Media outlets cherry-picked facts from a recent Health and Human Services report on the Head Start education program to promote the myth that the program is a failure. However, neither the HHS report nor other studies confirm those claims, and reports actually show the program has had a positive impact both early on and later in students' lives.
ABC News published a story which quoted several members of the anti-immigrant Center for Immigration Studies (CIS) but failed to disclose the organization's ties to nativist John Tanton, who is affiliated with a designated hate group, and ignored the organization's well-established credibility problems.
On January 14, ABC News reported on a conference held by CIS, which attacked "legalization programs for undocumented immigrants":
Analysts from the Center for Immigration Studies (CIS), a think tank that advocates reduced immigration levels and stricter enforcement of current immigration laws, said today that legalization programs for undocumented immigrants typically lead to fraud and increased illegal immigration.
ABC provided a platform for CIS representatives to voice their opposition to a variety of proposed immigration measures, but ABC failed to provide background on CIS, despite the group's long history of anti-immigrant rhetoric, ties to nativist organizations, and lack of credibility.
The Center for Immigration Studies was started in 1985 by John Tanton, an anti-immigrant nativist with ties to other anti-immigrant organizations such as NumbersUSA and the Federation for American Immigration Reform, a Southern Poverty Law Center-labeled hate group. From the Southern Poverty Law Center:
Although you'd never know it to read its materials, CIS was started in 1985 by a Michigan ophthalmologist named John Tanton -- a man known for his racist statements about Latinos, his decades-long flirtation with white nationalists and Holocaust deniers, and his publication of ugly racist materials. CIS' creation was part of a carefully thought-out strategy aimed at creating a set of complementary institutions to cultivate the nativist cause -- groups including the Federation for American Immigration Reform (FAIR) and NumbersUSA. As is shown in Tanton's correspondence, lodged in the Bentley Historical Library at the University of Michigan, Ann Arbor, Tanton came up with the idea in the early 1980s for "a small think tank" that would "wage the war of ideas."
And while Tanton never actually ran CIS, his correspondence shows that as late as 1994, nine years after it was started, Tanton, who remains on FAIR's board of directors today, saw himself as setting the "proper roles for FAIR and CIS." He raised millions of dollars for the think tank and published the writings of top CIS officials in his racist journal, The Social Contract. He maneuvered a friend on to the board of CIS -- a man who shared his interest in eugenics and who attended events with Tanton where white nationalists gave presentations. Through it all, CIS pumped out study after study aimed at highlighting immigration's negative effects.
ABC also failed to note that CIS studies have also been the subject of frequent criticism. The Southern Poverty Law Center has previously called into question the group's findings, stating that CIS often reaches baseless conclusions which are "either false or virtually without any supporting evidence." The Center for New Community has also scrutinized CIS and even warned professional journalists that CIS is not a "credible voice in the debate on immigration."
One of ABC's sources, CIS executive director Mark Krikorian, has a history of making insensitive remarks about other ethnic groups. He has previously claimed that "Haiti's so screwed up because it wasn't colonized long enough," that foreign-nationals who aren't raised in the United States could become terrorists, and that Muslims are a "vicious people." In addition, Krikorian has stated that the United States should deny pregnant women entry to the U.S. because someone "visiting Disneyland" could give their child American citizenship (while referring to said child using the derogatory phrase "anchor baby"). None of Krikorian's past rhetoric was documented by ABC.
Unfortunately, ABC isn't the only major news outlet to treat CIS as a reasonable voice in the immigration debate. The nation's top seven newspapers cited CIS and other anti-immigrant groups over 250 times from January 2010 through June 2012. The New York Times cited the group several times despite publishing an exposé on the organizations unsavory ties with Tanton. NPR has also featured Krikorian as an alternative voice to Jose Antonio Vargas during an immigration debate, despite his harsh views on immigration.
The Wisconsin State Journal failed to note specific health and environmental risks associated with taconite mining -- such as increased levels of mesothelioma among miners and groundwater contamination -- in an editorial and news story on a mining reform bill that conservative members of the legislature have made a priority for 2013.
