Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Thursday, November 19, 2015

OPINION: Kentuckians on Medicaid voted against their own interests, and the Democratic base wasn't motivated

By Cheyene Miller
University of Kentucky School of Journalism and Telecommunications

Back in 2004, journalist and historian Thomas Frank wrote the political book “What’s the Matter with Kansas?”

Frank explores a political landscape historically dominated by left-wing [opulist movements, until conservatives started using social issues like abortion and gay marriage to appeal to the working class.

In doing so, Republicans were able to sway middle class and low-income citizens to vote against their own economic interests.

He argues the political discourse in America’s heartland has moved from discussion of economic mobility and opportunity to culture war issues, which are based in perceived anger toward “liberal elites.” Eleven years later, Kentucky has become the new face of this phenomenon.

Prior to the Nov. 3 gubernatorial election, Kentucky was known as the only Southern state where Democrats dominate most levels of government. But with Republican candidate Matt Bevin’s victory over Democrat Jack Conway, Kentucky might be the new Kansas.

During the campaign Bevin spoke against raising the minimum wage, advocated dismantling the state’s online insurance market Kynect, and posited restructuring the Medicaid expansion. And yet Bevin’s largest amount of support came from the most impoverished areas of the state which have high numbers of Medicaid recipients.

Polls consistently had Conway ahead of Bevin throughout the race, and yet Bevin defeated Conway by nearly nine percentage points. Political experts have suggested several reasons for how this happened, such as low interest among Democratic voters and conservatives being less likely to participate in polls.

Another likely reason is that religious conservatives, which make up a huge voting community in Kentucky, were motivated by the situation surrounding Rowan County Clerk Kim Davis.

The escapade involving Davis and her refusal to issue marriage licenses in wake of the U.S. Supreme Court’s decision to legalize same-sex marriage received national attention, and Bevin showed support for Davis’ cause, turning a relatively insignificant issue into a culture war issue on which many conservatives base their votes.

Bevin’s victory should serve as a wakeup call to those on the left and even the center. The Democratic base was not motivated in this election, and the party paid the ultimate political price on Election Day. Regardless of whether or not they are justified in their sentiment, much of working class America is angry, and Republicans have proven to be more capable of capitalizing on the emotions of the citizenry and turning them into victories.

Cheyene Miller is the managing editor of the Kentucky Kernel, for which he wrote this column. It also appears at http://kykernel.com/2015/11/19/kentuckians-voted-against-their-own-interests/.

Tuesday, November 3, 2015

For many at one Lexington poll, the choice was between an experienced officeholder and a shake-it-up outsider

By Al Cross
University of Kentucky School of Journalism and Telecommunications

For many voters at the polls at St. Luke’s United Methodist Church at Alumni Drive and New Circle Road in Lexington, the choice in today's election for governor was between an experienced politician who knows how to get things done in Frankfort and an outsider who wants to shake it up.

“I didn’t feel like we had much of a choice, but I thought we needed a change,” said Mary Lynne Lovingood, 66, a retired chemistry teacher who voted for Republican Matt Bevin. “I’m tired of the atmosphere of everything.”

Several voters said they favored Democratic Attorney General Jack Conway because of his eight years as attorney general.

“I feel like Conway can do a better job because he is a Kentucky guy who’s been in politics for a while,” said Paul Jenkins, 48, a registered Republican who has a small manufacturing company.

Retired architect Michael Schenck, 65, said Bevin “seems to be smarter” than Conway “but he doesn’t have the experience. . . . I don’t know how much support he would have in Frankfort.” Schenck said he typically votes Democratic.

Therapist and yoga instructor Toni Reiss, 63, who described herself as an independent Democrat, said she voted for Conway because she didn’t think Bevin “has the interests of the everyday people in mind” because of his positions on education and health care, “which is what we pay our taxes for.” Also, she said, “He seems to be quick-tempered, not one prone to conversations and problem-solving through shared ideas.”

Some voters said they couldn’t trust Bevin. Veterinarian Patricia Davis, 31, said she mostly votes Democratic and didn’t consider Bevin because “I don’t find him trustworthy at all for a governor.”

Pamela Mathis-yon, 73,a retired family therapist who said she is a registered Democrat but “sort of a Republican,” said she couldn’t vote for Bevin because he hasn’t always paid his taxes on time. “Anybody that doesn’t pay their taxes . . . that totally turned me off.”

However, the tax questions didn’t bother retired bookkeeper Sheila Hein, 74. “I got so tired of hearing about the tax thing,” she said. “If you’re in business, you always pay the penalty and pay your taxes late.”

Hein said she was going to vote for Conway but “He started getting smirky” and “I couldn’t take those negative ads anymore.”

Her husband, Republican and retired tire dealer Bernard Hein, 73, said he voted for Bevin because “Conway crucified him” and didn’t say enough good about his own record.

C.R. Gash, 40, said he usually votes Democratic but voted for Bevin because the Democratic administration of Gov. Steve Beshear forced him to increase wages of his home-health employees. He said he was planning to vote for independent Drew Curtis, but didn’t want to waste his vote. “I’ll probably vote Democratic next time, because it’ll swing too far to the right and I’ll say, ‘Why did I do that?””

Curtis drew some votes from people unhappy with the political system or the other candidates.

“I didn’t like either one of the other two. I thought they were both liars,” said Mark Williamson, 46, a retired jail worker. If he hadn’t chosen Curtis, Williamson said, he would have voted for Bevin “because I don’t like Obama.” He said that while Obama won’t be in office much longer, “I believe Obamacare is going to be short-lived.” He said the president is the biggest issue for him: “Obama’s an idiot.”


Saturday, October 31, 2015

Here are the candidates' positions on several issues

This post may be updated with summaries of other issues.

ECONOMY
     Democrat Jack Conway and Republican Matt Bevin's economic positions adhere in large part to party orthodoxies. Bevin plans to make the Bluegrass more competitive by passing "right to work" legislation, which would outlaw labor contracts that require workers to pay union dues or fees. Conway's plan to bring more jobs to Kentucky primarily focuses on education. He plans to align job-training programs to the needs of employers and plans to work with schools to improve graduation rates. Conway wants an increase in the minimum wage to $10.10 an hour. Bevin opposes that idea, and his running mate, Jenean Hampton, said an increase to minimum wage would be "disastrous." Independent Drew Curtis favors the increase and says he will look at policies in other states and bring the successful ones to Kentucky, hoping to bring a "tech boom" to the Bluegrass by focusing on technology training. –Ben Johnson

