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The math is done and it shouldn’t be a surprise to anyone – NC is losing $4.9 million per day since January 1, 2014 because Governor McCrory and the NC General Assembly refused to expand Medicaid.  This is money  NC taxpayers paid in federal taxes that is now headed to states like Arizona, New York, Arkansas and Nevada where conservative legislators and governors chose to expand coverage for their poorest citizens.  You can embed the counter below on your own page by going here.

(Estimate based on data from the NC Institute of Medicine for 2014-15.)

Pat McCrory 4Maybe it’s the ongoing game of musical chairs in Gov. Pat McCrory’s communications staff or maybe it’s just the man himself, but whatever it is, the Governor’s public pronouncements continue to be peppered with admissions and allegations that bespeak a remarkable degree of obliviousness to the facts and the implications of his administration’s policies.

Yesterday morning’s announcement on raising teacher pay for new teachers featured a classic example. As the Governor began his remarks on his proposal and attempted to lay out the groundwork for it, he made the following rather amazing (and, one has to note, grammatically-challenged) admission:

“Today sadly, the starting teacher pay in North Carolina makes only $30,800. You know, that’s not even enough to raise a family or to pay off student loans, which this new generation of teachers are having to borrow money to go to college at this point in time. How do we expect someone to pay back that loan at that starting salary?”

While the Guv deserves an “attaboy” for making such a statement (yes, teachers make too little and government should do something about it!) he deserves nothing but a big “what the heck?!” for the stunning hypocrisy and lack of awareness it shows with respect to so many of his other policies. Read More

Medicaid gap2In case you missed it yesterday, the Wall Street Journal featured a powerful article on the terrible toll that is resulting from the failure of 25 states (including North Carolina) to expand Medicaid under the Affordable Care Act. The article – “Millions trapped in health-law coverage gap” tells the story of low-income workers like Ernest Maiden of Birmingham, Alabama who make too much to qualify for their own state’s Scrooge-like Medicaid programs, but not enough to qualify for federal subsidies under the ACA. (There are as many as 500,000 Ernest Maiden’s in North Carolina):

“Ernest Maiden was dumbfounded to learn that he falls through the cracks of the health-care law because in a typical week he earns about $200 from the Happiness and Hair Beauty and Barber Salon.

Like millions of other Americans caught in a mismatch of state and federal rules, the 57-year-old hair stylist doesn’t make enough money to qualify for federal subsidies to buy health insurance. If he earned another $1,300 a year, the government would pay the full cost. Instead, coverage would cost about what he earns.

‘It’s a Catch-22,’ said Mr. Maiden, an uninsured diabetic. Read More

Puppy millsFew developments are surprising these days in the through-the-looking glass world of the North Carolina General Assembly, but the recent developments surrounding “puppy mills” legislation takes a very large cake.

As was reported last week in multiple places, one of the North Carolina Senate’s most powerful members, Senate Rules Committee Chairman Tom Apodaca, issued a statement in which he said that the Senate would not move legislation on this subject in 2014 because of its objection to the “tactics” of bill supporters — specifically the fact that a supporter meeting with Senator Bill Rabon openly recorded the Senator’s inflammatory comments on the subject and then made them public.

This was apparently not an idle threat by Apodaca. Yesterday, N.C. Policy Watch obtained an email sent by another lawmaker (Senator Bill Cook of Beaufort County) to a concerned constituent in which he recited Apodaca’s threat verbatim (see the bottom of this post for the full text). Read More

Medicaid expansionThe drumbeat calling on state leaders to reverse course and accept federal Medicaid dollars in order to provide health insurance to hundreds of thousands of poor North Carolinians continues to grow louder and louder.

As this morning’s Greensboro News & Record editorial argues (after citing a new report by the accounting firm Jackson-Hewitt that the failure to expand will lead to tens of millions of dollars in tax penalties for North Carolina businesses):

“A society and an economy are stronger when people are healthier. Expanding Medicaid coverage could help North Carolina achieve that goal. If that could spare employers tens of millions of dollars in tax penalties at the same time, our pro-business governor should explore that opportunity.”

Meanwhile, be sure to check out this essay by Duke writer and doctor Laura Musselwhite in  Raleigh’s News & Observer in which she points out: Read More