Expanding Medicaid Means Reducing Education

Author: Dennis Smith
11.06.09

In his September address to the joint session of Congress, President Obama stated he would be the last President to take on health care. Perhaps, but that may be at the cost of everything else, including education.

By expanding Medicaid in the health care bill, Congress will set off political tornadoes across the country that will leave governors and state legislators to clean up afterward. The math is simple. State revenues are still in a slump and will continue for a least a few more years. The two largest state and local expenditures are education and Medicaid. If you have a balance a budget, which nearly every state does, and you cannot touch the entitlement to Medicaid, where will you turn to fill the budget gap? There will be little choice than to go after education.

According to The Fiscal Survey of States, published by the National Association of State Budget Officers, 31 states cut higher education and 26 states cut K-12 education in 2009. Even with additional federal funding for Medicaid, 25 states still made reductions in Medicaid by cutting reimbursement to providers. Next year will be more of the same. Some states are already reporting higher Medicaid costs due not only to increased enrollment because of higher unemployment but also because of packed emergency rooms due to the swine flu. Governors of both parties are wondering whether Washington really knows what is going on around the country.

There are more former governors serving in the U.S. Senate than in the U.S. House of Representatives which means the Senate should be more aware of the Medicaid vs Education cage match. When legislation gets to the Senate floor, it will be interesting to watch whether the “former governor caucus” will work together across party lines to protect all states or only their own.

Congress and the President have incorporated all sorts of budget gimmicks to protect the federal budget. But they will be wrecking havoc on state budgets.

For more on Medicaid and Obamacare see:

Federalization of Medicaid: Health Reform Bill Would Reduce State Authority

Why Congress Wants to Force More Americans into Medicaid

The Baucus Medicaid Provisions: The Senate’s Massive Welfare Expansion

Leaders in the House and Senate have a plan to pass President Barack Obama’s sweeping health care plan by Thanksgiving without any significant participation by the American public. CNS News has confirmed the details in our September 22nd titled “Passing a Shell of A Bill: Congress’ Secret Plan to Ram Through Health Care Reform.” Nicholas Ballasy reports “a senior aide to Senate Majority Leader Harry Reid (D-NV) told CNSNews.com that it is ‘likely’ that Reid will use H.R. 1586—a bill passed by the House in March to impose a 90-percent tax on bonuses paid to employees of certain bailed-out financial institutions—as a ‘shell’ for enacting the final version of the Senate’s health care bill, which Reid is responsible for crafting.”

This story confirms the four part scenario that would railroad the bill through the Senate using a very unusual closed door procedure to craft the bill with no input from the American people.

The four stage plan to pass Obamacare has been publicly confirmed and is ready to be implemented. The following is a comprehensive update:

Step One: “The Senate Finance Committee will finish work on the marking up of Senator Max Baucus’ (D-MT) conceptual framework for legislation by this Friday.” Progress on this had been stalled and the bill was not passed by the end of last week. Foxnews.com is reporting that the Congressional Budget Office score of the bill will be released later today and a high score may further stall progress on the Committee’s Vapor Bill.  Senate Finance Committee’s progress on passing something out of committee – INCOMPLETE.

Step Two: Next, Senate Majority Leader Harry Reid will take the final product of the Senate Finance Committee and merge it with the product of the Senate Health, Education, Labor & Pensions (HELP) Committee. CNSnews.com has confirmed that “the actual final text of the legislation will be determined by Reid himself, who will consolidate the legislation approved by the Senate Health, Education, Labor and Pensions Committee and the still-unapproved legislation from the Senate Finance Committee. Reid will be able to draft and insert textual language that was not expressly approved by either committee.” Senate Majority Leader Harry Reid will write the final version of Obamacare to be considered in the Senate with no input from the American people. This is an extremely complex procedure that will not be done in public, or in the form of a hearing, or a public conference committee, and only Senator Harry Reid, some other Senators chosen by Reid and Obama Administration officials will be allowed to read the bill before the Senate debate starts. Merger of the bills – IN PROGRESS.

Step Three: Senator Reid will then move to proceed to H.R. 1586, a bill to impose a tax on bonuses received by certain TARP recipients. A senior aid to Senate Majority Leader Ried has confirmed that he will move to proceed to Senate Calendar Number 36, H.R. 1586, or another House passed tax measure, so the Senate can avoid the Constitutional mandate that tax bills originate in the House. Proceed to tax shell of a bill – CONFIRMED.

Step Four: This scenario would most likely be implemented after the Massachusetts state legislature gives Governor Deval Patrick the power to appoint a new Senator and that Senator is seated by the Senate. The Senate swore in new Massachusetts Senator Paul Kirk on September 25th. Change Law of Massachusetts to allow for interim Senator – COMPLETE.

The final step in this plan is for the House to take up Obama care, without amending the legislation, and then sending that bill directly to the President for his signature. Matt Cover at CNSnews.com reports “House Majority Leader Steny Hoyer (D-Md.) won’t rule out having the House vote on the Senate health-care bill without making any changes in it, which would allow the bill to go directly to President Barack Obama without having to pass through a House-Senate conference committee and another round of votes in the House and Senate–and a longer period of public scrutiny of what the text of the proposed law actually says.” This scenario is in the process of being implemented and, if successful, it will result in Obamacare being on the President’s desk in time for Thansgiving with minimal participation of the American public.

The San Francisco Examiner published an editorial today that exposed the fact that the American people can’t see the bill. “When then-Democratic presidential candidate Barack Obama promised not to sign major legislation until it had been posted on the Internet for public reading at least five days, trusting voters took him at his word. Now they know better. Not only is the actual language of what is likely to become the main legislative vehicle for Obama’s signature health care reform not available on the Internet, it hasn’t been given to members of the key Senate committees or the Congressional Budget Office.” The procedure being used, in addition to the exclusion of the American people from the process, should be of grave concern to all who want to participate in democracy and have a say in Congress’ health care reforms that will touch 1/6th of the American economy.