A new poll from the Health Foundation of Greater Cincinnati found a clear majority of Ohioans supports the Medicaid expansion.

The poll asked a random sample of 866 Ohioans, "Generally speaking, do you favor or oppose expanding Medicaid to provide health insurance to more low-income uninsured adults?" About 63 percent of respondents said they favor an expansion, with a margin of error of 3.3 percent.

The poll found a partisan divide on the issue: About 82 percent of Democrats support the expansion, while 55 percent of Republicans oppose it.

The question was part of the Ohio Health Issues Poll conducted between May 19 and June 2. The University of Cincinnati's Institute for Policy Research has conducted the poll for the Health Foundation each year since 2005.

"The Health Foundation supports the expansion of Medicaid in Ohio because we believe that it will have a positive impact on the health of uninsured Ohioans who will be newly covered by Medicaid," said Health Foundation CEO Jim Schwab in a statement. "We also believe that expansion of Medicaid will have a positive impact on Ohio’s economy. This positive impact was validated in an economic impact study that the Foundation helped underwrite earlier this year. The OHIP findings show that the majority of Ohioans also support the expansion."

Under the Affordable Care Act ("Obamacare"), states are asked to expand their Medicaid programs to 138 percent of the federal poverty level, or an annual income of about $15,856 for a single-person household and $32,499 for a family of four.

For the first three years, the federal government would pay for the entire expansion. Following that, the federal government would phase down its support for the expansion to 90 percent of the costs, where it would indefinitely remain.

Earlier this year, the Health Policy Institute of Ohio released an analysis that found the Medicaid expansion would insure nearly half a million Ohioans and save the state about $1.8 billion in the next decade.

Although Gov. John Kasich supports the expansion, his Republican colleagues, who control the Ohio House and Senate, have so far passed on the expansion in budget plans and legislation.

In an April interview with CityBeat, Michael Dittoe, spokesperson for Ohio House Republicans, said the proposed federal commitment to the Medicaid expansion is unprecedented, which, according to Dittoe, makes Republican legislators skeptical that the federal government can live up to such obligations in the long term.

Bipartisan legislation introduced this week in the Ohio House and Senate would reform the Medicaid program — supposedly in a way that lowers costs without cutting services. But the legislation wouldn't take up the Medicaid expansion.

The Ohio Senate is poised to introduce its own budget plan today, and it could forgo the Medicaid expansion and include measures to defund Planned Parenthood and fund anti-abortion crisis pregnancy centers. But how the Senate budget plan differs from the Ohio House version remains uncertain. CityBeat covered the House’s budget plan, which inspired controversy by taking a conservative turn on social issues, here.

The Legal Aid Society of Greater Cincinnati, with the help of WCPO, is hosting a “phone-a-thon” that will help enroll uninsured children into the Medicaid program. The event, which could reach up to 15,000 children in southwest Ohio, helps tackle awareness, one of the main issues governments have faced while trying to expand health care programs around the nation. Since the Legal Aid Society’s program began getting federal funding in 2009, Medicaid enrollment for children in southwest Ohio has increased by 12 percent, while the rest of the state has increased by 4 percent.

A majority of City Council is now backing the budget plan that would pull back some cuts to city parks and outside agencies and avoid a majority of layoffs initially proposed by City Manager Milton Dohoney, leading to only 25 police layoffs and no fire layoffs. “The plans put forward by a council majority prioritize public safety and essential services that keep all of our neighborhoods safe and attack the blight that breeds crime,” Vice Mayor Roxanne Qualls said in a statement. “Our plan also continues the city’s investment in projects that will transform our neighborhoods through the Focus 52 fund. Despite the budget challenges we face, we must do all we can to keep the city’s momentum moving forward.”

CityBeat commentary on the developing city budget story: “Good News Reveals Budget Deception.”

The lawsuit over a pregnant teacher’s firing from her job at a Catholic school begins today with opening statements. The lawsuit claims the Catholic school violated anti-discrimination laws by firing the teacher after she became pregnant through artificial insemination. CityBeat covered another case of the Church firing a pregnant teacher here and a Catholic woman priest who is pushing to make the Vatican more inclusive here.

Hamilton County Prosecutor Joe Deters says five have been charged with cheating at the Horseshoe Casino, which carries a potential sentence of two years in prison.

Gas prices are back down in Ohio this week.