EDUCATION
     Republican Matt Bevin says Kentucky needs to back out of the nationally adopted State Common Core Standards because they “doesn’t adequately address the diverse needs” of the state. Bevin also wants to guarantee school choice, including charter schools and tax credits for private education, and has said families who home-school their children should have access to the same public amenities provided to kids who attend state-funded schools. He favors outcomes-based funding for higher education, with emphasis on producing degrees that will help the economy.
     Democrat Jack Conway wants to expand early childhood education, first to 3- and 4-year-olds in homes with incomes up to 138 percent of the poverty level, with a goal of 200 percent. He supports Common Core and opposes charter schools and tax credits for private education. He says he would look at outcomes-based funding but wants to maintain a level playing field for universities.
     Independent Drew Curtis wants to expand early-college programs in high schools and says a budget cut to education is one of the last things he would recommend. However, he also says solving Kentucky’s pension problem is one of his first priorities, so education funding issues would have to wait at least a year. –Kevin Erpenbeck

DRUGS
     Drug abuse is a growing problem for Kentucky, which has the nation’s third highest death rate from drug overdoses.  The number of heroin overdoses has tripled in the last three years alone. There are limited treatment options available, with only one-tenth of the treatment beds needed. Here is how the three candidates for governor say they will deal with that problem:
     Democrat Jack Conway notes his history of fighting drugs as attorney general. He supports the local-option needle exchange program and calls for more education and treatment but has yet to provide a solution on how he will pay for that. He opposes legalizing marijuana for medical purposes and says people on Medicaid should be tested for drugs only with probable cause.
     Republican Matt Bevin says he would randomly drug-test Medicaid recipients but otherwise has talked less about the state’s drug abuse crisis than Conway. He says the key is intervening earlier and creating better economic opportunity. He says the state spends too little on behavioral health and supports legalizing marijuana for medical purposes.
     Independent candidate Drew Curtis supports decriminalizing addiction. He suggests copying Massachusetts’ program on tackling opiate addiction if it proves successful. –Megan Ingros

GAMBLING
     Expanded gambling, an issue that could have an impact on the state’s economy budget, is viewed with differently by all three candidates but isn’t a strong point of focus for any of them.
     Democrat Jack Conway favors a referendum on the issue and says the time could be right for it, to create revenue for the horse racing industry, pensions and early childhood education, since bond-rating agencies have said the state needs a dedicated revenue stream to shore up its pensions.
     Republican Matt Bevin stands on the opposite end of the spectrum. During an Oct. 6 debate, he rejected gambling as a possible solution to any of Kentucky’s problems. “I don’t think it’s the solution to what ails us financially in this state,” he said.
     Independent candidate Drew Curtis stands right in the middle. While not much more enthralled by the idea of expanded gambling than Bevin, he hasn’t been willing to completely dismiss it just yet. “Our pension system is in dire shape, so we must consider all options,” Curtis told WFPL Radio. –Jerry Seale

HEALTH CARE AND INSURANCE
     In regard to Medicaid, the federal-and-state-funded health insurance for lower-income people, Democrat Jack Conway wants to stay where we are right now and Republican Matt Bevin does not.
     Conway wants to keep the Kynect health-insurance marketplace and the expansion of Medicaid to people with incomes up to 138 percent of the federal poverty line, saying he believes the state-funded study that shows the expansion is paying for itself by adding so many people to the health-care system that enough jobs and tax revenue will be created to cover the state’s cost – starting at 5 percent in 2017 and rising to the federal health reform law’s limit of 10 percent in 2020.
     Bevin scoffs at the study, saying the expansion is unsustainable, and says he would apply for a federal waiver to change it to a program in which some people pay premiums, co-payments, deductibles or health savings accounts. He also wants to use the federal exchange and abolish Kynect, which is funded by a 1 percent fee on all health-insurance policies sold in the state. The federal exchange charges 3.5 percent on policies it sells.
     Independent candidate Drew Curtis is against abolishing Kynect and wants to stand and watch what happens with the Medicaid expansion. He says it seems likely to pay for itself in the near term. –Lauren Allen

SMOKING BAN
     Democrat Jack Conway favors a statewide ban on smoking in public places. Republican Matt Bevin says local communities should decide the issue for themselves. Independent candidate Drew Curtis favors a ban that exempts cigar bars and other establishments related to smoking. –Al Cross

TAXES
     Republican Matt Bevin calls for comprehensive tax reform that includes reduced income-tax rates on businesses and individuals and repeal of inheritance and inventory taxes.
     Democrat Jack Conway endorses bipartisan tax reform that would not increase overall revenue. He has called for ending the inventory tax.
     Independent Drew Curtis wants to change income-tax brackets to percentages of income, not dollar amounts, to adjust to inflation, and supports "an across-the-board reduction in exemptions, with the goal to elimimnate as many as possible over the next decade." –Al Cross 

Tuesday, October 27, 2015

Nominees for governor differ greatly on issues, personality

By Cheyene Miller
University of Kentucky School of Journalism and Telecommunications

One candidate’s wonkiness and the other’s confrontational personality, and their stark differences on some issues, have culminated in a virtual toss-up in the Nov. 3 election for governor.

Democrat Jack Conway and Republican Matt Bevin differ greatly in their stances on the race’s hottest issues, including the state’s crumbling pension system, the Medicaid expansion under federal health reform and the state’s education system, which makes up more than half the state budget.

Regarding the underfunded pension system, Bevin touts his experience as a businessman, managing pensions and making payroll.

He has advocated moving new state workers to a 401(k) style system and offering current workers the opportunity to join the system, which the legislature recently changed to save money.

Bevin said during Monday’s KET debate, “We’re not really solving the problem at all,” partly because the estimated rate of return on investments is too optimistic.

Conway has said implementing such a system would actually cost the state $8 billion more in the first 15 years, since new hires are helping to pay current benefits. He has more or less advocated keeping the revised system in place, saying the state can meet its immediate obligations because it has a $219 million surplus.

“I think we can make it. I think that’s manageable,” Conway said in the debate.

Conway has said that moving teachers to a 401(k) style system would be “absolutely off the table” because they do not participate in Social Security, which would be their safety net should the 401(k) investments fall short. Bevin has said he would apply for a waiver to let teachers participate in Social Security without the state and schools making the employer match.

On the Medicaid expansion, which has extended health coverage to about 400,000 Kentuckians, Conway favors keeping it, as well as sustaining Kynect, the state’s health-insurance market that has about 100,000 Kentuckians in private plans. Bevin wants to abolish Kynect and use the federal exchange.

Bevin said in February he would immediately reverse the Medicaid expansion upon taking office, but later denied saying that. Since July he has said he would seek a federal waiver to convert to a system like Indiana’s, where Medicaid beneficiaries pay higher premiums to receive better benefits, as well as co-payments.

“I don’t care if it’s a dollar or two dollars,” Bevin said in the KET debate. “People should have skin in the game.” Conway said in the debate that the Indiana program keeps people from getting coverage.

Bevin says the expansion is not sustainable, but Conway cites a state-funded study predicting that it will pay for itself by generating health-care jobs and tax revenue. He acknowledged during the debate that his administration would be challenged to prove that.