The Orange County Register advocated for expanded use of the controversial drilling technique known as fracking by citing an industry-funded study -- peer-reviewed by an expert with industry ties -- that concluded fracking is safe for California. From the editorial, titled "No need to fear fracking":
But the center [for Biological Diversity's Climate Law Institute] and its co-plaintiffs ignore the result of a recently released fracturing study, which was required as part of a 2011 legal settlement between community and environmental groups, including the Natural Resources Defense Council, and Plains Exploration and Production Co., owner and operator of the Inglewood Oil Field in Los Angeles County.
The 206-page study, the first of its kind in the state, examined the threats fracturing posed to air and water, not to mention risks of increased seismic activity caused by drilling. It concluded there was no danger to public health and safety.
Indeed, the weight of objective scientific evidence suggests that fracturing is a safe technique. Properly regulated, there is no reason for California to restrict it.
Despite the Register's ringing endorsement of the findings, experts have challenged the study on several fronts. First, critics of the study voiced concern that the study did not look at the long-term impact of fracking and instead focused on the near-term impacts. Second, the study was conducted by the company with a financial stake in the outcome. As Damon Nagami of the Natural Resources Defense Council wrote in a blog:
We also are keenly aware that this study was funded by PXP, an oil company, and peer reviewed by at least one expert, John P. Martin, with ties to the oil and gas industry. Therefore, we need additional review from independent experts who have no financial stake in the study's outcome. We will be seeking our own experts, but I also would recommend that California agencies with the appropriate expertise take a close look at this study and provide the public with their comments.
As Desmogblog.com noted, the expert, John P. Martin, has a questionable history surrounding his role as an independent peer reviewer. Martin, who runs JP Martin Energy Strategy, has worked in various sectors of the oil industry and is tied to the controversial SUNY Buffalo Shale Resources and Society Institute, which came under fire last year when it published a study that had ties to the oil industry. The Institute closed in November.
In addition, far from being the conclusive silver bullet study the OC Register purported it to be, the study was viewed by public officials in California as a step, not a solution. The Los Angeles Times notes:
Los Angeles County Supervisor Mark Ridley-Thomas, whose district includes the communities around the field, advised caution.
"The point is, we have more than one peer reviewer here," Ridley-Thomas said. "It's hardly done; it is up for further examination, further discussion and this is an important step in the process, but hardly a conclusive one."
As Media Matters has previously noted, experts have linked fracking to earthquakes and groundwater contamination and believe the practice could have a negative impact on California's agriculture and wine industry.
The Oklahoman relied on the "absence of compelling evidence" and the comments of a single geologist to conclude that the largest recorded earthquake in Oklahoma's history was not tied to fracking, despite mounting evidence that indicates otherwise. In doing so, the paper dismissed mounting evidence linking underground injection of wastewater to earthquakes at large, continuing its attempt to cast doubt on science and shut down policy debates that could affect the paper's owner, billionaire oil and gas tycoon Philip Anschutz.
In a December 11 editorial, The Oklahoman dismissed the links between oil and gas exploration and earthquakes by saying "unless proven otherwise," any assumption of what caused the earthquake "should go to nature" instead of being attributed to mankind. From The Oklahoman editorial (emphasis added):
Ties go to the runner in baseball. Assumptions about nature, when apparently tied, should go to nature. Unless proven otherwise.
This is the heart of the discussion on whether the largest recorded earthquake in Oklahoma history was manmade rather than an act of nature. Some believe that oil and gas exploration activity in the area of the epicenter caused the quake. That's an assumption, as is the belief that earthquakes are natural phenomena always caused by nature and never by mankind.
We subscribe to the view that in the absence of compelling evidence that a natural phenomenon was caused by human activity, we should assume it was caused by nature. But we live in a time when science-based policymaking is highly politicized and a portion of mankind dislikes humanity to the point of suspecting that many "natural" events (such as hurricanes) are the unnatural result of people.
