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10:49 p.m. • 5-19-13

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@NCCapitol
Gov. Pat McCrory
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Advocates call for McCrory to veto Medicaid bill

Published: 2013-02-15 13:49:00
Updated: 2013-02-15 16:45:38

Advocates for the poor say they have collected more than 10,000 signatures on a petition asking Gov. Pat McCrory to veto legislation that would block provisions of the federal Affordable Care Act, including an expansion of North Carolina's Medicaid program.

The group tried to present the petition to the Governor's Office on Friday, one day after the House passed Senate Bill 4, but they were stopped at the door.

"He's only been in office a little while, and we're already turning people away at the door. That doesn't send a good message," said Kevin Rogers, policy and public affairs director of Action NC, which organized a protest outside the State Capitol.

The Medicaid expansion would cover about 500,000 low-income adults in North Carolina, providing them the insurance coverage required when the Affordable Care Act is fully implemented next year. The federal government would pick up the full cost of the expansion for the first three years and the bulk of the costs for several years after that.

"It's important that people understand what this bill will do to North Carolina and, really, all of the opportunities it's going to choke off for everyone," Rogers said.

Advocates said expanding Medicaid would bring a projected $15 billion into the state’s economy, creating an estimated 25,000 jobs in health care and related sectors by 2016.

The bill needs to pass one final vote next week in the Senate, which easily approved it last week, before heading to McCrory's desk. The governor has said he plans to sign it into law because he believes the state's Medicaid program is in such disarray that it would be foolish to expand it before fixing it.

"We just want the governor to think one more time before he signs his name to a piece of legislation that will deny hundreds of thousands of people in North Carolina coverage that they otherwise would be eligible to have," Rogers said.

Rep. Paul Stam, R-Wake, said it would be fiscally irresponsible for North Carolina to add people to Medicaid, which has had huge cost overruns in recent years.

"We have so many people on the left side of the spectrum that think of federal money as free money – Monopoly money. They're just wrong," Stam said, calling claims that the federal government would pay for the expansion "a broken promise."

Democratic Congressmen David Price, G.K. Butterfield and Mel Watt also asked McCrory to reconsider his decision. In a letter they sent to him Friday, they cited the same issues of wide health care coverage and economic benefits that advocates used to argue against the bill.

"Given the economic, fiscal and social benefits of Medicaid expansion, it is no wonder that a growing number of states – under both Democratic and Republican leadership – have chosen to implement the (Affordable Care Act) law," the congressmen wrote. "We urge you to follow this commonsense course and reject the reckless approach embodied in Senate Bill 4."

Advocates for the poor say they're concerned about more than the Medicaid bill, pointing to legislation that cuts unemployment benefits, allows the earned-income tax credit to expire and makes predatory lending legal in North Carolina.

"Thom Tillis, speaker of the House said in an unguarded moment about 15 months ago (that) we need to divide and conquer the poor, and that's really what's happening here, I think," said Adam Searing, director of the Health Access Coalition in the left-leaning N.C. Justice Center.

"I've been doing this more than 15 years. I've never seen it this bad – a real attack on low-income people who are working hard, playing by the rules," Searing said.

Senate Bill 4 also would prevent the state from creating an online health exchange to allow people who don't have employer-sponsored health coverage to shop around for their own insurance. Without state support, state residents would have to use a planned federal health exchange.

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The class warfare has started, and it's getting worse.

ids, the Feds are going to have to tailor their exchange to the rules of each of the 26 states that are letting them own this. If you thought our troubles with the new Medicaid system are bad, wait till you have to use an exchange built by the same group that had to pass it to see what's in it. Oh, this is not going to be pretty and I'm glad NC folded their arms.

This state should not sign on to any program until the legislature and gov can explain how much money will be needed and where it comes from.

Gork: Wake up dude--NOBODY in NC is prevented from going to the doctor--just check out the emergency rooms at any hospital...Yes, paying patients and tax payers help pay for those who do not have insurance--but they do get to receive treatment.

you know what's funny, while "you all" harp about the Kenyan president and want to throw 170,000 people off unemployment and prevent 500,000 people from being able to go to the doctor when they're sick - before they become critcally ill, you modify your very constitution to put discrimination in the State's DNA, you beg for them "high tech new businesses" to continue to come into the State. Don't you know those people are educated, young and bright - and they vote? You all should stop these job initiatives that attract new businesses from other, more enlightened locations...

