Five years ago this week, I was hospitalized with an infection that might have become life-threatening or permanently debilitating had I not had health insurance coverage, which allowed me to receive a relatively early diagnosis. Every day in this country, uninsured people hunker down, hoping their health problem will go away without an expensive doctor’s visit. That’s one of many reasons studies have shown that expanding Medicaid saves lives.

Governor Terry Branstad sounds determined not to expand Medicaid, but none of his arguments can withstand scrutiny.

UPDATE: Branstad confirmed on February 23 that he will not agree to expand Medicaid. Added details and other related news below.

Do you want the good news first, or the bad news? President Barack Obama has reportedly settled on a strong candidate to replace Lisa Jackson as Environmental Protection Agency administrator. On the flip side, Steven Chu’s successor at the Department of Energy is likely to be a nuclear physicist with connections to major polluting industries. Details are after the jump. Still no word on the next secretary of transportation.

Florida Governor Rick Scott is the latest Republican governor to decide to expand Medicaid under the 2010 health care reform law. He was one of those leading the charge to have the law declared unconstitutional. Some comments from today’s press conference are after the jump as well. Arizona Governor Jan Brewer, Ohio Governor John Kasich and Michigan Governor Rick Snyder are all Republicans who opposed the Obama administration policy but have agreed to expand Medicaid in their states. I hope that when Iowa Governor Terry Branstad meets with U.S. Health and Human Services officials later this week, he will find some face-saving way to agree to expand Medicaid here. So far he sounds determined to resist the policy, despite the consensus of every major Iowa medical group as well as a wide array of religious and social justice organizations.

This is an open thread: all topics welcome.

Iowans support expanding Medicaid as provided under the 2010 health care reform law by more than a two to one margin, according to a new poll commissioned by the American Cancer Society Cancer Action Network, which supports the policy.

The Iowa House and Senate began their 2013 session yesterday with the usual welcoming speeches from legislative leaders and the ritual of choosing desks for each lawmaker in the chambers. Judging from this photo, returning legislators get first dibs.

As was the case in 2012, social issues like abortion and same-sex marriage were absent from the opening-day speeches. Republican leaders emphasized the need to cut both property and income taxes. Iowa House Speaker Kraig Paulsen also claimed credit on behalf of Republicans for Iowa’s improving fiscal condition. House Majority Leader Linda Upmeyer spent a fair amount of time criticizing Congress before calling for state action to improve education and cut taxes. House Speaker Pro Tem Steve Olson repeated some themes of last year’s election campaign and quoted U.S. Senator Marco Rubio of Florida. Similarly, Senate Minority Leader Bill Dix concentrated on tax reforms.

Senate Majority Leader Mike Gronstal focused on education and workforce training programs to address “Iowa’s skill shortage.” Senate President Pam Jochum focused on health-related issues: improve mental health services, helping elderly people stay in their own homes, and expanding Medicaid, which she described as “the biggest opportunity for this session to make a positive difference for Iowans.” Iowa House Minority Leader Kevin McCarthy emphasized the need for bipartisan work on a range of issues: education, mental health care delivery, the transition to a new maximum security prison, and protecting natural resources.

Follow me after the jump for excerpts from the opening-day speeches by legislative leaders (as prepared for delivery). I included the full text of Jochum’s remarks, because her personal journey says a lot about who she is. Jochum also paid a lovely tribute to former Republican State Senator Pat Ward, who died last year.  

Congressional press releases don’t always tell you about important votes, but they always tell you what members of Congress want you to know about them. Representative Steve King (R, IA-04) didn’t release a statement last week explaining his vote to let John Boehner stay on as House speaker. But I think he’s a little worried about his street cred as a bold conservative, because he quickly moved to flaunt his work on some hopeless right-wing causes.  