The editorial points to one seismologist, Oklahoma Geological Survey's Austin Holland, who said, "until you can prove that it's not a natural earthquake, you should assume it's a natural earthquake." However, experts believe that the November 2011 earthquake and other events in Oklahoma -- such as the drastic increase from six earthquakes between 2000 and 2008 to 850 earthquakes between January 2010 and March 2011 in Oklahoma County -- point to a link between fracking-related activites, specifically wastewater injection, and seismic activity. Similar links have also been made in Dallas, Texas , Ohio, and Arkansas. Scientists from the United States Geological Survey also presented a report in April that found that "seismicity rate changes" in Arkansas and Oklahoma "are almost certainly manmade," although it remains unclear if the changes were related specifically to fracking or to the rate of oil and gas production.
Even shale development corporations have voiced their concerns that their activities may have contributed to seismic activity. Cuadrilla Resources, the only company in Britain using hydraulic fracturing to extract oil and gas, admitted in a report that earthquakes near Blackpool, England were likely caused by their work in the area. From the Huffington Post:
The only company in Britain using hydraulic fracturing to release natural gas from shale rock said Wednesday that the controversial technique probably did trigger earth tremors in April and May.
But a report commissioned by Cuadrilla Resources, which is drilling for gas in the area outside the northwestern English coastal resort town of Blackpool, cautioned that the tremors, measuring 1.9 and 2.8 on the Richter scale - were due to an unusual combination of geology and operations and were unlikely to happen again.
The Oklahoman editorial is the second editorial in two weeks to criticize the use of science in policy making. On November 28, the paper told policymakers to ignore science because it could hurt jobs and increase economic hardship "in the name of global warming theories" its editors don't believe are valid. In fact, since the paper was purchased by oil and gas tycoon Philip Anschutz, whose company sued a town that banned fracking, the paper has dismissed the links between fracking and groundwater contamination and written two previous editorials attacking the connection between fracking-related activities and seismic activity.
Despite the mounting evidence that oil and gas extraction could be harmful to our planet, The Oklahoman continues to disregard science and shut down any debate that might hurt its owner's financial interests.
Following renewed interest in a proposal to raise the minimum wage in New York, the New York Post attacked the measure as a job killer, despite significant research indicating no substantial link between job losses and wage increases. In fact, studies show the proposed minimum wage increase would benefit New York workers.
Democrats have been seeking a 17% hike in the minimum wage, to $8.50 from $7.25, for a while. [Republican Senator Dean] Skelos and his fellow Republicans, who've controlled the Senate for the past two years, have blocked it.
Yet on Tuesday, the [National Federation of Independent Business] painted a sobering picture of what such a hike would do: Besides killing 22,000 jobs, some $2.5 billion in economic output would vaporize.
"Raising the minimum wage," said Mike Durant, the NFIB's New York director, "will affect the smallest businesses that can least afford higher labor costs, and they'll respond by finding ways to reduce or limit the number of jobs they create."
Depending on inflation, the group says, costs for entry-level workers would soar by as much as 66% by 2022 -- "more than many small businesses can handle."
Some 70% of the lost jobs would come from small businesses, the very engine of job creation.
The Post's assertion that small businesses would be most affected is dubious. Most workers in New York who make minimum wage are employed by larger chains, not by small businesses. According to testimony by National Employment Law Project Staff Attorney Tsedeye Gebreselassie:
Despite misconceptions, the majority of low-wage workers are, in fact, employed by large chains, not small mom-and-pop businesses. Two-thirds of all employees work in firms of at least 100 workers (and half of all employees work in firms with more than 500 workers).
In addition, the larger companies are already paying their workers less and are therefore likely to have to increase wages for their employees in light of a new minimum wage policy. A Fiscal Policy Institute study found that New York retail employers with over 500 workers paid their workers 25 percent less on average than smaller retail employers. As for the claim of massive job losses, another study by the Fiscal Policy Institute found that job growth for small businesses actually grew faster in states with higher minimum wages.
In fact, numerous studies have shown that historically, unemployment is not linked to an increase in minimum wage. A Fiscal Policy Institute study conducted after New York increased their minimum wage in 2004 found that over the next three years, "total employment in the state [had] grown by 3.0 percent." A National Employment Law Project study found that even during times of economic downturn, increases in the minimum wage did not lead to job losses among teens -- part of a group of people the Post has previously targeted as being most affected by a minimum wage increase.
