Opinion
Opinion: South Carolina Heads Down a Dead-end Street in Rejecting Medicaid Expansion
South Carolina’s James Louis Petigru was a Civil War-era lawyer, judge, congressman and most notably the attorney general who opposed South Carolina’s use of nullification of federal laws and, after Abraham Lincoln was elected president in 1860, opposed state secession.
He famously quipped, after learning that his state had seceded from the Union, “South Carolina is too small to be a republic and too large to be an insane asylum.”
While not insane, the state was a little nutty when it rejected Medicaid expansion under the Affordable Care Act (ACA). South Carolina has one of the highest percentages of uninsured people in the country.
The leaders of the state are leading the people down a dead-end street. They support tax cuts for the rich and health care cuts for the poor. South Carolina is a red state with blue needs — more health care, less poverty, better schools and fewer jails.
Nikki Haley, the former governor of South Carolina and President Donald Trump’s former ambassador to the United Nations, was born in Bamberg, South Carolina, a small city of approximately 3,600 people.
The Bamberg County Hospital, where Haley was born, closed on April 30, 2012 for lack of money. Not only did people lose health services but Bamberg County Hospital workers lost their jobs.
Many other small rural hospitals and workers faced the same fate in South Carolina when the state rejected the $10 billion over 10 years it would have received if it had expanded Medicaid.
A recent article in the Greenville News reported that when hospital beds fill up in the state, patients are boarded in emergency rooms. It is inhumane and economically foolish and morally wrong to argue against expanding Medicaid when 50,000 jobs and greater health care is involved.
Arguing against keeping rural hospitals open, like Bamberg County, makes no sense. It’s arguing for sickness and unnecessary death.
It’s a national problem, but recently South Carolina’s Greenville News documented the situation locally when 80-year-old Ron Miller of Pickens County collapsed at home two days after surgery and had to be rushed back to the hospital and readmitted. The problem was there were no available beds at that hospital or any of the hospitals in Greenville.
The paper reported, “The phenomenon, called boarding, occurs when hospitals hold patients in the ER until they find a bed for them on a medical floor.” Dr. Ryan Stanton, a spokesman for the American College of Emergency Physicians, an ER physician with Central Emergency Physicians in Lexington, Kentucky, has indicated it’s a growing problem across the nation. It’s a simple problem of supply and demand.
There are more patients than there are beds. A further concern is whether patients forced to stay in the ER for long periods of time have the same equipment made available to them and receive the same level of care that those in hospital beds receive.
Expanding Medicaid could help, but South Carolina is a state that pretends to resent big government and federal dollars, even though 32 percent of its general revenue comes from Washington for education, health care, airports, highways, seaports, the big military presence in the state and more. South Carolina couldn’t exist without federal dollars. It, apparently, just doesn’t want to receive Medicaid funds for its neediest citizens.
There is a better South Carolina on the horizon and Congressman Joe Cunningham (SC-01) is an example. He’s the new Democrat from the Lowcountry and he’s worked to reinstate the ban on offshore drilling, protect Lowcountry jobs from damaging tariffs and fix South Carolina’s ailing infrastructure. On Jan. 3, 2019, he said he was “ready to roll up his sleeves and get to work” and he has. South Carolina needs more Joe Cunninghams.
We all do.
Activism
Oakland Post: Week of December 24 – 30, 2025
The printed Weekly Edition of the Oakland Post: Week of – December 24 – 30, 2025
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Activism
Oakland Post: Week of December 17 – 23, 2025
The printed Weekly Edition of the Oakland Post: Week of – December 17 – 23, 2025
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Advice
COMMENTARY: If You Don’t Want Your ‘Black Card’ Revoked, Watch What You Bring to Holiday Dinners
From Thanksgiving to Christmas to New Year’s Day, whether it’s the dining room table or the bid whist (Spades? Uno, anyone?) table, your card may be in danger.
