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Tar Heel View: On Medicaid expansion
by From the News & Observer of Raleigh
Mar 13, 2013 | 727 views | 0 0 comments | 7 7 recommendations | email to a friend | print

North Carolina Gov. Pat McCrory has expressed his admiration for the man he’s called “Boss,” New Jersey Gov. Chris Christie. There are good reasons for the admiration, not the least of which are Christie’s candor (he releases his tax returns to the public as soon as he files them), his statesmanship (he thanked President Barack Obama and praised him in the aftermath of Hurricane Sandy) and the fact that Republican Christie is governor of a Democratic state yet he’s got a nearly 3-out-of-4 popularity rating.

And here’s one more reason to admire Christie: Despite hard-line Republican opposition to the expansion of Medicaid, made possible by the Affordable Care Act, Christie decided for the good of his state and for poor people in need of health care to accept a federal deal that makes more people eligible for help. It’s help the federal government, by the way, will pay for.

In North Carolina, 500,000 people might have been helped, but Republican lawmakers, suspicious of anything to do with the federal government — they also declined to join in running a health insurance exchange that will help people find affordable insurance — rejected Medicaid expansion. McCrory signed off on that position and he literally signed the measure about Medicaid and the health exchanges into law in the State Capitol.

So he’s not such a Chris Christie fan after all? …

In going along, the governor surrendered leadership on a key issue to the General Assembly, where Republicans are in charge and in the process of scuttling spending that helps many citizens in need. Now the rejection of the Medicaid extension joins the rejection of an unemployment benefits extension. Both forms of assistance would have been paid by the federal government.

McCrory missed an opportunity to demonstrate his political independence and, more importantly, to do the right thing. That’s what Christie did, and it’s what Florida Gov. Rick Scott, a vocal opponent of the federal health care overhaul did in the name of helping residents of their states. …

The good news for McCrory and North Carolina is that this rejection is a mistake he can take back. The offer of federal support for expanding Medicaid will remain on the table. Next year, wiser and perhaps more confident about leading, McCrory will have another chance to persuade his fellow Republicans to say yes to a good deal for the state’s needy, the state’s hospitals and the state’s economy.



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