Conway has focused his campaign heavily on education, especially advocating more funding for early childhood education, citing research that shows 90 percent of brain development happens by age 5.  He has also shown openness to restoring some of the funding cut from higher education.

Bevin has questioned the effectiveness of Head Start and called for tax vouchers to support private education, which Conway opposes. Bevin says he would use “outcomes-based funding” to encourage more graduates in science, technology, engineering and math. Conway said on Monday’s debate that he would consider such an approach but wants a “level playing field” for universities.

Both candidates have touted their ability to improve the state’s economy, albeit through different methods.

Bevin says that the pension system is the top economic priority and calls for making Kentucky a right-to-work state because states that border Kentucky have the law that bans requirements to pay union dues or fees.

Conway opposes right-to-work and supports raising Kentucky’s minimum wage to $10.10 an hour over a three year period.  Bevin’s opposes raising the minimum wage, now $7.25 an hour.

 “I’m the only one sitting here who’s ever created a job,” the Louisville businessman said in the KET debate and on numerous other occasions.

Conway has noted that he is the only candidate who has run a government agency, and accused Bevin of not knowing how government works.

Television commercials supporting Conway have used many of the largely disproven attacks on Bevin that U.S. Sen. Mitch McConnell used to beat him in last year’s Senate primary. In debates, Bevin has repeatedly accused Conway of lying about him.

In the last few days Bevin has increased his effort to associate Conway with President Obama, who is unpopular in the state. Conway has noted that he was the only Democratic attorney general to sue the Obama administration for its anti-coal regulations.

Independent candidate Drew Curtis is also on Tuesday’s ballot.

Cheyene Miller of London is a journalism senior at the University of Kentucky. He wrote this story for Covering the Governor’s Race, a course taught by Associate Professor Al Cross and Journalist-in-Residence John Winn Miller.

Monday, October 26, 2015

ANALYSIS: Republican Governors Association re-enters ad fray, again trying to tie Conway to Obama



By Matthew Young
University of Kentucky School of Journalism and Telecommunications

The Republican Governors Association is back, and in a big way: $1.6 million big. After spending $2.6 million in the governor's race on ads in the summer and early fall, the RGA pulled its support for Republican candidate Matt Bevin at the end of September. While no official reason was given, it left Bevin, who has a huge fundraising deficit in his race with Democrat Jack Conway, alone in a race where he needs help. After Bevin spent almost $1 million of his own money on ads and was unable to gain any ground in the polls, the RGA stepped back in. In a race that has generated little public interest, the RGA is hoping it can tip the scales toward Bevin in the last two weeks by connecting Conway to Obama.

Ad message
A new ad, called “Trust” is set in black and white, while gloomy string music plays in the background. The top of the screen shows families and workers struggling to make due. It begins by saying: “Our families are struggling, healthcare costs have skyrocketed, too many jobs have been lost, our paychecks seem smaller while career politicians make government bigger.” The bottom of the screen is split with a black and white portrait of President Obama next to Conway with the label “Obama-Conway Record.”

Analysis
“Struggling families” and “paychecks seem smaller”: Data from the Census B ureau shows that median income in Kentucky fell by almost 3 percent from 2013 to 2014. The ad would like you to believe that Democratic policies, led by President Obama, are to blame, but the responsibility is not clear. Income has been falling for quite some time, and not just in Kentucky. Americans not in the top 10 percent of income earners are doing worse than in years past. Almost all growth in wealth since Ronald Reagan was elected in 1980 has gone to the top 10 percent of income earners. Adjusted for inflation, median household incomes peaked around 2000, when George W. Bush was elected, and have been on the decline ever since. If the president in office is to blame for income and wealth performance, the RGA might not want to throw stones. The claim is true, but it certainly does not say what the RGA wants you to believe.

“Politicians make government bigger” is also a claim that deserves more scrutiny. The RGA is not so subtle in its insinuation that Conway is making government bigger; his picture is the focus of the ad as the statement is made. As evidence of this claim the RGA points to the growth in the budget of Kentucky over the last three years, and the expected growth for the next two. In those years, the state budget has grown slightly faster than the gross state product, which is the amount of goods and services produced in the state, but the attorney general doesn’t control the purse strings; the state legislature does.

“Skyrocketing health-care costs”: Health-care costs are up, but “skyrocketed” stretches too far. While horror stories of individual premiums rising as much as 40 percent are not difficult to find, data show these are outliers. An analysis by the National Conference of State Legislatures found that the average premium increase from 2014 to 2015 was effectively zero, a significant difference from annual premium increases in the previous decade of about 10 percent. Comparative numbers for 2016 will not be available for some time, but we do know that individual policies on the state’s Kynect insurance exchange are averaging increases between 5.2 percent and 12.2 percent, not including an 11 percent decrease for WellCare. Seeing a rate increase at or below the 10-year average could hardly be called skyrocketing. This claim is largely false.

“Too many jobs have been lost”: The RGA’s documentation for this point cites Kentucky’s loss of more than 1 in 10 coal jobs during the first three months of 2014. In the last three years, about half the state’s coal jobs have been lost. However, the ad does not mention coal, and unemployment in Kentucky is 5 percent, the lowest in 14 years. The total number of people with jobs in Kentucky is 13,000 fewer than five years ago, but that may not be the best way to measure it. The total nonfarm employment is more than 133,000 higher than five years ago, and 34,000 higher than last year.

"Our families can't afford four more years of the liberal policies of President Obama and career politicians like Jack Conway”: As evidence for this the RGA points to the Medicaid expansion under the Affordable Care Act, often called Obamacare. But this claim conflicts with the conclusions of an analysis done for the state by Deloitte Consulting. The study says the added tax revenue from jobs created in the medical sector, due to the increase in the number of Kentuckians with health coverage, will pay for the expansion of Medicaid through 2020. Kentucky must start paying 5 percent of the expansion cost in 2017, rising in steps to the law’s limit of 10 percent in 2020. But that is six years away. This ad cites fur years as the time frame, and the available data shows that the Medicaid expansion will not cost Kentucky in the next four years.

Conclusion: The ad breaks to a black and white video of President Obama saying his “policies are on the ballot.” A woman is shown next to Obama with her face in her hands, upset. The video is form 2014 and Obama has said nothing of the sort about this governor's race. Some voters may remember the comment from last year’s Senate race, but most are unlikely to do so. The ad closes, “Can you really trust Obama and Conway to make things better?” Should Conway become governor, his term and that of President Obama will only overlap for little more than a year and a month. As far as we know, Obama is not planning to be an adviser to the governor of Kentucky after he moves out of the White House. This is an attempt to connect Conway to Obama, but it is a stretch at best.

Sunday, October 25, 2015

Bevin endorses, Conway opposes legalizing marijuana for medicinal purposes; next-to-last debate heated at times

By Cheyene Miller
University of Kentucky School of Journalism and Telecommunications

Health care dominated Sunday night’s gubernatorial debate at Eastern Kentucky University and both candidates strayed from party lines on the issue of medical marijuana.