Despite the fearmongering over job losses and slowed economic output, a minimum wage increase would actually have a substantial positive impact on New York workers. Raising the minimum wage would benefit about one million workers in the state, which is just over 11 percent of all New York workers. In addition, it would bring its minimum wage closer to other states in the Northeast such as Connecticut, Massachusetts, and Vermont -- all which have a higher minimum wage than New York.
Unfortunately, this attack on minimum wage is not new for the Post. Earlier this year the Post editorial board wrote a similarly misinformed piece about minimum wage increases in New York.
The Columbus Dispatch published an article discussing a new proposal to drug test welfare beneficiaries, failing to point out that drug testing laws are expensive, medically unsound, and have previously been found unconstitutional. In addition, reports indicate that welfare recipients are no more likely to use illicit drugs than the rest of the general population.
Top Ohio newspapers failed to adequately highlight the right-wing American Legislative Exchange Council's (ALEC) influence on recent asbestos legislation in the state.
On December 4, the Ohio Senate passed an ALEC-inspired bill that curbs the ability of asbestos victims to file lawsuits for damages. From Legal Newsline:
A bill meant to stop the duplication of asbestos lawsuits has passed the Ohio state Senate.
The bill, which passed the Senate by a 19-14 vote, would require anyone to reveal all asbestos claims filed by them or for them. If they don't do so, the person could face perjury charges. The bill made it through Senate Judiciary Committee on Tuesday. It passed the House in January.
Critics, however, say the measure would slow legitimate claims. And they say the bill would make Ohio the first state with such claim restrictions even though Ohio is among the states with the biggest backlog of asbestos claims.
The Dayton Daily News and Cincinnati Enquirer both failed to link the harmful asbestos bill to ALEC in their original reporting, despite it being covered in other states and nationally. Only the Columbus Dispatch ran an original story that noted the piece of legislation was an ALEC model bill, while the Cleveland Plain Dealer and the Dayton Daily News published AP versions of the story that briefly mentioned ALEC. None of the stories highlighted the several legislators who supported the bill who are also known members of ALEC.
Ohio has the 8th highest rate of death in the nation from mesothelioma and asbestosis with 1,328 total mesothelioma and asbestosis deaths from 1999 to 2008. Ohio is one of several states to pass an ALEC inspired bill attempting to limit the damages victims of asbestos exposure can seek. This year alone, legislation attempting to curtail victims' rights has been passed in Michigan, Arizona, Idaho, and Utah. The Minnesota legislature also passed an ALEC inspired bill, however it was vetoed by Minnesota Governor Mark Dayton (D).
In 2001, ALEC and manufacturing company Crown Holdings, Inc. jointly crafted model legislation which attempted to limit the amount in compensation victims of asbestos-related diseases received from companies who exposed their workers to asbestos. Coverage of the model bill in Minnesota from the Minneapolis Star-Tribune revealed that this "national effort" was being undertaken by the "$8 billion can manufacturer to shield itself from costly asbestos lawsuits." Even the general counsel to Crown Holdings, William Gallagher, announced in testimony before the Michigan House Judiciary Committee that the laws passed in other states were based on ALEC model legislation and urged Michigan to enact a similar law.
Unsurprisingly, several legislators involved in the crafting of the Ohio asbestos bill are or were members of ALEC. A Cincinnati Enquirer article -- while completely omitting any ALEC mentions -- cited several legislators who sponsored and voted for the bill including the bill's originator Rep. Louis Blessing Jr., Senate President Tom Niehaus, Sen. Bill Seitz and Sen. Bill Coley. All four have known ties to ALEC according to the Center for Media and Democracy's project, ALEC Exposed.
Despite the many news reports and facts linking this bill to ALEC, Ohio newspapers generally failed to produce original content which makes the link. The Cincinnati Enquirer published a piece of original content that made no mention of ALEC. The Dayton Daily News published one original news story which did not mention ALEC. In addition, the Daily News published two AP stories on the bill, but only one of which made the ALEC connection. The only paper to run an original story mentioning ALEC was the Columbus Dispatch which, buried at the bottom of a story on legislative action banning Internet cafes, wrote a short blurb on other lame-duck legislative action:
Following a spirited debate, the Senate approved House Bill 380, which is aimed at victims of on-the-job asbestos exposure who try to pursue two avenues for damages. It would require workers to disclose all asbestos claims they have filed. Critics say it would block legitimate claims. The bill is based on model legislation from the conservative American Legislative Exchange Council. The bill passed 19-14, with four Republicans, including Sen. Jim Hughes, R-Columbus, joining all Democrats in opposition.
