WELCOME TO LOUISIANA...WAIT...NOT QUITE

State officials sent a letter to members of the society [American Society of Tropical Medicine and Hygiene] “disinviting” those who have been to the West African countries impacted by the deadly virus in the last three weeks or who have treated any patients on American soil.
....

“In Louisiana, we love to welcome visitors, but we must balance that hospitality with the protection of Louisiana residents and other visitors,” the administration officials wrote. “We do hope that you will consider a future visit to New Orleans, when we can welcome you appropriately.”

Jindal and crew know better than the experts.  Bill Gates is not afraid.  New Orleans depends on income from conferences and tourism for its very life.  Since the city tends to vote blue, the governor doesn't like New Orleans, and he doesn't care about the damage to tourism that will result from his ignorant decrees.

Jindal's hubris has no bounds. That was yesterday's reported stupidity, but there's more.

A major U.S. public health organization has become the second group impacted by Gov. Bobby Jindal’s Ebola response policy as it prepares to bring 14,000 people to New Orleans.

State health officials advised the American Public Health Association that registrants recently returned from Ebola-stricken countries and those who have treated patients stateside should stay home.

Ai-yai-yai!  A convention of 14,000 public health experts will be welcomed only conditionally, because Bobby Jindal, once again, knows best how to safeguard the health of the citizens of Louisiana.  How unfortunate that the governor does not concern himself with the 257,000 people who would be eligible for health insurance if he implemented Medicaid expansion.  He won't, because he's running for president and advocates repeal the Affordable Care Act.  In the meantime, because of Bobby's ambition, people in Louisiana suffer.  Who knows but that among the hundreds of thousands of people with no health insurance, there are those who walk among us with communicable diseases?  If Jindal cared about public health safety in Louisiana, he'd allow people to buy health insurance that they can afford.

I'm not finished.  Not even ashes.

The incinerated remains and belongings of from Ebola victim Thomas Eric Duncan, who died in Dallas will not be allowed into a landfill in Lake Charles, Louisiana.

Fear, fear, fear - governance by pumping up fear in the citizenry.  Yes, I know other states are doing it, too, but the authorities act out of ignorance.   It's the American way. 

A LOOK AT THE REAL WORLD OF OBAMACARE AND MEDICAID EXPANSION IN LOUISIANA

From an excellent letter to the Advocate newspaper by David Hood, former secretary of the Louisiana Department of Health and Hospitals, Baton Rouge.

Several Louisiana health insurance companies have announced that they want to raise premium rates for some policies next year. Opponents of the Affordable Care Act are using this to again attack the law and its impacts on health insurance. But consumers — and voters — should keep a clear head and ask some basic questions.
....

The ACA requires companies to publicly justify rate increases of over 10 percent, and requires 80 percent of premium dollars be spent on health care, not administrative “overhead.” Consumers are better off because of those provisions, though some states like Louisiana have not allowed the law’s full benefits to be implemented.

Given that Louisiana has the third-highest rate of uninsured people in the nation, and that we rate 49th in poor health outcomes, we should support “Obamacare,” not fight it.

David Hood replaced Bobby Jindal as head of the Louisiana Department of Health and Hospitals during the administration of Gov. Mike Foster, when Jindal was drafted by the Clinton administration as a bipartisan showpiece to serve as Assistant Secretary of the US Department of Health and Human Services.  Hood serves as Senior Healthcare Analyst for the Public Affairs Research Council and knows whereof he speaks.

Here's the link to a video of David Hood speaking great good sense about Jindal's refusal to accept federal funds for Medicaid expansion, which would provide health insurance for up to 400,000 uninsured citizens of Louisiana.  "What are we waiting for?" The funds that Jindal refuses go to other states.

Photo from Louisiana Public Square.

SHAME ON YOU, GOVERNOR JINDAL AND MEMBERS OF THE LOUISIANA STATE LEGISLATURE

The State of Louisiana can't come up with the cash to fund the Greater New Orleans Community Health Connection program in New Orleans, which provides services to people and families with income that exceeds the limit for eligibility for Medicaid but who do not earn enough to purchase private insurance.

The population covered by GNOCHC falls within the income limits of the Medicaid expansion that is part of the Affordable Care Act, or Obamacare. But that expansion, which would be fully paid for by the federal government in its early years, has been opposed by the Jindal administration, and an effort to get around the governor’s opposition was shot down in a state Senate committee last week.

