Santorum’s Dubious Medicaid Horror Story

Rick Santorum<a href="http://www.flickr.com/photos/gageskidmore/5438148298/sizes/z/in/photostream/">Gage Skidmore</a>/Flickr

Fight disinformation: Sign up for the free Mother Jones Daily newsletter and follow the news that matters.


At Thursday’s GOP presidential debate in Charleston, Rick Santorum pulled out what he thought was the perfect anecdote for bureaucratic overreach. As he explained it, he’d talked to a state health official in Iowa and been informed that the state had actually been fined by the federal government because it didn’t cover enough people under Medicaid. It was an example of well-intentioned big government gone bad and passing the burden onto a cash-strapped state. But was it true?

As it happens, ABC’s Huma Khan looked into this when Santorum first brought it up earlier in January:

First, there is no “Department of Public Welfare” in Iowa, as Santorum stated. It’s the Department of Human Services that disburses Medicaid grants.

Second, it is unclear to what “fine” Santorum was referring. Iowa, like other states, receives federal reimbursement for the money it disburses in Medicaid fees. There is no quota system or target that the state has to meet in order to be eligible for federal money. The amount of money that each state receives is dependent on its economy.

“The formula is based on how well that state is doing economically and since Iowa is improving its economic status, we are soon to lose a couple percentage points,” said Roger Munns, a spokesman for the Iowa Department of Human Services. “This is not a punishment. This is a recognition that Iowa’s economy is improving relative to other states.”

So: Not exactly the nightmare scenario Santorum warned us of. But it could be worse; when Michele Bachmann wanted an anonymous expert to back up her allegation that under Obamacare, IRS agents would be forced to approve every medical procedure, she claimed to have heard it first-hand from a seven-foot-tall doctor.

We've never been very good at being conservative.

And usually, that serves us well in doing the ambitious, hard-hitting journalism that you turn to Mother Jones for. But it also means we can't afford to come up short when it comes to scratching together the funds it takes to keep our team firing on all cylinders, and the truth is, we finished our budgeting cycle on June 30 about $100,000 short of our online goal.

This is no time to come up short. It's time to fight like hell, as our namesake would tell us to do, for a democracy where minority rule cannot impose an extreme agenda, where facts matter, and where accountability has a chance at the polls and in the press. If you value our reporting and you can right now, please help us dig out of the $100,000 hole we're starting our new budgeting cycle in with an always-needed and always-appreciated donation today.

payment methods

We've never been very good at being conservative.

And usually, that serves us well in doing the ambitious, hard-hitting journalism that you turn to Mother Jones for. But it also means we can't afford to come up short when it comes to scratching together the funds it takes to keep our team firing on all cylinders, and the truth is, we finished our budgeting cycle on June 30 about $100,000 short of our online goal.

This is no time to come up short. It's time to fight like hell, as our namesake would tell us to do, for a democracy where minority rule cannot impose an extreme agenda, where facts matter, and where accountability has a chance at the polls and in the press. If you value our reporting and you can right now, please help us dig out of the $100,000 hole we're starting our new budgeting cycle in with an always-needed and always-appreciated donation today.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate