West Virginians’ health, jobs and “Suckin’ at the federal teat”?
West Virginians’ health, jobs and “Suckin’ at the federal teat”?
West Virginia - and Appalachia - are the center the result of a number of unfortunate circumstances. You have disappearing industries - mining, lumber - that were the economic engines for the state, leaving in their wake a population with a high poverty rate (17.9% live below the Federal Poverty Level, 38% live below 200% of the FPL). Almost 20% of West Virginians are on food stamps (the SNAP program)- sixth nationally.
West Virginians’ annual median Household Income - $42,824, 3rd lowest. Compared to the median US household income, West Virginia median household income is $13,756 lower. In 2016, the largest industry in West Virginia was government, which accounted for 16.0 percent of West Virginia GDP. The second largest industry was finance, insurance, real estate, rental, and leasing. The industry that subtracted the most from real GDP growth in West Virginia was construction. The second largest industry to subtract from growth was mining. West Virginia’s GDP per capita ranks 45th nationally.
For every dollar in federal tax money paid, West Virginians get back $2.55 in federal money.
Health Care Dollars
Senator Shelley Moore Capito (R-W.Va) after voting against the Senate’s repeal and replacement bill:
As I have said before, I did not come to Washington to hurt people. For months, I have expressed reservations about the direction of the bill to repeal and replace Obamacare. My position on this issue is driven by its impact on West Virginians. With that in mind, I cannot vote to repeal Obamacare without a replacement plan that addresses my concerns and the needs of West Virginians.
Yet Capito voted more than 40 times to dismantle Obamacare as a House member. The year following her election to the Senate with one of the largest margins in W.Va history, she voted with virtually all Senate Republicans for a bill repealing major parts of Obamacare — without a replacement. They knew President Barack Obama would veto the bill.
Capito also voted for the first Senate healthcare bill, the Better Care Reconciliation Act of 2017 (BCRA), which included provisions for higher costs to people with chronic medical conditions and higher costs to the 50-64 age group as well as block grants to states.
West Virginia leads the nation in people on Social Security Disability Insurance. SSI imposes a $2,000 cap on countable financial assets. Eight percent of adults covered by the Medicaid expansion “are permanently disabled, have serious physical or mental limitations—caused by conditions like cancer, stroke, heart disease, cognitive or mental health disorders, arthritis, pregnancy, or diabetes—or are in fair or poor health.” The block grant to the states proposed by BCRA would cause states like West Virginia to soon run out of Medicaid money for those on disability. Nearly two-thirds (61%) of the state’s Medicaid spending is for the elderly and people with disabilities
West Virginia leads the nation in diabetes, drug overdose deaths, overweight/obesity, and is second nationally in cancers, accidents,smoking and third nationally in kidney disease and chronic respiratory disease, The state with limited resources, high percentage of people in poverty, reliance on federal programs like Medicaid would have limited ability to afford expensive treatments, fund clinics or provide preventative care and outreach in a rural state (46% of its citizens) to populations that significantly lag (9%) behind the national average (33%) in degrees after high school.
Capito also voted for the Senate’s “skinny repeal”, which would allow insurers to waive the rules that ban insurers from rejecting consumers or charging them more because they have a pre-existing condition.
A Vulnerable Population
Capito also said on the Senate healthcare bill that would repeal without replacement:
I only see it through the lens of a vulnerable population who needs help.” and "I have serious concerns about how we continue to provide affordable care to those who have benefited from West Virginia’s decision to expand Medicaid, especially in light of the growing opioid crisis.
State and federal resources for the opioid fight are already stretched thin despite federal monies through the Medicaid expansion. More than 40 percent of funding for drug abuse and mental health treatment in the state comes from Medicaid expansion. If Medicaid’s expanded coverage is rolled back and the program’s funding is capped as part of the GOP’s repeal bill, the area will lose what grant money it does receive to fight the drug crisis.
Under BCRA, West Virginia would have had to make up $3.4 billion in loss of federal funds between 2020-2029. Thirty percent of West Virginians are on Medicaid, making West Virginia the state with the highest share of its population enrolled in Medicaid. Over three-fourths (79%) of all federal funds West Virginia receives are for Medicaid.
If West Virginia dropped the Medicaid expansion in response to the loss of enhanced federal financing, the state would forgo an additional $7.6 billion over the 2020-2029 period. By 2029, 227,000 West Virginians estimated to be covered in the expansion group would lose Medicaid coverage. The federal match rate for the 2017 calendar year for West Virginia’s Medicaid expansion population due to their low incomes is 95%. 53% of all children in West Virginia are covered by Medicaid.
Federal money is also spent in West Virginia on 30,000 children covered under the Childrens Health Insurance Program (CHIPs) which is set to expire on September 30th
Wide-Ranging Impacts
The West Virginia Policy Center on Budget and Policy in a
report this January "Repealing the ACA: Hurting Our Health and Our Economy” said: “184,000 West Virginians would lose health insurance, many of whom are working in low-wage jobs such as food services.” and details the other results of Repeal without replacement.
WVCBP Executive Director Ted Boettner, who authored the report, said "The ACA is much more than a lifeline for hundreds of thousands of West Virginians who have gained health coverage and important patient protections," and "It has been a billion dollar investment in our people that has lead to thousands of new jobs during a time when our state's communities are struggling."
Trump would let the ACA with its Medicaid expansion “implode”.
When
Pope Francis addressed a joint meeting of Congress in a historic speech in September 2015, he said:
Your own responsibility as members of Congress is to enable this country, by your legislative activity, to grow as a nation. You are the face of its people, their representatives. You are called to defend and preserve the dignity of your fellow citizens in the tireless and demanding pursuit of the common good, for this is the chief aim of all politics. A political society endures when it seeks, as a vocation, to satisfy common needs by stimulating the growth of all its members, especially those in situations of greater vulnerability or risk. Legislative activity is always based on care for the people. To this you have been invited, called and convened by those who elected you.
$8.5 Billion of Federal Revenue Request by Coal Company and the State
Capito flew to West Virginia with Trump for his speech there. Both Trump and Capito are very popular in West Virginia, each getting over 60% each in their recent elections. On that visit, Robert Murray, the head of Murray Mining and a large donor to the Trump campaign and inauguration, told Trump that one of his primary customers was on the verge of going bankrupt and that “tens of thousands of coal miners” would lose their jobs without a federal infusion of $4.5 billion
annual federal subsidy. Murray had previously told
Trump should “temper his expectations” and that coal mining would not be coming back. In contrast to his support for the Republican healthcare repeal bills, Trump told Gary Cohn, his Economic Advisor, “to do whatever these two want him to do.” for the coal companies. However, the $4.5 Billion did not show up in Trump’s fiscal plan submitted to Congress,
having been turned down by the Dept of Energy.
The Governor of West Virginia, Jim Justice (D), announced he was changing parties to Republican after Trump’s visit. He
then requested $4 Billion in federal money for the state.
Pope Francis in his Congressional speech:
Politics is, instead, an expression of our compelling need to live as one, in order to build as one the greatest common good: that of a community which sacrifices particular interests in order to share, in justice and peace, its goods, its interests, its social life. I do not underestimate the difficulty that this involves, but I encourage you in this effort.
(Under this topic since I previously posted on West Virginia's environmental issues)