The politics of rescuing state governments or letting them go to hell

Counting on Medicaid Money, States Face Shortfalls

This is the title of an article in today’s New York Times that details a severe issue that, if not addressed very soon, will have multiple political effects. I’ll quote from some of the most important parts of the article and then talk about some of the effects I believe are likely in races for different positions.  

Having counted on Washington for money that may not be delivered, at least 30 states will have to close larger-than-anticipated shortfalls in the coming fiscal year unless Congress passes a six-month extension of increased federal spending on Medicaid.

Governors and state lawmakers, already facing some of the toughest budgets since the Great Depression, said the repercussions would extend far beyond health care, forcing them to make bone-deep cuts to education, social services and public safety.

Gov. Edward G. Rendell of Pennsylvania, for instance, penciled $850 million in federal Medicaid assistance into the revenue side of his state’s ledger, reducing its projected shortfall to $1.2 billion. The only way to compensate for the loss, he said in an interview, would be to lay off at least 20,000 government workers – including teachers and police officers – at a time when the state is starting to add jobs.

“It would actually kill everything the stimulus has done,” said Mr. Rendell, a Democrat. “It would be enormously destructive.”

There are are other quotes from or references to the urgent concern of Republican Governors Schwarzenegger of California and Douglas of Vermont, Republican Mayor Bloomberg of New York City, Democratic Governor Paterson of New York, and Michael Bird, federal affairs counsel for the National Council of State Legislatures.

The first electoral issue is that any combination of biting tax or fee increases and brutal service cuts from state and municipal governments will sour voters even further on incumbent politicians, almost certainly causing more losses, including some surprising upsets, of incumbents from both parties. Undoubtedly, this would extend to Federal races – as it should, because the Federal government would have failed to meet the need for a new rescue package for state and municipal governments.

The second issue is that the lost jobs from layoffs of government workers (teachers, firefighters, police officers, social workers, God only knows who else) would worsen the economy palpably, leading to even more damage to incumbents.

As we all know, state and municipal governments are already doing very poorly around the country – undoubtedly, along with the generally weak economy and high unemployment, one of the reasons that incumbent Governors (and, I’m guessing, state legislators) are much more likely to be defeated in reelection bids this year. Failure to infuse state budgets with Federal money for their Medicare programs would surely amplify this effect.

Governors and state lawmakers were caught largely by surprise by the House’s removal of the appropriation. Over the previous 10 months, the Medicaid money had been included in separate bills passed by each chamber, and President Obama had wrapped the extension into his executive budget proposal.

“There was every reason to think they’d get together,” Mr. Rendell said.

But in recent weeks, Republicans and conservative Democrats began to complain that the proposed spending would add to the deficit because it was not “paid for” with new revenues or other cuts. Their success in reducing the size of the bill reflected a deepening debate in Congress, and on the campaign trail, about the long-term consequences of using deficit spending to slay the recession.

To get a conference report with restored Medicaid money in it – which Harry Reid favors – through the House, some Representatives who wouldn’t vote for it the first time would have to take the political risk of being labeled as spendthrift deficit-busters. And of course the Senate, which plans to start consideration of the bill this week (that is, the bill itself, not yet a conference report), would be blamed by deficit hawks for taking the initiative to reinsert such a fix.

Of course, should they fail to get this through, a lot of them risk losing their seats because – correct me if you have data to prove me wrong – as much as the voters care about deficits, they care more about jobs, taxes, and services.

Democratic aides in both the House and Senate said state officials had not pressed their case forcefully enough.[…]

Republican governors in particular, the aides said, had been reluctant to petition for relief while the party’s leaders in Congress were scorching Democrats for driving up the national debt.

“Governors need to make it clear that it is vital that their states receive this money, instead of blasting Congress for ‘out-of-control spending,’ ” said a senior Democratic aide in the House, speaking on the condition of anonymity because he was not authorized to talk about the issue publicly.

Republican Governors have less room to be nihilists than do the members of the minority party in Congress. Some of them may not care much about poor people, but they have the responsibility to actually administer states and are accountable to the voters. Therefore, in times of emergency, even a hypocritical posturer like Governor Jindal of Louisiana begs for Federal help. We’ve seen this again and again recently. When there’s a flood, tornadoes, or a huge industrial accident, Republican Governors give the “tax and spend liberals” sloganeering a rest and put their hands out.

But the political problem for many of them in this situation is greater than mere hypocrisy. Because though as Governors, they desperately need this money, as long as extremist Tea Partiers and Club for Growthers control their party, they will get Hell for publicly lobbying for a Medicare rescue package if and when they run for Federal office – or even for reelection.

