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Celebrations as Oregon Voters Approve Tax Hike to Cover Medicaid Expansion

Celebrations as Oregon Voters Approve Tax Hike to Cover Medicaid Expansion

Published on
Wednesday, January 24, 2018

Edit News Celebrations as Oregon Voters Approve Tax Hike to Cover Medicaid Expansion

"Voters have spoken and lawmakers now have a clear mandate, Oregonians believe everyone deserves access to affordable healthcare."

Local organizers in Oregon urged voters to approve the ballot initiative to tax healthcare and insurance providers to cover cost of expanding Medicaid within the state. (Photo: Hannah Love/Twitter)

Voters in Oregon overwhelmingly approved a ballot measure to impose hundreds of millions of dollars in new taxes on hospitals, health insurers, and managed care companies to cover the costs of expanding Medicaid in the state.

In Tuesday's special election for the Medicaid tax hike, or Measure 101, more than 60 percent of Oregonians voted for what the Assoicated Press described as "a short-term fix for healthcare funding that will generate between $210 million and $320 million in revenue over two years."

Andy Slavitt, who led the Centers for Medicare and Medicaid under the Obama administration, said in a tweet that the results proved that "just like in Maine, people around the country broadly support expanding coverage and care," referencing the November election, when Maine became the first state to expand Medicaid through a ballot initiative.

Local organizers in Oregon celebrated as the results came in late Tuesday, praising voters for not only supporting the state's efforts to provide more low-income people with healthcare, but also for "sending a message nationally that affirms public support for Medicaid."

So proud of our fellow Oregonians. We stepped up. Volunteers in ORD2 and across the state put in countless hours canvassing, calling, educating, and advocating for each other. And we will do it again for #Midterms2018. #BlueWaveRising. #orleg #orpol @Indivisible_OR pic.twitter.com/6fZ5LD0rz4

— ORD2indivisible (@ORD2Indivisible) January 24, 2018

Along with a coalition of remarkable organizations throughout Oregon, we are sending a message nationally that affirms public support for Medicaid.

— Mary Stata (@marystata) January 24, 2018

"Voters have spoken and lawmakers now have a clear mandate, Oregonians believe everyone deserves access to affordable healthcare," Patty Wentz, a spokeswoman for the campaign promoting the measure, told The Oregonian. "The other big message from this campaign is healthcare should not be a political pawn, and Oregonians are going to band together against anyone who tries to take it away."

The Oregonian noted the election results were also "a victory for Democrats, who put the deal together and brokered enough votes in the legislature to pass it, and for the healthcare industry, which bankrolled the 'yes' campaign and will benefit from the resulting $1 billion-plus that will be spent on Oregonians' healthcare."

The state has substantially expanded its Medicaid coverage in recent decades, most recently under the Affordable Care Act (ACA)—enabling 95 percent of Oregon's residents and 98 percent of children to secure (pdf) health insurance coverage.

Admirable election results in Oregon tonight as voters approve package of healthcare taxes, to ensure low-income residents will keep their coverage.

Robust Medicaid expansion has resulted in Oregon having one of the lowest uninsured rates in the nation – around 5%.

— Mario Molina, MD (@drjmariomolina) January 24, 2018

However, the expansion left lawmakers debating how best to deal with the associated costs, which led them to draft the deal approved by voters Tuesday.

Robin Rudowitz of the Kaiser Family Foundation, which conducts healthcare research and analysis, told ThinkProgress that of the 32 states, plus the District of Columbia, that have expanded Medicaid under the ACA, eight others plan to cover costs through provider taxes.

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At first blush, it seems likely that those being taxed—hospitals, health insurers, and managed care companies— will simply adjust their pricing structures accordingly. The net effect will be a pass-through tax on their customers.

Sadly, states aren’t in a position to withhold that portion of their revenue stream that underwrites war, financial speculation and fossil fuel development. Only a national health plan will do.


“…The net effect will be a pass-through tax on their customers…”

… That is actually the beauty of this collective vote. I believe most of us went into this vote, in affect saying; “yes, I -as an Oregonian who does have insurance- am agreeing to be taxed more, so those that do not, can have at least ‘something’ to hang their hats on.” In essence, the people ‘with’ insurance, are being asked to help pay for the people with little or none. That’s a pretty empathic expression of sixty one percent of Oregon voters -in a very un-empathic America…


I would have preferred taxes on doctor salaries excluding GPs, cigarettes, elective cosmetic surgeries, vehicles that get less than 25 mpg, and Hobby Lobby.


That is actually a pretty good idea, next pharmaceuticals. Cheers.

Now the bad news, the bill that funds the government for the next three weeks also cuts most of the taxes that fund medicade expansion and ACA. Yep, 31 billion dollars.

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I’m not surprised in the least. Schumer got rolled.

Yep, when it comes to healthcare you can’t take your eye off the ball.

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Did you notice Trump got about 40% of the Oregon vote in 2016 and the NO votes on 101 are close to the same %. Coincidence? Tribalism? I’d like to see the overlay, by region, on those voting patterns.
Glad to see 61-62% of Oregonians step up.

This referendum in Oregon seems like a good method in support of what Bernie is advocating. Wish someone ran a similar referendum where all population can vote on a Medicare for all. In lieu of polls, that should be a much more powerful card.

Other than that, it seems to me what Oregon is doing is an attempt to patch the shortcomings of ACA. Now, insurers will raise prices, the premiums will go further up etc. Premiums have already reached outrageous levels. In Florida an average silver plan this year cost $1,000 per month for age over 50.