Neither the governor nor the members of the state legislature care enough about the people who will lose access to health care to fund the program, nor will they allow Medicaid expansion. This policy of exclusion is either madness or group hardheartedness beyond what I can imagine. The so-called "good Christians" in the governor's office and in the legislature need to spend time reading the Gospels in the Holy Bible, which they recently considered making the official state book. Their neglect of the 240,000 citizens who could be helped by Medicaid expansion is shameful and downright immoral.

My nomination for official state book is A Confederacy of Dunces, by John Kennedy Toole, the title of which is also an apt description of the present governor and most, but not all, of the members of the state legislature. 

LET THE PEOPLE DECIDE ABOUT MEDICAID EXPANSION

Promoting it as a health care and economic issue, U.S. Sen. Mary Landrieu pushed Tuesday for Louisiana voters to decide the fate of Medicaid expansion.

“The governor has clearly put his political future ahead of the future of the state of Louisiana,” said Landrieu, D-La. “Let the people decide what is fair, whether they want to expand and use over $16 billion” in federal funds.

“It’s kind of our last hope to let the people make the decision. It’s not too much to ask,” Landrieu said.

Bobby Jindal won't allow Medicaid expansion in the State of Louisiana, despite gaping holes in the state budget for health care, so will the Louisiana Legislature have the courage to let the people decide? The lawmakers who worry about any association with Obamacare can then wash their hands of responsibility and blame the expansion on the people of the state.

Landrieu said the proposition makes good economic sense. “In order to have a strong workforce, you need a healthy workforce,” she said. She said the state is rejecting $16 billion available “to strengthen the workforce.”

The Medicaid expansion also would bring 15,600 new health care-related jobs in 2016 and help sustain financially struggling rural hospitals, Landrieu said.

Governor Jindal chooses to put his personal ambitions for national office ahead of the nearly 250,000 citizens of Louisiana who need health insurance, so it's way past time for the legislators to do the job the people of the state elected them to do, for which they're paid salaries with our tax money, and let the people decide.

Louisiana has far too many laws embedded in the state constitution, but, in this instance, there is no way around Bobby Jindal's refusal to help the citizens of the state other than one more constitutional amendment.

UPDATE: The Louisiana Legislature will not let the people decide.

An attempt to go around Gov. Bobby Jindal and put the issue of Medicaid expansion to Louisiana voters failed to clear its first legislative hurdle Wednesday.

After more than four hours of testimony, most of it from supporters, including leading Democratic Party elected officials, the Senate Health and Welfare Committee voted 6-2 to defer action on the proposed constitutional amendment, effectively killing it.

BOBBY JINDAL TWEETS

Only until the weak are born. If parents in Louisiana need help for the child after birth, well good luck with that. Gov. Jindal will not implement Medicaid Expansion, though it would not cost the state one cent for 9 years, and thereafter only 10% of the expenses of the programs.

The group that awarded Louisiana the "prize",  Americans United for Life, apparently does not follow up on the care given to the "weakest and most vulnerable among us" after they're born, or they would remind Gov. Jindal that babies, indeed all vulnerable human beings among us, need care throughout their lives after they're brought into the world.

At least one Louisiana state senator is trying to provide health insurance for low income people in Louisiana. 

State Sen. Ben Nevers said Tuesday that he would propose two constitutional amendments aimed at guaranteeing that low income Louisiana adults get basic health care coverage.

Nevers, D-Bogalusa, said he wants Louisiana voters to either authorize expansion of the state Medicaid program called for in the federal health care revamp or to provide health care coverage for residents whose income falls below the federal poverty level.
....

The Kaiser Commission estimates 242,000 Louisiana residents, who make too much for Medicaid but too little to purchase adequate insurance, would qualify for Medicaid coverage through the expansion. For an individual, 100 percent of the federal poverty level is $11,490. For a family of four, it’s $23,550. At 138 percent for an individual it’s $15,856 and family of four $32,499.

Nevers said people are ending up in hospital emergency rooms with serious illnesses because of lack of health care and that “cost all of us millions.”

There's no such thing as free emergency room care; someone pays.  I hope other legislators take note and support Sen. Nevers in his efforts to provide health insurance for those who cannot afford the premiums, since the governor refuses to address the problem.

And further, if you click the link, you will read about two success stories from people who were able to buy affordable health insurance through - Gasp! - the Affordable Health Care Act, aka Obamacare.