U.S. Senator Patrick Leahy of Vermont, the most senior Senate Democrat following the death of Hawaii’s Daniel Inouye earlier this week, announced today that he has decided to remain chair of the Senate Judiciary Committee, rather than replacing Inouye as head of the Appropriations Committee. The Judiciary Committee will consider some gun control legislation next year and may hold Supreme Court confirmation hearings if a vacancy arises. Iowa’s Chuck Grassley is the ranking Republican on that committee.

Leahy’s decision would appear to have opened the door for Senator Tom Harkin to move to Appropriations. Harkin is the next most senior Senate Democrat, having been elected to the upper chamber of Congress for the first time in 1984. However, Leahy congratulated Senator Barbara Mikulski of Maryland for being the first woman to chair the Appropriations Committee. Mikulski has served in the Senate since 1987. UPDATE: Harkin also congratulated Mikulski today.

Harkin will remain chair of the Health, Education, Labor and Pension Committee, which is one of the most important Senate committees, but running Appropriations would have put him in an even stronger position. Like Steven Duffield, I want to hear the backstory on this one.

UPDATE: In a statement that I’ve enclosed after the jump (hat tip Bleeding Heartland user 2laneIA), Harkin said he chose to remain head of the HELP Committee “based on where my passion lies.  This is my work, it is who I am, and these are the issues that define me.” He will chair the Appropriations subcommittee on health, education and labor.

Last week Iowa Governor Terry Branstad confirmed that Iowa will pursue a “partnership” health insurance exchange next year, rather than setting up its own insurance exchange for implementing the 2010 health care reform law, or letting the federal government set up an exchange for Iowa.

In addition, the governor again signaled that he is against the now-optional Medicaid expansion for states, because he believes it would become too expensive for Iowa in the future.

Links and recent news about health care reform in Iowa are after the jump.

He should have quit while he was behind, but Mitt Romney stepped in it again this week during a conference call with major Republican donors.

I planned to write several posts this fall about the third Congressional district race between Representatives Tom Latham and Leonard Boswell. Instead, every time I sat down to write about the campaign, I found myself turning to other topics. Central Iowa radio and television stations have been so over-saturated with cookie-cutter attack ads against both candidates. If a political junkie like me finds it off-putting, I can’t imagine how disengaged other people feel when they hear the beginning of yet another negative commercial.

Neither Latham nor Boswell has offered a compelling case for re-election, but after the jump I review the main messages from both campaigns and from various outside groups that have been advertising in Des Moines and Omaha.

Democratic candidates for the state Senate haven’t fared well in western Iowa lately, so the new Senate district 6 hasn’t been on my radar, even though it’s an open seat. However, campaign finance reports indicate that Democrats are not conceding this district, so I decided to post a profile of the race. Background on both candidates is below, along with a district map and some of the campaign rhetoric voters have been hearing.

Shortly before election day 2010, Representative Bruce Braley and his staff were sweating it. The Democratic Congressional Campaign Committee spent significant funds to help Braley fend off a ton of attack ads funded by conservative groups. Braley defeated Ben Lange by just 4,209 votes. If not for Iowa Democrats’ early vote program and the presence of two minor-party candidates on the ballot, Lange might be in Congress today.

This year, Iowa’s first Congressional district looks far less competitive. A final review of Braley’s rematch against Lange is after the jump, including some fireworks from the candidates’ Iowa Public Television debate last week.  

In a sure sign that Republicans consider House district 43 competitive, State Representative Chris Hagenow’s campaign is spending tens of thousands of dollars on television commercials attacking his Democratic challenger Susan Judkins. The ads repeat several messages a Republican push-poll used against Judkins earlier this fall. My transcript and description of the commercial is after the jump. Bleeding Heartland previewed the House district 43 race here.

Here is something we sent out to our friends and family on October 23.