By Wanda Ravernell
Post Staff
From the fourth week of November to the first week in January, if you are of African descent, but particularly African American, certain violations of cultural etiquette will get your ‘Black card’ revoked.
From Thanksgiving to Christmas to New Year’s Day, whether it’s the dining room table or the bid whist (Spades? Uno, anyone?) table, your card may be in danger.
It could take until Super Bowl Sunday for reinstatement.
I don’t know much about the card table, but for years I was on probation by the ‘Aunties,’ the givers and takers of Black cards.
How I Got into Trouble
It was 1970-something and I was influenced by the health food movement that emerged from the hippie era. A vegetarian (which was then considered sacrilegious by most Black people I knew) prepared me a simple meal: grated cheese over steamed broccoli, lentils, and brown rice.
I introduced the broccoli dish at the Friday night supper with my aunt and grandfather. She pronounced the bright green broccoli undone, but she ate it. (I did not, of course, try brown rice on them.)
I knew that I would be allowed back in the kitchen when she attempted the dish, but the broccoli had been cooked to death. (Y’all remember when ALL vegetables, not just greens, were cooked to mush?)
My Black card, which had been revoked was then reattained because they ate what I prepared and imitated it.
Over the decades, various transgressions have become normalized. I remember when having a smoked turkey neck instead of a ham hock in collard greens was greeted with mumblings and murmurings at both the dining room and card tables. Then came vegan versions with just olive oil (What? No Crisco? No bacon, at least?) and garlic. And now my husband stir fries his collards in a wok.
But No Matter How Things Have Changed…
At holiday meals, there are assigned tasks. Uncle Jack chopped raw onions when needed. Uncle Buddy made the fruit salad for Easter. My mother brought the greens in winter, macaroni salad in summer. Aunt Deanie did the macaroni and cheese, and the great aunts, my deceased grandmother’s sisters, oversaw the preparation of the roast beef, turkey, and ham. My father, if he were present, did the carving.
These designations/assignments were binding agreements that could stand up in a court of law. Do not violate the law of assignments by bringing some other version of a tried-and-true dish, even if you call it a new ‘cheese and noodle item’ to ‘try out.’ The auntie lawgivers know what you are trying to do. It’s called a menu coup d’état, and they are not having it.
The time for experiments is in your own home: your spouse and kids are the Guinea pigs.
My mother’s variation of a classic that I detested from that Sunday to the present was adding crushed pineapple to mashed sweet potatoes. A relative stops by, tries it, and then it can be introduced as an add-on to the standard holiday menu.
My Aunt Vivian’s concoctions from Good Housekeeping or Ladies’ Home Journal magazine also made it to the Black people’s tables all over the country in the form of a green bean casserole.
What Not to Do and How Did It Cross Your Mind?
People are, of all things holy, preparing mac ‘n’ cheese with so much sugar it tastes like custard with noodles in it.
Also showing up in the wrong places: raisins. Raisins have been reported in the stuffing (makes no sense unless it’s in a ‘sweet meats’ dish), in a pan of corn bread, and – heresy in the Black kitchen – the MAC ‘n’ CHEESE.
These are not mere allegations: There is photographic evidence of these Black card violations, but I don’t want to defame witnesses who remained present at the scene of the crimes.
The cook – bless his/her heart – was probably well-meaning, if ignorant. Maybe they got the idea from a social media influencer, much like Aunt Viv got recipes from magazines.
Thankfully, a long-winded blessing of the food at the table can give the wary attendee time to locate the oddity’s place on the table and plan accordingly.
But who knows? Innovation always prevails, for, as the old folks say, ‘waste makes want.’ What if the leftovers were cut up, dipped in breadcrumbs and deep fried? The next day, that dish might make it to the TV tray by the card table.
An older cousin – on her way to being an Auntie – in her bonnet, leggings, T-shirt, and bunny slippers and too tired to object, might try it and like it….
And if she ‘rubs your head’ after eating it, the new dish might be a winner and (Whew!) everybody, thanks God, keeps their Black cards.
Until the next time.
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