I actually do wish to imagine that Sen. Joe Manchin, D-W.Va., has the perfect pursuits of West Virginians in his coronary heart. I’ve voted prior to now for Manchin as a result of I believed he put West Virginia households first.
However I can not perceive how — in these instances — the senator believes that concrete assist for West Virginians ought to be held hostage by an allegiance to “working throughout the aisle” when that aisle is wider than the New River Gorge.
Congress is debating proposals that can present actual assist to working West Virginians. These proposals will assist of us get out the door to work and make work a rational financial possibility by offering wanted household helps. Examples embrace assist with the price of little one care and expanded home- and community-based companies for households which have member who wants long-term care and companies. In case your little one or your mother can’t be safely left alone at dwelling, how are you going to even get out the door to a job?
But, Manchin is standing like a brick wall within the path of passing these much-needed household helps. He insists that 10 Republican colleagues should vote with Democrats in favor of any coverage or he’ll withhold his vote. Ten Republicans? Ain’t occurring. Why? A part of the reply is obvious ugly: If President Joe Biden put it on the desk, then Republicans gained’t help it. And Republicans disingenuously argue our nation can’t afford to assist working households. Huh?
In 2017, Republicans voted for a bundle of tax modifications that dropped the company fee from 35% to 21%. And that 35% fee was in place below President George H.W. Bush and President George W. Bush. We don’t should return to 35% — even elevating it to 28% will fund assist to working households. And nobody is proposing to lift taxes on working households. Companies must pay their fair proportion of taxes. And company tax loopholes want closed: 55 companies paid no taxes on $40.5 billion in 2020 income.
One barrier to many West Virginia staff who wish to return to work, who need extra hours or who wish to settle for a promotion, is the “Medicaid Cliff.” A West Virginian can not qualify for Medicaid — reasonably priced, high quality medical health insurance protection — in the event that they earn greater than the magic line of earnings eligibility primarily based on household dimension: $17,609 for a person, $23,792 for a household of two, $29,974 for a household of three, and many others. After the magic line is crossed, and with out a job that gives reasonably priced medical health insurance, what choices are left?
With out Medicaid, a employee can go with out insurance coverage, can purchase a barebones medical health insurance plan that doesn’t shield them or they will go to the Inexpensive Care Act’s healthcare.gov and store for first rate medical health insurance. However even the sponsored premiums at healthcare.gov have been greater than many lower-wage staff can afford.
To handle this affordability problem, Congress handed the American Rescue Plan Act in March. The Rescue Plan lowered premium prices for 17,000 West Virginians. In accordance with the Well being and Human Companies assistant secretary for planning and analysis, the rescue plan raised the proportion of West Virginians within the market who can purchase insurance coverage for $50 a month or much less from 36% to 64%. This enhance was the best affordability achieve of any state.
Whereas the rescue plan opened the door to reasonably priced medical health insurance protection for extra West Virginia staff, the decrease premiums are solely out there for 2021 and 2022. Then the door slams shut once more — except Congress acts.
And that takes us again to the issue with Manchin. Republicans have been making an attempt to dismantle the entire healthcare.gov system — that’s the Inexpensive Care Act — since 2010 (the Supreme Court docket simply thwarted their most up-to-date effort, however who is aware of after they’ll be after it once more). And even with the COVID-19 disaster, not a single Republican voted to quickly decrease premiums for struggling uninsured working Individuals.
I urge Manchin to publicly rise up for decrease premiums on healthcare.gov. Carry alongside 10 Republicans if he can. If not, then I urge him to be able to vote yea with out them. West Virginia working households need to have reasonably priced medical health insurance choices. This isn’t a matter of Republicans versus Democrats; it is a matter of voting with West Virginians who wish to keep wholesome and on the job.
Kathleen Stoll serves because the coverage director for West Virginians for Inexpensive Well being Care and operates a coverage and financial consulting enterprise, Kat Consulting.