Brian Sorensen (sab laug), nws tus poj niam, Lisa Nerenhausen, thiab tus tub, Parker Sorensen, ntawm lawv lub tsev hauv Appleton, Wis., thaum lub Kaum Ob Hlis 20, 2013. Lisa thiab nws tus txiv tab tom poob kev pab them nqi raws li BadgerCare, uas yog ib feem ntawm kwv yees li 70,000 tus neeg. uas yuav raug yuam kom txav mus rau kev sib pauv kev kho mob ntiag tug. Tab sis lawv tus tub, Parker, sawv los tau txais kev pab them nqi los ntawm qhov kev hloov pauv, vim nws yog nyob rau ntawm 80,000 lossis cov neeg laus tsis muaj menyuam tsis zoo uas tuaj yeem tsim nyog tau txais kev pabcuam raws li txoj cai tshiab. Lukas Keapproth / Xovxwm Gazette Media Lukas Keapproth
Sijhawm Nyeem Ntawv: 6 feeb
Wisconsin vs. Minnesota: Medicaid hloov

Duab: A los ntawm tus lej sib piv ntawm kev hloov kho kev noj qab haus huv hauv ob lub xeev los ntawm Txoj Cai Saib Xyuas Nqis Nqis.

Editor's note: Zaj dab neeg no yog kev sib koom tes ntawm Wisconsin Center for Investigative Journalism thiab MinnPost. Qhov project tau txhawb nqa los ntawm Joyce Foundation.

Cov neeg nyob hauv Wisconsin thiab Minnesota nyob tsuas yog nyob ze ntawm txoj kab kev txom nyem tab tom yuav pom lawv cov txiaj ntsig kev noj qab haus huv hloov pauv - nyob rau hauv qhov sib txawv.

Hauv Wisconsin, kwv yees li 77,000 tus neeg xav tias yuav poob Medicaid thiab yuav tau txais kev pab them nqi los ntawm kev sib pauv ntiag tug. Cov no suav nrog 38,067 tus neeg nyob nruab nrab ntawm 101 feem pua ​​​​thiab 133 feem pua ​​​​ntawm tsoomfwv qib kev txom nyem, thiab 35,781 tus neeg nyob nruab nrab ntawm 134 feem pua ​​​​thiab 200 feem pua, raws li cov ntaub ntawv muab los ntawm lub xeev.

Hauv Minnesota, kwv yees li ntawm 35,000 tus neeg laus tsis muaj menyuam uas nws cov nyiaj tau los poob ntawm 75 thiab 133 feem pua ​​​​ntawm cov neeg txom nyem xav tias yuav tsim nyog tau txais kev pab kho mob tshiab, lub xeev txoj haujlwm Medicaid. Tsis tas li ntawd, 85,000 tus menyuam yaus thiab cov niam txiv yuav tsiv mus rau qhov kev pabcuam Medicaid tag nrho los ntawm MinnesotaCare. MinnesotaCare yog lwm qhov kev pab kho mob uas tau txais nyiaj los ntawm tsoomfwv Medicaid, cov nyiaj hauv xeev thiab cov nqi them los ntawm nws cov neeg tau nyiaj tsawg.

Tsoom fwv theem kev txom nyem yog $11,490 ib xyoos rau ib tug neeg, $15,510 rau ib tsev neeg muaj ob tug thiab $23,550 ib xyoos rau ib tsev neeg muaj plaub.

Wisconsin cov kev hloov pauv txhais tau hais tias qee cov neeg nyob hauv no yuav tsum tau them sai sai rau lawv qhov kev pab cuam thaum Minnesotans hauv tib cov nyiaj tau los yuav hloov mus rau Medicaid. Cov phiaj xwm Medicaid feem ntau pub dawb rau cov neeg tau txais kev pab, nrog rau cov nqi sib faib ntawm cov xeev thiab tseem fwv. Kev hloov pauv kev tso npe nkag hauv Wisconsin, thawj zaug tau npaj rau Lub Ib Hlis 1, tau raug thawb rov qab mus rau lub Plaub Hlis 1.

