The Affordable Care Act (ACA), also known as Obamacare, allows states to expand Medicaid to cover individuals making up to 133 percent of the federal poverty level. Thirty states and the District of Columbia have chosen to expand their Medicaid programs under the ACA, and 20 states, including Virginia, have refused to do so.
Northern Virginia has experienced strong and consistent population growth over the past decade. Loudoun County grew more than any other county in the commonwealth over the past three years and recently became Virginia’s third most populous county. A booming population has led to growth in Northern Virginia’s economy, with competitive markets developing in all manner of industries, save one: health care. A single provider that has developed a near-monopoly, Inova, dominates health care in region.
This is the political Santa who delivers subsidies of various sorts to farmers or “alternative energy” manufacturers. The Santa who redistributes vast sums of money for educational expenditures, or public housing, welfare and food stamps, or government defense contracts, and even “bridges to nowhere.”
It seems fitting that after such a momentous political evening, the Washington, D.C. area woke early this morning to the thundercrack of a summer storm, with a furious arrival and just as quickly faded and gone. The crushing and unexpected defeat of Eric Cantor – the first defeat of a sitting House Majority leader since 1899, which also happens to be the creation of the position – is sending ripples through a Republican Party which will have ramifications for this cycle and beyond.
Whenever it comes to a clash between the donor class and the base, there’s all sorts of threats and exhortations about who’s going to take their ball and go home. The grassroots conservatives say they won’t be able to deliver the votes and the volunteers, while the donor community demands that they be logical and get on the team.
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