PEOPLE IN THE LOUISIANA HEALTH CARE COMMUNITY ARE NOW NERVOUS

Are doctors and hospital administrators just now noticing lots of "ifs" in Jindal's health care budgets, or is it just now that they are willing to speak out?  I've been waiting.

The Jindal administration’s proposed health care budget relies on more than $500 million in funding that is contingent on several things happening first — and that’s making people in the health care community nervous.

“We have great concerns that it’s really not achievable,” said Paul Salles, who heads the Louisiana Hospital Association, the professional group representing most of the state’s hospitals.

“It’s something on paper,” Salles said, but “it leaves us really exposed to dire straits.”

“To say there are a lot of contingencies would be an understatement,” said Jennifer Marusak, governmental affairs director for the Louisiana State Medical Society, a professional association that represents physicians.

And they're just now getting nervous?  For years Jindal's budgets have relied on bait and switch, use of one-time funds, and contingencies that may not happen to fill the annual budget gap.

“It’s a mess,” said Berkeley Durbin, who heads MedicineLouisiana, a statewide physicians group.

“I don’t think anybody thinks that’s real. I don’t know where we find the money,” Durbin said, adding that he doesn’t consider legislative passage of the tax credit changes to be a sure thing.

I haven't believed Jindal's budgets were real in years.  Where have they been?

Jindal cares not a whit about the people of Louisiana, but only about his overweening ambition to become president of the United States, which we now know is highly unlikely, as Jindal hardly registers in the polls of likely GOP candidates.  He hopes to leave office before a complete and obvious collapse of the state health care system and other institutions and programs, leaving the state in dire straits and the next governor to clean up the mess.

Also, as I have said many times before, Jindal could not have destroyed or damaged institutions and programs in Louisiana single-handedly.  A compliant legislature was necessary to complete the plunder.  Jindal is not the only Louisiana official to sign Grover Norquist's pledge not to raise taxes.

Thirty-two elected officials currently serving in the state and federal government have signed "no new tax" pledges with the group, according to the Americans for Tax Reform website.

Every Republican member of Louisiana's congressional delegation -- except Garret Graves -- has committed to it. Twenty-six members of the Louisiana Legislature have also taken the oath.

How anyone can still be surprised that Jindal's budgets are little more than flimflammery is beyond me, but welcome aboard, doctors and hospital administrators.  Better late than never.