Monday, March 16, 2015

How Minnesota barely escaped Wisconsin's fate



On March 15, American Federation of Teachers President Randi Weingarten published an Op-ed in the Huffington Post contrasting the recent economic performance of two very similar upper Midwestern states that have chosen drastically different governments: Minnesota and Wisconsin.

But what we often forget is that Minnesota came perilously close to following Wisconsin to the dark side.

We know the policy story. Wisconsin has been under unified Republican control since the 2010 elections. Governor Scott Walker has spearheaded a hard-right push in state politics: crushing public sector unions, signing “Right-to-Work” legislation that will cripple private sector unions, cutting taxes for the wealthy, stiffing Obamacare's Medicaid expansion, gutting funding for public schools and universities, centralizing power in the governor’s offense, gutting environmental protection, killing useful transportation projects…. Sigh… frankly, to go into detail and finding links is just too depressing. Go read Charlie Pierce so at least you can laugh along with the despair. As Weingarten and others have noted, though, Wisconsin hasn’t performed that well in economic growth or jobs growth.

Minnesota, on the other hand as Weingarten argues, elected Democrat (technically Democrat-Farmer-Labor) Mark Dayton to the Governor’s chair in 2010. Dayton raised taxes on the wealthy, invested in public schools, worked with organized labor and aggressively implemented the Affordable Care Act. The state has performed much better on the economic front than Wisconsin, and indeed the U.S. at large.

But that critical 2010 election actually looked pretty similar in the two states.  In an electoral disaster, Democrats lost majorities in both houses of the Minnesota State Legislature, turning an 87-47 majority in the House into a 72-62 minority. A 46-21 Senate supermajority became a 37-30 minority. In Wisconsin narrow Democratic majorities became a medium-sized 19-14 Republican majority in the Senate and a 58-41 majority in the Assembly.

The Minnesota legislature was interested in many of the same things that Walker wanted – after a budget standoff with Dayton in 2011, they tried to push a “Right-to-Work” law through in a constitutional referendum in 2012, though it failed to make the ballot.

The difference was in the Governor’s Race. Walker beatDemocrat Tom Barrett in a clear though reasonably close election by 120,000 votes out of about 2.2 million cast (52.3 percent to 46.5 percent). Dayton, in contrast, barely squeaked by conservative Republican Tom Emmer by an 8,730 vote plurality out of 2.1 million cast (43.6 percent to 43.2 percent).

Maybe it was Dayton’s higher name-recognition as a former Senator; maybe it was the fact that the incumbent in Minnesota was a Republican and not a Democrat.  But whatever the reason, those 8,730 votes put Minnesota progressives in position to block the attacks on labor and public services that took place in Wisconsin. And they left them in position to push a progressive agenda when Democrats managed to take back both chambers of the state legislature in 2012.  

Let that be a bit more motivation to knock on one more door, make one more phone call and give $10 more in the next state election.

Tuesday, March 10, 2015

Medicaid Expansion Keeps Stumbling Forward -- and Proves Surprisingly Resilient



With the results of the 2014 elections, the pace of Medicaid expansion has become frustratingly slow for progressives.  However, the overall picture has two very important positive points for those seeking to provide universal health care in this country. First, despite meeting several setbacks and roadblocks recently, the expansion continues to grind ahead –excruciatingly slowly, but ahead all the same -- to new states. Second, recent developments in Arizona and Arkansas suggest that a state’s expansion may be durable even in states that get taken over by hard-right governments.

On the first point, Indiana joined the parade of Conservative states expanding Medicaid under a waiver in January. Pennsylvania, under its new Democratic Governor Tom Wolfe, has thrown out the complicated waiver plan submitted by outgoing governor Tom Corbett and is replacing it with a traditional expansion more congenial to beneficiaries (elections matter). Frustrating setbacks have happened in Tennessee and Wyoming, when legislative committees defeated plans negotiated by their governors to expand Medicaid, at the behest of an Americans for Prosperity pressure campaign. However, Utah and Montana are still considering their own plans – and Kansas(!) of all places looks like it may join soon too. Vox, as usual, has the snappy summary.

