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Two hot topics that stay hot together

You got your Medicaid expansion in my Latino outreach efforts!

It’s constitutional – deal with it

For Republicans nationally, the big takeaway from the 2012 presidential election was that, as a party, they have to get right — or at least do better — with Hispanic voters.

With the opening of the 83rd legislative session, the lessons of the 2012 election seemed to have taken here as well.

No provocative emergency items like in the last session, on sanctuary cities or voter I.D., issues that roused the Republican base but lacerated Hispanic sensibilities.

But on one issue, Gov. Rick Perry did draw a line in the sand.

“We have made it clear Texas will not expand Medicaid under the Affordable Care Act,” he declared. “Texas will not drive millions more into an unsustainable system, and that stance has not changed an iota.”

Perry’s resistance to expanding Medicaid did not stir comment that he was being insensitive to the needs of Texas Hispanics.

But beneath a flurry of recent activity at the Capitol to find a “Texas solution” on Medicaid lurks an obvious, if mostly undiscussed, fact that the Hispanic community has the most to gain from expanding Medicaid, and that Republicans have the most to lose politically in their long-term relationship with Hispanic voters if they are seen as having denied so many Hispanics coverage just as it was within their grasp.

“Medicaid may have quietly eclipsed immigration reform as the major campaign issue standing in the way of the GOP drive to woo Hispanic voters. Hispanics, especially children, are disproportionately dependent on Medicaid, especially in Texas, the state with the greatest percentage of uninsured residents and with one of the largest Hispanic populations,” said Frederick Lynch, a government professor at Claremont-McKenna College, who explored the nation’s changing political demography in his 2011 book, “One Nation under AARP: The Fight over Medicare, Social Security, and America’s Future.”

“When it comes to the way Latinos are received by any political party, with regard to Republicans there is always that sort of anti-Latino sentiment, that’s 1.0 – that’s the anti-immigrant, sanctuary cities, deport-them-all. And then you sort of have the anti-Latino sentiment that’s 2.0, which is lack of support for public policy initiatives that disproportionately impact minority communities – in this instance, Latinos, said state Rep. Trey Martinez Fischer, D-San Antonio, the chairman of the Mexican American Legislative Caucus.

“Everybody knows Texas is the poster child” for having the largest percentage of uninsured people in America, he said, and “3.6 million of the Texans who are uninsured are Hispanics.”

According to the Kaiser Family Foundation’s state health facts, those 3.6 million constitute 60 percent of the uninsured in Texas, and nearly a quarter of the 15.5 million Hispanic uninsured in the entire country.

[…]

As [David] Plouffe put it in a recent interview with The New York Times Magazine, “the bigger problem [Republicans have] with Latinos isn’t immigration. It’s their economic policies and health care. The group that supported the president’s health care bill the most – Latinos.”

Good luck with that. Maybe the Arkansas solution, which may be the route that Florida ultimately takes, will help blunt the impact of this policy disconnect. And maybe Ted Cruz will short-circuit that effort. He and the dead-end crowd he represents won’t go quietly, that’s for sure. This is what happens when you just don’t give a damn about large swaths of the country.

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