Been Away from Here. Got Apathetic. Then Got Pissed. Had to come back and vent.

[ProSense]

155. Anyone

I haven't time right now to redo it, but in a nutshell....The real problem is that the public needs and has expressed basic support for liberal/progressive answers to the horrendous concentration of wealth and power that has developed. They want help for the poor and the struggling middle class. But the politicians ignore it, continue to support and engage in Crony Capitalism and corruption and into phony debates about the need for "austerity" while continuing to allow the wealthy and powerful to plunder and loot..

1) I know Obama has done some good things, and he is 1,000 percent better than a republican. But after what looked like a good start, he has reverted to his old tricks of starting out negotiations from the position republicans want, throwing us some bones and essentially keeping the same old shit in place and allowing it to get worse.

2)This is much bigger than Obama. He is a symptom. ..I expect that from Republicans. But when too many Democrats continue to engage in a combination of cowardice and/or corruption and cozy up to the same interests...I get disgusted and angry.

...who doesn't see the biggest expansion of Medicaid since it was implemented as helping the poor isn't thinking clearly.

President Obama actually did something to address the inequality, raising taxes on the top one percent (higher than the Clinton rate with the health care tax included) and increasing capital gains to its highest level since the mid 90s. The total effect is significant.

<...>

Perhaps the best prism through which to see the Democrats’ gains is inequality. In the 2008 campaign, Mr. Obama said that his top priority as president would be to “create bottom-up economic growth” and reduce inequality...In the 2009 stimulus, he insisted on making tax credits “fully refundable,” so that even people who did not make enough to pay much federal tax would benefit. The 2010 health care law overhaul was probably the biggest attack on inequality since it began rising in the 1970s, increasing taxes on businesses and the rich to pay for health insurance largely for the middle class.

http://www.nytimes.com/2013/01/03/us/politics/for-obama-fiscal-deal-is-a-victory-that-also-holds-risks.html

The biggest progressive gripe about the legislation is that Mr. Obama extracted less revenue from the affluent than expected — about $600 billion versus $800 billion over the next decade. In perspective, however, this isn’t that big a deal. Put it this way: A reasonable estimate is that gross domestic product over the next 10 years will be around $200 trillion. So if the revenue take had matched expectations, it would still have amounted to only 0.4 percent of G.D.P.; as it turned out, this was reduced to 0.3 percent. Either way, it wouldn’t make much difference in the fights over revenue versus spending still to come.

http://www.nytimes.com/2013/01/04/opinion/kurgman-battles-of-the-budget.html

That also doesn't take the additional health care tax into account.

Krugman: Obama and Redistribution
http://www.democraticunderground.com/10022224304

HHS finalizes rule guaranteeing 100 percent funding for new Medicaid beneficiaries
http://www.democraticunderground.com/10022584523

Who Benefits from the ACA Medicaid Expansion?

A key element of the Affordable Care Act (ACA) is the expansion of Medicaid to nearly all individuals with incomes up to 138 percent of the federal poverty level (FPL) ($15,415 for an individual; $26,344 for a family of three in 2012) in 2014. Medicaid currently provides health coverage for over 60 million individuals, including 1 in 4 children, but low parent eligibility levels and restrictions in eligibility for other adults mean that many low income individuals remain uninsured. The ACA expands coverage by setting a national Medicaid eligibility floor for nearly all groups. By 2016, Medicaid, along with the Children’s Health Insurance Program (CHIP), will cover an additional 17 million individuals, mostly low-income adults, leading to a significant reduction in the number of uninsured people.

Medicaid does not cover many low-income adults today. To qualify for Medicaid prior to health reform, individuals had to meet financial eligibility criteria and belong to one of the following specific groups: children, parents, pregnant women, people with severe disability, and seniors. Non-disabled adults without dependent children were generally excluded from Medicaid unless the state obtained a waiver to cover them. The federal government sets minimum eligibility levels for each category, which are up to 133% FPL for pregnant women and children but are much lower for parents (under 50% FPL in most states). States have the option to expand coverage to higher incomes, but Medicaid eligibility levels for adults remain very limited (Figure 1). Seventeen states limit Medicaid coverage to parents earning less than 50 percent of poverty ($9,545 for a family of 3), and only eight states provide full Medicaid coverage to other low-income adults. State-by state Medicaid eligibility levels for parents and other adults are available here.



The ACA expands Medicaid to a national floor of 138% of poverty ($15,415 for an individual; $26,344 for a family of three). The threshold is 133% FPL, but 5% of an individual’s income is disregarded, effectively raising the limit to 138% FPL. The expansion of coverage will make many low-income adults newly eligible for Medicaid and reduce the current variation in eligibility levels across states. To preserve the current base of coverage, states must also maintain minimum eligibility levels in place as of March 2010, when the law was signed. This requirement remains in effect until 2014 for adults and 2019 for children. Under the ACA, states also have the option to expand coverage early to low-income adults prior to 2014. To date, eight states (CA, CT, CO, DC, MN, MO, NJ and WA) have taken up this option to extend Medicaid to adults. Nearly all of these states previously provided solely state- or county-funded coverage to some low-income adults. By moving these adults to Medicaid and obtaining federal financing, these states were able to maintain and, in some cases, expand coverage. Together these early expansions covered over half a million adults as of April 2012.

Eligibility requirements for the elderly and persons with disabilities do not change under reform although some individuals with disabilities may become newly eligible under the adult expansion. Lawfully residing immigrants will be eligible for the Medicaid expansion, although many will continue to be subject to a five-year waiting period before they may enroll in coverage. States have the option to eliminate this five-year waiting period for children and pregnant women but not for other adults. Undocumented immigrants will remain ineligible for Medicaid.

- more -

http://www.kff.org/medicaid/quicktake_aca_medicaid.cfm

16 million: number of Americans who become eligible for Medicaid under the health care law
http://www.democraticunderground.com/1002531684