Join Club

Peter’s Take: On Medicaid Expansion, What Is the Va. GOP’s Alternative?

Peter’s Take is a weekly opinion column. The views and opinions expressed in this column are those of the author and do not necessarily reflect the views of

Peter Rousselot

In two earlier columns, I urged Virginia’s political leaders to try to find bi-partisan common ground to improve access to healthcare for Virginia’s poor.  In the second of those columns, I explained that Republican leaders in many other states, even leaders who opposed the Affordable Care Act, have found ways to do this either by expanding Medicaid or by using a premium assistance model.

Regrettably, Virginia still seems gripped in partisan gridlock.

Virginia’s Democratic Governor, Terry McAuliffe, continues to insist that expanding Medicaid is the right solution. Virginia’s Republican leaders are just as adamant that expanding Medicaid is the wrong solution. Governor McAuliffe has asked his Secretary of Health to present a plan by September 1 under which the Governor would expand Medicaid without legislative approval. Virginia’s Republican leaders say that the Governor lacks the authority under the Virginia Constitution to proceed without legislative approval. If he tries to do it this way, the Republican leaders have promised to sue the Governor to block his plans.

For nine months, Governor McAullife and Virginia’s Democratic legislative leaders have made their proposal to expand Medicaid crystal clear, but they have failed to persuade Virginia’s Republican legislative leaders. These Republican leaders have just said no.

What is the Virginia Republican legislative leadership’s alternative to Medicaid expansion?

For some Republicans, that alternative may be the status quo.  The status quo shouldn’t be an option for Virginia — any more than it has been for many other states with Republican governors.

It is long past time for Virginia’s Republican legislative leaders to take a stand. If you don’t support Medicaid expansion, what do you support? Put your alternative out there for Virginians to compare side by side with Governor McAuliffe’s proposal.

How about supporting the Arkansas approach?

Arkansas did things a little differently than other states that expanded Medicaid. The Republican-dominated legislature wouldn’t pass a traditional expansion; instead, it mandated that federal money be used to pay premiums for private insurance plans through the state’s marketplace, an alternative proponents dubbed the “private option.” Other states have used federal money for premium support, but not to the extent Arkansas has.

The Arkansas approach has been remarkably successful:

No state has made progress faster than Arkansas….[T]he percentage of the state’s population without insurance dropped nearly in half, down from 22.5 percent in 2013 to 12.4 percent today.

Personally, I strongly favor a straightforward expansion of Medicaid in Virginia — as advocated by Governor McAuliffe.

What I don’t understand is why Virginia’s Republican legislative leaders can’t tell us what they support instead.

Peter Rousselot is a former member of the Central Committee of the Democratic Party of Virginia and former chair of the Arlington County Democratic Committee.

Recent Stories

In loving memory of Joseph Robert Kapacziewski, who passed away in 2023 at the age of 41.

In loving memory of James Stuart Edmonds, who passed away in 2023 at the age of 84.

A man was shot in front of a lounge on Columbia Pike early this morning, continuing a string of violent incidents.

Good Friday evening, Arlington. Today we published articles that were read a total of 17124 times… so far. 📈 Top stories The following are the most-read articles for today —…

YULA’s ultimate frisbee spring season is now open for registration. We offer programs for middle and high schoolers – open to all players, whether they are new or have previous experience.Middle SchoolIn the Middle School league, mixed-gender teams practice once during the week and have games on Sunday afternoons. Spring league is a fun, safe, and positive environment. The season begins mid-March and wraps up with a tournament in early June. There are several options for practice days, so we can often work around schedule conflicts with other sports & activities.High SchoolThe High School program is organized by school of attendance and teams are classified by gender. New players will learn the basics in a supportive, welcoming environment. Experienced players will continue to develop their skills, and enjoy competition with other high school programs. The season concludes with a state level championship tournament in late May.All players are guided by experienced coaches who emphasize sportsmanship and good spirit. Ultimate is a fun sport with great camaraderie!YULA does not want finances to limit anyone from participating. Our middle school program offers a “Pay What You Can” cost structure and our our high school program is offering a $50 discount to new players.Visit our website to register and learn more. Sign up with a friend, but don’t delay, the season starts in March!

Submit your own Announcement here.

The Arlington-Aachen High School exchange is returning this summer and currently accepting applicants.

The sister-city partnership started in 1993 by the Arlington Sister Cities Association, which seeks to promote Arlington’s international profile through a variety of exchanges in education, commerce, culture and the arts. The exchange, scheduled June 17th to July 4th, includes a two-week homestay in Aachen plus three days in Berlin. Knowledge of the German language is not required for the trip.

Former participants have this to say:

_”The Aachen exchange was an eye-opening experience where I was fully immersed in the life of a German student. I loved biking through the countryside to Belgium, having gelato and picnics in the town square, and hanging out with my German host student’s friends. My first time out of the country, the Aachen exchange taught me to keep an open mind, because you never know what could be a life changing experience.” – Kelly M._

Read More

Submit your own Announcement here.

Valentine Pop-Up at George Mason University

Valentine gifts for someone special or for yourself are here at George Mason University from noon -4pm on February 14, 2023. Satisfy your sweet tooth with Kingsbury Chocolates, find a handmade bag from Karina Gaull, pick up treats from Village

Standup Comedy Showcase Starring Matt Ruby (Comedy Central)

Dead Horse Comedy Productions brings together top comedians from the DMV and beyond for a live standup comedy show!

Matt Ruby, Headliner

Matt Ruby is a comedian, writer, and filmmaker from New York City. His comedy has been filmed by


Subscribe to our mailing list