Monday, July 17, 2017

Minorities and Illegals Hogging up Obamacare?

The 2016 election brought out so much ugliness that it's sometimes overwhelming to think about much less digest. There's been analysis, finger-pointing and name-calling, but none of it changes the past. It's important to look to the future which, I admit, is hard to do given the direction that the federal government wants to take us.

One of the issues the 2016 election brought to the surface is the rampant racism, hatred, and misogyny that pulses through America's veins. Sometimes these pulses are larger and stronger than other times, but they have never ceased; they are always there.

Republicans like to put topics like welfare and healthcare into clean little boxes with such labels like "privilege". I remember under Bush, Jr., Republicans began to use the word "privilege" when talking about welfare and how it should be reformed. To some degree, I actually agree with them on this topic, but it certainly is NOT, nor has it EVER been a "privilege." We all pay into the till that is welfare and, should we ever need to use it, it is our right to have that money, not a privilege to. People forget this. But, Republicans count on that. They are master manipulators and master marketers. The Democrats could learn a lesson or two from them when it comes to mass marketing an idea and selling it.

As a result of this ability to master manipulate, Republicans have expertly convinced white people that minorities and (illegal) immigrants have stolen rights from Americans. What they really mean is that minorities and immigrants have stolen rights from white Americans. On this note, enter Trump. He rode this wave all the way to the White House. Taking this fear of "the other," he and Republicans campaigned for Obamacare repeal arguing that not only is it too costly, but that it is "giving away" healthcare to all those who didn't deserve it. In other words, the federal government is giving away healthcare to minorities and immigrants, mainly the illegal ones, and that this should be stopped.

But....really? Is this true? Are the minorities and illegals hogging up Obamacare?

Los Angeles Times published this article about children and healthcare. Taking a map of rural US counties, they were broken down by which counties voted for Hillary and which ones voted for Trump, and how much of those counties' constituents depended on government-issued healthcare.

For example, Fayette County in West Virginia overwhelmingly voted for Trump, yet 53% of its children rely on Medicaid and CHIP (Children Health Insurance Program).

564,000 people in West Virginia are covered by Medicaid.

47% of West Virginia children with special healthcare needs are covered by Medicare.

Fayette County in West Virginia is also mainly white. [1]

Do you think the parents of Fayette County are somewhat concerned as congressional Republicans move to cut hundreds of billions of dollars over the next decade from Medicaid? These parents voted for someone who degrades women, stole from other businesses (by not paying them for services), filed for bankruptcy multiple times, doesn't understand policy or how to govern, yet rode to the White House on a mountain of racist and hatred-filled sentiments. He has even surrounded himself with people whose agenda is to bring back a white America (whatever that means). The hatred and fear of "the other" is so deep among white people that they willingly gambled on their children's health. Please read that sentence again.

Here's what kids lose without coverage:

- fewer to no check-ups
- fewer to no immunizations
- more lost days of school
- more trips to the emergency room
- families must choose: food or healthcare

I'm no economist, but the above short-list of what children lose without insurance doesn't seem to invest in a child's future which then, looking long-term, doesn't invest in the future of America. A sick child doesn't go to school who then falls behind who then drop-outs who then becomes a burden on society because s/he has no developed skills. How is this a cycle people want?

Here's what a kid gains when insured:

- better health
- improved reading and test scores
- lowers risk of being a high school drop out
- increases future earnings

20 years ago, about 14% of children nation-wide lacked healthcare coverage. Today, that number is at 5%. How is this a bad thing? Yet, "Senate GOP legislation would slash more than a third of federal Medicaid funds over the next 20 years and nearly double the ranks of the uninsured by 2026." [2] I always thought the idea for a country was to move forward, not backward.

Going back to the map of the rural US counties for a sec. Out of 780 counties looked at nationwide, 622 had a majority of children on Medicaid.  Most of these children are white (whose parents voted for Trump, let's not forget), and these children, the future of America, are at risk of losing healthcare if Trump and Republicans get their way. Please read that sentence again.

Aren't Republicans the party of "family values?" Are children no longer a part of that equation?

"The funding cap in the Senate bill would increase only at the rate of inflation, leaving states with an increasingly larger share of the medical costs, which have typically increased faster than inflation. And because the same flow of federal Medicaid money covers care for children as well as for poor seniors and the disabled, deep cuts would probably force states to decide who is more deserving of medical care." [3]

States will have to decide whether children deserve medical care or whether poor seniors and the disabled deserve medical care. Please. Read that sentence again. Then let me know who of you is itching to run for State Assembly, State Senate, or Governor with that possibly on the horizon.

A country is only as good as its constituents. If the constituents won't have a heart for everyone, including those who look different from them, there is no healthcare out there that can save that heart.



Map of the counties. [4] More detail found in article cited above, but for additional information, including seeing the above map, please visit here

For more information on the subject please read The Atlantic's "How Kids Would Fare Under the American Health Care Act."

[1] Levey, Noam N. "Children's health at risk in Trump country." Los Angeles Times, 06 July 2017: A1. Print.
[2] Levey, Noam N. "Children's health at risk in Trump country." Los Angeles Times, 06 July 2017: A9. Print.
[3] Levey, Noam N. "Children's health at risk in Trump country." Los Angeles Times, 06 July 2017: A9. Print.
[4] Krishnakumar, Priya and Levey Noam. 2017 July 6. "Medicaid's vital role for children in Trump Country." www.latimes.com/projects/la-na-pol-medicaid-children/ 

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