Progressive Voice is a weekly opinion column. It is written by a rotating group of contributors. The views and opinions expressed in this column are those of the author and do not necessarily reflect the views of ARLnow.com.
Last week, the Arlington County Board passed a structurally sound, fiscally responsible budget that provides funding for core services, fully funds our schools, invests in needed community improvements, and lowers the tax rate.
Meanwhile, we continue to wait for Republicans in the House of Delegates in Richmond to show that they are ready to get serious about passing a responsible budget.
The House has rejected Governor McAuliffe’s budget and refused to consider the Virginia Senate’s bipartisan budget because both include a plan for expanding Medicaid — through a private marketplace mechanism at no extra cost to state taxpayers.
Indeed, Medicaid expansion would return to Virginia approximately $5 million per day in taxes already paid by Virginians to the federal government — taxes paid disproportionately by Arlingtonians and other Northern Virginians.
Instead, Virginia’s federal tax dollars are being diverted to pay for Medicaid expansion in OTHER states, while in Arlington, as elsewhere in Virginia, the burden falls on local governments and health care facilities – hospitals emergency rooms and public clinics – to provide health care for poor and uninsured Virginians in some of the costliest ways of doing so and without money and cost control programs the federal government provides to states expanding Medicaid.
It gets worse. Apparently not concerned about the harmful effects of the federal government shutdown last year, the Virginia House Republicans are following a strategy that could lead to a shutdown of state services in Arlington and across Virginia when the fiscal year ends on June 30.
Arlingtonians will be harmed directly and indirectly by the House’s refusal to negotiate. Those not currently covered by Medicaid with incomes less than the federal poverty level ($11,670 for a single adult in 2014, or $23,850 for a family of four) will not have access to affordable health coverage, including subsidies for private insurance provided by the ACA to higher income working poor, and will continue relying on emergency rooms and public clinics for health care. They will also remain at risk of losing everything they have in the event of a serious illness or injury. And insured Arlingtonians pay higher health care costs when our hospitals and clinics meet their requirement to care for the uninsured by spreading the costs to those who can afford to pay through insurance or out of pocket payments..




