Feeds:
Posts
Comments

Archive for the ‘Medicaid’ Category

Yesterday’s New York Times published an editorial on last Tuesday’s election results. While most of the “Monday morning quarterback” analysis of the election has been to focus on the Republicans gaining a majority in the House, the editorial focused more on state elections, and for good reasons.

State elections got less attention in the media before the election and they may well slip under the radar now. But they shouldn’t.

For starters, statewide elections were extremely important for one simple reason: redistricting. This cycle showed a big push to elect Republican governors that would allow Republicans to redraw districts which will be more favorable to.. (Surprise!) Republicans, and the push was successful. They gained 10 Republican governors seats, and they are now in control of 20 states compared to the previous number of nine.

From the Times editorial:

The changes in state government will have another long-term effect as states begin the redistricting process to comply with the population changes documented in the 2010 census. This means that Republicans will be in a position to consolidate this year’s gains by redrawing Congressional and state legislative district lines to their advantage.

Sound familiar? It should. Last week Florida voters overwhelmingly passed Amendments 5 and 6, which will prevent districts from being redrawn unfairly to the advantage of Republicans. More importantly, when the state legislature tried to undercut them with Amendment 7 last July, it was thrown off the ballot because it was misleading to voters, which of course, was the entire point of Amendment 7 in the first place.

When Amendments 5 and 6 passed last week, the will of the people won out. Unfortunately, the day after the election, a suit was already being filed to undo Amendment 6, which would declare it invalid and prevent it from being enforced. Amendment 6 sets the rules for drawing Florida’s congressional districts.

Today Florida Senate President Mike Haridopolous (R-Merritt Island)) announced that Sen. Don Gaetz (R-Destin) will oversee the redrawing of Florida’s district lines based on the 2010 census.

If the name Gaetz sounds familiar to those who followed the debate over Amendments 5 and 6, the so-called “Fair Districts” amendments limiting the legislature’s ability to gerrymander districts that passed a statewide vote on Nov. 2, that’s because Gaetz’s son, state Rep. Matt Gaetz, R-Shalimar, was a vocal opponent of 5 and 6.

In the week before the vote on Amendments 5 and 6, Matt penned an op-ed in theNorthwest Florida Daily News, urging readers to vote no on 5 and 6 because they would blunt “the conservative comeback” in Florida. The remarks were unusual, because anti-Fair Districts activists generally preferred to voice their opposition in less explicitly partisan terms. (Even if the Republican Party of Florida did largely fund the organized opposition to 5 and 6.) Matt’s argument was picked up by at least one tea party group, which included his op-ed in an email newsletter.

Voters in Florida may want fair districts, but the Republican controlled legislature is determined to change that as the above examples show.

Then there’s the fact that for some reason, a majority of voters in Florida elected Republican Rick Scott, who was not charged with Medicare fraud, to be their Governor. (But his company Columbia/HCA was fined more that $1.7 billion for Medicare fraud. His current company which runs private clinics,  Solantic, is also facing accusations. As Governor, Scott may now appoint the agency head who will be investigating Solantic as well.)

Among the things that Scott ran under during the campaign was his goal of privatizing Medicaid, which would direct recipients to private clinics, like the ones Scott owns. Scott also led the push to defeat President Obama’s health care reform legislation by forming his non-profit organization Conservatives For Patients Rights. Add to that, Florida is also leading the lawsuit against the new health care reform laws filed by Bill McCollum and joined by other states as well. A majority of Florida voters also elected Republican and FOX-GOP spokesmodel Pam Bondi (also brought to you via Sarah Palin’s endorsement) as Attorney General, who vows to continue the fight to strip health care reform away from Floridians who might benefit from it.

Rick Scott also plans to slash spending by cutting government jobs and education, stripping away regulations, eliminating income tax for businesses, reducing property taxes, and many other cuts in order to “run Florida like a business.” (Recall again, Scott oversaw the company with one of the largest fines ever charged in a Medicare fraud case, which he was forced to leave, and so was never himself charged with Medicare fraud.)

Now it remains to be seen which of these goals Scott will actually be able to reach. They are lofty goals indeed and some might even say unrealistic given the realities Florida is facing. Making all of those cuts while promising to add 700,000 jobs at the same time may involve some tricky maneuvers. Scott may well be adept at tricky maneuvers, but it will take some doing in that he faces a veto proof legislature who may have different goals of their own. Campaign promises and wishful thinking don’t count.

Going back to the Times editorial:

There is no way that these newly elected Republican lawmakers and governors can follow through on their promises to erase huge deficits without raising taxes — except by making irresponsibly draconian cuts in critical state services, particularly for the poor and for education.

The states, like the federal government, need to get control of spending. That may mean dealing with out-of-control pensions. It may mean careful cuts in services combined with, yes, higher taxes. But with millions of people out of work, this is the worst possible time for the states to try to solve all their problems by simply slashing health care spending, spending on higher and elementary education, and services for the elderly and the poor. It would lead to tens of thousands of layoffs and even lower state revenues.

Many other states have little left to cut in government services. Nonetheless, as Monica Davey and Michael Luo reported in The Times this week, many newly elected Republican governors say they will balance their budgets that way. In Texas, Gov. Rick Perry and several state lawmakers have even floated the idea of dropping out of the Medicaid program and creating a low-cost insurance program for the poor.

That is an irresponsible, and counterproductive, way to try to close the state’s $25 billion deficit. It would mean giving up the federal government’s 60 percent share of the Texas program’s $40 billion annual cost. And for nearly four million participants, it would reduce the level of health care far below a minimum standard.

