Mediaboss Marketing

New York Times

Governor Struggles to Lead as Texas Republicans Splinter Into Factions New York Times By almost any measure, Mr. Abbott, 59, has been a staunchly conservative voice in Texas politics. But now he is struggling to steer the state through one of its most tumultuous political moments in decades, as Republican factions engage in open warfare. and more »

View post:
Governor Struggles to Lead as Texas Republicans Splinter Into Factions - New York Times

There's a belief prevalent among Republicans that no matter how bad President Trump's antics become, flyover country voters won't mind. A new story by the Kansas City Star adds fuel to that fable, reporting conversations with half-a-dozen outside-the-Beltway voters who could care less about Trump's firing of FBI Director James Comey.

And while it's true that the president's most diehard supporters will take his word over his critics, that shouldn't offer Republicans much electoral comfort. Anyone who doubts that must explain the last presidential election and the last 25 years of politics.

Not long ago, the Democrat faithful were playing a constant game of whack-a-mole with Hillary Clinton controversies. They didn't care about the private email server, shady Clinton Foundation donors, or the Benghazi attacks. Each was blindly dismissed and they did much to curb the enthusiasm of the overwhelming 84 percent of liberals who backed Clinton.

But it didn't matter. Clinton lost.

Of course keeping the support of a party's base is important, but it's not everything. The last three presidents each enjoyed overwhelming support of their party before losing control of Congress. Consider Obama, whose 80 percent approval rating among Democrats couldn't save him from midterm shellackings in 2010 and 2014.

When Comey testifies in front of the Senate Intelligence Committee on Thursday, Republicans will be tempted to run to the welcoming arms of the base. That's both understandable and delusional. Trump's supporters might dismiss controversy as unfounded, like Clinton's fan did before, but the White House cannot.

Whether or not the Russia hysteria has merit, Trump's presidency is undeniably suffering as a result. Six months in, Republicans don't have a single significant legislative victory to their name. Obamacare repeal and tax reform have taken a back seat as Trump screeches about unfair "witch-hunts."

As that hysteria unfolds, lawmakers are becoming increasingly nervous as the midterm elections approach. There's a legitimate fear that Republicans will have little to run on, except promises. If recent history is a guide, Trump could face the electoral rebukes both his Democrat and Republican predecessors experienced. If Republicans lose Congress, they'll find little comfort in the continued support of Trump's base.

Philip Wegmann is a commentary writer for the Washington Examiner.

Here is the original post:
Ahead of Comey testimony, Republicans shouldn't take too much stock in the support of Trump's base - Washington Examiner

Since 1965, Medicaid has stood the test of time as the nations principal public health insurance program for the low-income population. Since its inception, the program has ballooned primarily through a series of program expansions in the 1980s and again after the enactment of the Affordable Care Act in 2010 so that today the program accounts for nearly 20 percent of State budgets and covers more than 1 in 5 Americans. While Medicare has implemented program reforms (payment reforms such as the inpatient and outpatient prospective payment systems; Medicare Advantage; Medicare Part D; delivery system reform through the Innovation Center), Medicaid has been slower to innovate. However, innovation does not need to come at the expense of coverage for millions of Americans, nor should it. Instead, as thoughtful Republicans rightfully think through ways in which to bring the Medicaid programs into the 21st century, a little out-of-the-box thinking may be the cure.

Under current practice, Federal funding for the state-administered Medicaid program is generally reserved for traditional health care services. So while Medicaid will gladly pay tens of thousands of dollars for an eligible childs admission to the hospital for an asthma attack, Medicaid will not pay the $100 needed for a portable air conditioner so that the parents of that child can leave the window closed at night in the summertime (thereby preventing that asthma attack.) Both of these services the hospital admission and the air conditioner provide clear benefits for the well-being of this child. Yet, one costs thousands and is readily covered, while the other saves thousands and is not covered by the program.

As Medicaid moves into the 21st century, we need rethink what is health care, particularly for those most in need. If paying for a driver to take a special needs individual to a job keeps that individual healthier (both physically and mentally), who is to say that this is not a health care service? If a young mother would benefit from a voluntary home visiting program to receive guidance to help them become a better parent, does this not improve the well-being of both the child and the mother?

The good news is that this idea is catching on. A recent amendment to Medicaids managed care rules permits a state to adopt and even direct payment models intended to recognize value or outcomes over volume of services. And states across the country are piloting pay for success models, wherein private sector funding steps in to pay for interventions designed to improve lives and save money, offering these investors a return on their investment. But government intervention (or at least clarity) is needed here. As Republicans begin to rethink the Medicaid program, they should also rethink what is health care and clarify that Federal dollars are available for evidence-based practices which promote the well-being of the individual and long-term cost savings.

