|Hello, Governor Daugaard?|
Try Calling 1-800-Medicaid Expansion
(photo from dennishouse.tv)
The deal that Daugaard wants to strike would expect the feds to pony up more funding for the Indian Health Service so that IHS doesn't have to continue tapping into Medicaid for payment, some of that money coming from SD state resources. If that turns out to be a dealbreaker it would amount to saying (in Cory Heidelberger's concise conclusion over at Dakota Free Press) "if Uncle Sam doesn't take care of Indians, we're not going to take care of 48,500 other South Dakotans." I'll chime in with Cory's assessment: "nuts to that."
I think Daugaard has finally reacted to the economic realities of the situation. It probably has taken a funding crisis like the one South Dakota is in right now for the governor to understand the
No doubt there are some vestigial pessimists about Medicaid's future in the ranks of South Dakota's political leadership, mainly because expansion is tied to the Affordable Care Act, which is still the subject of partisan hatred by many Republicans. My guess is that they fear the political consequences of first giving Medicaid to nearly 50,000 South Dakotans and then trying to snatch it away by repealing ACA. Considering that ACA has survived every legal and political challenge it's faced thus far, the prospects of it going away get dimmer by the year. And even then, if it goes away, it goes away. We'll just be stuck with re-instituting the status quo. In the meantime, a ton of money will get heaped on South Dakota. I'm glad to see that Governor Daugaard is finally making a real effort at collecting it for us.
Here's Something Worth Considering:
Also, here's a Rand Corporation 2013 analysis that concludes "states would do best to expand Medicaid" (added 10/1/15 @ 0749)