Tam sim no, Wisconsin muab kev pab kho mob Medicaid rau cov pej xeem ntau dua li Minnesota. Wisconsin qhov kev pab cuam Medicaid, hu ua BadgerCare, them rau cov neeg laus txog li 200 feem pua ​​​​ntawm tsoom fwv qib kev txom nyem. Tab sis cov npe tos ntev txhais tau hais tias ntau tus neeg laus tsis muaj menyuam tsim nyog tsis tau txais kev pab cuam kiag li.

Wisconsin cov kev hloov pauv txhais tau hais tias kwv yees li 83,000 tus neeg laus tsis muaj menyuam yaus yuav tuaj yeem tau txais kev pab cuam los ntawm BadgerCare. Qhov kev hloov pauv no, ib yam nkaus, yuav raug thawb rov qab rau lub Plaub Hlis 1.

Minnesota, lub sijhawm no, muaj cov kev pab them nqi qis dua tab sis tau muab Medicaid rau feem ntau ntawm cov neeg tsim nyog. Minnesota kuj tau them rau cov tib neeg siab dua 200 feem pua ​​​​ntawm cov neeg txom nyem ntawm Medicaid qhov kev pab cuam hu ua MinnesotaCare, uas them qee cov nqi them. Cov theem ntawd yuav poob mus rau 200 feem pua ​​​​ntawm tsoomfwv qib kev txom nyem xyoo tom ntej.

Raws li Txoj Cai Saib Xyuas Nqis Nqis, ob lub xeev tab tom siv cov cai tshiab hais txog kev pab them nqi kho mob Medicaid. Ob qhov kev txiav txim siab, ua rau muaj kev nom kev tswv, yuav ua rau muaj kev cuam tshuam loj heev rau ntau txhiab tus neeg.

Cov kev sib txawv

Minnesota thiab Wisconsin, txawm li cas los xij, cov pej xeem zoo sib xws, tau coj txoj hauv kev sib txawv raws li txhua lub xeev cov nom tswv tswj hwm.

Wisconsin cov cai tswjfwm mus rau sab xis, raws li Republican Gov. Scott Walker thiab GOP feem ntau hauv xeev Senate thiab Assembly. Minnesota, nyob rau hauv Gov. Mark Dayton, ntawm Democratic-Farmer-Labor Party, thiab Democratic feem ntau nyob rau hauv ob lub tsev ntawm cov tsim cai lij choj, tau veered mus rau sab laug.

Minnesota Gov. Mark Dayton tau txais kev hloov kho kev noj qab haus huv sai sai tom qab ua haujlwm thaum Lub Ib Hlis 2011. Briana Bierschbach/MinnPost

Minnesota tau xaiv los tsim nws tus kheej kev sib pauv kev noj qab haus huv, MNsure, los ua ib qho chaw lag luam ib qho chaw rau cov neeg siv khoom mus yuav khoom thiab sib piv cov kev xaiv pov hwm kev noj qab haus huv. Wisconsin xaiv los siv lub tsoom fwv pauv.

Ob lub xeev kuj tau siv ntau txoj hauv kev los muab kev pov hwm kev noj qab haus huv rau cov uas nyob saum kab kev txom nyem.

Walker, ntau rau kev poob siab ntawm lub xeev Democrats, txiav txim siab tso tseg $ 119 lab hauv tsoomfwv cov peev nyiaj los nthuav Medicaid. Hloov chaw, nws xav txav qee tus ntawm cov uas tau txais BadgerCare mus rau kev sib pauv kev noj qab haus huv hauv tseem hwv, thiab siv cov nyiaj khaws cia los pab them rau cov neeg laus tsis muaj menyuam txog li 100 feem pua ​​ntawm cov neeg txom nyem.