Ruth Ann Norton serves as President & CEO of the Green & Healthy Homes Initiative (GHHI), a national nonprofit founded in 1986 dedicated to the elimination of childhood lead poisoning and the creation of healthy, safe and energy efficient housing for Americas children.

Ross Margulies is an attorney at Foley Hoag LLP where he advises a wide range of health care clients on regulatory and administrative processes and reimbursement matters.

Continue reading here:
As Republicans Rethink Medicaid, Rethink What Is 'Health Care' - HuffPost

Perhaps no great surprise here: The number of Fairfax residents voting absentee in the Democratic statewide primary is outpacing those in the Republican, according to county election officials.

As of June 1, a total of 1,348 Democratic ballots have been cast in Fairfax County, compared to 514 Republican, county elections officials said.

Virginians will go to the polls on June 13 to select both the Democratic and Republican nominees for governor and lieutenant governor. (Incumbent Attorney General Mark Herring, a Democrat, is seeking re-election and does not have intra-party opposition; Republican John Adams was unopposed for the GOP nomination.)

The Democratic primary ballot will feature Tom Perriello and Ralph Northam for governor and Justin Fairfax, Gene Rossi and Susan Platt for lieutenant governor. The Republican ballot will feature Ed Gillespie, Corey Stewart and Frank Wagner for governor and Bryce Reeves, Glenn Davis Jr. and Jill Vogel for lieutenant governor. The winners move on to the Nov. 7 general election.

Under Virginia law, voters do not register by political party, so any registered voter can cast a ballot in the Democratic or Republican primary, but not both. Voters will cast ballots at their regular polling places; for those who qualify, in-person absentee voting will take place through June 10, while mail-in absentee voting also is available.

(For complete information, see the Web site at http://www.fairfaxcounty.gov/elections/. Information is available in English, Spanish, Vietnamese and Korean.)

Some localities across Virginia also will see primaries for House of Delegates seats, but there are no intra-party challenges in the Sun Gazette coverage area.

Read the rest here:
In Fairfax, Democrats outpace Republicans in absentee voting - Inside NoVA

Rep. Scott W. Taylor, a Republican from Virginia Beach, just became the second House Republican among 238 to support a federal ban on LGBT discrimination, reflecting a shift in public opinion on the issue in Virginia and the nation.

The Human Rights Campaign announced last week that Taylor was the newest co-sponsor of the Equality Act, which, if passed, would add sexual orientation and gender identity to existing federal civil rights statutes.

The other Republican co-sponsor, Rep. Ileana Ros-Lehtinen (Fla.), is not seeking reelection next year.

Among Democrats in Congress, the opposite disparity exists, with almost all members supporting the legislation, except moderates Joe Manchin III (W.Va.) and Joe Donnelly (Ind.) in the Senate and Marcia L. Fudge (Ohio) and Daniel Lipinski (Ill.) in the House.

David Stacy, a lobbyist for the Human Rights Campaign, which advocates for gay rights, said Taylor, a 37-year-old freshman House member and former Navy SEAL, is a natural fit for the legislation.

It didnt take a big sales job because he understood right away that this was the right thing to do, Stacy said. It was broadly supported across the state and in his district.

Taylor, a foreign policy hawk who supports President Trump, represents a district that relies on tourism and has marketed itself as an ideal vacation spot for the gay, lesbian, bisexual and transgender community.

As a delegate in the state General Assembly, Taylor was a primary supporter of a bill introduced by Del. Marcus B. Simon (D-Fairfax), who represents a liberal Northern Virginia district, that would have banned LGBT discrimination in housing.

Once in the U.S. House, Taylor introduced a similar bill, which has 12 co-sponsors six Republicans and six Democrats.

I think this is the right thing to do, Taylor said when the bill was introduced this spring. We havent polled it, so I have no idea if its a net negative or a net positive in the district.

His district is also home to many active-duty and retired military personnel, who, polls show, tend to be open-minded on social issues.

For Taylor, supporting LGBT rights is a political winner, Stacy said.

But the Equality Act is unlikely to go to a floor vote in the GOP-controlled House because Republican leadership would be reluctant to force lawmakers vulnerable to challenges from the right to go on record on an issue that animates social conservatives.

That helps explain why Rep. Barbara Comstock (R-Va.), who represents a Northern Virginia district that favored Hillary Clinton by 10 points last year, has a zero rating from the Human Rights Campaign.

But Mark J. Rozell, dean of the Schar School of Policy and Government at George Mason University, said the mere introduction of LGBT rights bills is indicative of how much social attitudes have changed in the past decade.

When he wrote the 1996 book Second Coming: The New Christian Right in Virginia Politics, Rozell said, it wasnt even conceivable that we would have a conversation like this right now.

Its the older generation holding on more strongly to the traditional social views, he said. For the younger generation, they dont even understand why this is an issue.

Read more here:
Two House Republicans favor a ban on LGBT discrimination. One is from Virginia. - Washington Post