The United States of America is a social contract, yes it really is, all you libertarian types who are getting ready to blow a gasket. It says so right in our Constitution:
We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.
Or, as Abraham Lincoln put it so much more succinctly and coherently:
government of the people, by the people, for the people
Our government is not just composed OF us and conducted BY us. It is FOR us, it operates on our behalf, for our benefit and “general welfare”.
Here is a people of the United States:
![emily 2011](https://crabbyoldbroad.wordpress.com/wp-content/uploads/2012/09/emily-2011.jpg?w=279&h=300)
That is my daughter Emily, who is an adult with Down syndrome. She is one of the people you the People govern FOR. She is a dependent upon we the People, as many of us (probably most of us, should we live long enough) will be at one time in our lives.
One of the ways You the People govern FOR this people here, the one in the picture: you provide Medicaid waiver coverage for her, so that she can have a place in her community and not in some institution somewhere. Thank you. Because of Medicaid, families like mine can keep their adult children at home living ordinary lives, and still continue to work (in other words, contribute taxes to the same pool you do).
The Romney/Ryan platform specifies a reduction in Medicaid spending in a huge way:
Under Ryan’s plan, the federal share of Medicaid spending would decline about $800 billion over 10 years as the program becomes a block grant indexed for inflation and population growth. States would have more flexibility over who is covered and what benefits are offered. The block grant would start in 2013. Ryan and his supporters say turning to block grants would both save the federal government money and give states flexibility in who they cover and what benefits are provided. “States will no longer be shackled by federal determined program requirements and enrollment criteria,” his plan says.
Look back up at that picture. Right now, Virginia considers Emily to be “entitled” to Medicaid benefits. That is because federal law (“we the people”) say she is.
There is nothing to stop Virginia from deciding she’s not entitled, if the Ryan proposal becomes law. Neither will states have to cover your grandma’s nursing home stay, if she spends all her money and is destitute and in need of nursing home placement. Good luck with that. Right now, federal law (“we the people”) REQUIRES grandma’s care to be covered by Medicaid, if she is destitute. But hey. Let’s redefine who we govern for.
This is what President Clinton was talking about when he raised the alarm last night in his speech: Medicaid is the absolute bedrock entitlement for the poor, elderly, young, and disabled in this country, the “People” that “we” govern “for”.
Now, folks, this is serious, because it gets worse. And you won’t be laughing when I finish telling you this. They also want to block grant Medicaid and cut it by a third over the coming 10 years. Of course, that’s going to really hurt a lot of poor kids.But that’s not all. A lot of folks don’t know it, but nearly two-thirds of Medicaid is spent on nursing home care for Medicare seniors who are eligible for Medicaid.
It’s going to end Medicare as we know it. And a lot of that money is also spent to help people with disabilities, including a lot of middle-class families whose kids have Down’s syndrome or autism or other severe conditions. And, honestly, just think about it. If that happens, I don’t know what those families are going to do. So I know what I’m going to do: I’m going to do everything I can to see that it doesn’t happen. We can’t let it happen. We can’t.
Stop this insanity! Stop trying to give the uber-rich and corporations the benefit of tax cuts and throwing our Emilys in the sewer. If there’s not enough money for EVERYTHING, then raise taxes on the rich before you kick grandma out of bed.
Crabby Old Broad, AKA “Emily’s Mom”