Greetings friends of the food movement and local & regional agriculture,

We write tonight to invite you to join us in supporting President Obama’s reelection.  We can think of a lot of reasons to support this administration.  However, there is no better reason than to acknowledge the support through Secretary Vilsack that President Obama has provided to the food and agriculture community in general and specifically to those of us championing local, regional, and good food.  Below are some reasons why we need to keep Obama in the White House and his policies for food and agriculture in place at USDA.  If you are like us, you haven’t been in love with every single food and agriculture decision from this administration, but the good stuff will all go away if Obama loses this election and historically speaking there’s a bunch of good stuff.  [continues below]

It’s time to catch up on news from the first Congressional district campaign between three-term Democratic Representative Bruce Braley and his two-time Republican challenger Ben Lange. After the jump I’ve posted my take on yesterday’s debate on Iowa Public Radio, along with videos and transcripts of the latest television commercials by the campaigns and outside groups. (Bleeding Heartland covered earlier tv ads in the IA-01 race here, here, and here.)  

Fewer than 30 days remain until the presidential election. Any comments about the race in Iowa or nationally are welcome in this thread. I’ve compiled recent news, analysis, and advertising after the jump. I will update as needed, especially if any new Iowa poll comes out today. Gallup’s national tracking poll shows Mitt Romney gaining ground since last Wednesday’s presidential debate.

UPDATE: Rasmussen Reports has President Barack Obama leading Romney in Iowa by 49 percent to 47 percent, based on a survey of 500 likely voters conducted on October 7 (margin of error plus or minus 4.5 percent). Rasmussen’s previous Iowa poll had Romney leading 47 percent to 44 percent.

SECOND UPDATE: Added latest national polling data at the end of this post.

A push-polling campaign with live telephone interviewers is underway in Iowa House district 43, where two-term Republican State Representative Chris Hagenow faces Democrat Susan Judkins. Following my own advice, I took detailed notes on last night’s call.

UPDATE: I am hearing reports of similar push-polls against John Forbes, Democratic candidate in House district 40, and John Phoenix, Democratic candidate in House district 38. If you have received these calls or push-polls targeting other Democratic House candidates, please let me know: desmoinesdem AT yahoo.com. If you get one of these calls, take notes if possible, and don’t be afraid to ask the caller to repeat the question.

SECOND UPDATE: Mark Blumenthal explained the difference between a real opinion survey and a push-poll on his Mystery Pollster blog. Whereas a real poll is designed to collect data from respondents and measure opinions, a push-poll is all about spreading negative information about a political opponent to as many people as possible, under the deceptive guise of conducting a survey.

U.S. Health and Human Services Secretary Kathleen Sebelius, a former governor of Kansas, made clear last week that the Obama administration will work with governors who are reluctant to expand Medicaid eligibility in their states.

The air war in Iowa’s first Congressional district is fully engaged, with four new television commercials in the last week alone. Three-term Democratic incumbent Bruce Braley started running a spot about veterans last week and went up on the air yesterday with a response to a new ad about Medicare, paid for by the National Republican Congressional Committee. Last week Republican challenger Ben Lange launched his second tv spot, which depicts the national debt as unfair to the next generation.

More details on the new commercials, including videos and transcripts, are after the jump. Bleeding Heartland covered Braley’s opening tv spot here and Lange’s here.  

The Iowa Hospital Association’s board has “unanimously agreed that expanding Medicaid in Iowa is the appropriate public health policy for Iowa.” After the jump I’ve posted the full text of the association’s policy brief explaining why Medicaid expansion would be good for Iowa individuals, businesses, and the state as a whole.

President Barack Obama held a campaign rally in Ames today, drawing a crowd of approximately 6,000 on the Iowa State University campus. I enclosed the transcript of the president’s remarks at the bottom of this post. As in all his campaign speeches, he framed the election as a “choice” between two paths, rather than as a referendum on his performance. Obama also emphasized his administration’s efforts to make college tuition and student loans more affordable.

The president will need strong turnout in places like Ames this November, because yet another Iowa poll shows the gap between Obama and Romney within the margin of error.

Public Policy Polling’s latest Iowa survey finds President Barack Obama leading Republican Mitt Romney by 48 percent to 43 percent.

