The Mid-terms, Medicaid Expansion in North Carolina, and Other Issues

October 17, 2022, Raleigh, NC—Now in mid-October, 2022, the mid-term elections are fast approaching, here in the United States. Control of Congress in Washington, DC is up for grabs, and here in North Carolina, the questions are who will be the next Senator to represent the State, and who will control the NC State legislature? Will the rest of Governor Roy Cooper’s (Dem.) agenda be passed, most notably, Medicaid expansion, or will the voters hand over the State legislature, once again, to the incumbent party in control, the Republicans, and thus put the ka-bash on any hopes of further progressive politics passing into the next term?

Last I checked in on this blog, Medicaid expansion in North Carolina looked likely. Despite the Democratic Governor’s repeated calls to enact it, however, the Republican legislative leaders have failed to do so. Although it looked promising one year ago, agreement proved elusive, and no action has been taken. Instead, enactment of the progressive change that would expand access to healthcare in North Carolina to the working poor has failed. The effort became caught up in a bureaucratic pitfall called the Certificate of Need (CON) law in North Carolina, which governs how much healthcare providers are legally allowed to provide. When reforming the CON laws failed, so did Medicaid expansion.

Now, it’s the election. If voters care enough about insurance for the working poor, or about 500,000 people across North Carolina, then they will vote Democratic for the State legislature. Otherwise, our current stalemate will continue, most likely, and Medicaid expansion will not happen, not anytime in the near future. Now, it is up to the voters to decide.

For this reason alone, I would argue, people in North Carolina should vote by party affiliation, and award the Democratic Party control of the NC State legislature. Election Day is Tuesday, November 8th. By Wednesday, November 9th, we should all know who controls the State legislature here in Raleigh, North Carolina. As it currently stands, the outcome of that vote will determine the fate of what remains of Gov. Cooper’s agenda, and whether Medicaid coverage is offered to the working poor in North Carolina, or whether they will continue to be denied coverage, and thereby denied access to quality healthcare.

Another big race at stake in the election this year is for the next Senator of the State of North Carolina. Will it be the Democrat, Cheri Beasley, or the Republican, Ted Budd? Recent polls show the race is neck-and-neck, with Ted Budd holding a slight advantage, as the two candidates approach the finish line in this race (News and Observer, 10/9/2022, p. 18A). This race is one of the closely-watched races in this country that will decide which party controls the U.S. Senate. Since Roe vs. Wade was overturned recently by the U.S. Supreme Court, it is worth noting, also, that Beasley is pro-choice, and Budd is pro-life.

I endorse the Democrat, Cheri Beasley. I hope she wins this close race here in North Carolina, and I hope the Democratic Party retains control of the U.S. Senate, and in fact, both chambers of Congress in Washington, DC. Again, the vote is Tuesday, November 8th. We should know the honest results, statewide and nationally, soon thereafter.

I should take one step back from partisan politics, at this time, however. The war in Ukraine drags on. Thankfully, although the U.S. has been providing weapons for Ukraine, the U.S. itself is not directly involved in the war against Russia. That is good. I still believe, however, this is a war of Russian imperialism and Russian aggression against the sovereign nation of Ukraine, and I stand by the Ukrainian people’s right to defend themselves and their country. It is a question, for me, of the principle of the self-determination of peoples. Ukraine has the moral high-ground on this one, to my way of looking at it, no questions asked. I think President Joe Biden is handling the situation well.

That said, I continue to call for peace in the Ukraine, concerning all sides. This war in Ukraine between Russia and the Ukraine has proved devastating and tragic so far to the Ukrainian people. I call on all parties involved to engage in peace talks and end this war, immediately. Unfortunately, that prospect seems unlikely, at this time, but that is what I think should happen.

One promising note in the United States has been the overwhelming, if not quite unanimous, bi-partisan support for Ukraine in this war. It is good to see the two parties in Washington working together, when necessary.

Also, it is good to see the two parties coming together for the clean-up and recovery effort in Florida, which was hit so hard recently by Hurricane Ian. President Biden and Florida Governor Ron DeSantis (Republican) should be given credit for their bi-partisan support for the recovery effort in Florida.

Although it is crucial to vote in the mid-term election this November, only a few weeks away, it is good to remember that the two parties can work together when it comes to a national priority, such as the war in Ukraine, or a national emergency, such as for the recovery effort from Hurricane Ian, especially in Florida.

—Nicholas Patti

Raleigh, NC



Additional sources:

This blog:  post, 2/22/2022; post, 12/5/2021.

News and Observer, Raleigh, NC:  10/9/2022, pp. 18A, 1, 4A-7A, 12A; 10/4/2022, p. 8A; 9/25/2022, p. 18A; 9/18/2022, p. 13B; 10/10/2022, p. 8A; 10/12/2022, p. 6B.

New York Times, 10/14/2022, pp. 1, A6.

WRAL news, Raleigh, NC, television; ABC news, national, evening, television; National Public Radio (NPR), news, radio.

graphic credit:

North Carolina stamp: © Gagarych |


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