The second point is more interesting and, for now, just as encouraging. In 2013, Arkansas had negotiated an expansion with waivers under Democratic Governor Mike Beebe to mollify the Republican-controlled legislature. However, it looked like the plan might not survive new Republican Governor Asa Hutchinson and a much larger and more conservative Republican majority elected in 2014. But Hutchinson got behind the program with a few tweaks and convinced the legislature to approve it for another two years while forming a committee to seek a new waiver in 2017.   

In Arizona, the situation appears more ambivalent. Outgoing Republican governor Jan Brewer choose to expand Medicaid in 2012 over howls of protest from conservatives in her legislature. Incoming Governor Doug Ducey has suggested he’s against the expansion, while conservatives made gains in the Arizona statehouse in 2014. Medicaid expansion looked doomed.

But an in-depth examination of legislation Ducey just signed trying to curtail the expansion is instructive. The legislation consists of two Republican pet rocks: attaching work requirements to Medicaid recipients, and limiting beneficiaries to five years total of receiving Medicaid before throwing them off the program. It’s an ugly bill. But notice that the law doesn’t eliminate the expansion, it only attempts to modify it with issues a GOP legislator could plausibly defend as “common-sense reforms.”More importantly, any of these changes would have to be negotiated with the Federal Department of Health and Human Services.

At least for the next two years, those negotiations are going to go like this:

ARIZONA: “We want you to give us a waiver to create work requirements for beneficiaries and throw them out of Medicaid after five years” (hands over proposal).

HHS SECRETARY BURWELL: “Would it annoy you if I did this?” (Folds proposal into paper airplane and tosses it back at Arizona’s forehead)

The bill binds Arizona state officials to go back to the Feds every year and beg for the waiver.  Those conversations are going to go like this:

ARIZONA: “We want you to give us a Medicaid waiver to…”
BURWELL: (Takes proposal. Blows nose on proposal. Crumples it up and hands it back)

What we have here is Politics 101: it allows Arizona Republicans to both whine loudly about how horrible the federal government is, while looking like they are doing something to fight the dastardly Obamacare Medicaid expansion by writing sternly worded letters. They also get to quietly take advantage of all its benefits (including federal funding) that will remain at least as long as a Democrat controls the White House.

So at first glance, at least, the Medicaid expansion is looking surprisingly resilient, even in its infancy. Despite the poor results of the 2014 elections, the expansion continues to meander forward in several states. And every state that takes the expansion may have quite a hard time getting rid of it. This stickiness is good news for justice and for hundreds of thousands of people who get access to health care.

Sunday, March 8, 2015

Obamacare is about People, not States



On January 30, Ezra Klein posted an insightful Vox piece about one of the great ironies of the Affordable Care Act.  After a lot of thought of my own, however, I don’t think it’s much of an irony at all. 

Klein’s analysis noted that the original ACA – supported heavily by Democrats – featured a massive redistribution of wealth from Blue States to Red States.  The people helped by Obamacare’s Medicaid expansion and exchange subsidies were disproportionately concentrated in the states of the ex-Confederacy that had low-wage economies with skimpy existing Medicaid programs. (An old joke in Mississippi claims that you have to be legally dead to qualify).

The irony that Klein points out has been that Republicans are fighting tooth and nail to turn the ACA into a program that drains money from Red states and transfers it to Blue States. When the Supreme Court held that the Medicaid Expansion had to be optional for states, many states dominated by Republicans declined the expansion while Blue States snapped it up, shifting the benefits flow from Red States to Blue States If the Supremes decide the case of King vs. Burwell in favor of the forces of darkness, it will declare subsidies on exchange marketplaces illegal – but only in the states on the federal exchange, which of course are disproportionately Red States. As a result, higher earners in Texas will be sending their increased Medicare taxes to poor and working-class people in states like New York and California while their own states lose out.

It’s an interesting puzzle, but I think it can be explained quite easily – at least on the liberal side of the equation – by changing our unit of analysis. Klein looks at states, but I think it makes more sense to look at people to explain this paradox. On some issues, perhaps it makes sense to look at issues as state vs. state.  If a major manufacturer decides to leave one state and move to a second, for example then pretty clearly the second state is better off relative to the first. Politicians will act accordingly and line up state against state.  