“I would in fact sign such legislation into law,” Republican candidate Matt Bevin said of a bill to legalize medical marijuana.  The Louisville businessman said research shows marijuana can treat patients with epilepsy and other disorders and that these patients desperately need help.

Democratic candidate Jack Conway said he would not support a bill legalizing medical marijuana, and that doing so could lead to an increase in recreational drug abuse.  He said he wouldn’t consider legalization unless the Kentucky Medical Association advocated it.

“Medical marijuana is the only medicine I can think of that would be prescribed in joints,” said Conway, who has been the state’s attorney general for almost eight years.

The candidates also sparred over the expansion of the Medicaid program under federal health reform, a move that covers about 400,000 Kentuckians. 

“The people that are enrolled now, will be enrolled in the future,” said Conway, who said there are too many people on Medicaid, “but to kick them off now would be callous.”

Bevin initially said he would abolish the Medicaid expansion, but later backtracked and said he would seek a federal waiver to change the program, an idea Conway criticized as being fiscally irresponsible.

“It won’t save us any money,” Conway said. “That’s just a red herring.”

In regard to education, Conway said he would look into restoring funding for Bucks for Brains, which endows professorships at universities, as well as restoring some of funding to higher education. “I don’t want to over-promise and under-deliver though,” he added.

Bevin advocated outcomes-based funding, saying the state needs to start differentiating between French literature and electrical engineering.

In response to a reporter’s question after the debate, he endorsed incentives for students seeking careers in science, technology, engineering and math.

“If you are going to ask for taxpayer money to subsidize that education … then it should be used for things that are going to be to the best benefit of the taxpayers themselves,” he said.

On the issue of safety on college campuses, Bevin said he supports the right for trained teachers to carry concealed deadly weapons on campuses. Conway advocated detailed contingency plans by university police departments and reiterated afterward that he does not favor arming teachers.

The debate heated up during several moments, with Bevin persistently accusing Conway of lying to voters.  A squabble ensued after Conway claimed to have cut his office’s budget by 40 percent.

“You keep taking credit for it, and it’s a lie, stop lying to these people,” said Bevin, who noted that the legislature and the governor write state budgets.

Conway said he returned $300 million to Kentucky taxpayers, and that he doesn’t “need a lecture in fiscal responsibility from anybody.”

Both candidates said they would protect and promote Kentucky’s coal industry, which has seen a major reduction in jobs over the past few years.

Bevin said “there is more demand now” for coal than in the history of the world, and the idea that coal jobs are not coming back is false. He said he would stand up to federal over-regulation of the industry.

Conway said he was the “only one who’s actually done anything for coal” and was the only Democratic attorney general to sue the Environmental Protection Agency over coal regulations.

Independent candidate Drew Curtis did not meet the League of Women Voters’ criteria to participate in the debate, at least 10 percent in established, nonpartisan polls.

The election is Tuesday, Nov. 3.


Candidates make misstatements and questionable assertions in televised debate

By Al Cross
Kentucky Health News

Many of the questionable assertions and outright misstatements in Sunday night's debate for governor were about health care. Here's a fact check:

Conway said he had cut his budget as attorney general by 40 percent. Bevin said that was a lie because the legislature writes the budget. The governor receives budget requests from agencies and proposes a budget to the legislature, which passes it.

Bevin said Conway lied when he said Bevin would kick half a million people off health care. Bevin said in February that he would immediately end Gov. Steve Beshear's expansion of the Medicaid program. He has since denied saying that, and said last night that Democratic videos of his quotes omit the question he was asked, but that is not the case with his February quote. He now says he would seek a federal waiver to change the program. It might be argued that he could issue another executive order to replace Beshear's, but the Medicaid program has certain requirements that must be met unless waived, and waivers are not available immediately. While Bevin has been vague about his Medicaid plans, he has made clear for the last three months that his actions would not be as abrupt as he first said they would be.

Conway said the Kynect health-insurance exchange, which Bevin wants to abolish, is three and a half times more efficient than the federal exchange, to which policyholders would go. Bevin said that is "an absolute falsehood" because Kynect is funded by a 1 percent fee on all health-insurance policies in Kentucky and only 2 percent of the policies are bought through Kynect. Conway said afterward that he was referring to the 3.5 percent fee charged by the federal exchange, which would make those policies more expensive. While the term "efficient" could arguably be applied to the cost of those policies, a more common interpretation of Conway's comment would be that he was talking about Kynect's operating efficiency.

Bevin said the Kentucky Health Cooperative, a non-profit health insurer that is closing due to losses and lack of money, was "a distinct part" of the study that predicted the Medicaid expansion would pay for itself until 2020. The cooperative is not mentioned in the study. Bevin said afterward that the co-op was part of the "inputs" considered by the study. Reminded that the issue was the sustainabilty of the Medicaid expansion, Bevin noted the 51,000 co-op policyholders who will be losing their coverage. Reminded that Kynect has seven other insurers they can select from, Bevin asked, "Where are those taxpayers dollars going to go?" He was reminded that the co-op was funded by federal dollars, and "Those are our dollars." Bevin is running for governor, not president, but he is trying to appeal to people who dislike the entire "Obamacare' system. He appears to be using the co-op's failure to suggest that the system is not sustainable. However, the co-op, Kynect and the Medicaid expansion operate separately and are separately funded.

Conway quoted Bevin as saying that early childhood education, Conway's main issue, "serves no purpose." Bevin said was "another of those Democrat lies" because his full quote was that it serves no purpose after the third grade. That is based on a study that showed the effects of Head Start disappear after the third grade. Head Start is not the same as the early-childhood education program advocated by Conway, but Bevin has equated the two in the past.

Bevin said the state does not have the surplus that Conway mentioned because it has "tens of billions of dollars in unfunded liabilities." He was referring to state pension funds, which get annual appropriations from the budget but are financially separate. Budgets are for two years and the unfunded liability is for projected payments for current employees for the rest of their lives.

Bevin said, "It's a false idea that coal jobs can't come back." He noted that world coal demand has never been higher, but that ignores the facts that many electric plants in the U.S. have abandoned coal for cheaper natural gas and the coal in Central Appalachia is by far the most expensive to mine in the U.S. The Kentucky part of that coalfield has lost half its coal jobs in the last three years.

