Inching toward universal healthcare: New York City to guarantee healthcare to everyone, Washington State plans a public option

A demented old racist has taken our federal government and TV news bureaus hostage, so it’s easy to overlook the progressive policy announcements made over the last few days. But with new Democratic administrations taking office and others looking to make a splash, it’s been a good few days, especially for healthcare policy.

In New York on Tuesday, Mayor Bill de Blasio announced that the city would be moving toward guaranteed healthcare for undocumented immigrants and low-income residents. It’s not any kind of Medicaid expansion — states run that program — or new health plan, but instead, a guarantee of proactive care that won’t cost patients anything if they can’t afford to pay.

From the NY Times:

The city already has a kind of public option for health insurance for low-income New Yorkers, through an insurance plan run by city hospitals known as MetroPlus.

The new proposal would improve that coverage, which already insures some 516,000 people, and aim to reach more of those who are eligible, such as the young and uninsured, and others who qualify but have not applied.

It would also provide additional direct city spending, at least $100 million per year when fully implemented, officials said, for the city’s hospital system to support care for those without insurance. The city estimates the uninsured population to be about 600,000 people, including as many as 300,000 undocumented residents. A major component of that effort would be improving customer service, including the phone line, to help those with questions about their care.

The program will have a membership card that will allow patients to get care from a wide array of doctors. Right now, over half a million people use the city’s emergency rooms for their medical care, which is a very unhealthy and fiscally disastrous status quo. According to NBC New York, this new program will allow people to seek “primary and specialty care, from pediatrics to OBGYN, geriatric, mental health and other services.”

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Arkansas kicks 17,000 people off Medicaid in three months; other states plan to join in

As working people in several red states celebrate the official expansion of Medicaid due to victorious ballot initiatives, others living under the boot of cruel Republican governors are beginning to lose their health care en masse.

Last summer, Arkansas became the first state to implement work requirements as a condition of receiving Medicaid, a new and pernicious hurdle made possible by waivers offered by the Trump administration. The new law requires some Medicaid recipients ages 30-49 to spend at least 80 hours a month working, volunteering, or looking for a job. So far, 17,000 vulnerable people have been kicked off their bare-bones state healthcare because they did not meet the threshold.

That number is bad enough, but the context makes it even more disgusting. Most people on Medicaid in Arkansas were not required to report their hours because they were already either employed, have a small child at home, disabled, or otherwise unable to work. The Kaiser Family Foundation broke down the numbers for November, and they don’t paint a pretty picture:

“The large majority (83%, or 53,975 people) were exempt from the reporting requirement for November 2018,” the center reports, “while 78% of those not exempt (8,426 out of 10,768) did not report 80 hours of qualifying work activities.”

It’s clear that people on Medicaid want to work, as nearly 98% of those exempt were indeed employed for more than 80 hours a month. So what happened to the non-exempt people?

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The Obamacare court decision was a disgrace, but let’s use it to flip the Senate in 2020

First thing’s first: As the title of this story states, the Texas court’s decision to strike down Obamacare was a lawless act of partisan idiocy, and will hopefully be reversed upon appeal. There is no silver lining in taking healthcare away from 20 million people.

That all said, this is the hand we’ve been dealt, and fortunately, we know how to play it now.

As Bloomberg reports today, the case is likely to stretch into 2020, and possibly beyond if it reaches the Supreme Court. That means that it will be the defining issue of the 2020 elections (well, beyond Trump’s brain rot and treason), and it could mean a lot of trouble for the GOP. Healthcare was the top issue in 2018 and voters broke overwhelmingly for Democrats on the subject, helping them take back the House and, notably, expand Medicaid even in three red states.

One of those states was Nebraska, where voters enacted Medicaid expansion via ballot initiative despite years of the GOP-controlled state legislature’s refusal to do so. Once implemented, an additional 90,000 people in Nebraska will have healthcare. That’s not a benefit they’re going to want to give up. And that puts Sen. Ben Sasse, who is up for re-election in 2020, in a perilous situation.

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Races for progressives to watch on Election Day

Here we are, two days out from the most important election of our lifetimes, which is a statement that is eminently dramatic but somehow undersells the gravity of what we are facing. I truly don’t know what American democracy will look like if Democrats don’t sweep up at the ballot box on Tuesday. And it’s not just because of the threat posed by Trump and his sycophantic posse. All across the country, there are pitched battles being fought over issues that directly touch the lives of tens of millions of people — and will, more broadly, impact us all.

Here is a guide to the biggest issues and races to watch on what will be a very nerve-wracking, exciting Tuesday evening.

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Julie Oliver, in TX-25, is running one of the most inspiring campaigns of 2018

After years of establishment Democrats running rote, indistinguishable TV ads and peddling cautious, focus-group-tested messaging, a wave of fresh, progressive candidates have decided to communicate like actual humans. Fresh faces such as Randy Bryce and Alexandria Ocasio-Cortez have produced a series of especially moving digital ads that have gone viral, and this week, even amidst the Kavanaugh calamity, a new progressive star was born.

Julie Oliver, who is running to represent Texas’s 25th district in Congress, narrates her own life story in the ad; she grew up in near-poverty and ran away from home as a teenager, squatting in abandoned buildings until she got pregnant at 17. Shunned by her boyfriend’s family, she returned home, where her mother agreed to help her — on the condition that she get back to school.

The rest is the sort of up-from-your-bootstraps American Dream success story that seems to only happen in movies or very hypothetical conservative scenarios: Oliver worked and raised her family while attending college and law school, and now at 45-years-old, she’s an accomplished lawyer and community leader running for Congress. Her experience makes her uniquely empathetic to the needs of working people, a quality in short supply in Washington today.

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