TRAHANT REPORTS— A short post for a big week: We should start to see some budget numbers coming out of the White House (as soon as today). Early reports suggest sharp cuts for domestic spending as well as increases for Defense. I’ll update once I see if that framework includes the Bureau of Indian Affairs, Bureau of Indian Education, Indian Health Service, and other federal programs that serve American Indians and Alaska Natives.
President Donald J. Trump could also refer to his spending plan in his speech to Congress on Tuesday.
The other big news is the ongoing problems the Republicans are having repealing and replacing the Affordable Care Act.
An analysis of the Congressional framework for repeal and replace would be a disaster for state governments and millions of Americans would lose coverage. According to Sarah Kliff writing for Vox: “The report estimates that coverage declines would be even higher in states that did not expand Medicaid—largely those run by Republican governors. There, the report presents an example of a state with 235,000 in the individual market. It estimates that coverage would decline by 120,000 people, about 50 percent.”
The presentation did not address the Indian health system. But the slides do make the case against converting Medicaid into a block grant program because states would have less federal funding when the need is greatest (such as during a recession). Remember states are partners with the federal government in Medicaid, but patients in the Indian health system are funded by a federal reimbursement. So this is a critical debate.
I want to come back to this theme later: But Indian country has a solution. At least for now. Every proposal to repeal and replace the Affordable Care Act will take time. So for now. Right now. There should be a renewed push to enroll Indian Health patients (who don’t already have insurance) in Medicaid or the Bronze Plan from a state or federal insurance exchange. The exchange plan is free. This health insurance coverage should be good for at least a year. This is money that a Trump budget cannot strip from the Indian health system.
And the week starts off with the Democratic National Committee having new leadership. Over the weekend Tom Perez was elected chair and he immediately appointed Keith Ellison as his deputy.
I have read from so many friends on social media who see this contest as a policy debate. It is not. It’s about who will make sure there are candidates running. That those candidates have support and money. And there is a machinery that’s built. The policy debates are down the road.
But this DNC election does mean that Minnesota Rep. Peggy Flanagan (White Earth Ojibwe) won’t be launching a bid for Congress. (Yet.) (Previous post: Turning fear into fight.)
Flanagan posted on Facebook: “Earlier today, the DNC elected Tom Perez Chair, to lead the party and I congratulate him on his victory. I also want to applaud our Congressman Keith Ellison for running a strong campaign based on positive ideas for the future of our party.
“Obviously, this means that I am not running for Congress now and I’m excited to keep working with Keith to build the movement we need to win and protect victories for real progressive change.
“I will continue to work with you to turn our fear into fight, our emotion into empathy, our sorrow into strategy, and our despair into hope. I am incredibly grateful for all your support. Miigwech (Thank You).”
And she’s right of course. There remains much to do to turn fear into fight. In Congress or not.
Mark Trahant is the Charles R. Johnson Endowed Professor of Journalism at the University of North Dakota. He is an independent journalist and a member of The Shoshone-Bannock Tribes. On Twitter @TrahantReports