The Plain Dealer has an in-depth look at Democratic gubernatorial candidate Ed FitzGerald’s FBI career here.

A man died after a skydiving accident in southwest Ohio Sunday.

The Vatican let everyone know over the weekend that atheists are still going to Hell.

Popular Science has a list of  the 10 coolest species discovered in 2012 here.

A "phone-a-thon" is seeking to address one of the main issues public officials have faced when trying to provide health coverage to low-income Americans: awareness. The event could help reach some of the estimated 15,000 children in southwest Ohio who are uninsured but qualify for Medicaid.

The event, which is being hosted by WCPO and the Legal Aid Society of Greater Cincinnati on May 29, will reach out to families with uninsured children who qualify for Medicaid. It's part of the Centers for Medicare and Medicaid Services (CMS) Connecting Kids to Coverage National Campaign, a nationwide effort to enroll more children into free and low-cost health insurance programs.

"Medicaid provides eligible children the coverage they need to address asthma and allergies, as well other benefits to keep children healthy," the event's release said. "Children in a family of four earning up to $47,100 a year may qualify for free or low-cost health insurance. Medicaid not only covers allergy and asthma treatment, but also regular check-ups, immunizations, doctor and dentist visits, hospital care, mental health services, prescriptions and more."

For public officials, raising awareness has been one of the biggest hurdles to ensuring widespread health coverage. As the Affordable Care Act ("Obamacare") kicks in, the problem is becoming even more pronounced as state and federal governments attempt to inform Americans of new insurance options, including health exchanges and expanded Medicaid programs.

"There's a segment of the population that hasn't interacted with these programs in the past," says Trey Daly, senior attorney at the Legal Aid Society of Greater Cincinnati. "Those folks don't typically know they're eligible."

Daly says there's also a segment of the population that has used Medicaid services but stopped after "bad experiences." For those situations, the Legal Aid Society of Greater Cincinnati explains the benefits of Medicaid coverage, but it also files forms and applications for participants to help them avoid the bureaucracy and paperwork required for enrolling into Medicaid.

The Legal Aid Society of Greater Cincinnati's efforts are funded by a federal grant. Since the program began in 2009, the seven counties in southwest Ohio covered by the Legal Aid Society of Greater Cincinnati — Hamilton, Butler, Warren, Clermont, Clinton, Brown and Highland — have increased their Medicaid enrollment of children by 12 percent. The rest of the state has increased enrollment by 4 percent.

At the legislative level, there is currently a bill in the Ohio House that would expand the state's Medicaid program with federal funds provided through Obamacare. Republican Gov. John Kasich originally proposed the expansion in his budget plan, but Republican legislators opposed the measure and took it out of their own budget bill.

Still, Kasich has continued pushing the expansion, along with Democratic support. A March report from the Health Policy Institute of Ohio found the expansion would save the state money and insure half a million Ohioans in the next decade.

To participate in the "phone-a-thon," call 513-749-9400. The event will be on Wednesday, May 29, between 11 a.m. and 8 p.m.

State Rep. Connie Pillich announced today that she will run for state treasurer, putting the Greater Cincinnati Democrat on a collision course with current Ohio Treasurer Josh Mandel, a Republican who ran for U.S. Senate last year. Before becoming state representative, Pillich was in the Air Force, a lawyer and a small business owner. “Whether as a captain in the Air Force, a lawyer and owner of a small business, or a representative in the legislature, I’ve dedicated my career to listening to concerns, creating a plan of action, and working hard to deliver real results,” she said in a statement.

Attorney General Mike DeWine certified the ballot language for an amendment that would legalize medical marijuana in Ohio, opening the possibility that the issue will be on the ballot in 2013 or 2014. CityBeat wrote more about the amendment and the group behind it here.

Supporters of the Medicaid expansion are hosting a public meeting and presentation today at 10 a.m. at the Red Cross headquarters at 2111 Dana Ave. CityBeat previously covered the Medicaid expansion, which supporters claim will save the state money and insure half a million Ohioans in the next decade, here.

Ohio is one of many states preparing to adopt Common Core standards and other reforms in schools, but a recent survey by the Thomas B. Fordham Institute of the state’s superintendents declared that the state is not ready for all the changes being proposed. Terry Ryan of the Thomas B. Fordham Institute says Ohio should consider slowing down to give legislators and educators more time to work through the new requirements.

