The BenCen Blog

Informing Public Discourse in the Hudson Valley and Across the State

Month: September 2017

Paying for Medicaid: A Good Idea Whose Time Has Not Yet Come

Gerald Benjamin, SUNY New Paltz, and Thomas Gais, Rockefeller Institute of Government

 

Republican Congressmen John Faso wants the federal government to require that New York State assume all of the nonfederal share of Medicaid costs incurred outside of New York City. He conditioned his support for the previous, failed efforts to repeal and replace Obamacare on inclusion of this requirement in the federal law; the Graham-Cassidy bill is said to include the requirement.[1] New York City and the counties now pick up 13 percent of the total state tab ($58.8 billion in Fiscal Year (FY) 2015). The cost for New York City is $5.2 billion.[2] The total at stake for counties outside the city is $2.3 billion.[3]  Not chump change.

The proposal outraged Governor Andrew Cuomo. He called it a “political Ponzi scheme,” evidence that the congressman violated “his oath of office to represent the interest of the people of the state of New York.…”

Neither Cuomo’s rage nor the failed GOP takedown of Obamacare has deterred Faso. He has vowed to find another path to force full state assumption of the nonfederal share of Medicaid costs in upstate New York. Indeed, the Sturm und Drang of zero-sum national partisan politics aside, the congressman’s idea may be good public policy, or at least a start towards good policy. But there remain a number of big, unanswered questions. If full state assumption is good for counties outside New York City, why not also for the city itself? Should the national government be dictating the financial relationships a state has with its local governments? And if so, why just for New York?

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A Congressional Town Hall in a Purple District

The political climate is begging for protest. But what we really need are actual conversations.

On August 31st, Congressman John Faso, in his first term in New York’s 19th District, held his first public town hall with constituents at the Esopus Town Hall in northeastern Ulster County, nearly seven months after he first took office. During ordinary political times this would be a non-event, as riveting as cable T.V. coverage of your town board’s meeting. But these are not ordinary political times. NY’s 19th is a rare district; it is actually competitive. Faso won with 54 percent of the vote in 2016. Now, in the wake of Donald Trump’s abysmal performance as president, eight potential challengers have lined up, seeking to take on the freshman congressman in 2018.

Many Republicans in Congress across the country have been heavily criticized for not holding open town hall meetings to discuss the house majority policy agenda, Donald Trump’s offensive language, behavior and views, or the controversial initiatives of the Trump administration in health care, federal budget cuts, immigration, tax policy and other policy areas. In response, Republicans argued that these meetings were not venues for serious civil exchange, but opportunities for abusive confrontation by organized opposition on the left. Continue reading

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