Tuesday, December 22, 2015

Helping Those People Again

Not to put too fine a point on it, but if you want to know why Republicans are so eager to sabotage Obamacare, there's a method to the madness.

Whatever Obamacare's shortcomings, a new paper shows one place where the law has been a clear success: narrowing the race gap in health insurance. So why aren't more Democrats shouting that from the rooftops? 
In 2013, the year before most of the law's provisions for subsidized insurance took effect, non-elderly blacks were 47 percent more likely than whites to be uninsured. For American Indians, that figure was 93 percent; for Hispanics, 120 percent. 
In 2014, not only did the share of whites without insurance fall; the share of blacks and Asian Americans fell by more. The difference between whites and Hispanics shrank, from 14 percentage points to 11.8 percentage points.

So yes, Obamacare is helping minorities.  If you want to know why Democrats aren't saying more about that, well, ask Kentucky Governor Jack Conway sometime.

The point of the paper, written by Algernon Austin at the Center for Global Policy Solutions, isn't just to celebrate those gains, but also to show how much room remains for improvement. One of the biggest obstacles to reducing the number of uninsured blacks is the refusal of many states with large black populations to accept federal money to expand their Medicaid programs. Some of those states may come around eventually, but don't hold your breath
What's odd about the race gap isn't its persistence, but that its narrowing isn't more celebrated as one of the law's accomplishments. When asked why he thought the gap doesn't get more attention, Austin noted that Obama has spent less time than his predecessors talking about race. "It's been a stance of the administration to really emphasize that President Obama is the president for all Americans," Austin said. 
Perhaps the administration worries that emphasizing the benefits of Obamacare for minorities might make whites think the law isn't so much about them, jeopardizing already tepid public support. In that sense, not harping on race might be good strategy: Maybe the country's fraught relationship with race means the only way to close the gap in health insurance is, in effect, by stealth.

It's okay, Republicans are making the emphasis that Medicaid expansion would help those people more than it would help white Americans for the President and Democrats, which is exactly why red states and Republicans are doing everything they can to stop Medicaid expansion.

Funny how that works.

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