'Tierney Brinkman, a New Orleans server and bartender, said she went without insurance for 10 years. “It’s not that I didn’t want it. I had a pre-existing condition,” said Brinkman, explaining she had lumps in her breast and breast cancer in her family. She said either no company would insure her or the monthly premiums were “well beyond my means.” That 10 years without coverage was “terrifying,” she said.

Because of the Affordable Care Act, Brinkman said she now has a quality plan with a low deductible: $108 a month.

Despite the horror stories, the ACA is working as it should to provide health insurance for those who previously could not obtain coverage or who paid very high premiums because of preexisting conditions.  Insurance, any insurance, is about spreading the risk throughout a large number of people.  For the young and healthy who say they don't need health insurance, I remind them that even among their age group, even if only a small number, some will be diagnosed with a medical condition that requires expensive treatment.  Further, no one is able to predict an accidental injury that would require long-term medical treatment.  

MY LETTER TO GOV. BOBBY JINDAL ON THE MEDICAID EXPANSION

Dear Gov. Jindal,

Please change your mind and accept the Medicaid expansion that would provide health insurance for hundreds of thousands of citizens of Louisiana and which would also create much-needed jobs in the state. Whatever your ideological objections to the program, Louisiana stands to lose 1.566 billion dollars. That's billions lost to the state budget that is often in arrears and requires last minute cuts in programs and institutions that have already been cut to the bone.

Whatever may happen in nine years when the state has to pay 10% of the costs, you will be long gone from the scene, but citizens in Louisiana need health insurance right now. Without the Medicaid expansion, people in Louisiana will almost certainly die from treatable diseases and conditions because of the lack of health insurance, either because treatment was started too late, or because treatment was inadequate.

Whatever your intentions, on the surface it appears that you refuse the money for the sake of furthering your political ambitions on the national scene. Since you first assumed the office of governor in Louisiana, your extensive travels campaigning around the country for political purposes leave you little time in the state where you were elected. Isn't it time to pay attention to the needs of the people of the state?

You are a Catholic Christian, Gov. Jindal. Have you read the social justice teachings of the Catholic Church or listened to the words of Pope Francis about the poor and downtrodden? I simply cannot comprehend your decision not to accept the funds. A good many Republican governors have laid aside ideology and political ambitions and chosen to accept the Medicaid expansion for the sake of their poor and low income citizens. Why not you?

Sincerely,

June Butler

UPDATE FROM TPM:

Low income people want to obtain health insurance...

But in 25 states, that robust interest has a downside: Navigators are forced to tell more and more people that they probably won't be able to get covered because their states, all of which had a GOP-controlled legislative chamber or governor, have refused to expand Medicaid. Lynne Thorp, who is overseeing the University of South Florida's navigator program in that state, told TPM that about one in four people who contact her team fall into that Medicaid gap.

"Those are hardest phone calls because it doesn't make any sense to them," Thorp said. "We have to explain that they fall into this gap where this program can't assist them."

Shameful.

LOUISIANA WILL LOSE OVER 1 BILLION BY REFUSING TO IMPLEMENT MEDICAID EXPANSION

States not expanding Medicaid under Obamacare will be collectively lose more than $35 billion in federal funds in 2022 alone, according to a new report from the Commonwealth Fund.
....

The Commonwealth Fund further explained the study's methodology as follows:

Federal funds that pay for state Medicaid programs are raised through federal general revenue collection—taxes paid by residents in all states—whether or not they participate in the program. Therefore, taxpayers in states not participating in the Medicaid expansion will bear a share of the overall cost, without benefitting from the program. Glied and Ma estimated the net loss of federal funds to states that do not expand Medicaid by using projected federal Medicaid spending in each state and calculating the federal Medicaid-related taxes paid by each state.

According to Healthrender, Louisiana stands to lose 1.566 billion dollars.  That's billions lost to the state budget that is often in arrears and requires last minute cuts in programs and institutions that have already been cut to the bone.

Almost certainly people in Louisiana will die from treatable diseases and conditions because of the lack of health insurance, either because treatment was started too late, or because treatment was inadequate.

So far as I can make out, Jindal refuses the money for the sake of furthering his political ambitions on the national scene.  He has campaigned around the country since he first assumed the office of governor in Louisiana.  His extensive travels for political purposes leave him little time in the state which he governs so incompetently.  Even so, Jindal has managed to destroy or maim multiple institutions and programs that took decades to build and will require generations to recover if the people of Louisiana ever have the will to elect governors who will build up rather than destroy.    

