Opinion by Paul Waldman and Greg Sargent: The GOP’s epic defeat on health care is laid bare in North Carolina
were refusing to implement the ACA’s expansion of Medicaid. This left millions of Americans languishing in a needless crisis, all because ACA-despising Republican legislators were turning away enormous sums of federal cash earmarked to cover their state’s poorest adult residents.But in the near-decade since, health-care advocates have painstakingly overcome that opposition, and many of those states have now embraced the expansion.
The scale of this defeat is evident in big news out of North Carolina, where leaders in the GOP-controlled legislature Thursday to accept the expansion. It will require hospitals to pay the state’s minimal contribution to the cost. Republicans accepted this deal only after years of ferocious resistance. And this is a tremendous win for advocates and Democrats, because it stands to cover as many as 600,000 poor North Carolinians, in a state that proponents have targeted for years.
The popularity of Medicaid appears to have surprised conservatives, who apparently saw it as an easily targeted big-government program for poor people. The prospect of cuts to Medicare — whose beneficiaries are vocal, organized seniors — presented a well-understood danger. But surely Medicaid cuts wouldn’tReality has shown otherwise.
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