A new Ohio bill would require only one license plate per vehicle, potentially saving the state $1 million a year. But critics say the bill would limit the amount of tools available to law enforcement to fight and prevent crime.

Nearly two-thirds more suburban residents live below the poverty line in comparison to 2000, according to “Confronting Suburban Poverty in America,” a book by two Brookings Institution fellows. The book uses U.S. Census Bureau data to form a clearer picture on U.S. poverty trends. Previous analyses have correlated the U.S. rise in poverty with welfare reform, which former President Bill Clinton signed in 1996.

Ohio and U.S. gas prices are spiking this week.

It’s going to be hot today.

A study found a correlation between fiscal conservatives and big biceps.

The first American mission to sample an asteroid is moving forward.

With a set of initiatives unanimously approved last week, City Council is looking to join the state in combating Cincinnati’s human trafficking problem. The initiatives would evaluate local courts’ practices in human trafficking and prostitution cases and study the need for more surveillance cameras and streetlights at West McMicken Avenue, a notorious prostitution hotspot. Councilwoman Yvette Simpson, who spearheaded the initiatives, says the West McMicken Avenue study will serve as a pilot program that could eventually branch out to other prostitution hotspots in Cincinnati, including Lower Price Hill and Camp Washington.

Medicare data released yesterday revealed charges and payments can vary by thousands of dollars depending on the hospital, including in Cincinnati. Health care advocates and experts attribute the price disparity to the lack of transparency in the health care system, which allows hospitals to set prices without worrying about typical market checks. CityBeat previously covered the lack of health care price transparency in Ohio here.

Commentary: “Republicans Continue Voter Suppression Tactics.”

City Council approved form-based code yesterday, which Vice Mayor Roxanne Qualls has been working on for years. In a statement, Qualls’ office called form-based code an “innovative alternative to conventional zoning” that will spur development. “Cincinnati now joins hundreds of cities that are using form-based code to build and reinforce walkable places that create value, preserve character and are the bedrock of Cincinnati neighborhoods’ competitive advantage,” Qualls said in the statement.

State Sen. Peggy Lehner is looking to amend the Ohio budget bill to add a $100 million voucher program that would cover preschool for three- and four-year-olds. The details of the program are so far unclear, but Lehner said she might put most of the funding on the second year of the biennium budget to give the state time to prepare proper preschool programs. If the amendment proceeded, it would join recent efforts in Cincinnati to open up early education programs to low- and middle-income families. CityBeat covered the local efforts and many benefits of quality preschool here.

Gov. John Kasich says he would back a ballot initiative for a mostly federally funded Medicaid expansion, which the Health Policy Institute of Ohio says would insure nearly half a million Ohioans and save the state hundreds of thousands of dollars in the next decade. CityBeat covered the Medicaid expansion in further detail here.

Policy Matters Ohio released a lengthy report yesterday detailing how the state could move towards clean energy and electric cars and calling for more state incentives for clean energy. The report praises Cincinnati in particular for using municipal policies to build local clean energy and keep energy jobs in the city.

The last tenant at Tower Place Mall is moving out.

Scientists are working on a microchip that could be implanted into the brain to restore memories.

They also found proof that seafloor bacteria ate radioactive supernova dust.

The Centers for Medicare and Medicaid Services (CMS) unveiled price data today for more than 3,000 U.S. hospitals, revealing large price variations between hospitals around the nation, including in Cincinnati.

For treating chest pain, charges from three Cincinnati hospitals varied by thousands of dollars: Bethesda North charged on average $17,696, Christ Hospital charged $12,000 and University Hospital charged $10,130.

But the initial charge seems to have little relation to what Medicare ultimately paid out. In the three cases for chest pain, Medicare on average paid $3,242 to Bethesda North, $3,657 to Christ Hospital and $5,463 to University Hospital.

In other words, University Hospital charged about 57 percent of what Bethesda North charged, but University Hospital was ultimately paid 68 percent more.

The price variation wasn’t exclusive to chest pain, either. For major joint replacement or reattachment of a lower extremity without major complications, Bethesda North charged $61,947 and was paid $12,712 on average, Jewish Hospital charged $38,465 and was paid $14,069 on average and University Hospital charged $46,463 and was paid $20,116 on average.