WILL BOBBY JINDAL IMPLEMENT MEDICAID EXPANSION?

From blogger CenLamar: 

The Dumbest Decision in Contemporary Louisiana History

In less than thirty days, Louisiana Governor Bobby Jindal will make a final decision on whether he wants to accept, according to a report published by his own Department of Health and Hospitals, as much as $25 billion from the federal government in order to guarantee and expand health care coverage for as many as 653,000 poor and working class Louisiana families and individuals.
....

"The fiscally, socially, ethically, and morally responsible thing to do would be to accept the Medicaid expansion dollars to which we are already entitled. The fiscally, socially, ethically, and morally responsible thing to do would be to champion and embrace the promise of lifting hundreds of thousands of our neighbors and fellow citizens out of despair and hopelessness, to provide them with the very basic opportunity to access affordable and quality health care. It is profoundly decent, but even more than that, it is also represents the single most important and transformative investment in Louisiana’s workforce in modern history."

What are the chances that Jindal will do the right thing?  Slim to none I'd say.  The governor wants to remain pure in the eyes of his Tea Party fans, and anything that involves a link with Obamacare would render him impure.  So what if hundreds of thousands of the poor and working class in Louisiana remain without health insurance?  The governor's ideology trumps health care.

A number of Republican governors have set aside ideology and implemented the Medicaid Expansion as a no-brainer because it will not cost the states a dime for nine years and then only 10% of the costs thereafter.   In addition, perhaps the governors may have been ashamed to so blatantly put their political ambitions above the welfare of the poor and low income people of their states.  Such a lack of compassion in a man who claims to be a Catholic Christian but chooses to ignore Roman Catholic social justice teachings about preferential treatment of the poor is puzzling to me.  Has he ever heard or read the words of Pope Francis?

How healthy are the people of Louisiana?  Are the citizens of the state so far above the rest of the country in good health that we do not need the Medicaid expansion?  Indeed not.  There we are in our usual place in the group of least-healthy states, tied for 49th place with three other states.

Click on the chart and map for larger views.
 

EXTREMIST REPUBLICAN LOSES ELECTION IN LOUISIANA

When Republican Rodney Alexander resigned from Congress a few months ago, there wasn’t any real doubt that his Louisiana district would remain in GOP hands. The only question was which Republican would replace him in Louisiana’s ruby-red 5th district.

State Sen. Neil Riser (R) looked like he’d win easily – he received endorsements from Alexander, House Majority Leader Eric Cantor, the NRA, and nearly all of Louisiana’s Republican congressional delegation. But then the votes were tallied in Saturday’s run-off election, and Vance McAllister (R), a first-time candidate, crushed Riser by nearly 20 points.

Take that Neil Riser, Bobby Jindal, and Eric Cantor!  Follow Gov. Jindal's advice and stop being the stupid party.   Of course, it's quite likely that none of you has any idea how to change direction.

As reported in the Times-Picayune, McAllister favored implementation of the Medicaid expansion section of Obamacare.  The expansion is a no-brainer for Louisiana. The federal program would cover about 400,000 low-income people who have no health insurance, and would not cost the state one cent for 9 years, when the state would assume only 10% of the cost. The good news is the extremist Republican didn't win.  Gov. Bobby Jindal's approval ratings were at 28% in August of this year, and McAllister's election confirms that many citizens in Louisiana do not approve of Jindal's extremist policies.  Keep in mind that the area in which McAllister was elected is conservative, but the extremist candidate was too much for the voters to swallow.

In fairness, it’s worth emphasizing that Rep.-elect McAllister didn’t exactly run as a progressive on health care – the Republican said he’d prefer to repeal the Affordable Care Act. But he nevertheless stuck to a fairly pragmatic line and told the far-right what it didn’t want to hear – repealing the entirety of the law is unrealistic and Medicaid expansion in Louisiana is a sensible move, even if Bobby Jindal pretends otherwise.

In this district, that was a risky move, and it led Riser and his allies to make the race a referendum over health care. And then McAllister won by about 20 points anyway.

National Republicans would be wise to take note. For many in the party, grunting “Obamacare bad!” is a sure-fire recipe for electoral success. Indeed, GOP leaders have started to think it’ll be easy – tie rival candidates to the controversial health care law, watch voters recoil, and wait for the landslide victories to commence.

