by Sixstrings » Tue 24 Nov 2009, 01:14:32
$this->bbcode_second_pass_quote('', 'T')oday on the Senate floor, Sen. Lamar Alexander (R-TN) railed against Medicaid, the health insurance program funded by both the federal and state governments for low-income Americans, by calling it a “medical ghetto” and blasting Democrats for proposing to expand the program:
– “We’ve heard eloquent statements about how moving 15 million low-income Americans into a program called Medicaid, which is a medical ghetto, is not health care reform.”
– “The governor of Tennessee, who is a Democratic governor, has estimated that the cost to our state of this bill — of moving 15 million Americans into this medical ghetto — is about $800 million over five years.”
– “Or arrogant in its dumping of 15 million low-income Americans into a medical ghetto called Medicaid that none of us, or any of our families, would ever want to be a part of for our health care.”
Conservatives frequently rail against this program, which currently covers around 60 million Americans, including people who are often rejected by private plans. Rep. Virginia Foxx (R-NC) has suggested that people are better off uninsured than insured under Medicaid.
While Alexander may think he is too good for Medicaid coverage, a 2005 Kaiser Family Foundation poll found that 74 percent of Americans consider Medicaid very important and most would oppose cuts to the program. Families USA has pointed out that, despite its flaws, Medicaid is cost-effective and provides a solid foundation on which to expand coverage:
Medicaid is cost-effective compared to private health insurance. After controlling for health status (since Medicaid enrollees tend to have greater health care needs), it costs more than 20 percent less to cover low-income people in Medicaid than it does to cover them in private health insurance.
The program protects low-income Americans from uncontrollable out-of-pocket costs charged by private insurers and also “covers services not usually covered in private health insurance.” Under the Senate health bill, “most nonelderly people with income below 133 percent of the [federal poverty line] would be made eligible for Medicaid” starting in 2014. Additionally, the legislation would “increase federal Medicaid funding for states that cover recommended preventive services and immunizations at no extra cost.”
http://thinkprogress.org/2009/11/21/alexander-medicaid-ghetto/This really bothered me.
The shocking thing here is that Alexander isn't saying Medicaid is a ghetto "that none of us, or any of our families, would ever want to be a part of" because he thinks the supposedly lousy coverage ought to be improved -- he just wants to keep the ghetto where it's at and not see it expanded! The rub here is that the Republicans offer no real alternative to Medicaid. They slur the program as something no decent person should ever want, yet are unconcerned by the fact that crappy Medicaid is better than NOTHING AT ALL. The tragedy here is that a lot of folks who do work can't even get Medicaid and have no coverage at all, simply because they're working poor but aren't impoverished enough to meet the standard for Medicaid.
Alexander's brazen elitism and disregard for the basic humanity of 60 million Americans is just amazing. That's what really bothered me here, he's just so flippant about it.
Now, to be clear, I'm not well versed on the ins and outs of Medicaid. My understanding is that no, it doesn't compare to an employer plan and yes it's worse than Medicare. My understanding is that the coverage is limited, and not all doctors will accept it. But I also thought that it could at least get you in the door for basic preventative treatment, and could make the difference between getting a life-saving surgery or not.
I would agree with the senator that we don't want healthcare reform that reduces current employer-based plans to the level of Medicaid. But if Medicaid is in fact so ghetto that no decent white man should ever want it, then we ought to talk about improving the "medicaid ghetto" along with covering the millions who don't even have access to the ghetto.
EDIT:
I got curious about how many whites vs. blacks use Medicaid. As it turns out, 70% of Medicaid recipients are white! And, it's not even true that most African Americans use Medicaid.. the actual number is 28%. So if it's mostly white folks using Medicaid, then why is he throwing the ghetto word around so much? Why disparage African Americans for a program that's 70% white? And while we're at it, why are we beating up on the poor and unemployed to begin with, regardless of race?
(source for the racial breakdown:
http://www.jackandjillpolitics.com/2009/11/sour-sorry-sen-lamar-alexander-calls-medicaid-medical-ghetto/)