Prepare for the right to make hay about this. And prepare for Gov. Roy Cooper’s office to continue to pressure North Carolina legislative leaders behind the scenes to roll over on Medicaid expansion, an issue that may divide the Republican caucus, if virtually no one else.
The editorial boards of the Charlotte Observer and Raleigh’s News & Observer have called upon Cooper and Senate President Pro Tem Phil Berger, North Carolina’s Medicaid miser-in-chief, to debate the issue. Berger’s office has indicated its willingness, but Cooper’s office says legislators should focus instead on responding to his budget proposal.
Cooper should debate Berger, no question, but in his absence, I can imagine hundreds of thousands of North Carolinians, those blockaded by the GOP’s political stranglehold over Medicaid, would be happy to step in.
Berger and the governor have spoken quite a bit, but it’s those residents of this state continually dehumanized by the blockade who deserve a microphone.
For the better part of a decade, Republicans have insisted that the federally-funded expansion is a financial liability in waiting, even if the expansion’s healthcare and economic benefits are about as nebulous as simple arithmetic.
I know it may seem as if the federal government will not endure the smoking crater in the White House, but it will, and so will Obamacare’s Medicaid expansion. Holding out, as North Carolina Republicans have, is intractable buffoonery. It’s mindless and heartless.
Here’s a portion of the Observer’s editorial from this morning:
The governor and other advocates believe expanding Medicaid here would provide health care coverage to hundreds of thousands of North Carolinians, increase jobs and help struggling rural hospitals. Cooper has intensified his public push for expansion by meeting affected parties in Raleigh and across the state. “I believe straight up Medicaid expansion is the best option,” he said earlier this month, “but I’m willing to discuss concerns of leaders in both chambers to ensure that more North Carolinians can get access to affordable health care.”
Berger, in an op-ed last month, said he thinks expanding Medicaid is an economic risk that would result increased health care costs and increased wait times at medical offices. He and House speaker Tim Moore have declined to give their blessing to compromise legislation that Democrats believe might get enough Republican votes to pass.
Yes, it’s possible that a debate won’t change the immediate political dynamic. It might even cause each side to dig in further on Medicaid rather than risk the impression of a debate loss. But there’s also the possibility that the debate could reveal to each side — and North Carolinians — at least a little common ground that could provide a foundation for compromise.
We’ve given the governor’s and Senate leader’s offices a heads up on our debate invitation. Berger spokesman Pat Ryan told the editorial board Monday that the senator is agreeable to debating the governor. Cooper spokeswoman Sadie Weiner told us the governor is not going to debate, and that Republicans should respond to Cooper’s compromise budget proposal. We agree. But we also think the the governor has a good case to make and defend on Medicaid expansion. We hope he decides it’s one that worth debating.