Lost in the commentary about Mitch Daniels declining a run for President is that he seemed to signal the opposite a month before by signing a bill that will basically dissolve Planned Parenthood in the state of Indiana. Because the bill denying funding for Planned Parenthood – or technically speaking, for “any entity that performs abortions or maintains or operates a facility where abortions are performed,” which singles out Planned Parenthood without officially singling them out – affects Medicaid patients and involves both state and federal money, the federal government needs to sign off on it. And the Obama Administration won’t comply.
The Obama administration is raising serious objections to a new Indiana law that cuts off state and federal money for Planned Parenthood clinics providing health care to low-income women on Medicaid [...]
The changes in Indiana are subject to federal review and approval, and administration officials have made it clear they will not approve the changes in the form adopted by the state.
Federal officials have 90 days to act but may feel pressure to act sooner because Indiana is already enforcing its law, which took effect on May 10, and because legislators in other states are working on similar measures.
If a state Medicaid program is not in compliance with federal law and regulations, federal officials can take corrective action, including “the total or partial withholding” of federal Medicaid money. The mere threat of such a penalty is often enough to get states to comply. Actually imposing the penalty would, in many cases, hurt the very people whom Medicaid is intended to help.
This is a hostage situation as much as other Republican gambits. The penalty for non-compliance is a cancellation of Medicaid funds. That doesn’t hurt Mitch Daniels so much as it hurts poor people in Indiana. But if you impose no penalty, you’ve let Indiana restrict health care choices for Medicaid recipients, and allowed them to target an organization that also happens to perform abortions. And you’ve given other states the tacit approval to do the same thing.
The Centers for Medicare and Medicaid Services were pretty clear in their statement: “Medicaid does not allow states to stop beneficiaries from getting care they need — like cancer screenings and preventive care — because their provider offers certain other services. We are reviewing this particular situation and situations in other states.”
Planned Parenthood also filed a lawsuit in Indiana, but they did not secure a temporary injunction of the law while the case moved through the courts. So the ban on funding is currently in effect. The next hearing comes in two weeks.
The government has to act on this measure clearly prohibited by federal law, and the Obama Administration shows every indication that they will follow through. Incidentally, the federal government pays 90 percent of the share of funding for family planning in Medicaid. So the idea that this is a state’s rights issue is dubious.




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Thanks DDay.
Gov. Dropout in Wisconsin trying the same sh!t.
OT, this unusually good job from the Milwaukee Journal Sentinel might be a candidate for your news roundup
State proposal would send $250 million to certified capital companies:
Firms would keep 80% of profit, wouldn’t have to repay principal
Even the tea-party is against this. IMHO it has to be part of a larger scheme to launder tax payer dollars into GOP campaigns. Someone at the RNC has a spread sheet which tracks this shell game.
Can some other Federal funding for some other Federally funded programs be threatened as well?
Something the GOP wants more?
Highway funding maybe?
It’s seems strange that “truce in the culture wars” Daniels signed the let poor women die of cervical cancer bill. Made sense as red meat for the base if he was going to run for President.
Good to see Obama administration working to keep Medicaid options open for hoosiers.
More on the hostage situation: “US Flashing Orange Please Stand By For Financial Repression (May 23, 2011)” and “G.I.A.B.O.” (May 23, 2011).
I was surprised to see this in The Onion:
http://www.jillstanek.com/2011/05/the-onion-planned-parenthood-opens-8-billion-abortionplex/
For all the Obama FanBots, and their constant espousal for Obama’s “smarts” and “savvy”, I find it passing strange as to why he–Obama doesn’t call in the directors of Medicare, Medicaid and the Veterans Administration, to “create” and Indigent Subset to the VA, in which 1)general medical care for adults, 2) general medical care for children,3) dentistry, and 4) optemetry, is “medical care delivered” by newly establihed clinics in Indiana, and possibly elsewhere.
And given that many other states would discontinue providing medical care to the poor, if given the opportunity, IMHO, these states should be given this opportunity. In doing so, the VA is the medical entity that has both the “smarts” and “savvy” capable of achieving some overwhelming success for addressing the “unmet needs” of America’s poor. Needless to say, the perceived savings for the taxpayers’ wallet would be considerable. And thusly, a lessening the corporate welfare mentality that is needs to be addressed, as well and as proof positive that the “bills” can be paid.
Jaango
I certainly hope that the Jehovah’s Witnesses never get into power. Blood transfusions could be at risk.
Why is it legal for states to stand in the way of a procedure that is not illegal and is a right? WTF?
Nice idea, VA medical care for non Veterans. Not sure how you enable that without statutory changes though, care to elaborate? Or is this just a magic pony?
Not really standing in the way, (as you point out, abortion is still legal) just not being forced to pay the bill.
Um, let’s see. Let’s preclude govt paying bills for prostate cancer treatment. Just as arbitrary.
Yes, just for starters. We never see ANY mdical treatments for the males questioned. Quite the contrary, they are sacred.
Cut medicare to these states.
Enough of trying the rescue the Rs form their own spiteful and mean ways. Let their constituents suffer, and then resolve their behavior at the ballot box.
In addition we should press out government to pull funds for R represented districts, counties and state if they continually vote against taxation and share responsibility.
Enough of this kabuki where they are against tings for show, yet reap the befits of Ds efforts.