Walker tau sau rau hauv nws phau ntawv tshiab hais tias "Nws yuav tsis muaj nyiaj txiag txaus thiab yuav tau ntxiv ntau txhiab tus neeg mus rau Medicaid rolls thaum kuv lub hom phiaj yog kom muaj tsawg tus neeg nyob ntawm tsoomfwv, tsis yog ntau dua," Walker tau sau rau hauv nws phau ntawv tshiab, "Unintimidated: A Governor's Story thiab Nation's Challenge."

Hauv kev xam phaj nrog Wisconsin Center for Investigative Journalism, Walker tau hais tias nws tau sim zam ob txoj hauv kev los ntawm ntau lub xeev: lees txais tsoomfwv kev nthuav dav ntawm kev pheej hmoo ntawm cov nuj nqis yav tom ntej rau lub xeev lossis tsis lees txais tsoomfwv cov nyiaj thiab ua rau ntau tus neeg nyob hauv tsis muaj pov hwm.

“Kuv tsis pom zoo nrog Obamacare. Kuv tau tawm tsam tsis tu ncua, ”nws hais. "Kuv tau sim muab lwm txoj hauv kev zoo."

Tus naj npawb ntawm Wisconsin cov niam txiv, menyuam yaus thiab cov neeg laus tsis muaj menyuam uas tau txais Medicaid kev pab them nqi raws li BadgerCare yuav nce me ntsis rau xyoo tom ntej, txog li 800,000 tus neeg. Daim duab no tsis suav nrog Medicaid kev pab them nqi kho mob rau cov neeg dig muag, cov neeg laus thiab cov neeg tsis taus, uas yuav tsis hloov.

Hauv Minnesota, Dayton tau lees txais tsoomfwv cov peev nyiaj los nthuav Medicaid kom nce lub xeev cov kev pabcuam rau 133 feem pua. Minnesota Lub Tsev Haujlwm Saib Xyuas Tib Neeg tau kwv yees 880,000 tus neeg yuav nyob rau hauv txoj haujlwm xyoo 2015, nrog rau 145,000 MinnesotaCare rau npe.

"Peb tab tom saib cov dab neeg ntawm ob lub xeev ntawm no," Bobby Peterson hais ntawm ABC rau Kev Noj Qab Haus Huv, ib pab pawg neeg tawm tswv yim tsis muaj txiaj ntsig hauv Wisconsin. "Peb tab tom tawm tsam me ntsis tam sim no, piv rau lub xeev Minnesota."

Minnesota, nws hais tias, tau txais kev hloov kho kev noj qab haus huv raws li Thawj Tswj Hwm ntawm Democratic Barack Obama, teeb tsa nws lub khw thiab ua haujlwm txij thaum ntxov los nthuav dav Medicaid. "Kuv xav tias peb tuaj yeem saib qee qhov kev txiav txim siab no yog ib feem ntawm qhov laj thawj vim li cas [Wisconsin] tom qab qhov nkhaus tam sim no."

Wisconsin ncua sij hawm

Hauv Wisconsin, Walker tsis kam lees Medicaid nthuav dav nrog rau ntau dua 20 lwm tus tswv xeev Republican hauv xeev xws li Indiana, Alabama thiab Maine.

Ntawm cov xeev ntawd, Wisconsin tsuas yog ib qho "uas yuav tsis muaj qhov sib txawv ntawm kev saib xyuas kev noj qab haus huv tom qab lub Plaub Hlis 1, 2014," sau Claire Smith, tus cev lus rau Wisconsin Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, hauv email.

Wisconsin Gov. Scott Walker ntawm lub Kaum Ib Hlis 14, 2013, lub rooj sib tham xov xwm uas nws tshaj tawm nws txoj kev npaj ncua kev hloov pauv rau BadgerCare kev tsim nyog. Cov kev hloov pauv yuav pib siv rau lub Plaub Hlis 1, 2014, peb lub hlis tom qab ntawd pib hnub tim, Lub Ib Hlis 1, 2014. MP King/Wisconsin State Journal

Walker ncua kev siv cov kev hloov pauv txij Lub Ib Hlis 1 txog Lub Plaub Hlis 1 vim tias muaj kev ntxhov siab nws tau hais tias Obama cov thawj coj tau ua los ntawm nws txoj kev saib xyuas kev noj qab haus huv.

