THE BURNED OVER DISTRICT

One of the major failures of the Affordable Care Act, covering people with too little income to receive tax credits is the handiwork of Republican/Teabagger governors who have chosen not to expand Medicaid. The Rude Pundit explains it in simple to understand terms.

Let us stop talking about the goddamned healthcare.gov website for two seconds here. Yeah, yeah, it's a programming clusterfuck of Windows Vista proportions, although Republicans bear a great deal of blame here for trying to undermine it every step of the way because they're sore loser motherfuckers whose ideological narcissism would make them suck their own dicks if they could contort themselves enough. But, no, no, let's not talk about the website for a moment. That's easy to grapple with. It's a big problem with a small cause.

Instead, let's turn to the real Obamacare crisis caused by Republican governors around the nation. See, one of the underreported stories is that the main reason the Affordable Care Act will fail to cover millions of Americans is because states run by the aforementioned cocksuckers refuse to accept the 3 years of 100% funding for expanded Medicaid for people who are dirt poor, but not dirt poor enough for Medicaid in its current form and who can't afford insurance because they don't qualify for the tax credits that offset the price. For 25 states (it used to be 26, but Ohio got infected by sanity recently), this action alone will ensure that a large number of their uninsured citizens remain uninsured, thus potentially costing the states far, far more than accepting the funding, even in the long term, would have.

For instance, in the Rude Pundit's home state of Louisiana, 34% of the non-elderly uninsured adults in the state fall into the income crack the Medicaid expansion was supposed to spackle. That was until the Supreme Court said the mothefuckers could go ahead and fuck their mothers, and Bobby Jindal told his mom to lube up. That's 242,150 adults without health insurance in his state. By the way, since Louisiana funds Medicaid only for people making 24% or less of the poverty line annually (only Alabama is crueler at 16%), that leaves about 87% of non-elderly adults who live below the poverty line without health insurance. In the entire nation, and all of these figures are from the Kaiser Family Foundation, the coverage gap in these states is over 4.8 million people (subtracting Ohio from Kaiser's numbers), 27% of all non-elderly adults without insurance in the nation.

Thanks to the efforts of The Dread Chief Justice Roberts and his Scurvy Crew in allowing states to opt out of the expansion, Republican governors in 25 of our states have become the Death Panels that they warned us about.