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2018-1-26

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Senate Republicans Reject Medicaid Expansion

Editorial - Why don't we Expand Medicaid?

In the Capital News Service article above this Editorial, Republicans in a Senate Committee killed Medicaid Expansion. It is no surprise that this has happened - it has happened in each of the four years that I have been publishing Emporia News.

This year one of the bills to Expand medicaid was offered by a Republican, and the committee still killed it. Also this year one Republican, Senator Amanda Chase (R-Chesterfield) cited the need to repair our crumbling infrastructure. Our infrastructure does need work. We have a great many rural communities that have insufficient Broadband Access; we have roads and bridges that need repaired; All interstate highways in the Commonwealth could use a few more lanes in places; Exit 11 is horrible, and needs to be colmpetely reworked to include acceleration and deceleration lanes (lets face it, getting from I-95 south to US58 East is sometimes a quite harrowing experience). With all of these needs, seemingly no major bills or budget amendments have deen offered. Infrastructure is a bit of an arbatrary term when speaking of legislation, but a quick glance at the LIS website shows no major bills of budget amendments for Transportation and the only place where Broadband Communications Infrastructure is mentioned seems to be a bill about how to mark highways during construction of those projects. Even with as random as the term infrastructure is, none of the bills where Senator Chase is listed as Chief Patron or Co-patron will have any impact on crumbling infrastructure.

Here is the impact of Medicaid Expansion in Colorado, my home state: "A new report examining the economic and budgetary impact of Medicaid expansion in Colorado reveals that, in the two years since implementation, expansion in the state has had a significant positive effect on the economy at no expense to the General Fund. According to the preliminary independent analysis, 'Assessing the Economic and Budgetary Impact of Medicaid Expansion in Colorado: FY 2015-16 through FY 2034-35,' Colorado has added 31,074 jobs, increased economic activity by $3.8 billion and raised annual household earnings by $643 due to the state Medicaid expansion under the Affordable Care Act. By fiscal year (FY) 2034-2035, Colorado is projected to add a total of 43,018 new jobs, increase economic activity by $8.5 billion and raise average annual household earnings by $1,033."

The Affordable Care Act included the funding to expand Medicaid, and by not accepting that funding, the hard-earned money of Virginia Taxpayers is being used to fund Medicaid Expansion in all the other states that have expanded their program.  Virginians gave states like New York 5 MILLION DOLLARS EACH DAY ($2,839,000,000 - that is Two Billion, Eight-Hundred Thirty-Nine Million Dollars) in the first year alone. Those losses in tax dollars are in addition to the lost economic activity mentioned in the preceding paragraph.

Expanding Medicaid in Virginia, which the Federal Government would pay for (100% now, 90% after 2020), would bring that money back to the Commonwealth, help rural hospitals and help poor families live better lives. Expanding Medicaid is the only Fiscally Responsible - the only Fiscally Conservative - option available to the General Assembly.

Don't read too much into my opinion here. I am not calling for completely re-inventing our current system, I am not saying that we need our own National Health Service like the one in the United Kingdom. All I am saying in this Editorial is that medicaid Expansion would be good for the Virginia Economy. By providing care via Medicaid we are, not only, helping our friends and neighbors get the care that many of them need but helping the Economy. Virginia has a larger population than Colorado (by about 3 Million people), so we stand to benefit even more than Colorado.  Even if there were only 100-150 jobs created in Emporia-Greensville and our economy were to expand by $10-15 Million, our community would be better off with Medicaid Expansion.

At a Town Hall Meeting here in Emporia, hosted by Senator Louise Lucas, a representative from Southampton Memorial Hospital, whose parent company also owns SVRMC, said that Medicaid Expansion would be a good thing for hospitals like SVRMC and that every hospital in the Commonwealth was in favor of Medicaid Expansion. At that August, 2014, meeting it was said that CHS would lose $1.7 Million over two years between Southampton Memorial and Southside Virginia RMC and would most likely see cuts in staffing and services - both of which we are seeing now. Monies that the Federal Government used to Expand Medicaid came from other indigent care programs. Without Expanding Medicaid, hospitals now absorb the cost of that indigent care, raising the cost of care for everyone else in the community, cut back services like birthing centers and surgical care - even sending patients to other hospitals for those services, or close up completely for lack of positive cash flow.

Expanding Medicaid would help more people than you think. In the spirit of full disclosure, I would, most likely) be one of them, as would anyone that makes less than $16,000 each year. Medicaid Expansion would help the "working poor" like those Restarurant Servers (who make $2.13 per hour, plus tips). Perhaps that fear the Republicans have, that feeling that the Federal Government would renege and suddenly stop paying for Medicaid stems from the fact that Republicans in the General Assembly did just that to every locality with a State Prison. The General Assembly agreed to a program called "Payment in Lieu of Taxes" to help those localities that lost parts of their property tax base (since the Commonwealth of Virginia does not pay Real Property Tax); The Republicans in the General Assembly broke their word to those communities (including Greensville County, Southampton County, Sussex County, Brunswick County, Nottoway County and Mecklenburg County) and stopped making those "Payments in Lieu of Taxes" after only one year.

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