"Kuv yuav tsis cia qhov tsis ua haujlwm ntawm tsoomfwv tso cai rau tib neeg los ntawm kev tawg," Walker tau hais hauv kev tshaj tawm qhov kev ncua.

Tab sis qhov ncua sij hawm los ntawm tus nqi rau lwm tus: kwv yees li 83,000 tus neeg laus tsis muaj menyuam yaus ntawm lossis qis dua kab kev txom nyem uas xav tias yuav tau txais kev pabcuam tshiab rau Medicaid hauv Wisconsin yuav tsum tau tos kom txog thaum Lub Plaub Hlis 1.

Qhov kev ncua sijhawm tau ua rau muaj kev tawm tsam los ntawm lub xeev Democrats.

“Qhov no txaj muag!” qw qw Pawg Neeg Minority Thawj Coj Peter Barca, D-Kenosha, raws li kev ncua sijhawm dhau mus. Tab sis Republicans tau liam tias qhov kev ncua sij hawm rau tsoomfwv tsis muaj kev sib pauv kev noj qab haus huv npaj txhij rau lub sijhawm.

Raws li ib tug Legislative Fiscal Bureau daim ntawv qhia, Wisconsin yuav txuag tau $23 lab los ntawm kev ua kom cov neeg laus uas tsis muaj menyuam feem ntau tawm mus rau peb lub hlis ntxiv thaum txuas ntxiv pab cov neeg siab dua 100 feem pua ​​​​ntawm cov neeg txom nyem.

Nyob rau ntawm University of Wisconsin ntau lub tsev kawm ntawv lub vev xaib ntawm Txoj Cai Saib Xyuas Nqis Phem thaum Lub Kaum Ib Hlis, Wisconsin Medicaid Tus Thawj Coj Brett Davis tau nug txog cov neeg uas tab tom ntsib kev hloov pauv nyuaj vim yog lub xeev txoj kev xaiv kho mob.

Nws teb tias: "Peb xav kom nws yog lub ntiaj teb zoo meej thiab peb tuaj yeem ua txhua yam rau txhua tus."

Wisconsin county map:

Minnesota tsiv nrawm

Hauv Minnesota, Dayton tau tsiv sai sai tom qab ua haujlwm thaum Lub Ib Hlis 2011. Hauv nws thawj txoj haujlwm hauv chaw ua haujlwm, nws nthuav dav Medicaid kev tsim nyog, ntxiv rau cov neeg laus uas tsis muaj menyuam nrog cov nyiaj tau los txog li 75 feem pua ​​ntawm cov neeg txom nyem.

Jeremy Drucker, tus kws tshaj lij ntawm Minnesota Lub Tsev Haujlwm Saib Xyuas Tib Neeg tau hais tias "Qhov ntawd yog qhov loj heev.

Minnesota Gov. Mark Dayton ntawm daim nqi kos npe kos npe tso cai rau MNsure kev tuav pov hwm pauv nyiaj. James Nord / MinnPost

Dayton ua rau Minnesota ib lub xeev thawj zaug mus rau pem hauv ntej nrog Medicaid thaum ntxov xaiv. Lub Tsev Haujlwm Saib Xyuas Tib Neeg tau hais tias qhov kev xaiv ntawm Medicaid thaum ntxov yuav tau txais $ 1.2 nphom hauv tsoomfwv cov nyiaj pab txog thaum ntxov 2014. Cov nyiaj no sawv cev rau 50 feem pua ​​​​ntawm tsoomfwv Medicaid cov nyiaj sib tw. Txawm li cas los xij, cov nyiaj yuav nce mus txog 100 feem pua ​​​​rau xyoo tom ntej rau cov neeg laus uas tsis muaj menyuam yaus tshiab.

