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Walker may reject $4 billion Obamacare funds

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Re: Walker may reject $4 billion Obamacare funds

Postby snoqueen » Wed Nov 14, 2012 12:11 pm

From the Journal-Sentinel link:
Rep. Robin Vos (R-Rochester), the incoming Assembly speaker, said he has no position on nullification ....


The guy is one of the state's top lawmakers and he said that?

More and more every day, we're turning into Texas.
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Re: Walker may reject $4 billion Obamacare funds

Postby DCB » Wed Nov 14, 2012 1:48 pm

Huckleby wrote:You can't make this stuff up.

At least one of them is backing away from this:
"If it's the law, it's the law," [Born] said.

He said he did not think he filled out the Campaign for Liberty survey, but couldn't be certain, saying he had answered many questionnaires during the campaign.

But Kapenga is all in:
He said he believes the health care law is unconstitutional, despite the U.S. Supreme Court's ruling that it passes constitutional muster.

"Just because Obama was re-elected does not mean he's above the constitution," Kapenga said.

You keep using that word. I do not think it means what you think it means.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Fri Nov 16, 2012 11:14 am

http://www.jsonline.com/blogs/news/179662501.html

Walker is going to let the Feds do all the work. No surprise.

An insurance exchange made with no state involvement is going to be less effective, and I hope that the public understands what Walker has done here.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Mon Nov 19, 2012 12:40 pm

http://online.wsj.com/article/SB1000142 ... 28344.html

Obamacare is not a done deal. We are looking at a protracted political fight to get it implemented. Terrible for the country.
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Re: Walker may reject $4 billion Obamacare funds

Postby Detritus » Mon Nov 19, 2012 1:04 pm

Huckleby wrote:http://online.wsj.com/article/SB10001424127887324735104578122741540428344.html

Obamacare is not a done deal. We are looking at a protracted political fight to get it implemented. Terrible for the country.

Or maybe Republican gubernatorial intransigence will lead to a unified, federally run healthcare system such as we would not enjoy if their 30 states cooperated with the other 20. After all, 50 separate systems are a lot harder to integrate than 21.
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Re: Walker may reject $4 billion Obamacare funds

Postby Ducatista » Mon Nov 19, 2012 2:06 pm

Huckleby wrote:Obamacare is not a done deal. We are looking at a protracted political fight to get it implemented. Terrible for the country.

A more accurate summary of your link: two conservative columnists are wishing for a protracted fight over Obamacare.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Mon Nov 19, 2012 2:27 pm

It is not known how this will play out. I fear a stubborn state like Texas might resist medicaid expansion for a very long time. The Oklahoma lawsuit challenging subsidies on Federal exchanges could be a killer, apparently there was a flaw in the wording of the law.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Mon Nov 19, 2012 11:54 pm

The number of states rejecting medicaid expansion is disappointing. It's logical to expect that all states will eventually come around, but it could take years. Frustratingly, the states that have the most uninsured poor people are led by recalcitrant Republicans.

Image

The Koch Bros want Rick Scott to get with the program:
http://www.huffingtonpost.com/2012/11/1 ... 60739.html
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Tue Nov 20, 2012 12:04 am

As a comparison, I checked into how long it took the original medicaid program to be accepted by all 50 states. Program was introduced in 1965, the last state (Arizona) signed-on in 1982. That's 17 damn years. Hope we aren't facing another decade+ struggle.


As Rev Wright might say, "Goddamn the Supreme Court!"
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Re: Walker may reject $4 billion Obamacare funds

Postby snoqueen » Tue Nov 20, 2012 9:11 am

I will never understand the Deep South. Not only are their citizens least healthy, but they want to KEEP 'em that way. I wish someone -- seriously -- would explain how this is the best way to run things. Doesn't it result in more work missed, more poverty, more children failing in school and dropping out, more people unable to work because they must care for sick family members, and an overall less prosperous state?

I think it's doctrine over results, and that can't possibly last.
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Re: Walker may reject $4 billion Obamacare funds

Postby rabble » Tue Nov 20, 2012 9:17 am

The only thing I can think of is that it leads to better servants and an easier time managing an estate that is a country unto itself where the master's word is law and all things like health care, money, and self worth flow from him. If he likes you it means you're a good one.

Hard to do that with an educated healthy labor pool.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Tue Nov 20, 2012 10:50 am

Detritus wrote:Or maybe Republican gubernatorial intransigence will lead to a unified, federally run healthcare system such as we would not enjoy if their 30 states cooperated with the other 20. After all, 50 separate systems are a lot harder to integrate than 21.


One advantage of federal exchanges is they will further standardize regulation, allowing insurance companies to easily participate in more states. Remember the Republican's big idea - allow people to purchase policies across state lines? Well, standardizing regulation does this job in a realistic way.

The other advantage of federal exchanges is that they prevent sabatoge by ill-intentioned governors. I expect this is a short term problem, and exaggerated in our minds.

The big picture is that federal exchanges, with little state participation, will suck. The more I learn about the process, the more obvious it is that the states need to run them. Maybe in 10 years that will be different, but the exchanges today have to be highly customized.

The other problem is that even after all the policy decisions are made and documented, these are major software projects. It's almost impossible to get them built and debugged by next October.

There is a short-term crisis, not a problem, a crisis. The Feds do not have the funding to operate a large number of exchanges. Think how many customer service people it will take to bring a major program like this online! And they will have to be trained to answer complex questions about medicaid and other plans for a particular state. The Obamacare law was written with the expectation that nearly all states would take an active interest in making the program work for their state.

I can see an argument for a governor shunning a state-based exchange given the short time line. But the Republican rejectionist bloc are also refusing sensible federal-state partnerships. It's obvious they are engaged in a coordinated strategy to ruin the Obamacare rollout.

Somehow this job will get done. But it's going to be ugly, with a lot of unnecessary difficulty and finger pointing.
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Re: Walker may reject $4 billion Obamacare funds

Postby rabble » Tue Nov 20, 2012 11:00 am

Huckleby wrote:Somehow this job will get done. But it's going to be ugly, with a lot of unnecessary difficulty and finger pointing.

A concrete reason to elect a Democrat next time. I thought the Repubs were going to shift their paradigm but now I'm not so sure. The next candidate will probably run with the "repeal Obamacare" mantra. If we can put another Democrat in the house in 2016, it will speed things up.

And the way it looks now they're going to run another Romney. They're starting to forget already.
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Re: Walker may reject $4 billion Obamacare funds

Postby fisticuffs » Tue Nov 20, 2012 11:03 am

And the way it looks now they're going to run another Romney. They're starting to forget already.


If they were able to learn from past mistakes they wouldn't be conservatives.
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Re: Walker may reject $4 billion Obamacare funds

Postby Henry Vilas » Tue Nov 20, 2012 11:52 am

Reason given by Walker against state-run health exchange challenged

Gov. Scott Walker’s announcement that he turned down the option for a state-run health exchange to protect taxpayers last week has state and national health care experts saying his rationale is misleading and flawed.

While individual states could arguably finance insurance exchanges with taxpayer money, the Affordable Care Act says insurance providers, not individual states or taxpayers, are expected to be responsible for the financial costs associated with running the exchanges.

“The state shall ensure that such exchange is self-sustaining beginning on Jan. 1, 2015, including allowing the exchange to charge assessments or user fees to participating health issuers, or to otherwise generate funding, to support its operations,” reads the Affordable Care Act.
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