WE DON'T DO THIS for the accolades, but holy shit should you be thankful that we sat through a debate over Measure 101 so you donât have to.
As the President of the USA discovered, like, a week ago, health care is extremely complicated, and the folks pushing both sides of the debate over how Oregon should fund coverage for its poorest residents are doing nothing to solve that. State Rep. Cedric Haydenâone of Measure 101âs central opponents, a Roseburg Republican, and a dentistâsort of tried by bringing a hand-drawn chart to our endorsement interview. Your chart is garbage, Cedric. Everyone who touched it should wash their hands for an hour.
But as godawful as it is, Measure 101 is also extremely important. It will be the lone item on a ballot that will show up, unbidden and Jacob Marley-esque, at your front door any day now, and you should make absolutely sure you turn it in by the January 23 special election.
We think you should vote yes.
But first: Why are we voting on something in January? Because of sore feelings left over from the 2017 legislative session.
Youâll recall that state legislators were flummoxed in that session over a budget deficit of more than a billion dollars, a sizeable chunk of which came from health care. Basically, Oregon did the decent thing and (ham-handedly) expanded Medicaid coverage for poor citizens under the Affordable Care Act. But the federal government is no longer footing the bill for all of that, and we need to figure out how to cover the gap.
The strategy legislators landed on was to slap a 0.7 percent tax on large hospitals, and a 1.5 percent assessment on health insurance companies and other health care providers. Proponents expect these will raise $210 million to $320 million, enough to guarantee that more than 300,000 people whoâve benefited from Oregonâs health care expansion keep their insurance (and also help reduce premiums by giving health care providers more stability).
A cabal of Republican legislators is crying foul. Hayden, state Rep. Julie Parrish, and state Rep. Sal Esquivel were so incensed by the revenue package that they collected enough signatures to put it before voters.
A âYesâ on Measure 101 keeps the taxes in place. A âNoâ scraps them, with deeply uncertain outcomes for people covered by Medicaid.
Parrish is clearly passionate about this, even if much of her argument comes out as gobbledygook. She says the tax is unfair, and will fall on only a segment of consumersâincluding, potentially, teachers and college kidsâin the form of higher premiums, while leaving others harmless. She also darkly intones that shadowy corporate interests are at play, out to enrich themselves at the public trough.
Hayden agrees, and also believes the tax will raise far beyond whatâs needed to cover Oregonâs Medicaid recipients. When it does, he says, the legislature will swoop in and plunder the fund for other purposes (proponents say thatâs impossible).
Most specious of allâand with little more than innuendo to back up their claimâParrish and Hayden say not a single Oregonian would lose health care coverage if the taxes didnât go into effect.
Proponents, who include social service providers, labor unions, hospital groups, and more than 100 other organizations, say Parrish and Hayden are wrong. They bring up the housing crisis thatâs put more people on Portlandâs streets and the opioid epidemic surging through the state, and say that rolling back Medicaid protections for hundreds of thousands of kids and working poor will take us in the wrong direction.
In the end, weâre forced to agree. So often in Oregon, revenue mechanisms for worthy aims are shot down for being imperfect. (Measure 97, anyone?) Well, this isnât perfect. Parrish and Hayden are right that these two-year taxes fall on only a segment of the populace. And theyâre right to point out weâll be forced into a similar conversation in two years, when federal coverage of Oregonâs Medicaid program diminishes again.
But we simply canât look at whatâs happening outside of our Old Town office doors and in Washington DC and think that rolling back coverage on hundreds of thousands of vulnerable Oregonians is an acceptable option. Andâother than saying they âbelieveâ they can come up with a solutionâParrish and Hayden give us absolutely no confidence that legislators will be able to plug the massive budget hole that results from a ânoâ vote in the short legislative session that begins in February.
For these reasons, we say âyesâ on Measure 101. You should, too.
You can drop your ballot at one of many available sitesâincluding all librariesâcountywide. Ballots need to be in by 8 pm on January 23. Here's the list. And here's a map:







