The failure to fully expand Medicaid has condemned roughly 15,600 Americans between the ages of 55 and 64 to premature deaths each year
And/or, Medicaid for more! Photo: Win McNamee/Getty Images These days, progressives spend a lot of our time arguing online about exactly how we should overhaul the American health-care system once we’ve defeated Donald Trump, evicted Mitch McConnell’s majority, and converted Joe Manchin to the gospel of Eugene Debs.
As you may be aware, the Affordable Care Act made state governments an offer they ostensibly couldn’t refuse: Expand your Medicaid programs to households earning up to 133 percent of the federal poverty level, and Uncle Sam will cover 90 percent of the costs; refuse to expand Medicaid, and he’ll cut off federal funding to your existing Medicaid program. But then, John Roberts’s Supreme Legislature decided to rewrite the bill.
Kentucky, meanwhile, was one of the first red states to expand Medicaid, thanks to former Democratic governor Steve Beshear. But after Republican Matt Bevin replaced Beshear in the governor’s mansion, he secured permission from the Trump administration to impose strict work requirements on the program. There is no evidence that such requirements “work” on their own morally odious terms; denying unemployed people medical care does not make them more likely to work.
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