Fate of health coverage through Medicaid expansion and Kynect could rest on the outcome of the election

By Cheyene Miller and Anthony Pendleton
University of Kentucky School of Journalism and Telecommunications
            The fate of health coverage for about half a million Kentuckians could rest on the outcome of the Nov. 3 election for governor. Democrat Jack Conway wants to stick with the state’s embrace of federal health reform while Republican Matt Bevin does not.
            Gov. Steve Beshear expanded the Medicaid program and created an online insurance market known as Kynect. Between the 400,000 in the expansion and 100,000 private insurance plans purchased on Kynect, the percentage of people without health insurance dropped more in Kentucky than any state in the nation, from more than 20 percent to just over 9 percent, according to the Gallup Poll.
            Kentucky was the only Southern state to create its own insurance exchange, and one of only two Southern states to expand Medicaid, along with Arkansas.
Beshear is on his way out of the governor’s mansion, however, and his possible successors have two drastically different stances on the Patient Protection and Affordable Care Act, also known as Obamacare.
Conway’s stance throughout the race has been to keep what is arguably one of the greatest accomplishments of his fellow Democrat, while Bevin has promised to dismantle Obamacare in Kentucky, albeit with an inconsistent stance on the Medicaid expansion.
Bevin told reporters in February that he would immediately end the expansion, but in July he denied saying that and started talking about seeking a federal waiver to receive Medicaid money in a grant and create a system resembling Indiana’s, in which Medicaid beneficiaries pay premiums to get better benefits.
“We can’t afford the current structure as it exists,” Bevin said in September. Beshear questioned Bevin’s knowledge of the system, and said the non-partisan Congressional Budget Office found that such waiver plans “will likely cost more than the expansion as we have implemented it in Kentucky.”
Bevin has said a waiver might allow Medicaid to offer some help to people with incomes above 138 percent of the federal poverty level, perhaps by helping them with health savings accounts.
Before the expansion, only Kentuckians with household incomes at or below 69 percent of the federal poverty level qualified for Medicaid. The expansion doubled that to 138 percent of poverty.
The federal government is paying the full cost of the expansion through 2016, at which point Kentucky would start paying 5 percent of the cost, rising in yearly steps to the law’s limit of 10 percent in 2020. By the 2020-21 fiscal year, the expansion is expected to cost the state $363 million a year.
A state-funded study by Deloitte Consulting predicted in February that the expansion will generate enough jobs and tax revenue to pay for itself through 2020, but Bevin has called the study “nonsense.” Conway has cited the study in saying he supports the expansion but would monitor its costs.
In his speech at the Fancy Farm Picnic in August, Conway said Kentuckians should vote for a candidate who “understands that the truly Christian thing to do is to say that we are our brother’s keeper and health care for our people makes us a healthier and better society.”
            The candidates are playing to their bases Bevin by taking a stance against Kynect and the Medicaid expansion, and Conway by following the footsteps of Beshear in supporting it, University of Kentucky political science professor Stephen Voss said.
“They’ve already managed, without saying very much, to give that basic signaling that each side wanted to hear from them,” said Voss, adding that both candidates are also doing their best to remain vague when discussing health care: “For both candidates, delving more deeply into the specifics is fraught with risk.”
Bevin has been more consistent with his stance on Kynect, saying he would "facilitate the transition of enrollees" onto the federal exchange as he dismantles Kynect. In September, Bevin said he would consider a suggestion from Republican state Sen. Ralph Alvarado to keep Kynect operating and finance it by expanding it to other states, but he was skeptical of the idea.
            Lexington-based litigation attorney Douglas McSwain, who specializes in constitutional and health-care law, said Kynect is one of the reform law’s biggest success stories nationwide. “The main issue is that health-care reform has been a very good success under the Beshear administration,” McSwain said.
Kynect is funded by a 1 percent assessment on all Kentucky health-insurance policies, while the federal fee is 3.5 percent on policies sold on the exchange.
Independent candidate Drew Curtis has said the state can probably afford the first round of expenses from the Medicaid expansion, and should leave it and Kynect “alone as it is” until the state sees the long-term effects. “You can’t drop a massive system change on people, and (then) do it again in two years,” he said.
Kynect Director Carrie Banahan has said that Kynect would cost at least $23 million to dismantle and that most of the seven insurance companies using it would probably not go to the federal exchange.
            Whoever is elected governor will likely have many obstacles on his plate regarding health care, since Kentucky is one of the least healthy states. According to America’s Health Rankings, Kentucky is 47th in overall health, with major issues facing the state including high rates of smoking and preventable hospitalizations. Kentucky also ranks first in the nation for lung cancer deaths, according to the federal Centers for Disease Control and Prevention.

Cheyene Miller and Anthony Pendleton are journalism seniors at the University of Kentucky. They wrote this story for the Covering the Governor’s Race course being taught by Associate Professor Al Cross and Journalist in Residence John Winn Miller.

Thursday, September 24, 2015

Lieutenant-governor candidates disagree on sexual-harassment case, education, health care and more

By Megan Ingros
University of Kentucky School of Journalism and Telecommunications
An initial version of this story first appeared in the Kentucky Kernel, the independent student newspaper.

Candidates for Kentucky lieutenant governor were divided on a sexual harassment scandal, education, health care and other major issues in their first debate Wednesday night.

Candidates Sannie Overly and Jenean Hampton met at Midway University in a debate sponsored by the League of Women Voters of Kentucky, which prepared the questions.

Overly is running with Democratic Attorney General Jack Conway, and Hampton with Republican businessman Matt Bevin. Independent candidate Heather Curtis, running mate of husband Drew Curtis, did not meet the league's polling criteria (10 percent or higher voter recognition in established nonpartisan polls) to participate. The last public poll, in late July, didn't measure name recognition but showed Drew Curtis with 8 percent support.

The debate was more civil than the first televised gubernatorial debate held last week, but included its share of sharp moments. The sharpest came when Overly denounced Bevin for his “false attacks” in that debate, in which he said she turned her back on female state workers who said they were sexually harassed by a former state lawmaker, a Democrat.

“That’s why even Kentucky Republicans call Matt Bevin a pathological liar,” said Overly, who said she and Conway condemned the behavior and would change the culture in Frankfort.

Hampton replied that Overly “fought very hard during the harassment case to have her deposition sealed,” and would not testify in the case until she knew it would be sealed.

On education issues, the candidates disagreed about the Common Core State Standards and state vouchers for private education.

Hampton said she understands the need for education because it “was the key to escaping the inner city” of Detroit, but “I do not support Common Core because from what I’ve seen from it, it dumbs down the curriculum and our students are better than that.”

Overly said, “I think the results speak for themselves. We’ve doubled the number of kids in Kentucky who are college ready at graduation. . . . Since the Kentucky core standards have been implemented our college readiness at high school has doubled. It's gone from 31 percent to 62 percent.”

On rebuttal, Overly took a shot: “While the Bevin campaign may not support Common Core or even Kentucky high standards, we do know that Bevin has enriched himself from investing in companies that sell Common Core software.” Hampton didn’t reply to that, but said Common Core is “too driven from the top down” and “We need a system. We need to find the best and implement that here.”

Overly noted her slate's support of expanded early-childhood education, and noted that Bevin has said it "serves no purpose: "It is another big contrast in this race."