The U.S. House voted today to repeal the 2010 Patient Protection and Affordable Care Act, better known as health care reform.  

Governor Terry Branstad confirmed earlier this week that employee contributions to health insurance premiums will be a major battleground during the next round of contract negotiations with unions representing state workers.  

Roughly 150,000 people, or about 5 percent of Iowa’s population, will not receive Medicaid coverage under the 2010 federal health insurance law if Governor Terry Branstad gets his way. The governor repeated yesterday that he does not intend to go along with the Medicaid expansion, because he doesn’t believe the federal government should or will provide the promised funding to cover the cost.

Congressional Republicans including Representative Steve King are urging governors to reject other aspects of the Affordable Care Act, such as the state-based health insurance exchanges. Branstad has not yet decided whether to take that route. More details on these stories and other fallout from last Thursday’s U.S. Supreme Court ruling are after the jump.  

The U.S. Supreme Court today upheld the constitutionality of the 2010 Affordable Care and Patient Protection Act, better known as health care reform. I am shocked not only by the decision, but by the 5-4 breakdown with Chief Justice John Roberts (not Justice Anthony Kennedy) being the swing vote in favor of upholding the law. Most commentators and the betting site Intrade thought the court would strike down at least the individual mandate to purchase health insurance, if not the whole law. To her credit, Linda Greenhouse of the New York Times consistently predicted that Roberts would vote to uphold the law.

Any comments related to health care reform are welcome in this thread. I will update this post frequently during the day as Iowa elected officials, candidates, and activist groups weigh in on the decision.  

Governor Terry Branstad recently named Nick Gerhart to be Iowa’s next insurance commissioner. Gerhart will take over the position from Susan Voss at the end of 2012.

The insurance commissioner’s work next year will be important as Iowa implements the federal health insurance reform law or designs its own alternative. For this post, though, I’m more interested in what this appointment reveals about Branstad’s governing style.

All three Iowa Democrats in the U.S. House voted for the 2010 health insurance reform bill, but last week Dave Loebsack (IA-02) and Leonard Boswell (IA-03) joined Republicans in repealing a tax established under the Affordable Care Act. It’s the second time this year that Boswell and Loebsack voted to roll back part of that law.

Republican nominee in waiting Mitt Romney went up on the air yesterday with his first general election television commercial in Iowa. The video and transcript are after the jump.  

Crossroads GPS, the super-PAC headed by Republican strategist Karl Rove, is going up on the air today in Iowa and nine other states as part of a $25 million advertising campaign over the next month. The 60-second negative spot about President Barack Obama is after the jump, along with an annotated transcript.

Speaking in Des Moines this afternoon, Mitt Romney promised to lead the country “out of this debt and spending inferno” by reducing federal government spending from 24.3 percent of the country’s gross domestic product to 20 percent of GDP within four years. Romney would address what he called a “prairie fire of debt” by moving some federal programs to the state level or the private sector, repealing “Obamacare,” reforming Medicare and Social Security, and reducing “redundancy and waste” in government programs.

I’ve posted the full prepared text of Romney’s remarks after the jump, along with a few comments.

Republican candidate John Archer has launched his second television commercial across Iowa’s new Congressional district. Follow me after the jump for the video and transcript.

Archer’s first television commercial ran for one night only on January 3. Last month his campaign ran a radio ad district-wide with a focus on gasoline prices and energy policy. Dan Dolan, the other Republican candidate in IA-02, has not placed any radio or television commercials but has spent a considerable amount on direct mail.

Friday marked the second anniversary of President Barack Obama signing the Patient Protection and Affordable Care Act, more commonly known as health care reform or “Obamacare.” After the jump I enclose lots of news related to the milestone, including comments from Iowa elected officials and statistics on how certain provisions affect Iowans.

