Under a block grant model, Georgia has made it nearly impossible to get TANF (see http://www.motherjones.com/politics/2009/0…). The state has also passed legislation requiring both TANF and food stamp applicants (at discretion of caseworker) to take a drug test - despite the fact there is no evidence applicants have higher rates of drug use than the rest of the population, and despite the fact the constitutionality of these requirements has been sharply questioned by the judicial system. Why should the federal government trust Deal et al with a block grant for Medicaid? Why should I believe that you want to do anything other than screw over and demean poor people?
@Burroughston I don't have time to sift through budget at moment but my understanding was that part of Grady transfer this year for debt payment that is up (after renovations several years ago) - the $25 million is a number for how much less is going to actually support Grady programs.
Encourage Governor Deal to agree to Medicaid expansion at http://www.change.org/petitions/governor-d…. And go to Moral Monday protests!
They can receive emergency care for pneumonia, perhaps. But (a) They lost the opportunity to catch it earlier and may have spread illness in the meantime or missed work… if you're talking about issues like screening for cancer, delay can mean a death sentence (b) If they're working class, that huge bill from the ER/admission ($5000/$7000 per day, EASY) they can't pay will follow them, threaten foreclosure, ruin their credit (c) There are many illness - say, a disabling hernia that keeps you from working - that can ruin someone's life & livelihood but don't qualify for free emergency care b/c they're not immediately life threatening. So *maybe* you can get a CT scan in the ER but you can't find a surgeon/hospital who fix the hernia that forced you to stop work in construction. Or *maybe* you can get a psych assessment but you can't get regular access to your meds.
This idea that the emergency room solves all is just not true. Just because the hospital has to (try to) save your life if it's in immediate danger doesn't mean people can always get care they need or that they get care for life-threatening conditions in time. We need the ACA in this country, we need Medicaid expansion in Georgia, and right now we can't live without Grady.
Sign the petition at www.change.org/governor-deal-medicaid-expa…
For those of you who support Medicaid expansion, please sign our petition at http://www.change.org/petitions/governor-d… and pass it along! Look out for an event at the Gold Dome in January.
@JVoice - The report is specifically talking about uninsured, nonelderly adults (other than pregnant women and a few very very low income parents, nonelderly, nondisabled adults have virtually no access to Medicaid in Georgia right now). After the first three years the federal contribution drops (over a few years) to cover 90% of costs - vs. the 65% of costs the fed gov't covers for our current Medicaid population. Republicans have stated concerns that the generous federal match will go away - however, the federal government has never in the history of Medicaid dropped its match for Medicaid so it's hard to imagine this happening. It's important to remember that (a) we're already paying the taxes that are going towards expansion - why not let them come back to GA and (b) part of the federal money is coming from funds which currently go to hospitals to cover cost of indigent care (idea was that with more insured people the pot won't need to be as big.) This pot of money (DSH) is supposed to be cut be 50% over the next decade and in states that don't take Medicaid, safety net hospitals are going to be devastated and will likely close.
The devastating impact of not expanding Medicaid - and the extent to which it really is a good deal - makes some of us optimistic it could still happen in Georgia - maybe not this year, but soon. When Medicaid was first enacted only half the states opted in in the first year - but within five years all but one (Arizona) joined in. Medicaid expansion can happen here in GA - but we need to fight for it.
Expanding Medicaid could prevent this shortfall for Grady (and prevent rural hospitals in Georgia from closing) - https://www.change.org/petitions/governor-…
Still working on getting Governor Deal to expand Medicaid - it's happened in other GOP-led states, it's happening in Arkansas under a private model, and it could happen here - sign here so the poorest Georgians are not the only ones left with no option https://www.change.org/petitions/governor-…
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