NC Medicaid battle: Hard numbers and human stories

The groups fighting for North Carolina to expand Medicaid this year are taking a two-pronged approach.

In news conferences in Charlotte and Raleigh this week,  the N.C. Medicaid Expansion Coalition urged people to share their stories at NCLeftMeOut.org.  They're looking for personal tales from people like Charlotte's Dana Wilson,  whose multiple sclerosis limits her to working a few hours a week at an antique shop.  Wilson doesn't earn enough to qualify for subsidized health insurance and isn't eligible for Medicaid.

Charlotte news conference

But the coalition,  led by Action NC and Progress NC,  is also taking a more hard-nosed approach, focusing on jobs and tax revenue that would be generated by accepting the federal money to expand Medicaid coverage.

A recent report by George Washington University's Milken Institute School of Public Health,  commissioned by the Cone Health Foundation and the Kate B. Reynolds Charitable Trust,  projects that if state lawmakers were to approve expansion this year,  the decision would generate about 43,000 jobs by 2020.  About half would be in health care,  the report says,  with the rest spread among sectors ranging from construction to retail "as health care workers use new income to pay their mortgages, buy groceries, pay taxes and so on."

"At county levels, if Medicaid is not expanded by 2016, Mecklenburg and Wake Counties would create about 4,500 fewer jobs each by 2020,"  the report says.  "Mecklenburg County’s total economy (gross county product) from 2016 to 2020 would be almost $1 billion lower."

"Lawmakers like to talk about fiscal responsibility,"  Wilson said in Charlotte Thursday.  "It's just common sense."

The Affordable Care Act includes money to expand Medicaid in all states  --  and levies taxes that everyone is paying,  regardless of whether the state accepts the money or not.  A handful of Republican-led states that initially said no have gotten permission to craft their own version of coverage.  Indiana was the most recent in late January,   and N.C. Gov. Pat McCrory has signaled some interest in crafting a North Carolina plan.

"As we review continue to review health care options for the uninsured,  we are exploring North Carolina-based options that will help those who can't help themselves, and encourage those who can,"  McCrory said in Wednesday's State of the State address.  "If we bring a proposal to cover the uninsured, it will protect North Carolina taxpayers. And any plan will require personal and financial responsibility from those who would be covered."

Read more here: http://www.charlotteobserver.com/2015/02/04/5494786/text-of-nc-gov-mccrorys-state.html#storylink=cpy

As the pro-expansion advocates noted,  that's still far from a specific plan.  And there's still little sign that Senate President Pro Tem Phil Berger or newly elected House Speaker Tim Moore are on board for any kind of expanded coverage.

Moral Movement targets Medicaid expansion

The Rev. William Barber,  president of North Carolina's NAACP branch, is turning to the Bible in his call for state lawmakers to expand Medicaid coverage to impoverished adults.

"Gov. Pat McCrory and his allies in the North Carolina Senate and House are returning to Raleigh to continue their unrelenting War on the Poor,"  Barber says in a statement released Friday.  "The Governor and legislators of North Carolina need to be reminded of the requirements of the Constitutions they swore to uphold, drawn from Judeo-Christian values expressed in the Bible they hold when they are sworn into office. One particular scripture makes it clear that although they profess to believe in God and His sacred scriptures, their hearts and actions are far from Him: 'Doom to you who legislate evil, Who make laws that make victims; Laws that make misery for the poor, That rob my destitute people of dignity'  (Isaiah 10, 1-4)."

Barber (center)

Barber sent the statement in response to news of this week's meeting between McCrory and President Obama to discuss options that would let the state craft its own version of coverage for thousands of low-income people who fall into the Medicaid gap.  McCrory,  unlike some legislative leaders,  wants to find a way to take the money and expand Medicaid,  but with conditions,  such as tying eligibility to having a job or being in job training.  It's unclear whether the federal government would accept such a plan,  even if he could get the General Assembly to sign on.

Barber says McCrory's plan  "deviates in substantial ways"  from the intent of the program.  He also cited a recent Families USA study showing that many of the people who are now shut out of affordable coverage are working people in jobs such as construction,  food service and transportation, working for low wages without workplace insurance.  If their income falls below the federal poverty level  ($23,850 for a family of four),  they can't get subsidies to buy insurance on the Affordable Care Act marketplace,  either.

The statement was issued on behalf of the NAACP and the Forward Together Moral Movement,  which grew out of Moral Monday protests when the state legislature was in session in 2013 and 2014.  They'll convene for 2015 on Wednesday,  and it's a safe bet that protesters won't be far behind.