Hampton said Common Core is "too driven from the top top down" and pledged to return control of schools to the local level as much as possible. "We also believe in parental choice" of schools, she said.

Common Core is a set of standards for students in kindergarten through 12th grade. According to the initiative it was “create to ensure that all students graduate from high school with the skills and knowledge necessary to succeed in college, career, and life, regardless of where they live.”

Asked how they would make post-secondary education more affordable, Overly said she wants to hold colleges and universities accountable and offer a statewide apprentice program so students can "earn while they learn" and afford the cost of college.

Hampton said she would work with students to help them understand they can minimize their debt, and work with schools to make students are aware of their choices as a career path.

Health care was another major topic, with Overly supporting the expansion of Medicaid to 400,000 Kentuckians and the state's Kynect health-insurance exchange.

Hampton questioned the cost of the expansion and said "Kynect is a redundant system and we don't have the money to continue it." The exchange is funded by a 1 percent fee on all health-insurance policies sold in the state.

Overly said, “If we do away with that and go to federal exchange it’s going to go to a 3 1/2 percent charge, which in essence would be a tax increase for Kentuckians,” Overly said. Actually, the federal fee is only on policies sold through the federal exchange.

Overly said it would cost $23 million to dismantle Kynect and asked Hampton, "Where are you going to come up with that money?"

Hampton replied, "My question is, where we come up with the dollars to go to Medicaid at the end of 2017, when the federal subsidies are gone?" Actually, the subsidies for the Medicaid expansion do not disappear. The federal government is paying the entire cost of the expansion through next year, but states will begin paying 5 percent in 2017, rising in steps to the law's limit of 10 percent in 2020.

“Jack and I will monitor Medicaid and see if we can afford going forward,” Overly said. She cited a state-funded study predicting that the expansion will pay for itself by creating health-care jobs and tax revenue, putting $30 billion into Kentucky’s economy through 2021.

Hampton said the underlying premise of "Obamacare" is the belief that people are incapable of making their own health-care decisions, but she didn't elaborate.

Asked if they agreed with Rowan County Clerk Kim Davis's refusal to issue same-sex marriage licenses, Overly said Davis should have followed a federal judge's order, but Hampton said “Matt and I side with Kim Davis because this is an issue of religious freedom. However, to say that it is the law of the land is questionable . . . because if that were true I would still be a slave.”

The Supreme Court interprets the Constitution, which was amended in 1865 to ban slavery. Hampton also questioned whether the court can overrule the state's constitutional ban on same-sex marriage, but Overly, a lawyer, noted that the U.S. Constitution has a supremacy clause overriding state laws.

The debate's first question was "What is the most significant issue the new governor will face?"

Hampton said, “The $34 billion pension shortfall has potential to derail everything we do in Kentucky,” Hampton said. She repeated Bevin's emphasis on growing the economy to fund programs.

Overly replied, “Growing more and better good paying jobs for the people here in Kentucky,” making the first of several mentions of heir campaign's jobs plan that will "change the environment here in Kentucky."

The debate was co-sponsored by Midway University and CBS affiliates WKYT-TV of Lexington and WLKY-TV of Louisville. WKYT anchor and political editor Bill Bryant and WLKY anchor Vicki Dortch asked the questions.

Thursday, September 17, 2015

Bevin turns up the heat, during debate and afterward

By Matthew Young
University of Kentucky School of Journalism and Telecommunications

In a governor’s race that has been conspicuous for its relative silence, Republican Matt Bevin is turning up the heat on Democrat Jack Conway.

Matt Bevin and Jack Conway
(Lexington Herald-Leader photos)
Content for weeks to ride the wave of conservative anger and frustration over County Clerk Kim Davis’ fight against gay marriage in Rowan County, Bevin is now aiming directly at Conway, the two-term state attorney general.

The most spirited attack came in Tuesday night’s Bellarmine University debate when Bevin called Conway, in no uncertain terms, a liar.

That came after Conway accused Bevin of saying he would like to see the road fund in Kentucky – in dire need of cash – drained all the way to zero, then have it audited. Bevin’s anger was palpable in his response:

“First of all, so much of what comes out of your mouth, Jack, is absolutely made up. I have never once called for letting anything go to zero and then auditing it. You literally make lies up on the fly. So I would challenge those of you watching, check carefully with the facts.”

The Conway campaign later cited a Beattyville Enterprise article from last year’s U.S. Senate primary in which Bevin said government public-works projects have "served their purpose," but could not provide any evidence that Bevin wanted the highway fund to fall to zero.

Bevin lashed back at several attacks.

He is still fighting off claims that he was delinquent on taxes, something fact-checkers largely cleared him of early in the Senate primary against Sen. Mitch McConnell.

A recent Conway ad shows Bevin saying the Farm Bill was “an insult to farmers.” The screen then splits and shows him saying that was “a misrepresentation of what I said.”

Bevin has a case, since the “insult” he spoke about was the bill’s longstanding non-agriculture provisions, and the money it funneled to big agribusiness.

The ad also says Bevin told one group that early childhood education “after the age of nine serves no purpose,” then shows him denying that he opposes early childhood education.

While Bevin has said Head Start’s benefits to children disappear after the third grade, Head Start and early childhood education are not exactly the same.

More clearly, Bevin has backtracked on the expansion of Medicaid in Kentucky to include more than 400,000 people. After he said he would end the expansion, and Conway accused him of being callous, he denied saying he would end it and said he would seek a less expensive alternative, like Indiana’s.

The frustration seems to have taken its toll on Bevin. Tuesday night’s debate was not the only time he directly attacked Conway.

In an interview with Kentucky Public Radio, Bevin told host Ryland Barton, “Jack Conway supports the idea of bankrupting the coal industry.” Conway notes that he is the only Democratic attorney general who has sued to block the Obama administration’s regulation of greenhouse gases from coal-fired power plants.

While Bevin may lack evidence to back up this attack, it suggests he will keep up the heat as the race heats up.

Perhaps the most personal attack from Bevin was about race.

Bevin, who has adopted four black children from Ethiopia and chose Jenean Hampton, a black conservative activist, as his running mate for lieutenant governor, used race to question a lack of action from Conway on Gov. Steve Beshear’s appointment to university boards.

“I would question whether or not it's racially motivated that our governor and attorney general have no qualm with, even though its statutorily required, having no blacks on the University of Louisville board,” he said in the debate. Conway has said he would correct that.

Returning to his favorite argument, about the Rowan County clerk’s stand against gay marriage, and Conway’s non-appeal of a ruling that led to the Supreme Court’s legalization of it, Bevin said, “We have an attorney general who is once again turning a blind eye. We’re quick to put a Kim Davis in jail for not doing her job; we tell her to quit or do her job. We have an attorney general that repeatedly does not do his job, and a governor in the same boat. We cannot have a double standard in this state."