In fact, all of the 100 metrics tracked by CMS had at least some degree of variation in charges and payments. Whether it was chest pain, joint replacement, diabetes or cardiovascular complications, prices always varied between hospitals — sometimes greatly, other times by a little.

The data from fiscal year 2011 shows how much hospitals initially charged Medicare for the 100 most frequently billed discharges and how much Medicare ultimately paid out. The difference between charges and payments is usually large because Medicare negotiates prices down.

CMS says the price discrepancy is happening at hospitals all around the nation: “As part of the Obama administration’s work to make our health care system more affordable and accountable, data are being released that show significant variation across the country and within communities in what hospitals charge for common inpatient services.”

Still, some health care advocacy groups say Ohio is doing worse than other states. A study from Catalyst for Payment Reform and the Health Care Incentives Improvement Institute gave Ohio and six other states a “D” for health care price transparency, based on the states’ laws and regulations. That was actually better than 29 other states, which flat-out flunked with an “F.” Only New Hampshire and Massachusetts received an “A,” the highest grade possible.

Even then, the Catalyst for Payment Reform and the Health Care Incentives Improvement Institute cautioned in the study that their grades were given on a curve, which means all states would likely fare worse if the organizations measured them based on ideals instead of comparatively.

Many health care experts and advocacy groups claim the price variation is caused by a lack of transparency in the health care system, which gives hospitals free reign to charge without typical market checks (“Healthy Discussion,” issue of April 10).

Pro-choice groups are criticizing Ohio House Republicans’ budget plan for pulling money from Planned Parenthood and shifting federal dollars to “anti-choice” crisis pregnancy centers.

The Ohio House Republicans’ budget plan would redirect federal funding for family planning services in a way that would strip funding for Planned Parenthood and family planning providers.

During hearings at the Ohio House Finance and Appropriations Committee today, multiple women’s health advocates, ranging from health experts to members of Planned Parenthood, said these services mostly benefit low-income women, particularly in rural areas. On the other side, representatives from anti-abortion groups spoke in support of the Ohio House Republicans’ measures, citing health care options, family values, abstinence and chastity.

Kellie Copeland, executive director of NARAL Pro-Choice Ohio, says the defunding measure has become a recurring trend for Ohio Republicans, who have taken up the Planned Parenthood measure multiple times in the past couple years. But she says the threat could have more weight this time around.

“This feels different,” Copeland says. “They’ve always kind of tried to hide it before. This time they were a lot more upfront about it. It seems like they may be willing to put political capital into this fight this time.”

A separate section of the Ohio House Republicans’ budget plan redirects federal funding to a program that will fund crisis pregnancy centers (CPCs), which provide abstinence-only family planning services.

Some researchers have found abstinence-only programs to be ineffective. A 2007 study published in the Journal of Adolescent Health found abstinence-only programs have no impact on rates for teenage pregnancy or vaginal intercourse, while comprehensive programs that include birth control education reduce rates.

A 2011 study from researchers at the University of Georgia that looked at data from 48 states concurred abstinence-only programs do not reduce the rate of teenage pregnancy. The study indicated states with the lowest teenage pregnancy rates tend to have the most comprehensive sex and HIV education programs.

Still, a 2010 study from a University of Pennsylvania researcher found abstinence-only education programs may delay sexual activity. The study, which tracked black middle school students over two years, found students in an abstinence-only program had lower rates of sexual activity than students in the comprehensive program.

Some supporters say the Ohio House Republicans’ budget measures aren’t specifically about Planned Parenthood, abortion or birth control. Instead, they argue they’re trying to establish more health care options for women.

But the providers that would be able to get more funding already apply for it; they just lose out to Planned Parenthood’s services, which are deemed superior by state officials who distribute the funds during the competitive distribution process.

Copeland says “no thinking person” should fall for the reasoning given by Republicans and supporters who say abortion is not one of their concerns.

“They’re trying to impose their morals on you,” Copeland says. “These are not health care experts. These are not people who are trying to find real solutions for the problems that real people face. These are people who want to impose their personal views, their personal morality on you.”

Some anti-abortion supporters, including Denise Leipold of Right to Life of Northeast Ohio, say abortion and broader cultural issues are absolutely part of the reason they support the Ohio House Republicans’ budget plan.

“Our mission is to support the right to life from conception to natural death,” Leipold says. “Abortion happens to be a big problem right now because in the past 40 years it’s become part of the culture.”

