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Opinion | Do what’ll really help: Expand Medicaid

Joey Kennedy

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We’ll certainly see whether state Sen. Greg Reed’s support of the new Medicaid Integrated Care Network is worthy and that the program does what is promised. Let’s hope it does, but pardon my cynicism, because any health care program these days that promises to do more for millions of dollars less falls under my “too-good-to-be-true” doctrine.

That just doesn’t happen.

Reed wrote about the ICN for Alabama Political Reporter Wednesday, and here’s how he describes it: “In October of this year, the state Medicaid agency partnered with an Alabama health care provider that will now serve the medical needs of the 23,000 senior citizens who are receiving Medicaid’s long-term care services, 70 percent of whom are in nursing homes. By partnering with an expert health care provider based in Alabama, Medicaid can offer its long-term patients better care – and thus allow more Medicare recipients to stay longer in the comfort of their own home.”

This program, Reed writes, “is projected to save, over the long run, tens of millions of taxpayer dollars.”

Too bad that Reed, the Jasper Republican who is Majority Leader, isn’t pushing to expand Medicaid under the Affordable Care Act. That would do far more to help poor Alabamians, especially the working poor. Hundreds of thousands of Alabamians can’t get health insurance because they don’t qualify for subsidies, yet make too much to qualify for Medicaid.

While helping Alabama seniors live at home longer is a great goal, it’s doubtful they’ll get better care for millions of dollars less.

Expanding Medicaid under the ACA isn’t going to save the state money, either. It’ll cost millions of dollars more, though a fraction of what it would cost without the federal dollars that’ll come into the state with expansion.

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And with that expansion comes more jobs and economic development, and many hospitals, particularly in rural areas on the verge of bankruptcy, can keep their doors open, saving good-paying jobs there and at businesses that benefit from development around hospitals.

Expanding Medicaid is about the best economic development decision the Legislature and governor could make. Alabama should have expanded Medicaid from the outset, but the politics of hating President Barack Obama kept that from happening. It was more important to stick it to the first black president than to make sure more Alabama residents had access to health care.

Frankly, that still seems to be the goal.

We just had an election, and Alabama voters decided they’d rather keep the same crew in charge – the one that continues to make life-and-death decisions against their best interests.

For too many, an unconstitutional amendment to our state constitution that practically bans a woman’s choice was more important than making sure that women have decent health care. An unconstitutional amendment glorifying the Ten Commandments is more important than making sure those commandments are kept in the way we deliver services to the least of these.

So really, I’m rooting for Reed on doing something to provide more Medicaid services to Alabama senior citizens. But I’m rooting even more that Reed and his Republican colleagues change their can’t-do mind-set and expand Medicaid under the ACA.

Even if they still, for no good reason, hate the man who made the ACA possible.

Joey Kennedy, a Pulitzer Prize winner, writes a column every week for Alabama Political Reporter. Email: [email protected]

 

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