Republicans may find that they have to dredge up other issues besides Obamacare if they want to win elections. Benghazi, Benghazi, Benghazi!?  Also, Republicans out there who think Bobby Jindal's support is an asset might want to think again.  If Jindal and his friends and advisers still live in the fantasy world that sees him as having a chance of being nominated or elected to a national office, it's time for them to wake up and take their places in the real world.  

EDWIN EDWARDS ON LARRY KING NOW

Crusty old James Gill, whose columns I've read seemingly forever, and whom The Advocate managed to steal away from the New Orleans Times Picayune when Advance Publications decided to reduce the paper edition to only three days a week, writes about Edwin Edwards' appearance on Larry King Now.

Edwards told King that he has finally “found something good to use Republicans for — sleep with them.” He would have expressed that sentiment less politely in the days before a Republican became his third wife and mother of his infant son, Eli.

One Republican got no sympathy whatsoever in Edwards’ interview with King: “I don’t understand the man,” Edwards said of Gov. Bobby Jindal. “He’s sitting on a program which would provide immediate health benefits for 300,000 to 400,000 people in Louisiana, and he refuses to sign onto it. He’s a different sort of person.”

Former Louisiana governor Edwin Edwards, the crook, is indeed a better man than the fine, upstanding Catholic Christian Bobby Jindal, who denies health insurance to hundreds of thousands of Louisiana citizens to further his own political ambitions.  Edwards would never have refused to implement a program such as Medicaid Expansion which would provide health benefits to many low income people in the state.  With Edwards, I don't understand a man such as Bobby Jindal.

Has Bobby Jindal ever read one word of Roman Catholic social justice teachings?  Does Jindal pay any attention at all to Pope Francis' many statements about preferential treatment for the poor?  How could he and remain so focused on his own selfish political ambitions even as the people of Louisiana go wanting for decent health care?  Shame on you, Bobby Jindal.

THE MIRACLE OF PRIVATIZATION

The total operating expense associated with the privatization of nine LSU hospitals will hit $1 billion during the new fiscal year, Commissioner of Administration Kristy Nichols said Thursday.

That’s more than is in the current year’s budget — $955 million — for the state to operate the charity hospitals.

And more than the $626 million Gov. Bobby Jindal proposed for private companies to operate the public hospitals in the fiscal year that begins July 1.

Nichols said the administration would submit amendments to the state Senate Finance Committee to close the funding gap, recommending using some money from hospital leases as well as other state and local revenues.

Kristy Nicholls says that the state will benefit in the long run, but I'll hold my applause until a source outside the Jindal administration breaks down the figures. As you may or may not know, in Jindal's plan to ditch personal and business income taxes and make up the difference in sales taxes, the math did not compute. I'm not sure what method the administration uses, but the numbers don't always pan out as presented.  When Jindal realized that his tax plan was DOA in the Legislature, he withdrew the mess at the last minute.

Further on Medicaid expansion:

Even though governors and lawmakers in five Deep South states oppose a plan to cover more people through Medicaid under the health care overhaul, 62 percent of the people in Alabama, Georgia, Louisiana, Mississippi and South Carolina support expanding the program, according to a new poll.

Read more here: http://www.kansascity.com/2013/05/21/4248364/public-in-deep-south-supports.html#storylink=cpy

The level of support for expanding Medicaid – the state and federal health insurance program for the poor and disabled – ranged from a low of 59 percent in Mississippi to a high of 65 percent in South Carolina, according to the poll by the Joint Center for Political and Economic Studies, a leading research and public policy think tank that focuses on African-Americans and other people of color.
....

But the five states in the poll, all led by Republican governors, have decided not to participate. Ironically, Mississippi and Louisiana rank dead last among all states in the overall health of their residents, according to America’s Health Ranking, an annual report by the United Health Foundation, a nonprofit arm of the insurer UnitedHealth Group.

There you have it.  The voice of the majority does not prevail, and many of the citizens of Louisiana and Mississippi will go without health insurance, because their governors are ideologues who do not put the welfare of the citizens first.  Of course, when the governor has national ambitions, he has to keep one eye on the Tea Party and the other on Grover Norquist, with no third eye to look at the hardships he inflicts on the residents of his own state.

Thanks to Ann for the link to the poll.

Read more here: http://www.kansascity.com/2013/05/21/4248364/public-in-deep-south-supports.html#storylink=cpy

ON THE HOME FRONT IN LOUISIANA

Gov. Bobby Jindal’s administration quietly released a new financial analysis that estimates the state could save as much as $368 million over 10 years by expanding Louisiana’s Medicaid program under the federal health care law.

