Obama plan hits blue states hardest - Josh Gerstein - POLITICO.com
"In mounting an aggressive push toward universal health care, President Barack Obama is exposing one of the central ironies of offering insurance to all: The states most likely to profit are the ones that voted against him last November and whose congressional leaders are least likely to support it.
Red states across the South, which now offer limited benefits to low-income residents, stand to receive billions of dollars to cover large populations of uninsured citizens. Blue states in the North and Midwest, which are wealthier and already offer insurance to many, are likely to take a financial hit."
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?If you look at the people he?s raising taxes on and whose deductions he?s limiting, those are the people who live in Democratic states,? Rueben said. ?He?s taxing his base.?
But Obama?s allies harbor hopes that if health care reform is a success and provides coverage to millions of previously uninsured people in the South, it could represent the kind of game-changing outcome that helps cement a permanent Democratic majority, turning red states blue.
?A system of health care that promises basic coverage to everyone could be close to Social Security in terms of its transformative nature,? one Democratic official said. ?It will be good for the country, and it may well have political benefits.?
A former health policy adviser to President Bill Clinton, Chris Jennings, said he can foresee the debate turning to a blunt discussion of the benefits and costs for each state.
?It?s very easy to debate how much is my state getting compared to another. That?s a piece of the debate people can really get their hands around,? Jennings said. ?It frequently has more impact on votes than traditional policy arguments.?....