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
OPINION: “My Girl,” The Temptations, and Nikki Giovanni
Giovanni was probably one of the most famous young African American women in the 1960s, known for her fiery poetry. But even that description is tame. The New York Times obit headline practically buried her historical impact: “Nikki Giovanni, Poet Who Wrote of Black Joy, Dies at 81.” That doesn’t begin to touch the fire of Giovanni’s work through her lifetime.
By Emil Guillermo
The Temptations, the harmonizing, singing dancing man-group of your OG youth, were on “The Today Show,” earlier this week.
There were some new members, no David Ruffin. But Otis Williams, 83, was there still crooning and preening, leading the group’s 60th anniversary performance of “My Girl.”
When I first heard “My Girl,” I got it.
I was 9 and had a crush on Julie Satterfield, with the braided ponytails in my catechism class. Unfortunately, she did not become my girl.
But that song was always a special bridge in my life. In college, I was a member of a practically all-White, all-male club that mirrored the demographics at that university. At the parties, the song of choice was “My Girl.”
Which is odd, because the party was 98% men.
The organization is a little better now, with women, people of color and LGBTQ+, but back in the 70s, the Tempts music was the only thing that integrated that club.
POETRY’S “MY GIRL”
The song’s anniversary took me by surprise. But not as much as the death of Nikki Giovanni.
Giovanni was probably one of the most famous young African American women in the 1960s, known for her fiery poetry. But even that description is tame.
The New York Times obit headline practically buried her historical impact: “Nikki Giovanni, Poet Who Wrote of Black Joy, Dies at 81.”
That doesn’t begin to touch the fire of Giovanni’s work through her lifetime.
I’ll always see her as the Black female voice that broke through the silence of good enough. In 1968, when cities were burning all across America, Giovanni was the militant female voice of a revolution.
Her “The True Import of Present Dialogue: Black vs. Negro,” is the historical record of racial anger as literature from the opening lines.
It reads profane and violent, shockingly so then. These days, it may seem tamer than rap music.
But it’s jarring and pulls no punches. It protests Vietnam, and what Black men were asked to do for their country.
“We kill in Viet Nam,” she wrote. “We kill for UN & NATO & SEATO & US.”
Written in 1968, it was a poem that spoke to the militancy and activism of the times. And she explained herself in a follow up, “My Poem.”
“I am 25 years old, Black female poet,” she wrote referring to her earlier controversial poem. “If they kill me. It won’t stop the revolution.”
Giovanni wrote more poetry and children’s books. She taught at Rutgers, then later Virginia Tech where she followed her fellow professor who would become her spouse, Virginia C. Fowler.
Since Giovanni’s death, I’ve read through her poetry, from what made her famous, to her later poems that revealed her humanity and compassion for all of life.
In “Allowables,” she writes of finding a spider on a book, then killing it.
And she scared me
And I smashed her
I don’t think
I’m allowed
To kill something
Because I am
Frightened
For Giovanni, her soul was in her poetry, and the revolution was her evolution.
About the Author
Emil Guillermo is a journalist, commentator, and solo performer. Join him at www.patreon.com/emilamok
Activism
In addition to his work with the NAACP, Rick Callender is the Chief Executive Officer (CEO) of Valley Water in San Jose. In that role, he oversees an integrated water resources system with functions that include managing the supply of clean, safe water; instituting flood protections; and handling environmental stewardship of waterways for Santa Clara County’s 1.9 million residents.
By Edward Henderson, California Black Media
Rick L. Callender holds multiple influential roles. He is the President of the California/Hawaii State Conference of the NAACP (Cal-HI NAACP) and serves on the National NAACP Board of Directors.
Under his leadership, Cal-HI NAACP operates 74 branches and youth units across the state to push initiatives focused on racial justice and equality.
In addition to his work with the NAACP, Callender is the Chief Executive Officer (CEO) of Valley Water in San Jose. In that role, he oversees an integrated water resources system with functions that include managing the supply of clean, safe water; instituting flood protections; and handling environmental stewardship of waterways for Santa Clara County’s 1.9 million residents.
Recently, California Black Media (CBM) interviewed Callender. He reflected on the organization’s accomplishments, challenges they have faced, lessons learned this year, and goals moving forward.
Responses have been edited for length and clarity.
Looking back at 2024, what stands out to you as your most important achievement and why?
One of the things I’m most proud of is the support of policy changes related to the Ebony Alert, which went into place this year. That legislation ensured that Black girls and missing Black women would have their own alert. Often, when they go missing you don’t hear about it for weeks later.
