Gabrielle Gurley

Gabrielle Gurley is The American Prospect’s deputy editor. Her email is ggurley@prospect.org.

Recent Articles

Taking a Scalpel to Medicaid

Republican claims of their bill's great flexibility for the states are a sham cover for disabling cuts.

(Photo: AP/Tom Williams/CQ Roll Call)
This article appears in the upcoming Spring 2017 issue of The American Prospect magazine. Subscribe here . As Republicans struggle over how Congress can pass some version of their health-insurance cuts, lost in the debate is the fact that the Affordable Care Act’s greatest achievement was the expansion of Medicaid. The most dire cuts in the proposed GOP legislation would be both to basic Medicaid and to the people who qualified for the ACA expansion. The bill not only phases out the expansion of Medicaid under the Affordable Care Act; it guts basic Medicaid itself. A core provision converts Medicaid from an entitlement, for which people automatically qualify based on income or other criteria of need, into a fixed per capita block grant to the states, with much-reduced federal aid. The only possible consequence can be to throw millions of people off Medicaid. When the Congressional Budget Office calculated the impact of the Republican legislation in mid-March, it found that 24...

DOD and EPA Go Mano a Mano on Climate Change

While Scott Pruitt dithers over whether humans have caused climate change, James Mattis underlines it as a threat to national security.

Chris Kleponis/picture-alliance/dpa/AP Images
Awkward is one way to describe having two men with polar opposite views on an issue advise the president of the United States. Secretary of Defense James Mattis views climate change as a national security threat; Environmental Protection Agency administrator Scott Pruitt asserts that human activity is not a primary contributor to a warming planet. One man has expressed concerns about how his department and the country will meet the threat; the other appears poised to virtually erase the agency tasked with ameliorating its effects. In this science-phobic administration, climate change is a nuisance to be ignored. But President Trump, a climate change denier, and his EPA chief, a fossil fuels proponent, may have met their match in Mattis and the Pentagon. In 1970, Richard Nixon established the EPA. “The Congress, the administration and the public all share a profound commitment to the rescue of our natural environment, and the preservation of the Earth as a place both habitable by...

Mayors See Right Through the American Health Care Act

The Republicans’ bill is not exactly a “beautiful picture” for cities.

(Photo: AP/J. Scott Applewhite)
It’s difficult to underestimate the relief provided by the Affordable Care Act to American cities and their mayors. Mayors, after all, hear about local health issues from everyone—from first responders and uninsured constituents to doctors and hospital executives. As the mayors see it, Obamacare has reduced the numbers of uninsured people using hospital emergency rooms, provided the benefits of 21st-century medicine to people who never had access to it, and created thousands of jobs in metropolitan regions. Unlike Republican members of Congress, mayors do not have luxury of fighting ideological cage matches with politicians of different persuasions until they can cudgel them into submission with an ill-advised, hastily crafted bill to replace reforms pulled together by a Democratic African American president. If Obamacare had been McCaincare or Romneycare the Sequel, the nation would be engaged in a different conversation. Mayors, on the other hand, have to get stuff done...

Amid ACA Debate, Maine Inches Closer to Expanding Medicaid

If state lawmakers fail to act, Mainers will vote in November on whether to expand coverage for low-income people.

AP Photo/Robert F. Bukaty
Maine Governor Paul LePage has been never a fan of the Affordable Care Act’s Medicaid expansion provisions, which he has long criticized as too costly. State lawmakers have disagreed, passing bills to expand Medicaid five times during LePage’s six-year tenure. The cranky Republican vetoed every one, and despite bipartisan support for the original proposals, the legislature has never mustered the votes to override his vetoes. Maine remains one of 19 states that have declined to accept new federal dollars to extend health insurance to more low-income people. Exasperated by LePage’s opposition and the obstinacy of a small group of House Republicans, Mainers for Health Care, a statewide coalition of more than 100 health care, social services, and other organizations, has decided to bypass Augusta. In October, the organizers launched a campaign to put a Medicaid expansion ballot question before voters. If approved, the measure would mandate that Maine accept the federal...

Cities Fill Global Void Left by Trump

American cities strive to maintain longstanding international ties in a bid to stave off the effects of the White House’s scorched-earth policies.

(Photo: AP/Teresa Crawford)
When the mayors of Mexico City, Ciudad Juarez, and Guadalajara recently traveled to the United States to discuss the fallout from the Trump administration’s immigration policies, they did not go to Washington to speak with White House officials or members of Congress. Instead, they headed to Chicago to meet with Mayor Rahm Emanuel to discuss what the four cities could do to assist families, individuals, and businesses confronting the swift policy shift. Chicago is just one of many U.S. cities, including New York, Los Angeles, and smaller regional hubs like Austin, Houston, Boston, Miami, and San Francisco, that cultivate and maintain global relationships. Such cities all have their distinctive, economic, political, and social niches in the United States. But they also have their own distinctive leverage in international affairs, courtesy of links that imbue city leaders with unprecedented influence at a time when President Trump’s views on immigration and the “...

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