The Cleveland Plain Dealer and Dayton Daily News both ran an AP version of the story that referenced ALEC at the end of the story:
The bill stems from model legislation developed by the conservative American Legislative Exchange Council, which has drawn attention for the entree it's recently gained at statehouses through efforts including opulent, corporate-backed conferences not always subject to normal disclosure rules.
None of this coverage -- the original content as well as the AP article -- mentioned the direct and extensive links between the bill's sponsors and ALEC, even when mentioning those legislators in their reporting.
Ohio papers are not alone, however. When the ALEC asbestos bill was passed in Michigan neither of the state's two biggest newspapers covered the connection.
The three largest newspapers in Texas have so far failed to report on comments made by Texas Health and Human Services Commissioner Dr. Kyle Janek over the past two months in which he claimed not to believe the official number of people without health insurance in Texas. Nearly two weeks after Republican Gov. Rick Perry officially notified the federal government that Texas would not be setting up a health care exchange under the Affordable Care Act to help people get insurance, readers of the Houston Chronicle, The Dallas Morning News, and the Fort Worth Star-Telegram remain in the dark about the out-of-touch comments from by the governor's social services czar, according to a Media Matters analysis.
In September and again in October, Janek discussed the problem of uninsured Texans at forums held by the Texas Tribune. During his first comments at the Texas Tribune Festival, Janek said he did not believe the Census Bureau's statistics describing the percentage of uninsured Texans -- which currently stands at 26.3 percent -- because according to him, the Census Bureau asked the wrong question.
In October, Janek re-framed his position telling the Texas Tribune during a one on one discussion with Texas Tribune founder Eric Smith that the Census Bureau asked "a question" instead of saying they asked the wrong question.
From a transcript of a video (at the 13:40 mark) posted by the Texas Tribune:
ERIC SMITH (TEXAS TRIBUNE): Let me ask you a broader question about the state of health policy in Texas and the uninsured. You know that the U.S. Census Bureau some six weeks ago put out a report that said that Texas now has 5.8 million uninsured citizens, 23 percent of our population, which makes us first among the states in the percentage of our citizens insured. You gave an interview to Emily Ramshaw of the Tribune at the Texas Tribune Festival in which you basically said I don't believe those statistics. This is the U.S. Census Bureau, not Public Policy Polling. It's a little hard to argue that the polls are skewed when the numbers are coming from the Census Bureau Dr. Janek, don't you think?
DR. KYLE JANEK (TEXAS HHSC): Umm, no their numbers are accurate for the question that they asked.
SMITH: So you think they asked the wrong question?
JANEK: No I don't, I think they asked a question.
SMITH: A question.
JANEK: Not the wrong question, it's a question. And here's the issue. If you go out now today and you go knock on doors as the Census Bureau does and do it by letter and say, "Do you have insurance," a lot of folks will say no, it doesn't mean they won't have insurance next week, it doesn't mean they will have insurance next week, it could be years before they have insurance again, it's a snapshot.
Later in the video Smith does push back on Janek's assertion that the Census Bureau had inaccurate data. However, these numbers shouldn't come as a surprise to new commissioner. As RH Reality Check points out, these numbers have remained consistent since 1987:
Janek must not be aware that for nearly 25 years, the Census Bureau's "snapshot" has shown practically the same thing: since 1987, Texas repeatedly has one of the highest, or the very highest, number of uninsured adults in the country. That rate has not been below 1987's 23 percent; it peaked at 26.8 percent in 2009 and is currently estimated at 26.2 percent.
As Texas Tribune pointed out in its first report pushing back on the comments, the Census Bureau's Current Population Survey -- which does ask if the respondent had health insurance within the last year -- still puts the uninsured rate at about a quarter of the population:
There's a flip side to his first argument: The Census Bureau's Current Population Survey, which asks whether respondents had health insurance at any point in the previous year, also puts Texas' rate of uninsured at about a quarter of the population. That survey is much smaller -- it has a national sample size of 100,000 addresses -- but is more detailed and conducted by more experienced staff.