How did your leadership and investments contribute to improving the lives of Black Californians?
It’s not my leadership, it’s the NAACP’s leadership. We’ve helped with legal consultations. Often, when you have something that occurs to you, some people can’t afford a legal consultation. We’ve cleared that hurdle for folks, so they don’t have to worry about the fee.
What frustrated you the most over the last year?
The pullback of a commitment to our community and the pullback from corporations on financing DEI initiatives, equity and civil rights. People have tried to make DEI sound like a salacious word. When you see these funds disappear, it’s because people erroneously think that they promote racism.
What inspired you the most over the last year?
The resilience and the determination of our youth. The youth have always led — not only the civil rights movement — but they have been the ones who will always be willing to step up.
It’s seeing a new Black leadership step up and being able to continue to fight.
What is one lesson you learned in 2024 that will inform your decision-making next year?
This is one thing: we can’t get distracted. We have to stay focused.
In one word, what is the biggest challenge Black Californians face?
Equity. Put anything in front of the word equity, and that’s what we face, from educational equity, criminal justice equity. Equity as it deals with economics. And just being able to make sure that we have the access to do what we need to do.
What is the goal you want to achieve most in 2025?
Staying focused on organizing around elections – and winning.
Activism
COMMENTARY: Will a Dictator’s Loss Change Trump’s Tune?
What’s happened in Syria has the potential of reshaping the politics of the entire Middle East. The U.S. can’t afford to sit back and do nothing. Now is the time to exert peaceful, diplomatic influence on how Syria maintains stability and goes forward with a new democracy.
By Emil Guillermo
In our polarized country, half of America can’t wait, while many of us still wonder, “where’s Kamala?”
I hope President-elect Trump — who famously said during the campaign that he’d be a dictator on day one — eats his words.
Dictators aren’t doing so well these days.
Last weekend, the dictator Bashar al-Assad was run out of Syria and sought exile with his puppet master/dictator Vladimir Putin of Russia. In just about two weeks, a coalition of rebels applied enough pressure to end a family regime in Syria that lasted 50 years.
al-Assad’s wealthy family dictatorship plundered Syria and ruled in terror.
It sounds all too familiar to Filipino Americans, many of whom came to the U.S. fleeing the Philippine dictator Ferdinand Marcos.
al-Assad’s end was different from the Filipinos who forged a peaceful People Power movement that chased the Marcos family to Hawaii where they sought refuge from their U.S. puppet handlers.
But as in Manila, there was cheering on the streets of Syria. Men, women, and children. Christian, Muslims, different sects and ethnicities, all united against al-Assad.
al-Assad has been described as a genocidal narco-trafficking tyrant, whose friends were America’s biggest enemies, Iran, Hezbollah, and Russia, said Mouaz Moustafa, the executive director of the Syrian Emergency Task Force, on CNN.
Moustafa said it was amazing that there would be no more Russian airstrikes, no more al-Assad gulags torturing civilians. “To see good triumph over evil is an amazing thing,” he added.
But last weekend has some trickle down.
Consider that we are talking about al-Assad, the one Tulsi Gabbard consorted with and hyped to her colleagues when she was in Congress. Now Assad has been shamed into exile with his puppet master Russia, and Gabbard wants to be the U.S. director of national security? Given her wrongheaded judgment on al-Assad, can she be trusted with any national secrets?
It’s still not over in Syria, as now there will be a scramble to see what kind of governing democracy emerges.
Predictably, Donald Trump has said, “The United States should have nothing to do with it. This is not our fight. Let it play out. Do not get involved.”
Nouveau isolationism?
What’s happened in Syria has the potential of reshaping the politics of the entire Middle East. The U.S. can’t afford to sit back and do nothing. Now is the time to exert peaceful, diplomatic influence on how Syria maintains stability and goes forward with a new democracy.
Overall, the ouster of the dictator should give Trump pause.
If by nominating MAGA loyalists like Gabbard, Pete Hegseth and Kash Patel, Trump’s testing the evolution to strongman rule in the U.S., he should consider what happened before last weekend.
In South Korea, a weak president tried to declare martial law and was voted down by Parliament. That’s a faux strongman.
Let’s hope Trump learns a lesson from the week’s news.
The next president sets the tone for a politics that’s already toxic.
He needs to remember the joy in Syria this week when an autocrat was dumped in the name of freedom and democracy.
About the Author
Emil Guillermo is an award-winning Bay Area journalist. His commentaries are on YouTube.com/@emilamok1. Or join him at www.patreon.com/emilamok
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