She adds, “Now kids are learning that responsible sex means that you can have sex but just use birth control. That’s not supposed to be the attitude. The attitude is supposed to be that sex is for a committed relationship between a man and a woman in a marital relationship.”

During testimony today, Stephanie Kight, president and CEO of Planned Parenthood of Greater Ohio, asked state legislators to support the organization’s numerous medical services, including women’s health, family planning and sexually transmitted infection (STI) treatment.

Kight also said state and federal funds do not go to abortions. Planned Parenthood’s abortion services are instead funded by private donations.

At the hearings, Republican State Rep. Ron Maag asked Kight why Planned Parenthood doesn’t shut down its three abortion clinics in Ohio if those clinics are potentially threatening the “good work” Planned Parenthood does elsewhere. Kight said Planned Parenthood believes its abortion services are “good work.”

Public service announcement: There will be no Morning News and Stuff Thursday and Friday due to Thanksgiving break. Happy Thanksgiving, and CityBeat will see you again on Monday!

With gains in the civilian labor force, Cincinnati’s seasonally unadjusted unemployment rate dropped to 6.8 percent. The city’s unadjusted unemployment rate is below the nation’s rate of 7.5 percent, but it’s above Hamilton County’s 6.2 percent rate and Ohio’s 6.3 percent rate.

The Ohio Graduation Tests will soon be no more. As part of broader reform, state education leaders have agreed to establish new standardized tests with a focus on college and career readiness. But the reform faces some concerns from Democrats, who worry the new standards, particularly the school report cards that evaluate schools and districts, may be unreasonably tough. An early simulation of the new school report cards in May showed Cincinnati Public Schools (CPS) dropping from the second-best rating of “Effective” under the current system to a D- under the new system, with 23 CPS schools flunking.

Gas prices in southwest Ohio appear to be on the rise. Since Monday, they have moved up 10 to 20 cents.

The Horseshoe Casino is hiring again. This time, the casino is looking for people experienced in restaurant management, hosting, banquet, finance, marketing and guest services.

One problem Ohio must consider in its decision to expand Medicaid or not: a doctor shortage. Still, one study found states that expanded Medicaid had notable health gains. Contrary to the fiscal reasons normally cited by Republican Gov. John Kasich’s office, another report from the Arkansas Department of Human Services found expanding Medicaid would actually save the state money by lowering the amount of uncompensated care.

Thirteen people are going for the Ohio Supreme Court. The vacant slot needs to be filled after Justice Evelyn Stratton announced she was stepping down earlier in the year. Her replacement, who will be picked by Gov. Kasich, will finish the two years of her six-year term. Some of the candidates are from the Cincinnati area, including Pat Fischer and Pat DeWine, the newly elected First District appellate judge. Surprisingly, Republican Justice Robert Cupp did not submit an application despite recently losing re-election.

A ban on internet sweepstakes cafes is on its way. The cafes are allegedly susceptible to illegal activities such as money laundering, racketeering and sex trafficking.

Marc Dann, the Democrat formerly in charge of the Ohio attorney general’s office, lost his law license for six months. Dann resigned from the role of attorney general in 2008 after 17 months of scandal-ridden service.

Three staffers at Gov. Kasich’s office were cleared by the Ohio inspector general’s office of engaging in political activity during work hours.

The mediation between Hostess and a striking union failed. The company is blaming the union for shutting down, but the free market is a likelier culprit.

With Thanksgiving around the corner, here is some science on weight gain.

A new way to give drugs to patients: injectable sponges that expand inside the body.

Gov. John Kasich is refusing to work with Obamacare. In a letter to the U.S. Department of Health and Human Services, the governor today declined to have the state government run its health insurance exchange. With the move, the federal government will be put in charge of managing Ohio’s exchange.

Exchanges are subsidized, heavily regulated insurance markets that will go into effect in 2014 as part of Obamacare. They are supposed to bring down costs by offering more transparent, open competition through a fair, regulated marketplace. As part of Obamacare, states have to decide by Dec. 14 whether they’ll manage the exchanges or let the federal government do it.

Conservatives were quick to praise Kasich's decision. Americans for Prosperity applauded the choice in a statement. The Buckeye Institute put up a blog post calling the move “the right decision for Ohio.” The Coalition Opposed to Additional Taxes and Spending (COAST) called the move the right choice.

