Iowa DOGE question
- Thread starter mr12182
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At this point I don't think Republicans have much of any idea where their policies will lead us.
Medicaid reductions are likely to hit rural communities hardest. Over 40% of Iowa births are Medicaid (that’s actually low compared to many states).
48% of nursing home residents are either Medicaid or dual enrolled with Medicare. States should be focusing on trying their best to get people into HCBS settings, but that requires a workforce that is capable and plentiful enough and that’s a struggle in rural communities.
So, yes, when it gets harder to keep people eligible for Medicaid, it’s going to hurt and hurt those facilities. And, yes, it’s going to be harder to reach people in rural communities.
48% of nursing home residents are either Medicaid or dual enrolled with Medicare. States should be focusing on trying their best to get people into HCBS settings, but that requires a workforce that is capable and plentiful enough and that’s a struggle in rural communities.
So, yes, when it gets harder to keep people eligible for Medicaid, it’s going to hurt and hurt those facilities. And, yes, it’s going to be harder to reach people in rural communities.
This is where States need strong representation in DC.
Unfortunately, Mississippi North doesn't have that luxury.
Unfortunately, Mississippi North doesn't have that luxury.
Many states are ceding their authority to their Orange God. It’s sad and going to be very interesting to listen to state legislators cry in the next couple of years as they try to plug the hole.
What happens to any state in the coming months with very rural populations?
I would also remind you that Illinois is a donor state, whereas Iowa is a taker.
Fair concerns for sure. But I’ll take off my liberal anti-Reynolds hat for a second. It really makes no sense that Iowa has 99 counties when much larger states have figured out how to operate with fewer. California I think has 58. Nevada has like 8.
Same is true for many school districts. There’s around 25 public school districts with a BEDS number of 75 or less (25 kids/class). When you figure in teachers, support staff, bus drivers, etc., that’s a lot of resources to pump into schools that will never grow.
And I say all that as a product of a small rural community.
Medicaid is a different discussion IMO.
Same is true for many school districts. There’s around 25 public school districts with a BEDS number of 75 or less (25 kids/class). When you figure in teachers, support staff, bus drivers, etc., that’s a lot of resources to pump into schools that will never grow.
And I say all that as a product of a small rural community.
Medicaid is a different discussion IMO.
I know that very well not sure trump does or cares.
What makes Illinois a good test is how fragile the economy is due to pension obligations as well as the varied demographics in conjunction with negative balance of DC money in and out. Much of IL is like Iowa and then there are cities with large minority populations.
The ungluing will start in IL if things don’t change.
Comparing Iowa to California or Neveda isn't a fair comparison imo. Missouri has 114, Illinois has 102, Minnesota has 87, South Dakota has 66, and Nebraska has 93. However, I would think the number of counties could reasonably be reduced to 70-80. Some of the county court houses are magnificent buildings.
Your last sentence pretty much describes Red States and Blue States...Red take, Blue supports.
hawkeyetraveler
HB Heisman
Believe it or not Pritzker has managed balance budgets with money set aside in a rainy day fund since 2019. Now, the state is likely underfunding pension obligations to make this happen, but considering where we were when Pritzker took office things have been improving. Illinois is still a shitshow in many ways, but not because of this governor and it is less of a shitshow than at any time in the last 25 years.
Don’t disagree. We don’t know what the Trump response will be
We need to drastically reduce the number of counties!!! So many in Iowa are taking advantage of the system. SAD! Make Iowa great again Kim!!
Pension obligations have always been a concern in Illinois, that’s nothing new. I’d much rather be in Illinois than Iowa in the future
Agree that Reynolds is leaving a mess in her wake.
Unless there's a serious turnaround in the farm economy, those tax cuts will have reduced revenue so much that financial obligations simply won't be met.
Republicans = Trash
They are 2 ships passing but not sure I’d go that far.
Property taxes in IL are a big concern but many schools are in serious trouble. But IL has some advantages.
Iowa has to deal with poor whites. IL has to deal with poor whites and blacks and associated institutional crime created by long term issues.
Iowa has decaying places like Burlington and others including NW cities
IL has major decay in medium large cities
Danville and Decatur as examples.
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