we do, but damn it would be nice if we just got a backhoe and dug up the whole place one of these decades, huh.