But the motivating purpose behind the Affordable Care Act wasn’t about New York vs. Texas, it was about 48 million people in the United States who didn’t have health insurance. Ohio Senator Sherrod Brown didn’t refuse to take federal health insurance because Florida got more Medicaid dollars than Ohio, but rather in solidarity with millions of Floridians and Ohioans who didn’t have access to health care at all. If Mississippi took $14.5 billion in federal money over the next decade to expand Medicaid, I wouldn’t be mad that that money wasn’t going to Pennsylvania, my latest state of residence; I’d be celebrating because 169,000 of my fellow citizens got access to health care.

On the flip side, the logic is perhaps more difficult to explain for a Red State GOP governor like Rick Perry or Mississippi’s Phil Bryant. There’s the potential that they just don’t understand it. Perry recently suggested that millions of Texans liked not having insurance, which may represent a weak dodge or actual ignorance of reality. But there’s also the possibility it’s about people for them too – specifically “those people” who are poor and likely have a darker hue of skin and are viewed as undeserving of federal benefits. Politicians used to be able to wrangle earmarks and pork for their state , which reduces the role of ideology, but ideological sorting and polarization has been getting stronger over the last 40 years. As a result, politicians who rely on bringing home federal dollars to get votes find themselves facing tough primaries – like the one Thad Cochran barely survived in Mississippi in 2014.

We can solve Klein’s puzzle then by re-imagining the pieces. It’ not about cash flows to states, it’s about people – and whether a state official’s ideological blinkers permit those without access to health care to be seen as human beings deserving of compassion or dignity.

Friday, May 30, 2014

Grassroots push leads to negotiated minimum wage hike in Michigan



The dust has cleared on a brouhaha surrounding a proposed minimum wage hike in Michigan.

The good guys (mostly) won – thanks to grassroots organizing, massive public pressure and some skilled negotiating behind closed doors. It was an incomplete victory, but it was a victory all the same – most low-wage workers in Michigan are getting a 25 percent pay increase over the next four years to $9.25.

The story starts at Raise Michigan, a grassroots organization that put together a petition drive in February to put a proposal before the legislature to amend the minimum wage to raise the wage. If the legislature didn’t pass it, it would go before voters in November.  It’s a similar gambit that anti-choice organizations used to circumvent Gov. Rick Snyder’s veto of legislation that excluded abortion coverage from Michigan’s health insurance exchange last summer.

The idea was to raise the wage for most workers from $7.40 to $10.10 an hour over three years from, 2015 to 2017, and then index future increases to inflation. As importantly, the petition would also raise the minimum of tipped workers from the current unconscionable $2.65 an hour by 85 cents a year until it reached parity with the rest of the work force. 

Of course, the usual suspects in business and the restaurant industry cried bloody murder about how giving low wage workers a raise to non-poverty income levels would wreck the economy.  But the legislature’s Republican majority was in a pickle – if they defeated the measure in the ledge, then it would go on the ballot – where minimum wage increases tend to fare quite well.
In response, Senate majority leader Randy Richardville (the dude who drove me to blog in the first place) reasoned that if the minimum wage law was repealed, then technically an initiative amending the law would be out of order.
Follow me below the fold for how that particular evil gambit actually turned into a productive set of negotiations and a legislative victory.

Tuesday, May 20, 2014

Boggs hearings represent mere hiccup -- Obama judge picks continue confirmation surge



There’s been a lot of frustration among Progressives over Republican senators continuing to block Obama judicial picks in committee thanks to the blue slip method.  The latest manifestation of the frustration comes with the nomination of Michael Boggs, a Republican-backed candidate nominated as part of a deal to fill several slots on federal bench in Georgia (In return for nominating Boggs and two other district appointments, Georgia’s Republican Senators agreed to allow the nomination of Jill Pryor to move forward for the 11th Circuit Court seat and Leigh Martin May for a district judge seat.)