You want to play hostage? Lets go for it with these rules.
I like it.
I agree, it may be just as arbitrary, but prostate cancer treatment is not a controversy with half the population.
Gee whiz, I don’t feel li I should have to pay for war. Think I can get the samekind of special treatment that Dobsonian Christians insist they are entitled to ?
It’s so special that the religious factions feel that they should be entitled to special status while the rest of us are forced to pick up the tab for things like their right to discriminate against anyone who doesn’t share their belief set in their hiring practices.
I am so tired of the religious folk whining. If you don’t approve of abortion, don’t have one. However you have absolutely no right to inflict your particular belief set on others. It’s wrong.
War is controversial with more than 1/2 the population according to current polling. So howz about some ‘arbitrary’ cuts to wars??
Just sayin.’
[I am so fed up with all this hypocrisy.]
Exactly.
Planned Parenthood also has disease detection and prevention services, which somehow get lost in the shuffle when you bring up the big bad word ‘abortion’. In 2008, Indiana was doing fairly well in terms of Chlamydia among teens and young adults compared to the entire US. The situation with gonorrhea, however, was more concerning. Among Indiana youth 15-19 years old, the gonorrhea rate was 529.44/100,000 population compared to 452.04/100,000 among youth nationwide. And among Indiana young adults 20-24 years old, the gonorrhea rate was 698.51/100,000 compared to 517.04/100,000 nationwide. Indiana stats US stats
Shutting down Planned Parenthood guarantees that all three std rates (chlamydia, gonorrhea and syphillis) will increase. What a victory.
It IShypocrisy.
These people will run around screaming “God’s will” when it comes to women dying in childbirth(which is what could happen to a percentage of women should abortion services be eliminated). Frankly, if they are going to say God’s will they ought to at least be consistent and refuse funding to antibiotics or any medical treatment. If they are going with faith based medical coverage, at least be consistent.
Republicans made abortion a bad word in the same way they made liberal bad word. It’s absurd. It’s like saying appendectomy should be a bad word. It’s a frackin’ medical procedure.
But it should be controversial. The testing is extremely inaccurate and I don’t see any reason why USG should pay for something that has an equal chance of existing & not existing. Besides, prostate cancer, even when it exists, is often not a killer. All the more reason to cause the person in Q to pay for it himself. No reason whatsoever for the taxpayer to pay.
The abortion thing is a false controversy anyway. If you are a “Christian” then you believe in heaven and in life everlasting. There is no “death” in Christianity and certainly not for an innocent soul. I don’t understand why anyone who even gets a modicum of theology hasn’t challenged them on concepts like this or the whole entire free will thing.
Oh, please, these people aren’t Christians. They may believe in the precepts of the Old Testament, but most of what Jesus taught is as foreign to them as the Chinese alphabet. His statements about rich men and needles eyes and what you do for the least among you would elicit blank stares, if not outright disbelief, from them.
Doesn’t the bible define life beginning at the ‘quickening,’ i.e. when the fetus is first felt to move in the womb? So the fundies don’t even have the bible to rely on.
Furthermore, my argument is rational, while the fundies’ argument is emotional. Shouldn’t the govt be run on rational thought rather than irrational emotions?
An additional medical consideration: all pregnancies can clearly be life threatening, although much less so than it used to be. Prostate cancer is not necessarily life threatening. Which condition “deserves” the more careful medical treatment in all phases.
What about poor people, the elderly? You could be signing their death sentence. Just because the heartless rich can afford the cancer testing doesn’t mean the less well off don’t have a right to free cancer testing. It’s not as if it’s their choice to get cancer.
And besides, if the cancer screening centers weren’t getting all this sweet government Medicare and Medicaid money they’d surely go out of business and all kinds of diseases would spring out of control. Not giving the cancer screening center government money = standing in their way to provide service and shutting them down.
Aha. Now you’re beginning to see the light.
wmd1961@8
Nah, it’s not a magic pony.
Obama has not inclinaton to address healthcare from the standpoint of “medical care delivered”. And it’s for this reason that I continue to advocate the establishment of a Progressive Caucus in the Senate. And of note, today, I posted a diary on this subject area.
As to legal process, Obama has all the legal and political flexibility to move monies at both Medicare, Medicaid and the VA, without any serious opposition from either the House or the Senate. But, if your “rationale” is all about rescuing the medical insurance industry, we are dragged along by the Neo-liberals.
Jaango
It’s Gallup, but 49% now support “choice” compared to 45% who are anti-abortion.
Wow a miracle. Obama administration seeming to give a crap. Must be an off day.
: – )
You wouldn’t like it if your life depended on Medicaid.
You do realize that childbirth was and remains the leading cause of death in women in developing countries? Outlawing abortion is a death sentence for women. Apparently only cancer patients illicit sympathy. (rolling eyes)
Yep a whole bunch of judgemental busybodies is more like it. Tolerance, compassion, forgiveness are the actual tenants that Christ taught but that seems to escape the whole entire batch of Dobsonian Christians.
I think the brain and the heart have equal importance so I believe in dealing with emotional arguments as well as rational.
That being said I’m pretty sure untreated prostate cancer would also be terminal just as a pregnancy can be for a woman.
VA does not have statutory authority to offer treatment to non veterans.
Magic ponies, like I thought.