Set aside Joe Wilson’s bad manners — what about the substance of his accusation?
Mr. Wilson claims that various Democratic proposals wending their way through Congress will use U.S. taxpayer dollars to further subsidize health care for illegal immigrants. Democrats say this is not true, and the back-and-forth continues like this: Democrats say that there is nothing in pending legislation that explicitly covers illegal aliens. Republicans say, “Aha! But we offered amendments that would have specifically required more robust measures to keep illegals out of the system and you voted them down, leaving the back door open!” And Democrats respond, “No, we didn’t. We don’t need that, because Medicare and Medicaid and such already require documentation of legal status.” And then the Democrats will point to this report from that solomonic arbiter of fact, the CNN Truth Squad, which concludes: “A new report finds the bill could require illegal immigrants to buy coverage, but it clearly restricts subsidies to U.S. citizens and legal residents.”
As Sarah Palin, critics of Van Jones, and those who seek to exclude Cass Sunstein from the collective czardom of the Obama administration have pointed out, there’s what the law says and there’s what the administrative apparatus does. When it comes to the question of whether government-run health-care programs will be used to subsidize illegal aliens, we need not confine ourselves to the realm of the hypothetical and the speculative. Helpfully, the government itself has taken a look at the issue from time to time.
The results of this were entirely predictable. A GAO report finds that illegal immigrants constitute more than one-third of all Medicaid-funded pregnancies in California. Elsewhere in the country, the GAO found: “From 1992 to 1995 in Texas, the number of Medicaid-funded births to undocumented alien mothers more than doubled, while the total number of births remained fairly stable.” People respond to economic incentives. Even when the people and the incentives are illegal.
Missouri attorney general Chris Koster has estimated that one in ten Medicaid claims is fraudulent. How much of that fraud diverts money to illegal immigrants? Nobody knows for sure — and don’t ask the state bureaucrats for help in finding out: When the federal government passed new rules demanding better documentation of legal residency for Medicaid recipients, the states resisted. In California, officials representing the state’s Medicaid program, Medi-Cal, wanted to use such lamentably inadequate documentation as insurance records and school report cards in place of passports and birth certificates. We are entitled to question their motives, and their prudence.
So, Representative Wilson could use a visit from Miss Manners. But he is telling the truth, and President Obama is not.