Dalrymple Backing Medicaid Expansion Is An Act Of Political Cowardice

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Writing for the Washington Examiner, Shikha Dalmia tries to explain why Republican governors like North Dakota’s Jack Dalrymple are pushing for an expansion of Medicaid. Governor Dalrymple has referenced the “no cost” federal dollars which would fund the expansion (which forgets that we are all federal taxpayers too), but Dalmia suggests that it’s more than that.

Obamacare puts the states in a position where they can either put themselves on the hook for an unpayable expansion of health care entitlements in the long run or put their businesses at a competitive disadvantage in the short run. “Obamacare has states in a vise that they can only escape by going broke,” writes Dalmia:

Medicaid, the joint state-federal program for the poor, has been devouring state budgets for decades. Indeed, a December survey by the National Council of State Legislatures found that state budget experts overwhelmingly named Medicaid as their top budgetary challenge for 2013. This is no surprise, given that Medicaid is the single biggest item in virtually every state — ahead of transportation, K-12 and higher education. In the states, Medicaid consumes up to one of every four tax dollars. Some states, like Arizona, were so strapped that they started refusing organ transplants for poor patients until they got an infusion of stimulus dollars.

None of this, however, deterred Obamacare from requiring states to extend Medicaid to residents below 133 percent of the poverty limit — roughly 18 million additional people — or risk losing all federal funding.

States challenged this blackmail in the Supreme Court, and won. Yet now the conservative governors of North Dakota, New Mexico, Arizona, Nevada, Ohio and Michigan — some of whom were even party to the lawsuit — are voluntarily signing up for this provision. …

The reason is this: Under Obamacare, uninsured residents up to 400 percent of the poverty level will get subsidies from insurance exchanges set up by the states, or by Uncle Sam when states refuse. Employers will have to pay a $2,000 penalty for every uninsured employee who receives subsidies from the exchanges.

So extending Medicaid to cover these workers would protect employers — especially small businesses that don’t offer health insurance. Conversely, resisting Medicaid expansion would effectively impose an employment tax on small businesses with low-income workers. States that do this will be at a competitive disadvantage with states that do comply.

Dalmia is right, though I’d point out that this still doesn’t excuse jumping on board with the Medicaid expansion. Rather than talking about “no cost” funds from the federal government, political leaders like Dalrymple should actually lead on this issue. Point out the position Obamacare is putting the states in, and refuse to go along with it.

Sentencing future generations of North Dakotans, and Americans, to paying for unpayable levels of long-term entitlement commitments for a little short-term economic protection is a fool’s errand.

Politicians who take the easy way out, and leave the tough problems to future leaders, are cowards bereft of leadership.

Rob Port is the editor of SayAnythingBlog.com. In 2011 he was a finalist for the Watch Dog of the Year from the Sam Adams Alliance and winner of the Americans For Prosperity Award for Online Excellence. In 2013 the Washington Post named SAB one of the nation's top state-based political blogs, and named Rob one of the state's best political reporters. He writes a weekly column for several North Dakota newspapers, and also serves as a policy fellow for the North Dakota Policy Council.

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  • http://nofreelunch.areavoices.com/ Kevin Flanagan

    Jack hides behind Barb Peske, who is marking time until she can collect her fat pension.

  • slackwarerobert

    Gov Walker just LOWERED the eligibility for medicaid to the poverty line, and dumped them on obamacare. +100. the left is going nuts because obama lied about the cost and now the “poor” will have to pay for it.

  • Lynn Bergman

    Multiple Choice Question:
    Which Governor is a conservative Republican?
    Governor Scott Walker, who reduced education costs in wisconsin significantly by breaking the public unions and ending the stranglehold they had on school district outlays.
    Governor Jack Dalrymple, who is increasing the size of government expenditures exponentially in North Dakota, is wholeheartedly endorsed by the public unions, and will bail out the pensions of those unions with excessive tax revenues.

    • http://ndgoon.blogspot.com Goon

      can we trade Governor Jack the RINO for Scott Walker? I am never going to vote for Governor Dalrymple again, this guy is a miserable failure.This clown is no different than the Democrat that he ran again. Pam Gulleson would be proud of him.

  • sbark

    Political cowardice?……….or did the “lure” of Chicago politics and all its glow get to him?

  • yy4u2

    You inferred he was a leader but were most correct when u said he was a coward bereft of leadership. He was the lesser of two evils n nothing more.

  • http://flamemeister.com flamemeister

    I don’t know exactly why, but Dalrymple reminds me of old cartoon and movie representations of politicians. It might have something to do with how he looks and how he acts.

    • awfulorv

      When the state begins purchasing $14.95 chairs for $750.00 he’ll remind you, even more, of an old time politician. BTW, was the word nasty derived from Tom Nast’s brilliant cartoons of Boss Tweed? Tweed was purported to have offered Nast $1.000.000.00 to stop drawing “Those damn Pictures”.

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