Wow. Mississippi.

What is wrong with these pols - veto this bill........what is wrong with these Reps....its not like we are not going to pay for it, e.g., the tax on medical devices, individual mandate, tanning bed tax, and so on., this is where the money is coming from, so what is happening is that we will be paying for this, but not get any money back...don't any of these pols see the math problem -

As far as health exchange, I agree, I would rather use the Federal exchange, with the State exchange, the state gets to dictate the terms, and with this new REP maj, and the nutty laws they are passing, you know if they did run this, they would place so many restrictions on us..

"The Fed will pick up the tab? Hmm...try the American tax payer will pick up the tab. The government doesn't have their own money."

The TAXPAYER pays for it NOT ANY GOVERNMENT. IT IS THE TAXPAYER THAT PAYS. Time to END Medicaid. Those folks should be moved over to Obama's wonderful new insurance program. That would allow money to be saved at the state and Federal level by being able to get rid of Government workers involved in Medicaid and allowing providers to save because they can eliminate all the work associated with dealing with Medicaid and its idiotic rules. Just think, a person could ACTUALLY have more than 2000 dollars saved up and still be able to get health insurance.

Please pass it McCory. If the liar in chief wants to expand this miserable program then let him find the money to pay for it FOREVER. None of this junk of passing more and more of the cost to the States. Both Medicaid and Medicare should have been eliminated as part of ObamaCare. At least then, it would have actually had something positive instead of adding another huge program to be paid for on the backs of people that have private insurance.

Keep up the great work governor, this is why I voted for you. Now get to work on the voter ID initiative!

We can't afford it, many states can't, it's going to balloon costs and we don't have the money for it. Projected costs are enormous. And in a down economy, this is killer for many state budgets.

Like most Democratic objectives, if this were accepted, it would come with a big cost down the road. The GOP is being fiscally responsible. Taxpayers should not have to pick up the check for people who make bad education, marriage, pregnancy decisions and who have little or no motivation!

Lets see here: this program is going to create 25,000 jobs in NC, add how much money to our economy, increase tax flow to the state??? Did I hear that right? Seems as if I heard pretty much the same tripe when Obama was pushing his $860 BILLION dollar "stimulus"..70% of that ended up in foreign countries, the "shovel ready" part wasn't, after all, so shovel ready; I haven't seen any documentation that shows one job being created as a direct result of THAT mess..So, go right on ahead there Gov--protect your people and your state.

The Democrats who are fighting this represent the same mentality as those Democrats in Washington. Kick the Cost Can Down the Road and lets worry about it in the future. The Feds have said that they would pick up the cost for the first few years and then gradually the States would pick up the cost. So let me see-The Feds pick up the cost? Which means that the taxpayers pay for it through higher taxes since the Feds do not want to cut costs. The States end up paying for it regardless how bad our own financial house might be so this also ends up being paid for by us through State tax increases. Who wins-the people who generate little revenue for the State and a lot of cost through food stamps, welfare,etc. Governor-Sign the bill!!

Expand an already corrupt broken and wasteful system.... I think not.

The Fed will pick up the tab? Hmm...try the American tax payer will pick up the tab. The government doesn't have their own money. It's OUR money. Breathe deep and think slow...you'll get it.

"...a piece of legislation that will deny hundreds of thousands of people in North Carolina coverage that they otherwise would be eligible to have," Rogers said."

No, they wouldn't have been eligible but for the fact of 0care. My understanding, and it could be wrong, is that these 500k are the "ER users" that we hear about. They can't or won't buy insurance. We paid for their treatments.

In order to exempt them from the fine/tax that the rest of us have to pay if we can't or won't buy ins, the nice guys and caring gals at the legislature decided we should to pay for Medicaid that the 500k would NOT normally qualify for, so they won't be fined under 0care. It's all smoke and mirrors. I don't plan to buy ins either, but no one's going to have to pay my fine.

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