No matter what the politicians have promised, there is no sound way to balance budgets, protect the most vulnerable people, and the states’ own economies, without some tax increases.

There’s also the matter of the stimulus money, which Florida is getting a big chunk of for high-speed rail projects. Scott has waffled on his support or the lack thereof for high-speed-rail. While other Republican Governors have talked big against the stimulus while accepting those very funds and taking credit for receiving them at the same time, yesterday Transportation Secretary Ray LaHood stated that any states which refuse to proceed with high-speed rail projects will lose those stimulus funds. If that condition holds true for Florida Scott will have to walk a fine line. If he stands in the way and blocks plans for high-speed rail in Florida, he’ll also be blocking an estimated 23,000 jobs, not to mention stimulating business development that will boost Florida’s economy which is sorely needed.

NY Times:

The Republicans’ big wins in Washington will make the states’ plight even worse. As part of their campaigns, Republican members of Congress have vowed to cut discretionary spending, much of which goes to state capitols. Meanwhile, federal stimulus money — decried by the Republicans — is drying up.

Rick Scott made a lot of big campaign promises to voters, and apparently they believed him, given his history with business and Medicare fraud. He portrayed himself to be an outsider, when in fact he lined up rather quickly with Republican cronies in a now veto proof legislature. He has to keep them and voters happy all at the same time, or risk the wrath of both. That in itself should be interesting to watch.

NY Times:

These highly partisan exercises in self-aggrandizement go on every 10 years, but the unusually large number of states with both Republican legislatures and governorships will sharply reduce the ability of Democrats to bring a little balance to the process.

States have long been in the paradoxical position of being closer to the lives of voters than the federal government, while receiving far less scrutiny and attention. But if Republicans begin abusing the privilege they have been handed, imposing unconscionable cuts and claiming an unfair partisan advantage, they may find the public’s outrage turning back on them in a hurry.

In Florida it’s in fact quite safe to say that Republicans will “begin abusing the privilege they have been handed.” They already have. They began abusing that privilege in less than 24 hours after the election last Tuesday by filing suit against Amendment 6, which will go against the will of the voters and stack the deck against them and in favor of Republican lawmakers.

All this before Governor elect Rick Scott, who was never charged with Medicare fraud, is even sworn in.

So I have to ask those voters who chose Rick Scott a question: I know it’s early, but has “voters remorse” started to kick in yet?

 

Advertisements

Read Full Post »

Florida’s soon to be Governor Rick Scott-who was never charged with Medicare fraud-has a brand new transition website up and running.

Funny thing about that website is his “bio” page. If you read that bio page, and you’ve followed the news concerning Scott’s Columbia/HCA history, you’re likely to notice what’s missing.

The website addresses Scott’s departure from Columbia/HCA in 1997, but there’s no mention of the circumstances of his departure, nor is there any mention that the company “was fined by the government for Medicare fraud with more than $1.7 billion in fines and settlements” after Scott’s 1997 departure. During his campaign, Scott glossed over these facts by saying things like he “accepted responsibility” acknowledged that the company “made mistakes” and that he was “never charged with Medicare fraud.”

Well, apparently the days of “glossing over” are gone now that Scott is the Governor-elect. Those dark days from Columbia/HCA history are nowhere to be found on Scott’s new website. The bio page says, among other glowing details, that when Rick Scott left Columbia/HCA in 1997 “it was one of the most admired companies in America.” No mention of Medicare fraud. That’s it, and then we skip on to the next chapter with America’s Health Network which merged with FOX Entertainment to become The Health Network and then Discovery Health followed by Solantic, the private urgent care clinics Scott now owns.

So as a “candidate” Scott admitted the scandal but tried to explain away the details. Now as “Governor-elect,” Scott isn’t even glossing over the details. He simply “erased” any mention of the Medicare fraud scandal all together.

Also in the news is the new agenda for the veto proof Florida legislature and they are moving ahead rather quickly on several issues. Among them is a push to privatize Medicaid which would benefit clinics just like the ones owned by Rick Scott:

House and Senate leaders today said they will use a special legislative session this month to try to override Gov. Charlie Crist’s veto of money for Shands teaching hospital and to “send a message” about overhauling Medicaid.

Incoming Senate President Mike Haridopolos and incoming House Speaker Dean Cannon outlined a series of issues they hope to address during a brief session Nov. 16 when lawmakers return to Tallahassee for an otherwise ceremonial meeting.

Overriding the veto of $9.7 million for Shands has long been discussed. But Haridopolos and Cannon also said they want to pass a resolution that would express their intent to revamp Medicaid and seek more leeway from the federal government about how the program is run…..

….Though details were not immediately available, that could involve moving to a statewide system of requiring beneficiaries to enroll in managed care — an issue the House proposed during this spring’s session.

Then we come to another issue from Scott’s campaign: limiting lawsuits against doctors, and guess what? They aren’t wasting any time with that one either:

One other idea that Haridopolos and Cannon said could be part of the resolution is expressing support for limiting lawsuits against doctors who serve Medicaid beneficiaries.

So the Republicans in Tallahassee went from saying that Scott’s scandalous past was a “liability” and that he should have withdrawn from the race for Governor, and that Scott wasn’t a “real Republican,” to not only accepting him into the Party despite his company’s Medicare fraud scandal,  but helping him act on his policies, perhaps to benefit Scott’s own private clinics.

Now your new Governor, who invested $73 million of his own money for his campaign, can have his cake and eat it too, with the help of the Republican controlled Florida legislature.

Nice work if you can get it.

Read Full Post »

%d bloggers like this: