12/12/2013

Denial of Medicaid Expansion Is a Job Killer

Denial of Medicaid Expansion Is a Job Killer:
(This one is clean for the kiddies.)

A just-released report from the Commonwealth Fund shows how ideology has trumped common sense when it comes to the states that have refused to expand Medicaid under the Affordable Care Act (aka "Pearl Harbor + The Civil War x Pol Pot to the power of Manson"). For, if you will remember, what the cruel Obama administration wishes to do is give states 100% of the funding for the first three years and, phased down over five years, about 90% thereafter to get health coverage for their not-quite-as-desperate poor, those in that not-exactly sweet spot between current Medicaid guidelines and qualifying for the insurance exchanges.

What are Bobby Jindal, Rick Scott, and other GOP governors forgoing? "The value of new federal funds flowing annually to states that choose to participate in the Medicaid expansion in 2022 will be, on average, about 2.35 times as great as expected federal highway funds going to state governments in that year and over one-quarter as large as expected defense procurement contracts to states."

How about putting that in dollars? So, for instance, the Rude Pundit's stupid home state of Louisiana would, if Jindal wasn't such a jerk about it, get $2.3 billion in 2022 for Medicaid expansion. For highway funds, the state gets $900 million. One of those numbers is bigger.

In that fantasy year of 2022, it would cost the state $280 million to cover over 240,000 Louisianians. In other words, the state would get roughly $9 for every $1 it spent. In otherer words, as a report in February from Family USA, the state is saying, "Hasta la vista" to jobs, too.

Remember how much Republicans want to talk about jobs except when it comes to actually creating jobs? Remember how Ted Cruz goes on and on about the "job-killing" Obamacare? Yeah, not so much.

Because, see, expansion of Medicaid in Louisiana is projected to create 15,600 jobs. Why? Because there's a couple of billion dollars involved. And what's even awesomer is that a chunk of that money will be spent on wages. The Rude Pundit is no high-falutin' economist, but he's pretty sure that means the wages will be taxed and spent, which is taxed also. That seems like a pretty sweet deal all around.

Now, can someone explain how this is any different, truly, than, say, a defense contract? Because it's all just federal money heading to localities that then turn around and create jobs doing something for the citizens of the nation.

Why do you think GOP governors like Rick Snyder and John Kasich have jumped on the expansion train? Compassion? Hell no. It's for that cash infusion at a time when the irrational budget sequester has circumcised the budgets of the states with no hope in the near future of spending returning to its pre-Tea Party levels.

Bottom line: If someone offered you $900 for the sweet price of $100, you'd be a total jackass not to take it. Thus we know why Gov. Bobby Jindal won't.