So to recap, what we see here is the bitter fruit of insincere Republican posturing, irrational extremism among the Republican rank and file, Blue Dog reelection positioning, and the White House (and possibly Nancy Pelosi, depending on how you interpret her comments in the article) enabling premature deficit hawkery.

Some of the politicians who have put the country at another precipice have to risk political damage by voicing what Governor Douglas of Vermont, a moderate, very reasonably states (quote below). To paraphrase Benjamin Franklin, if the politicians who could lose an election over a deficit but know that shafting state governments in a budget emergency is unacceptable don’t hang together, we will all hang separately.

“I’m very concerned about the level of federal spending and what it would mean for the long term,” said Gov. Jim Douglas of Vermont, a Republican and chairman of the National Governors Association. “But for the short term, states need this bridge to sustain the safety net of human services programs and education.”

 

23 thoughts on “The politics of rescuing state governments or letting them go to hell”

  1. Ironically, the Times also features an article about the United Kingdom – Cameron Warns Britons of Austerity – in which the new government there seems to present an attitude quite similar to that of the right-wing deficit hawks in this country: Anti-stimulus and in favor of greater hardship for the people, despite some attempts to rhetorically soften the blow with the following claim (point and counterpoint below):

    Mr. Cameron tried to soften the blow by saying that the cuts would not disproportionately affect the vulnerable. Mr. Clegg told The Observer newspaper over the weekend that Britain would not face “a repeat of the 1980s” and the budget cuts of the Margaret Thatcher years.

    Dave Prentis, the general secretary of Unison, a union that represents many public service workers, nonetheless told the Press Association news agency that Mr. Cameron’s speech was “a chilling attack on the public sector, public sector workers, the poor, the sick and the vulnerable, and a warning that their way of life will change.”

    I have to wonder whether the British have exchanged one kind of fuckups for another kind, and whether the Liberal Democrats may soon regret agreeing to be part of a coalition with the Conservatives. Perhaps the British, rather than lamenting as many Americans do that we have two lousy parties, will being to lament that they have three bad ones.

  2. Pan, great post. I read the story in the Times today and was thinking a lot about this too.

    I think this is a HUGE problem for NYS. New York State spends over $50 billion a year on Medicaid. That is more than California and Texas COMBINED! It represents over a third of the NYS budget. Add to that the $50 billion match the county and local govs in NY have to throw in and that is a tremendous amount of money.

    To put it another way if NYS only spent as much as CA (a state with almost twice the population as NY) did on medicaid each year NY’s entire current fiscal year $9 billion budget deficit could be erased and the state would have enough money left over to hire over 400,000 teachers (not that they could ever use that many since NYC DOE only has 80,000 teachers employed)!

    Without the federal dollars states like NY are in real trouble and will have to make some VERY hard choices.

    If federal $$ went away or were cut back in NY and deep cuts were made there could be real fallout. Either taxes on both the state & local level would have to go up, which would further fan the Tea Party Movement and tax revolt that dislodged Dem county exs in Nassua and Westchester or Medicaid will have to be cut enraging 1199 and SEIU the 2 most powerful unions and special interest groups in the state.

  3. “Of course, should they fail to get this through, a lot of them risk losing their seats because – correct me if you have data to prove me wrong – as much as the voters care about deficits, they care more about jobs, taxes, and services.”

    Especially at the federal level. The Democrats have all 3 elected levers of power, the vast majority of increased unemployment and taxes will be blamed on the party in power.

    On another note, and not to get too into policy, but I think that such a policy of continued bailouts for state governments has the potential to create a system of very perverse incentives in regards to the federal state relationship. If this aid doesn’t have a set experiation date, when does it end? Surely it cannot continue forever given the coming Baby Boomer triggered tsunami that will hit the federal balance book in the coming decade. State government spending grew much faster than inflation over the past decade and it has to get back inline with revenues at some point.

  4. It doesn’t seem to be in the article. And AFAIK, news on general shortfalls don’t break out the medicaid component.

    So it’s difficult to break out the impact on specific Gov/State legislative races.

  5. The ads for them as deficit busting big government liberals are already written and in the can. If they don’t vote for state aid, they’ll make the economy worse instead of better in November. Take the vote. You’ll be glad you did.

  6. I know everyone hates it, but seriously we need to consider rationing Medicare and Medicaid.  Medicare and Medicaid coverage needs to be rationed.  During a time of austerity, which is coming back into style after being away for decades, there is no way to avoid instituting some form of rationing of government services like Medicare.  Rationing would save the programs from complete collapse, which I think the electorate actually wants in terms of Medicaid since it is largely viewed as a welfare program.

    Now some village idiot in Wasilla is going to get on her Facebook page and say Ryan_in_DelCo is a soldier of the anti-Christ for calling for death panels or some other mindless BS that she facebooks.

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