Conway replied that the law gives him discretion not to appeal, an appeal would have been futile and wasteful, and “the good-paying jobs of the future” will come to states that are inclusive. “I think Kim Davis went to jail because she defied a federal court order. I have sympathy for her, but we are a nation of laws.”

Matt Young is a student in Covering the Governor's Race, a course in the University of Kentucky School of Journalism and Telecommunications, taught by Journalist In Residence John Winn Miller and Associate Extension Professor Al Cross.

Wednesday, September 16, 2015

As Bevin and Conway debate Medicaid, taxes and truth, Curtis gets the limelight

By Jerry Seale, Kevin Erpenbeck and Ben Johnson
University of Kentucky School of Journalism and Telecommunications
              
With seven weeks to the election, all eyes were initially on Democrat Jack Conway and Republican Matt Bevin during the gubernatorial debate in Louisville Tuesday night -- but independent candidate Drew Curtis may have stolen the show.

In a debate that covered a wide range of issues, Curtis got off to a quick start separating himself from the other bickering candidates with jokes and a sharp focus on how he would fix the state’s problems.

Conway criticized Bevin for his stance on Medicaid that he says would kick half-a-million people off Medicaid, the federal-state program to provide health care for the poor.

Bevin, who backed off that stand in late July, said Tuesday night that he would apply for a federal waiver that would let Kentucky customize Medicaid to save money.

Curtis said he is in favor of keeping the Medicaid expansion as it is, citing a state study that it will pay for itself by adding health-care jobs.

When Conway chided businessman Bevin for not releasing his tax returns -- insinuating Bevin has something to hide, Bevin called his claims a “smoke screen.” He said voters should “pay attention to what really happens, not what comes out of Conway’s mouth.”

When Conway claimed Bevin said Kentucky should “let the road funds go to zero and audit it for the last 10 years,” Bevin hotly denied it.

“So much of what comes out of your mouth, Jack, is absolutely made up,” Bevin replied. “I’ve never once called for letting anything go to zero and auditing it. You literally just make lies up on the fly.”

The Conway campaign did not respond to requests for documentation of the claim.

Another contentious exchange was over the jailing of Rowan County Kim Davis for ignoring a federal court order to issue marriage licenses after the Supreme Court legalized same-sex marriage.

Bevin said that trampled Davis’s freedom of religion, and Gov. Steve Beshear could have avoided the controversy with an executive order.

Conway, who is the state’s attorney general and has said Beshear does not have the power, said he sympathized with Davis but she needed to follow federal court orders.

Once again Curtis, standing between the other two men at Bellarmine University lecterns, drew laughter with his response.

“I think you all are both wrong,” he said. “It is the job of the executive to back up even the laws they don’t like.”

The three also differed significantly on how to deal with the economy, particularly in Eastern Kentucky.

“We need a governor who can take a look forward and anticipate problems before they actually occur,” Curtis said. “I don’t think we currently have that, no offense to these guys here. I don’t think it’s been done in American politics before. That is the thing I’m looking to change.”

Bevin said the problem isn’t just in Eastern Kentucky, but the whole state. “If there’s a hole in the boat, all our feet are going to get wet.” he said.

Conway endorsed the Shaping Our Appalachian Region initiative of Beshear and 5th District U.S. Rep. Hal Rogers.

On education funding, Conway said it would be a top priority, but Curtis said he couldn’t address that issue until the state’s pension problems are fixed and its finances are in better shape. He predicted twice that a recession is coming.

Bevin did not address elementary and secondary education, but said higher education needed to be better stewards of state funds and do more to prepare people for jobs.

That answer was a theme for many of Bevin’s answers in the debate.

The candidates had different opinions on how to shore state pension plans, which are the second most underfunded in the nation.

Conway said the problem is starting to take care of itself and will take some time for the full effects to be seen. To the contrary, Bevin said, the state is only “digging deeper and deeper into the hole,” and that major change will be needed.

Curtis has proposed his own plan, which would involve a line of credit, which could be tapped into when needed and paid back when times were better. Bevin criticized this plan, and said officials in Frankfort should not be trusted with such a system.

Conway was asked how he would fund the early-childhood education plan he proposed this month. He cited his record in office, saying he has returned over $300 million to the treasury, as assurance that he can find the money. Bevin and Curtis were skeptical.

Conway also pointed to his work against drug abuse and said he would put a plan in place to bring more treatment and drug education to Kentucky.

Curtis endorsed a statewide needle exchange program but Conway only backed the current local option, and Bevin did not provide a clear answer to the question.

The candidates found a rare moment of agreement on expunging the records and restoring voting rights for non-violent drug offenders who have served their time.

Saturday, September 12, 2015

In a quiet race, gay marriage steals the focus from other issues; first debate with all 3 candidates is Tuesday night

By Matt Young
University of Kentucky School of Journalism and Telecommunications

In 2004 Kentucky voters passed by a 3-1 margin a state constitutional amendment defining marriage to be between one man and one woman. You’d be forgiven for assuming the initiative was on the ballot again this year.

The governor's race between Republican businessman Matt Bevin and Democratic Attorney General Jack Conway has been conspicuously quiet. “People like to know their governor, and I don't think either of these guys have done that with the people of Kentucky yet,” House Speaker Greg Stumbo told cn|2’s Pure Politics.

The lack of focus on the Nov. 3 election has left Rowan County Clerk Kim Davis to fill the attention the news media and voters.

Bevin called a federal judge’s jailing of Davis for defying his order to issue marriage licenses “utterly ridiculous,” saying that there is no need to jail someone for First Amendment beliefs, and called on Conway and Democratic Gov. Steve Beshear to take action to remove clerks’ names from marriage licenses. They said the law doesn’t allow them to do that.

Conway has exercised caution, waiting until after Davis was jailed to make his first comment. He said on Twitter, "I understand that passions are high on both sides of this issue, but we are nation of laws and no one can defy an order from a federal judge."

Asked by the county attorney to appoint a special prosecutor to look into an official-misconduct cases against Davis, Conway first did not respond. After Davis was released on condition that she not interfere with her deputy clerks’ issuance of marriage licenses, Conway said he would not name a special prosecutor because the matter was in federal court.

Conway has been largely mute lately, as he concentrates on raising money and wondering how much personal wealth Bevin will put into the race. His public appearances and media outreach have been almost non-existent since the Aug. 1 Fancy Farm Picnic.

Traditionally the governor’s race heats up after the Labor Day weekend, with a more intense schedule of debates and forums. Conway and Bevin will have their first face-off with independent candidate Drew Curtis at Bellarmine University in Louisville at 7 p.m. Tuesday, Sept. 15. The debate will be televised on Louisville’s WHAS-11 and Lexington’s WKYT-27; it is sponsored by the stations and their newspaper partners in the Bluegrass Poll, The Courier-Journal and the Lexington Herald-Leader.

