Tuesday, July 16, 2013

I'm Back!

Thank you for all the thoughts and prayers. My husband is doing well after his surgery; recovery will be slow and take a while, but so thankful to be on the road to recovery!

Now it is time to get back to work. The clinic has been closed for two weeks, and so the uninsured residents of our county have not had access to healthcare.

Our legislators are in the second full week of their vacation. They are enjoying full access to healthcare, but have continued to neglect the poor living and working in the communities they are supposed to represent. So, it is time for us to get back to work and let them know that this is not acceptable. We want Medicaid Expansion for Michigan. If you live and vote in Michigan - please call your state senator, and let them know the time is NOW! We want Medicaid Expansion.

Here is a great article on Medicaid Expansion that I want to share:

Expand Medicaid in Michigan

 
 
The prestigious Institute of Medicine has estimated that having access to medical coverage would reduce adult mortality by 25 percent. 
 
A subsequent study published in the New England Journal of Medicine showed that expansion of Medicaid eligibility in New York, Maine and Arizona reduced the mortality rate (the number of deaths in a population) among those newly eligible for Medicaid and improved access to care and overall health.
 
How often in a lifetime will any of us have the opportunity to have so much positive impact on another person’s life?
 
The people of the state of Michigan have that opportunity right now.
 
The Affordable Care Act (aka Obamacare) allows the state of Michigan to extend Medicaid access to an estimated 450,000 Michigan residents with incomes up to 133 percent of poverty, ($15,282 for an individual and $31,322 for a family of four), who do not qualify for Medicaid under the rules set by the state of Michigan.
 
Amazingly, we can do this and save the state money for at least a decade.
 
The only thing that stands in our way is the Republican caucus in the Michigan State Senate, which refuses to support the expansion. Our Republican governor, Senate Democrats and our House of Representatives all support expansion.
 
Why does the Senate Republican caucus oppose expansion?
 
It is not about taxes or state budget fiscal responsibility.
A recent study by the Center for Healthcare Research & Transformation (CHRT) estimated that expanding Medicaid eligibility would save the Michigan state government $983 million over the next decade (2014-23).
 
This happens because the federal government pays 100 percent of the cost of the expansion in 2014-16, 95 percent in 2017-19 and 90 percent starting in 2020. There would be a net cost in the second decade, but it would be less than the savings in the first decade.
 
It is not about the impact on employers or local communities.
Hospitals are the largest employers in most towns in Michigan and employ more than 219,000 people; other health care organizations directly employ an additional 210,000.
The nearly 140 hospitals in Michigan will receive several hundred million dollars from the federal government each year if Medicaid is expanded in Michigan.
 
My congressional district around Ann Arbor is projected to receive $182 million a year.
This is critically important because Michigan hospitals provide an estimated $1.9 billion a year in uncompensated care.
 
Historically, some of this uncompensated care has been covered by federal payments but those payments are scheduled to decrease because the federal government assumed all of the states would be expanding Medicaid to low-income residents and would receive offsetting Medicaid payments.
Expanding hospital revenue means more jobs; reducing it means layoffs.
Some of the uncompensated care is passed on to Michigan employers and residents in the form of higher medical charges.
 
The CHRT study estimates that expanding Medicaid in Michigan will reduce costs for employers and residents who purchase insurance by $640 to $985 billion over the next decade.
 
It is not about equity.
Michigan state senators and their families are covered by the state of Michigan health insurance program, which is funded through our taxes.
 
Their monthly premiums range from 0 to 20 percent, depending on the plan they choose.
 
If these senators, who have good-paying jobs, receive government health insurance, does it seem fair that poor people are denied?
 
It is not about religious values.
Every major religion in the world stresses the importance of caring for the poor.
 
So what is it actually about?
It’s partly about politics; about making a stand against Obamacare.
 
But it is mainly about the citizens of the state of Michigan putting up with this behavior. If the citizens of the state of Michigan call their senators to ask them to support Medicaid expansion, it will get done.
 
I am going to call my senator, Randy Richardville, every week until he agrees to support Medicaid expansion. Will you? I will vote for his opponent in the next election if he refuses.
 
Will you?
Michael P. O’Donnell is a clinical professor in the School of Kinesiology and director of the Health Management Research Center at the University of Michigan.


From The Detroit News: http://www.detroitnews.com/article/20130711/OPINION01/307110004#ixzz2ZECj9OTl

No comments:

Post a Comment