The analysis was posted on the state Department of Health and Hospitals’ website this week with no fanfare. The department hasn’t touted the findings, and they were mentioned only briefly — and with little detail — during a budget hearing in which lawmakers pushed for more information about the expansion and Jindal’s refusal to participate in it.
....

The new DHH estimates say Louisiana could save anywhere from $197 million to $368 million over 10 years while covering more than 577,000 additional people through Medicaid. The savings can be attributed to lessening existing state costs for providing health care to the uninsured, largely through the public hospital system.

Oops!  Note the quiet correction.  Let's not blow up this teensy-weensy mistake way out of proportion.  Now the only barrier to implementing the Medicaid expansion is the governor's ideology.

Jindal opposes the expansion as inappropriate growth of what he says is an inefficient government entitlement program.

And I'm sure the people in Louisiana who are denied health insurance coverage will understand perfectly that Jindal cannot violate his principles.  He and his family are comfortably covered, but the rest of the citizens in Louisiana, especially the families struggling on low wages, are not entitled to health insurance coverage from "an inefficient government entitlement program".   Damn those entitlements!

And about the governor's proposed tax plan to eliminate income taxes for individuals and businesses and replace the revenue with a sales tax, which will give Louisiana the highest sales taxes in the country:

The state’s largest business lobbying group warned Gov. Bobby Jindal on Wednesday that his tax proposal is unacceptable to the business community.

Dan Juneau, president of the Louisiana Association of Business and Industry, blamed problems with the plan on the Jindal administration drawing up the proposal in a very short period of time, resulting in a simple shift in tax burden.

“There’s got to be winners and there’s got to be losers,” Juneau said. “The business community has become the designated loser.”

Oops again!  I welcome any and all allies to stop the stinking pile of compost aka known as Jindal's tax plan or anything like it from making its way into law.  Those who have the means and live within a reasonable distance of a bordering state will leave Louisiana to shop for goods and services.  Those who do not have transportation will suffer.  Of course, the governor says the poor will be exempt from sales taxes, but, as the demand for exemptions pile up, the math will not work, if it ever did.  (See above on the costs of the Medicaid expansion.)  The Jindal administration is not known for superior math skills.  

OPEN LETTER FROM SENATOR MARY LANDRIEU ON MEDICAID EXPANSION IN LOUISIANA

Sen. Mary Landrieu

Dear Friend,

When Gov. Jan Brewer announced Arizona's Medicaid expansion, she explained that her state "can leverage nearly $8 billion in federal funds over four years, save or protect thousands of quality jobs and protect our critical rural and safety net hospitals."

Florida Gov. Rick Scott said of his state's expansion: "The federal health department has committed to working with us to ensure we have all the flexibilities we need to make Medicaid best meet the needs of Floridians."

Govs. Brewer and Scott are part of the growing chorus of Republican governors who understand that expanding Medicaid by accepting 100 percent of federal funds for three years and no less than 90 percent thereafter is a smart economic move for their states. Despite their opposition to the Affordable Care Act, these governors understand that the time for political posturing is over.

But Gov. Jindal's posturing has continued, as he falsely argues that a Medicaid expansion would be too expensive and not flexible enough for Louisiana. Mounting evidence from multiple, independent sources shows otherwise.

The Daily Advertiser in Lafayette agrees that Gov. Jindal should take another look at expanding expanding Medicaid in Louisiana.

Currently, when people without insurance go to the hospital and cannot pay, the state and the hospital pick up the cost, passing it on to people with private insurance for an estimated cost of $1,000 per family each year.

Expanding access through Medicaid would give up to 400,000 Louisianians access to basic medical care. These are mostly working people who simply cannot afford health insurance. Not only does this save hundreds of millions of taxpayers' money from being spent on so-called "uncompensated care," it also boosts the budgets of our state, our hospitals and the many businesses and suppliers that work with them in urban and rural areas alike.

By all estimates, including a study commissioned by the Jindal Administration, the Medicaid expansion would bring billions of federal dollars into our state's economy. A recent Families USA report estimates the expansion would bring 15,600 new jobs to our state by 2016 and $1.8 billion in additional economic activity for 2016 alone. Figures like these are why governors across the country are saying yes to expanding health coverage for their people.

There are even more reasons why the Medicaid expansion is best for Louisianians, as the Times-Picayune editorial board points out.

