1. On the expansion of Medicaid, the issue isn't just about what the Commonwealth will do for the least fortune among us. Thinking about a practical blank check from the federal government to do more today for struggling Virginians is a timely issue on the eve of Christmas. There is also an argument for asking why Virginia should be paying for the Affordable Care Act without receiving its full benefits.
But after the Supreme Court's ruling, Republican governors and legislatures in state after state rejected the expansion. Rejecting the Medicaid expansion, however, doesn't exempt a state from the taxes and spending cuts Obamacare uses to fund the Medicaid expansion. A September analysis from McClatchy estimated that "if the 23 states that have rejected expanding Medicaid under the 2010 health care law continue to do so for the next eight years, they'll pay $152 billion to extend the program in other states - while receiving nothing in return." That's a helluva gift from (mostly) red states to (mostly) blue ones.
In the next term, the Supreme Court will rule on the claim that the law does not allow for subsidies for health insurance plans purchased on the federal exchange. Depending on the ruling, the Republican Party's opposition to participating in the health care law will mean even fewer dollars going to Virginian families.
2. I haven't seen a detailed analysis of the Medicaid eligible population by House or Senate district, but the numbers I've seen based on localities indicate that this is not just a moral issue in 2015, but a political winner in areas like Prince William County.
3. Medicaid expansion links well to redistricting reform. While usually such insider baseball is not the stuff of political campaigns, it bolsters the imagine of the Republican Party standing opposed to progress and reform.
But if that's where we are in 2015, where are we going? Virginia is changing rapidly, and I think the great Yogi Berra's observations ring true. "You've got to be very careful if you don't know where you're going, because you might not get there."
What's the vision for Virginia Democrats not just in 2015, but long term?