The latest Bluegrass Poll, taken in late July, showed Conway leading Bevin 43 to 38 percent, with an error margin of plus or minus 3.7 percentage points (which applies to both numbers). Curtis had 8 percent.

Each side has turned up the rhetorical volume, with new TV ads.

Americans for Prosperity, a ”super PAC” supported by the Koch Brothers of Wichita, is attacking Conway for his support of federal health reform, or “Obamacare,” which it blamed for "a crisis in our hospitals” and “skyrocketing” insurance premiums.

The Kentucky Hospital Association says Obamacare has been a small part of its problems, but worries about future impacts. A national analysis by the National Conference of State Legislatures found that the average premium increase from 2014 to 2015 was effectively zero, while premium increases in the last decade have averaged about 10 percent. Kentucky rate increases for 2016 range from a 25 percent increase by the Kentucky Health Cooperative, which has sold most of the policies on the state’s Kynect insurance exchange, to an 11 percent decrease from WellCare. Other increases are between 5.2 and 12.2 percent.

The Republican Governors Association has been attacking Conway along the same lines, while Bevin hasn’t run ads of his own. Conway’s first attack ad builds on the “East Coast con-man” moniker that U.S. Sen. Mitch McConnell applied to Bevin last year in their primary battle.

The ad shows Bevin making statements on the campaign trail, then apparently walking them back. It starts out showing Bevin saying, “I was opposed to the Farm Bill because it was an insult to farmers.” The screen then splits and shows him saying that that was “a misrepresentation of what he said.” He has a case; he objected to the bill’s spending for non-farm programs (most of its funds are for nutrition) and the money it funneled to big agribusiness.

The ad gets right that Bevin has backtracked on his opposition to the Medicaid expansion in Kentucky. He initially said that he would end it, but now says he would scale it back.

Beneath the fray is Curtis, CEO of Fark.com. Without the big money that comes with a party nomination, Curtis has been unable to air TV ads, but being an independent underdog comes with its advantages; he can ignore partisanship, and be free to talk about the issues. Curtis has released the most detailed plan to address the state’s underfunded pension system.

As the race heats up expect all three candidates to address other important issues. There will be sparring over the tax code, and how to create additional revenue the state needs; education, including the Common Core standards; and “right to work” legislation, which forbids employers from requiring union membership as a condition of employment.

However, if this summer can be used as a crystal ball for the fall, expect Bevin to continue his defense of Davis, and Conway’s refusal to appeal the gay-marriage ruling that was upheld by the U.S. Supreme Court. State law allowed Conway to do that, but Bevin accuses him of hypocrisy.

Candidates use religious values: Bevin on Rowan clerk, Conway on Bevin's attitude toward Medicaid expansion

By Cheyene Miller
University of Kentucky School of Journalism and Telecommunications

The big job at stake this year is Kentucky governor, but the headlines and sound bites suggest that the Nov. 3 election is about religious values.

In a race that doesn’t seem to be gathering much public interest, Democratic Attorney General Jack Conway and Republican businessman Matt Bevin are using religion to appeal to Kentucky voters, who remain a highly religious voting base.

Bevin is using Rowan County Clerk Kim Davis’s jailing for refusing to issue marriage licenses to his advantage, saying Davis’s religious liberties and First Amendment rights are being violated.

Bevin criticizes Conway, who refused to appeal last year’s federal ruling that Kentucky’ same-sex marriage ban was unconstitutional, for not doing his job.

Conway said last year that he would not appeal because the lower-court judge got it right, an appeal would be on the wrong side of history, and good-paying jobs are going to states that allow marriage equality.

The independent candidate, Fark.com CEO Drew Curtis, says clerks have the right to their own personal beliefs but must follow the law as public officials.

The Davis situation did not mark the first time Bevin spoke about Christian values, as he made it one of his primary talking points during Fancy Farm Picnic weekend July 31-Aug. 1. “We need to stop apologizing for the Christian principles, the great American values that make this country great,” he said at a Republican dinner.

Conway has found his religious angle with the Medicaid expansion and Kynect, the Kentucky health insurance market, established under federal health reform. The two functions have given coverage to about 521,000 people and helped Kentucky reduce its uninsured rate more than almost any state in the nation.

In his speech at Fancy Farm, Conway criticized Bevin for not applying his Christian values to his views on health care. He said voters should elect someone who “understands that the truly Christian thing to do is to say that we are our brother’s keeper and healthcare for our people makes us a healthier and better society.”

Bevin has said that he would dismantle Kynect, but has backtracked on plans to abolish the Medicaid expansion, saying he would adopt a less expensive program, perhaps like Indiana’s, in which clients can pay premiums to get better benefits and get refunds if they don’t use the benefits.

In addition to health care, Conway and Bevin have also sparred on Kentucky’s pension system, which is considered one of the worst in the country. 

Bevin cites his experience at managing pension-fund assets, but was unfamiliar with a key facet of the state’s pension system when questioned about it this summer. He advocates moving away from Kentucky’s current pension system in favor of a 401k-style system and offering incentives to current employees who switch.

Conway says he is committed to making the pension payments required by a recent law, and wants to find a designated source of revenue for that.

Curtis proposes issuing a $5 billion bond, structured as a line of credit, that can be tapped in years when pension funds aren’t keeping up with their obligations, and pay back the debt in years when it runs ahead.

Conway is focusing his campaign strategy on education and Bevin’s statement in the Republican primary debate that early childhood education’s effects disappear after the third grade.

Conway released his education plan on Tuesday, proposing early education for 3-year-olds with parents making up to 138 percent of the federal poverty level (the same level as those who qualify for the Medicaid expansion) to during his first year in office, and all 3- and 4-year-olds whose parents make up to 200 percent of the federal poverty level by the end of his first term.

Bevin is more conservative on education and favors charter schools.

On television, the candidates and their supporters have questioned each other’s integrity.  Conway has used recycled verbal jabs from the 2014 Senate Republican primary, in which Sen. Mitch McConnell’s campaign called Bevin an “East Coast con man” and a “pathological liar.” He also criticizes Bevin for not releasing his tax returns, which Bevin says he will do if elected.

Bevin hasn’t run TV ads in the general election, but outside groups supporting him are trying to tie Conway to President Obama,

All three candidates have female lieutenant-governor running mates, Democrat Sannie Overly, Republican Jenean Hampton and independent Heather Curtis, the candidate’s wife. Hampton would be Kentucky’s first black statewide elected official.

The most recent Bluegrass Poll, in late July, had Conway leading with 43 percent of respondents, Bevin with 38 percent and Curtis with 8 percent.


The first debate with all three candidates will be held Tuesday at Bellarmine University in Louisville, from 7 to 8 p.m. ET. It will be televised and streamed by WHAS-TV and WKYT-TV, and is also sponsored by The Courier-Journal and the Lexington Herald-Leader. The four news outlets sponsor the Bluegrass Poll.