At first, the choice seems like a contradiction for conservatives. After all, they’re the group that normally rails against a big federal government. Why let the federal government take over a new, major part of the health-care system? Rob Nichols, Kasich’s spokesperson, justified the decision in a statement: “Ohio would have no flexibility to shape an exchange to our needs and its costs will be so high that it just doesn’t make sense for the state to operate a health exchange under Obamacare.” In other words, even if the state managed the exchanges, it would still have to answer to the federal government.

In his letter, Kasich also stated Ohio will not give up its right to regulate the insurance market. So the federal government will have the final say on exchanges, but Kasich wants to keep the rest of the market under state regulatory control. The state will also keep control over deciding Medicaid and Children’s Health Insurance Plan (CHIP) eligibility.

Ohio is not alone in declining to supervise exchanges. Other states have signed off on letting the federal government manage them, including Florida and Texas.

Still, Republicans may want to proceed cautiously. Recent polling has shown that support for repealing Obamacare has massively dropped. That shift could reflect reality catching up to public opinion. Republicans tend to rail against Obamacare by saying it’s too expensive, but a Congressional Budget Office report found repealing Obamacare would increase the deficit by $109 billion between 2013 and 2022.

Here they go again. Republicans are renewing their anti-abortion agenda in Ohio. Two of the governor’s October appointments have been criticized by a pro-choice group, and the state legislature is now considering a new version of the heartbeat bill.

Yesterday, Senate President Tom Niehaus told The Cincinnati Enquirer that the Ohio legislature, in cooperation with anti-abortion groups, is giving another look at the heartbeat bill. When the heartbeat bill was first suggested, many on the left labeled it the most radical anti-abortion bill in the country. If it became law, the bill would have banned abortion as soon as a fetal heartbeat is detected, which is typically visible in ultrasounds by the sixth week of pregnancy, with no exceptions for rape, incest or the health of the mother.

Legislators and anti-abortion groups aren’t offering specifics on the new bill. Ohio Right to Life opposed the heartbeat bill when it was first suggested because the group believed it was too likely to fail in front of the U.S. Supreme Court, which upheld abortion rights in Roe v. Wade in 1973. The new version of the heartbeat bill will likely be retooled to sustain any court challenges.

Kellie Copeland, executive director of NARAL Pro-Choice Ohio, says Republicans haven’t taken the right lessons from the Nov. 6 election: “It’s clear that they didn’t get the memo. Pro-choice Ohioans overwhelmingly voted to re-elect President Obama and reject this war on women. Here we are, we haven’t even made it to the weekend, and our senate president is resuming attacks on women’s reproductive health care.” She added, “I think they didn’t care what Ohio women thought before the election, and it’s clear they don’t care now either.”

In response to questions about whether the governor will support a new heartbeat bill, Rob Nichols, spokesperson for Republican Gov. John Kasich, said in an email, “We are watching the Senate’s activity closely.”

A few appointments from Kasich have also come under scrutiny. On Oct. 12, Kasich appointed Marshall Pitchford, a board member at Ohio Right to Life, to a committee in charge of filling a vacancy in the Ohio Supreme Court. On Oct. 29, Kasich appointed Mike Gonidakis, Ohio Right to Life president, to serve a five-year term on the State Medical Board of Ohio, which is in charge of the state’s medical regulations.

In a statement, Copeland criticized the appointment to the Supreme Court committee: “Because legislation promoted by Ohio Right to Life is likely to come before the Ohio Supreme Court, it is inappropriate for Pitchford to be placed in a position where he can cherry-pick a justice to serve on that court.”

She also criticized the appointment of Gonidakis to the State Medical Board. Copeland says she’s “concerned” that he’s on the board to regulate and restrict access to abortions. “No group in the state of Ohio has done more to interfere with the private medical decisions of Ohio women,” she says. “For their leader to now be on the State Medical Board is completely inappropriate and disturbing.”

She added that the two appointments show Kasich is “playing a more active role in the war on women than Ohioans realize.”

According to Gonidakis’ biography on the Ohio Right to Life website, Gonidakis went to school for law at the University of Akron. No professional medical experience is noted.

Nichols said in an email the appointments should come as no surprise: “The governor believes strongly in the sanctity of human life, so it's a surprise that someone would be surprised that he practices what he preaches.”