Iowa now expanding Medicaid in bipartisan compromise. Gov McCrory, where are you?

670px-Flag_of_Iowa.svgIowa just got approval from the federal government today to expand its Medicaid program under the Affordable Care Act.  In a bipartisan compromise between Republican Governor Terry Branstad and Democratic and Republican legislators, poor Iowans under 100% federal poverty level will get coverage through the Medicaid program while those with slightly higher incomes will buy private coverage through the health exchange.  Small premiums for those above the poverty line and a wellness program to encourage healthier behaviors will be a part of the plan.

Calling NC Governor Pat McCrory.  If the Governor of Iowa and legislators can work out a compromise on Medicaid expansion why can’t we do that here in NC?  Are we going to be among the final states dumb enough to leave all that federal money for providing health care to our poorest citizens lying on the table? Especially since NCians are paying federal taxes into the very same pot that is paying for expansion in states like Iowa. I sure hope not.


  1. LayintheSmakDown

    December 11, 2013 at 2:38 pm

    Gov Pat….actually more specifically the NCGA which is the real body making the sound decision to sit this train wreck out…. is just layin’ back and waiting for the “told you so” moment to happen within, I predict, five years. Come his second term the feds will be reneging on their hollow “promise” to pay and be shifting the feces down as an unfunded mandate to the states stupid enough to bite.

  2. LayintheSmakDown

    December 11, 2013 at 2:39 pm

    And according to Duke U. it is going to be hard enough on the citizens of the state that actually work to try to tax them more for expanding a bloated, broken program:


  3. wncgirl

    December 11, 2013 at 3:06 pm

    Companies have been cutting employees hours for years… it has nothing to do with the AFCA and everything to do with profits at the top.

  4. LayintheSmakDown

    December 11, 2013 at 3:43 pm

    wnc…finally a reasonable comment. It is true in this obama economy that many companies have had to cut back. What with the increased taxes, oppressive regulation, and uncertainty on whether they will actually make a profit, having Obamacare taxes and mandates on top of all the rest is just a straw to break the camel’s back. I am surprised that you realize a company can go out of business if they have high expenses due to personnel and hours worked levels….be careful, someone may think you are playing outside the usual socialist circles!


    December 11, 2013 at 5:38 pm

    Mccrory does not tell the publc that his refusal to expand medicaid is costing the state money ($400 million?) because obamacare law expected all of the states to expand medicaid and reduced subsidies accordingly.

    There are states like Iowa, Pennsylvania, Arkansas that are getting waivers to take care of their poor but mr Mccrory could care less!!!

    His plan is to farm out administering care to HMO’s that results in RATIONING OF CARE!


  6. Alex

    December 11, 2013 at 7:31 pm

    Did you notice this article in today’s paper wncgirl ?

    Durham, N.C. — Chief financial officers say they expect to reduce hiring and also move more jobs to part-time status as a result of the Affordable Care Act, according to a new survey from Duke University and CFO Magazine.

    Many companies also are considering a reduction in health care benefits for employees.

    “I doubt the advocates of this legislation would have foretold the negative impact on employment,” said Campbell Harvey, a professor of finance at Duke’s Fuqua School of Business. “The impact on the real economy is startling. Nearly one-third of firms may either terminate employees or hire fewer people in the future as a direct result of ACA.”

  7. Alan

    December 11, 2013 at 7:38 pm

    Medicaid isn’t broken, have you not been paying attention? The Grand Wizard of NC and team only keep repeating “it’s broken” as they intend to privatize it, and I wonder who would benefit financially from that…

  8. ML

    December 11, 2013 at 9:35 pm

    LSD, I believe you missed wncgirl’s point, it’s an obvious fact that a company can go out of business if they have high expenses due to personnel and hours worked levels. However, for decades corporations have focused only on the bottom line instead of the well being of their employees, developing new and safe products, and their social responsibilities and the ACA has nothing to do with the lost jobs and dropped hours. It is a question of corporate priorities or the lack their of…

  9. GOP Rules

    December 12, 2013 at 10:49 am

    The fact that Medicaid is increasingly sucking the budget into the red is the best case for “broken”. It sucks up the teacher pay raises, road improvements, and the list of more worthy things that can be done with the funds flushed down that hole go on and on.

  10. GOP Rules

    December 12, 2013 at 10:55 am

    And ML,
    The threat of going out of business is what focuses a business. All those other things, if they are not doing it then they find their way into bankruptcy, see the free market takes care of it all:
    Don’t take care of employees or pay them market rate—-you get substandard employees and go out of business

    Dont develop a new or safe product —-someone else will, and you go out of business because you cannot compete or have huge product lawsuits

    Social responsibiiy—well if you are seen as a morally corrupt company then people will not buy from you

    Face huge per employee cost increases for insurance due to ACA—–hire fewer employees or cut hours.

    It is very simple, but hard to understand for people who hate the free market.

  11. Alan

    December 13, 2013 at 6:27 pm

    GOP Rules,

    You’re decending into wacko commentary with statements like “hard to understand for people who hate the free market”. Thats simply tin-foil hat crazy talk.

    GOP Rules, sound to me like your ‘business’ experience is about the square root of zero….

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