Kev nthuav dav tag nrho ntawm Medicaid, hu ua Kev Pab Kho Mob hauv Minnesota, xav kom txuag lub xeev txog $ 117 lab nyob rau ob xyoos tom ntej.

"Minnesota tau ua qhov yog thiab hais tias, 'Saib, cov feds tau them peb los muab kev pab kho mob Medicaid rau cov txiv neej qis dua 133 [feem pua ​​​​ntawm cov neeg txom nyem] - cia peb ua,' "Jonathan Gruber, tus kws lag luam ntawm MIT uas tau pab npaj rau MNsure thiab pab tsim Txoj Cai Saib Xyuas Nqis Nqis.

Gruber tau hais tias qhov kev nthuav dav Medicaid kuj tseem pab cov neeg siv khoom uas yuav cov kev pabcuam ntiag tug los ntawm kev sib pauv. Feem ntau, nws tau hais tias, cov neeg nyob hauv Medicaid yuav mob hnyav dua, yog li kev yuam lawv mus yuav cov kev pabcuam ntiag tug yuav ua rau cov nqi them 10 feem pua ​​lossis ntau dua ntawm cov khw muag khoom vim tias cov tuam txhab tuav pov hwm suav cov nqi. (Saib sidebar, "Lub xeev sib txawv ntawm cov nqi.")

Gruber tau hais tias nws muaj kev txhawj xeeb tsawg dua rau cov pej xeem ntawm 133 feem pua ​​​​thiab 200 feem pua ​​​​ntawm tsoomfwv qib kev txom nyem, uas poob kev pab cuam hauv Wisconsin tab sis yuav raug them rau hauv Minnesota raws li MinnesotaCare/Basic Health Program.

Gruber tau hais tias "Kuv tuaj yeem pom Wisconsin qhov kev sib cav" rau kev tshem tawm pawg neeg ntawd, Gruber tau hais. “Lawv ua siab dawb siab zoo. Tam sim no tsoomfwv tseem tab tom muab lwm txoj hauv kev los ntawm kev sib pauv, thiab lawv tau txuag nyiaj hauv lub xeev yog tias cov txiv neej mus rau kev sib pauv ntau dua li ntawm Medicaid. Rau Medicaid, lub xeev them ib nrab. Rau kev sib pauv, lub xeev tsis them dab tsi. "

Nora G. Hertel yog tus tshaj xov xwm rau Wisconsin Center for Investigative Journalism. Wisconsin Center for Investigative Journalism (www.WisconsinWatch.org) koom tes nrog Wisconsin Public Radio, Wisconsin Public TV, lwm yam xov xwm tshaj tawm thiab UW-Madison Tsev Kawm Ntawv Kev Sau Xov Xwm thiab Kev Sib Txuas Lus. Txhua yam haujlwm tsim, luam tawm, tshaj tawm lossis tshaj tawm los ntawm Lub Chaw tsis tas yuav cuam tshuam txog kev xav lossis kev xav ntawm UW-Madison lossis ib qho ntawm nws cov koom tes. James Nord yog tus sau xov xwm rau MinnPost, www.minnpost.com, ib lub chaw xov xwm tsis muaj txiaj ntsig, tsis koom nrog uas nws lub luag haujlwm yog muab kev sau xov xwm zoo rau cov neeg muaj xov xwm uas mob siab rau Minnesota. Nyem no kom pom MinnPost's version ntawm qhov project no.

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Rov luam tawm peb cov ntawv dawb, hauv online lossis luam tawm, raws li daim ntawv tso cai Creative Commons.

Nrov dab neeg los ntawm Wisconsin Watch

James Nord npog kev nom kev tswv thiab Minnesota Legislature rau MinnPost.