"The suggestion that Texas would shoot to the top because of the way the question is asked -- I cannot think of any reason why anything would be different here," said Anne Dunkelberg, associate director of the liberal Center for Public Policy Priorities. "The same conditions exist here that exist in the whole country, except we have more people uninsured, and we're spending billions of dollars in local property taxes" on hospital care.
While Texas Tribune pushed back on his comments, newspapers in Texas failed to hold the commissioner accountable. According to a Media Matters analysis of coverage on Nexis and the newspapers' websites, since his appointment at the end of July, none of the three Texas newspapers examined wrote about Janek's controversial comments, and only one gave him more than a passing mention. On November 11, almost a month and a half after Janek's initial comments, the Chronicle wrote a piece spotlighting Janek's health care strategies in Texas, and, in an almost laudatory tone, said his appointment "couldn't come at a better time for private hospitals."
From the Chronicle:
The appointment of Janek, a Houston physician, couldn't come at a better time for private hospitals like Memorial Hermann, Methodist and St. Luke's. He's an important ally at a time when the balance of power is shifting dramatically.
Janek recently sparred with Coleman at a public hearing of the House County Affairs Committee, which Coleman chairs. The Houston Democrat noted pointedly that health care districts - not the private hospitals - will put up tax dollars to win an estimated $29 billion in extra federal dollars.
The private hospitals, he complained, "are crying and hollering about someone else's money." He also objected to complaints from private business entities that are "aligned" politically with politicians who oppose government-funded health care.
This wasn't the first time the Chronicle has discussed Janek and failed to push back on his Census skepticism. After the second interview with the Texas Tribune, the Chronicle published a piece that included comments he made at the Tribune event, but the paper again failed to mention or dispute his assertions about the number of uninsured in Texas, instead discussing his opinion on Planned Parenthood's role in the new Texas Women's Health Program.
Despite not holding Janek accountable, the Chronicle has not shied away from discussing the uninsured in Texas. In August they dedicated an entire article to the Census Bureau findings -- the same one Janek claimed didn't provide the whole picture -- noting that Texas' overall percentage of uninsured residents was 26.3 percent. Earlier this month, the Chronicle again discussed the number of uninsured in Texas, writing that the state has the second-highest number of uninsured residents in the nation, but again failed to mention the health commissioner's unfounded skepticism.
While the facts go against Janek's assertion, the more troubling aspect is the failure of the major newspapers in Texas to hold the Commissioner of Health and Human Services accountable for his comments.
Major newspapers in Pennsylvania, Oklahoma, and Nevada have urged their governors to reject expansion of Medicaid -- the shared state-federal program that provides health care coverage to low income Americans -- under the Affordable Care Act, citing high costs that they claim would add to the states' financial burdens. In fact, a new report by the Kaiser Family Foundation finds that the Medicaid expansion would substantially reduce the number of uninsured at little cost to their state budgets.
As governors continue to decide whether to implement key aspects of the Affordable Care Act, the editorial boards of the Pittsburgh Tribune-Review and the Las Vegas Review-Journal urged the rejection of Medicaid expansion, while the editorial board of The Oklahoman applauded the recent decision by Republican Gov. Mary Fallin to reject the funding.
From the Pittsburgh Tribune-Review:
As stipulated under the Patient Protection and Affordable Care Act, Medicaid eligibility will expand to an additional 800,000 Pennsylvanians -- in effect, placing a quarter of the state's residents on government insurance, according to the Commonwealth Foundation. Never mind that Medicaid currently consumes 30 percent of the state's operating budget.
Once fully realized, ObamaCare will have all the appeal of a perpetual flu.
From the Las Vegas-Review Journal:
The accompanying Medicaid expansion, meanwhile, would throw millions of additional Americans into a system that's already bankrupting state governments and increasing costs in the private market. Geoffrey Lawrence of the Nevada Policy Research Institute, noting last week that Gov. Sandoval is pondering whether to expand Medicaid eligibility in Nevada, said any Medicaid expansion would mean reduced access to care for those currently enrolled.
