Mich. Senate prepares to vote on Medicaid expansion Updated: Thursday, August 22, 2013 KALAMAZOO, Mich. (NEWSCHANNEL 3) - Five days from now--next Tuesday--the Michigan Senate will vote on expanding Medicaid to offer health insurance to some 470,000 state residents--most of them from working families who hover just above the poverty line.Tonight, in Tom's Corner, Tom Van Howe says anything but a 'yes' vote means the people we've elected to office are more concerned with petty politics than the health and welfare of the people they represent.=====================There are lots of people who don't like Obamacare. I get it. Its confusing. Its got thousands of pages that few will ever read or fully understand. It focuses on how we're going to pay instead of why everything costs so much. And as a result many of us worry about where all the money is going to come from.But there are nearly a half-million well-intentioned people in our state who don't have health care. Usually because their employers don't offer it, and always because they can't afford it on their own.As a result, when they get sick they wind up going to absurdly expensive hospital emergency rooms for medical care. Think about it. A single bill from a single visit to an ER is likely to be more than a month's rent.They are bills that are most likely not going to be paid.Why not?Because in this country we offer the most expensive health care in the world and those individuals and families simply can't afford to pay them. If they aren't part of an insurance plan, in a classic of upside-down logic, they usually get charged even more.And it isn't as though all these costs just magically disappear. In one way or another, they do get paid.But they get paid by businesses, taxpayers, and people who do have health care. The same people who see their premiums rise by double digits each and every year.Hospitals, who provide just short of a billion dollars worth of indigent health care a year, absorb some of it, but do their best also to pass it on to paying customers.And did I mention that roughly 65 percent of all bankruptcies in this country are healthcare related?So along comes the federal government to say to states, 'Tell you what...if you expand your Medicaid coverage to include those who live just above the poverty line (the ones we're talking about here) we'll pick up the cost—all of it—for the next four years. After that we'll pick up 90 percent of it.Sounds like a no-brainer.But here's the rub. It's part of the Affordable Care Act—the dreaded Obamacare. And in a number of states where there are Republican-dominated governments, Michigan among them, to accept medicaid expansion is to somehow endorse and give victory to President Obama himself.A political position that does little for the 15,000 in kalamazoo county who pray they don't get sick.It's a position that has outraged Governor Snyder—who to his credit has been out campaigning for it.He says, matter-of-factly, whether you like Obamacare or not, it is the law of the land, and that with each day that goes by, Michigan is losing money.His colleague, New Jersey Governor Chris Christie, who faced the same problem, is one of the few Republican Governors in the country who successfully lobbied for extended medicare."Let me be clear," he said. "I am no fan of the Affordable Care Act. I think it is wrong for New Jersey and for America. I fought against it and believe in the long run it will not achieve what it promises. However—it is the law of the land. I will make all my judgments as Governor based on what is best for New Jersey."Gov. Snyder is essentially making the same argument. And its time for the Senate to put away its petty ideological differences, listen to what he's saying, and get on board.Five more days.In this corner...I'm Tom Van Howe.