Before the 2014 Legislative session, the South Dakota Association of Healthcare Organizations had two University of Nebraska–Kearney profs study the potential impacts of Medicaid expansion in South Dakota. Today the South Dakota Budget and Policy Project finally posted that December 15, 2013 study online.

Professors Allan Jenkins and Ron Konecny estimate it would cost South Dakota $157 million over ten years to expand Medicaid under the terms of the Affordable Care Act. In return, Jenkins and Konecny estimate South Dakota would receive the following direct economic benefits:

Jenkins & Konecny, SDAHO, 2013.12.15, p. iv

Jenkins & Konecny, SDAHO, 2013.12.15, p. iv

For every dollar we'd spend expanding Medicaid, we'd get $9.81 back. Our state economy would net $1.383 billion.

Someone, anyone, tell me why we say no to $1.383 billion.

Plus we help sick and injured neighbors get well.

Jenkins and Konecny calculate that for every $100 million of federal funds injected into our economy, we get 2,131 jobs, $75 million more in labor income, and $5.7 million more in local tax revenue. Multiply all of that by 14. 29,500 jobs. Holy cow: Mike Rounds brags about creating more than 28,000 jobs during his eight years as Governor through all of his policies combined. Dennis Daugaard could beat that job number with one policy decision that costs South Dakota pennies on the dollar. Dennis Daugaard could be a job-creating hero.

Plus we help sick and injured neighbors get well.

Jenkins and Konecny note that the Affordable Care Act funds the Medicaid expansion in part via "the national reduction in Medicare reimbursement for healthcare providers." South Dakota doctors already eat that cut, regardless of what we do on Medicaid. As Larry Pressler said yesterday, the ACA is not going away. Therefore, it only makes economic sense to recoup some of those reductions by expanding Medicaid.

Plus we help sick and injured neighbors get well.

Read the report. Look at the experience of North Dakota and other states expanding Medicaid under the Affordable Care Act. Then tell me why you vote for anyone other than Rick Weiland, Joe Lowe, and Democrats who recognize that the Affordable Care Act is good policy that's good for our economy... and helps sick and injured neighbors get well.