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Louisiana teachers' union concerned about educators' future; Supreme Court hears arguments in Trump immunity case; court issues restraining order against fracking waste-storage facility; landmark NE agreement takes a proactive approach to CO2 pipeline risks.

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Speaker Johnson accuses demonstrating students of getting support from Hamas. TikTok says it'll challenge the ban. And the Supreme Court dives into the gray area between abortion and pregnancy healthcare, and into former President Trump's broad immunity claims.

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The urban-rural death divide is widening for working-age Americans, many home internet connections established for rural students during COVID have been broken, and a new federal rule aims to put the "public" back in public lands.

Survey: Older SD Voters Want State to Expand Medicaid

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Wednesday, January 5, 2022   

A coalition working to expand Medicaid in South Dakota this week announced petitions have been approved to get the question onto the fall ballot - and new polling suggests registered voters around the state are likely to vote "yes."

In the new AARP poll, eight in 10 South Dakotans age 50 and older say they support the idea. Overall, 65% of respondents said they're likely to back that up with a "yes" vote. AARP South Dakota diector Erik Gaikowski said support is found among people of all political leanings, and added that they don't want to see federal tax dollars keep going to states that already have expanded -- "$1.3 billion in tax dollars that we want to bring back to South Dakota to expand Medicaid, rather than going to a New York, a California or North Dakota."

Incentives for expansion were first offered under the Affordable Care Act, with the federal government covering most of the costs. Twelve states have yet to expand their Medicaid programs. Cost concerns about what states could have to pay are common in these debates, but supporters say that money is already spent in other ways, including for uncompensated health care.

In South Dakota, some state lawmakers are pushing to raise the approval threshold for ballot questions. Even if they succeed, Gaikowski said he feels the poll results show that wouldn't be a major obstacle. He added that Medicaid expansion would come at a critical time for health-care systems.

"We know that 14 rural health-care systems are in danger of closing in South Dakota," he said. "By passing Medicaid expansion, those those rural healthcare systems are likely not going to close."

The closure warning comes from a national group that monitors the status of rural health systems. AARP said the poll was conducted last fall, and reached 1,000 registered voters across the state. The coalition behind the ballot initiative says an expansion would provide health coverage to 40,000 more South Dakotans, and the federal government would cover 90% of expansion costs.

Disclosure: AARP South Dakota contributes to our fund for reporting on Health Issues, Senior Issues. If you would like to help support news in the public interest, click here.


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