President Obama won re-election this month, but the states hold the future of ObamaCare in their hands. Knowing the harm the law would do to our citizens, the economy, and the quality of American health care, Gov. Sandoval should join with many of his colleagues and decline to become the enabler of a vastly expensive, European-style medical rationing system that poll after poll has shown most Americans do not want.
From The Oklahoman:
Oklahoma has joined a growing list of states that won't expand Medicaid or implement state-run health exchanges, two key components of Obamacare. Predictably, the political left argues Republicans are being obstructionist. But why would state Republicans rush to implement a bad law to benefit a president who's made clear he would never do the same if the tables were turned?
As of June 2011, Medicaid programs in all 50 states and the District of Columbia provided health care coverage to 52.6 million people. However, as the economy has improved, the rate of growth of enrollment in the program has slowed down. With the passage of the Affordable Care Act, the federal government wants to expand the program in an effort to decrease the number of uninsured by providing coverage to those with an income below 133 percent of the federal poverty level. Previously, qualification for the program varied depending on factors such as age or employment status. Despite the claims from these editorial boards, the Affordable Care Act's Medicaid expansion provision will in fact achieve its goal, at only a slightly higher cost than what those states currently pay for Medicaid.
A recent study published by the Kaiser Family Foundation found that if all states expanded Medicaid it could lead to health care coverage for an additional 21.3 million people nationally with a total cost of around $1 trillion. Yet, the combined costs to states would only be approximately $76 billion as the federal government will cover the other $952 billion.
Specifically, Pennsylvania, Nevada, and Oklahoma would see significant increases in the number of people insured for only small changes to their current spending.
In Pennsylvania, if all states expanded Medicaid, the state would see a 52 percent reduction in uninsured citizens, while spending 1.4 percent more on Medicaid than current expenditures when accounting for the savings in uncompensated care. While Pennsylvania's expansion costs are higher than some other states, healthcare professionals note that this is because Pennsylvania currently has one of the more draconian Medicaid systems in the country. From WHYY in Pennsylvania:
New Jersey is on the opposite end of the spectrum, with projected costs of $1.2 billion with an expansion. And Pennsylvania? Almost $2 billion over 10 years, even after accounting for savings.
"Pennsylvania has not expanded to adults whereas other states have," said Ann Bacharach with the Pennsylvania Health Law Project.
"If you're a single, childless adult, there is not much that the state can offer in terms of coverage," Bacharach said.
So the new enrollees covered by an expansion would add costs, but the federal contribution would not provide the same savings in Pennsylvania as it will in Delaware.
Meanwhile, Nevada would see a 44.8 percent reduction in uninsured citizens for only 2.6 percent more in Medicaid spending if all states expanded Medicaid coverage. As Media Matters has previously noted, the Review-Journal's editorial board has attacked the Medicaid provision of the Affordable Care Act while neglecting to note any of the benefits expanding Medicaid would have on their state.
Lastly, Oklahoma would see a 54.4 percent reduction in uninsured for only 1.9 percent more in Medicaid spending if all states expanded Medicaid coverage. From Tulsa World:
[David Blatt, director of the Oklahoma Policy Institute] said the governor's calculations also leave out savings to the state in areas such as health, mental health and corrections that are currently outside the Medicaid system but could be included with expansion. Savings to those agencies has been estimated at more than $49.4 million a year.
Also missing from the calculation would be tax revenue increases the state would see as a result of the Affordable Care Act, he said.
For example, the state has a small tax on insurance premiums. If thousands of Oklahomans begin purchasing insurance through a federal health insurance exchange, that tax revenue goes up, he said.
If every state adopted the Medicaid expansion provision they would receive $9 in federal money for every $1 they spend to expand the program. As John Holahan, head of the Urban Institute's Health Policy Research Center and the study's author, said, "It's hard to conclude anything other than this is pretty attractive and should be pretty hard for states to walk away from." Unfortunately, the editorial boards of the Tribune-Review, Review-Journal, and The Oklahoman failed to provide that perspective and explain the overall benefit of Medicaid expansion to their readers.