This morning the U.S. Supreme Court is scheduled to start hearing oral arguments regarding the constitutionality of the health care reform law. Governor Terry Branstad signed Iowa on to one of the lawsuits challenging the Affordable Care Act last year. Near the end of this post I’ve included some speculation about how the justices may rule (or punt).

The U.S. Senate voted today to table Republican Senator Roy Blunt’s amendment to repeal a federal regulation on birth-control coverage in employer-provided health care insurance. Iowa’s senators split on party lines.

UPDATE: Added a statement from Tom Harkin below. He argues that the Blunt amendment goes way beyond coverage of contraception and other preventive health services.

Tonight the four remaining Republican candidates for president take the stage in Mesa, Arizona, for the final debate before super Tuesday. CNN will broadcast the debate starting at 7 pm central time. Mitt Romney and Newt Gingrich are under the most pressure to dent Rick Santorum’s momentum. Based on the last few debates, I expect Ron Paul to take more shots at Gingrich and Santorum than at Romney.

Any comments about the GOP presidential race are welcome in this thread. I’ll update the post later.

UPDATE: That debate wasn’t very interesting. Romney seemed to do a little better than Santorum, but I didn’t think anyone was on top form. Paul went after Santorum and mostly left Romney alone. Gingrich absurdly promised $2.50/gallon gasoline. I posted some excerpts from the CNN transcript after the jump.

Candidates love to empathize with struggling middle-class Americans, but middle-income government employees are an easy target for politicians trying to earn their deficit warrior stripes. Today more than a third of U.S. House Democrats voted with nearly all the House Republicans to keep most civilian federal employees’ salaries frozen through 2013. All five Iowans voted for the legislation, even though Democrats Bruce Braley (IA-01), Dave Loebsack (IA-02), and Leonard Boswell (IA-03) have repeatedly said they oppose balancing the budget on the backs of the middle class.

What’s on your mind this weekend, Bleeding Heartland readers? Today is Stephen Hawking’s 70th birthday. The Mirror published 17 things “you need to know” about the renowned physicist. I haven’t read A Brief History of Time or any of Hawking’s other publications for adults, but my kids and I are big fans of the three children’s books he co-wrote with his daughter, Lucy Hawking: George’s Secret Key to the Universe, George’s Cosmic Treasure Hunt, and George and the Big Bang. Highly recommended for children with any interest in science, especially if they are fascinated by space travel or the solar system.

Doctors do not know why Hawking has lived for so many years with amyotrophic lateral sclerosis, commonly known as Lou Gehrig’s disease. He has credited the excellent care he has received through Britain’s National Health Service. In a 2009 editorial against government-run health care, the American conservative publication Investor’s Business Daily claimed that a person with physical handicaps like Hawking’s “wouldn’t have a chance in the UK.”

This is an open thread; all topics welcome. After the jump I’ve posted excerpts from yet another reaction to Stephen Bloom’s harsh commentary on Iowa for The Atlantic monthly. This one is by Peter Feldstein, who co-authored The Oxford Project with Bloom. Bleeding Heartland readers discussed Bloom’s essay a few weeks ago in this thread.  

Only ten Democrats in the U.S. House supported a bill approved last night to extend the payroll tax cut and some unemployment benefits. All three Iowa Democrats crossed party lines to vote for this legislation, which has drawn a rare veto threat from the White House.

UPDATE: Scroll down for Representative Dave Loebsack’s statement on this vote.

SECOND UPDATE: I’ve added a statement from Representative Steve King.

When an elected official wants a certain phrase or point of view to be transmitted in a news story, a spokesperson often has to do the heavy lifting. Governor Terry Branstad’s communications director Tim Albrecht showed this week how pros get the job done while explaining an apparent contradiction in the governor’s stance on the federal health insurance reform law.

Democratic U.S. Representative Leonard Boswell is blasting Republican presidential front-runner Mitt Romney's plan for veterans' health care.

The U.S. House has approved a bill to limit private health insurance coverage of abortion services. All Iowa Democrats opposed the new restrictions, while Republicans supported them.