Progressives' frustration is understandable – as a state judge and legislator Boggs has defended voter identification laws, displaying the Confederate flag and opposed gay rights. However, Democrats should also keep their eyes on the forest through the trees: with the elimination of the filibuster for most executive nominations last November, judicial confirmations have drastically increased.
How much?  In 2014, the Senate has confirmed 40 judges thus far – 33 in the district courts and seven in the appellate courts. During the first five years of Obama’s presidency, the previous high number of judges confirmed through the end of May was 24 (in 2011 and 2012).  That translates into an increase of 67 percent in the number of judicial confirmations. Oh – and we’ve still got another week of Senate business to go in May. 

In addition, the vacancy rate is also starting to decline noticeably on the federal bench.  At the beginning of December, just after the Senate eliminated the filibuster, there were 86 vacancies on the district and circuit courts. That number increased on February 1 to 96 openings – likely because GOP obstruction forced Obama to resubmit every nomination, forcing a fresh round of committee hearings. However, by the beginning of March, the number of vacancies was beginning to fall and has continued to decline ever since. By May 20, the number of vacancies had declined to 67, a decrease of 30 percent from its February high (See figure).



Again, this happening doesn’t mean that everything is rosy.  In some states dominated by conservatives, the process is slow (like in Georgia) or seems entirely hopeless, like in Texas (though the Fifth Circuit court will pick up Texan Greg Costa today).  

And would some one give Jennifer Prescod May-Parker of North Carolina a commission already?

However, even in some conservative states there has been progress.  Four nominees from Florida have cleared committee and await final confirmation after months of obstruction from Senator Marco Rubio. More importantly, Arizona has a functioning district court for the first time in several years as six  nominees received confirmation last week – including Rosemary Marquez, who was first nominated in 2011 and blocked by Arizona's senatorial delegation, and Diane Humetewa, the first Native American woman to become a federal judge.

The point is that progressives are right to be frustrated by continuing blocking of some nominations,  however, we should keep it in the back of our minds that nominations are flowing much more quickly now than they were a year ago.

Sunday, May 4, 2014

Senior (judge) moments slow progressive turnover in U.S. Courts


With the filibuster dead for most executive appointments, Senate Majority Leader Harry Reid has stepped on the gas for judicial appointments this spring.  As of May 2, the body had confirmed four circuit court judges and 24 district court judges in 2014 – a veritable consentapalooza.

But for all the progress on nominations, the character of the federal bench is changing more slowly than it appears on the surface. Many judges who retire from their court don’t fully step down. Rather, when they take senior status, they still hear some cases. 

How big of a stamp can these semi-retired judges make? Sometimes a profound one, depending how the draw affects the composition of a three-judge panel at the circuit court level -- one step below the Supreme Court.

Take for example the recent infamous case Hobby Lobby vs. Sebelius currently before the Supreme Court – in which a corporation claims to have religious rights to evade the contraception mandate in the Affordable Care Act. The opinion at DC Circuit was authored bynoted fire-breathing conservative circuit justice Janice Rodgers Brown. However, the other judge that joined the opinion was A. Raymond Randolph – a George H.W. Bush appointee who took senior status in 2008. (For that matter, the dissenting justice was Harry Edwards, a Carter appointee who took senior status in 2005)
Semi-active senior judges also boast impressive numbers.

With the confirmations of Michelle Friedland and Nancy Moritz (Moritz is up on Monday) , Democratic appointees will hold 80 judgeships on the circuit courts and GOP appointees hold 74, with 14 vacancies.  

However, there are 91 active judges with senior status – 55 appointed by Republican presidents and 36 by Democrats. Throwing them into the mix leaves us with 129 Republican appointees and 116 appointed by Democrats – quite a shift.

This comparison is a bit misleading – most of those senior judges don’t hear as many cases so the GOP advantage is overstated considerably. (Senior judges hear about 15 percent of all cases across the court system.) Nor do senior-status judges sit on en-banc cases at the appellate level in which the entire court hears a case and often overturns the decision of a smaller three-judge panel.
However, the presence of senior judges is currently working to slow the pace of progressive judicial decisions, which is all the more reason to keep aggressively confirming judges.