Gov. Jindal also claims that adequate flexibility has not been granted—that's simply not true. In Arkansas for example, Gov. Mike Beebe worked out an agreement with the federal government to allow his state to use the federal funds to extend private insurance to Medicaid-eligible people. In Florida, Gov. Scott secured a federally approved plan allowing the state to extend its version of Bayou Health to all Medicaid-eligible people.

In fact, the creation of Bayou Health, the Governor's initiative to give Medicaid enrollees the opportunity to select a private plan to oversee their care, required a waiver from the federal government, which he has secured.

Louisiana's Health Secretary Bruce Greenstein wrote in a health care journal that Bayou Health is "the most significant transformation of Louisiana's Medicaid program in its more than 40 years of existence." Now that it is transformed, why can't it be expanded to give more working people a chance for quality health care?

As Gov. Brewer said, "the Affordable Care Act is the law of the land." Whether Louisiana expands Medicaid or not, our citizens will still pay for it, only that money will go to states like Arkansas, Florida and Arizona. Does it make sense for our taxes to only support health coverage for people in other states?

It's time for Gov. Jindal to put the needs of Louisianians above his own political posturing. It is the right thing for our people, our health and our economy.

Keep in touch,

TAKE THE MEDICAID EXPANSION FUNDS, GOVERNOR

From the Baton Rouge Advocate:

A varied group of organizations and individuals on Tuesday urged Gov. Bobby Jindal to agree to the Medicaid expansion included in the federal health care overhaul.

“Medicaid expansion could provide health coverage to 400,000 Louisianians, most of whom are currently uninsured, and bring in billions of new federal dollars. It will benefit Louisiana’s families, businesses, health care providers and the economy — all at little cost to the state budget,” the open letter to Jindal said.

Jindal — like other Republican governors — has consistently declined to embrace the key part of the Affordable Care Act, referred to as Obamacare. He claims it would be too costly for the state in the long run and there is not enough flexibility to design a program that meets state needs.

Jindal did not agree to be interviewed Tuesday, but his press office released a statement saying his position has not changed.

“Medicaid relies on an outdated model that costs taxpayers billions of dollars and produces poor outcomes,” Jindal said in the prepared statement. He said the expansion could cost Louisiana more than $1 billion in 10 years.

Other Republican governors are taking the Medicaid expansion funds because they realize that the money will benefit their people and their states, but Jindal is an idealogue, and the people of Louisiana be damned, Jindal must adhere to his philosophy.

As usual, Jindal is too timid to face the local media, because they might ask him hard questions about "the outdated model" and the "$1 billion in 10 years" cost of expanding Medicaid.  I'm not knowledgeable enough about budget math and charts, but I'd  like to see an independent source investigate whether the $1 billion over 10 years cost claimed by Jindal is accurate.

Last year, the conclusion to a report by the Center on Budget and Policy Priorities reads as follows:

Conclusion

Contrary to claims made by some of the Medicaid expansion’s critics, the expansion does not impose substantial financial burdens on states. The additional state Medicaid spending that CBO expects to result from the expansion equals 2.8 percent of what states would have spent on Medicaid in the absence of health reform; this estimate includes the cost of covering individuals who are currently eligible but not enrolled. Estimates from other respected independent sources are similar or even lower — and both those estimates and CBO’s reflect state costs before factoring in state savings in areas such as uncompensated care costs and mental health services.

CBO expects that the expansion will result in 17 million more people being covered, which will significantly reduce state costs for uncompensated care and related programs and offset some or potentially all of the increase in state Medicaid costs.

In short, the federal government will pick up the overwhelming share of the costs of the Medicaid expansion, making it an extremely favorable deal both for states, as well as for their low-income uninsured residents.

The Medicaid expansion would come at a modest cost to the state with the federal government initially paying 100 percent for the first three years and then a small portion after that — never more than 10 percent, proponents wrote.

What I'd like to see is a breakdown by an independent source on why Medicaid expansion would be such a bad deal for Louisiana, when it appears to be advantageous to other states in ways that even Republican governors who don't like Obamacare can understand.

Among the groups and individuals who sent the letter to Jindal are the following:

AARP, the Advocacy Center, the Greater New Orleans American Association of University Women, Louisiana AIDS Advocacy Network, the Louisiana Budget Project, the American Cancer Society Cancer Action Network (Mid South Division), and the National Association of Social Workers, Louisiana Chapter.