The Clinton Herald, Clinton, Iowa

Opinion

January 8, 2014

Welcome to Medicaid for all

(Continued)

Medicaid is not just a program for the poor; it’s a poor program. Reimbursement rates for doctors, dentists and other professionals are so low under Medicaid that enrollees have difficulty finding care. Having health insurance does not equate with having medical care. As Avik Roy recounts in “How Medicaid Hurts the Poor,” there is a “massive fallacy at the heart of Medicaid, and therefore at the heart of Obamacare. It’s the idea that health insurance equals health care.”

In fact, people without health insurance get care in a variety of ways. The startling news is that Medicaid enrollees fare worse on health outcomes than those with no health coverage at all.

Expanding Medicaid was sold on the premise that uninsured people were driving up health care costs by waiting until they were very sick before seeking care and thus overburdening emergency rooms. If the near poor had Medicaid coverage, the argument went, they would see doctors before their conditions became critical and required expensive emergency room treatment.

But research on Oregon’s program, published in the journal Science, found the reverse to be true. Tracking 25,000 enrollees for a period of 18 months, researchers found that Medicaid patients used emergency rooms 40 percent more than similarly situated adults who lacked health insurance. Having a Medicaid card did not divert people away from emergency rooms and into primary care. The number of ER visits for nonemergency matters increased. There was no change in the number of visits for nonpreventable emergencies.

An earlier analysis of Oregon’s data found that having a Medicaid card did not improve health outcomes. Medicaid patients were no healthier than the uninsured, except on one measure of mental health (which might be the result of people initially feeling —however incorrectly — that they had access to good medical care).

Text Only
Opinion
  • Dangerous Darkies Logo.png Redskins not the only nickname to cause a stir

    Daniel Snyder has come under fire for refusing to change the mascot of his NFL team, the Washington Redskins. The Redskins, however, are far from being the only controversial mascot in sports history.  Here is a sampling of athletic teams from all areas of the sports world that were outside the norm.

    July 29, 2014 3 Photos

  • Off and on the record Let us now praise anonymous sources.The new White House press secretary got into a familiar old spat with the White House press corps the other day over the use of anonymous sources.Josh Earnest — has there ever been a more perfectly named White Hous

    July 25, 2014

  • Be more informed

    Blame the city.That is a favorite pastime of many, including me at times. Driving over that pesky pothole or paying that annual property tax bill can lead to some choice words referencing the city. Nobody takes the brunt of being the scapegoat more t

    July 25, 2014

  • CCC thanks community, collaborators for successful movie night Clinton Community College would like to thank those who participated in the free outdoor movie showing of “Captain America – Winter Soldier” on the evening of Friday, July 18.We are grateful to have such wonderful community collaborators in the Erick

    July 25, 2014

  • Lindley, Tom.jpg Better police needed for college teams enticed to cheat

    The NCAA once cracked down on colleges that went too far luring top prospects, then it targeted teams that lathered players with special treatment. That was until the NCAA's get-tough approach backfired, rendering it ineffective and creating an opportunity for those who want to play dirty.

    July 24, 2014 1 Photo

  • Lindley, Tom.jpg Expectations too high for a rehabbing Woods

    Tiger Woods finished near bottom last weekend at Royal Liverpool, drawing out his drought of major tournament wins. Despite the disappointing showing, Woods' return to form remains a matter of when, not if.

    July 22, 2014 1 Photo

  • Todd Akin's back again to talk of rape So, Todd Akin is back and he’s talking rape again.You remember what happened last time. The would-be Missouri senator torpedoed his campaign two years ago after suggesting in a TV interview that if a woman is a victim of “legitimate rape,” she is unl

    July 22, 2014

  • Sadness remains as two-year mark passes in cousins' case As most citizens of the Cedar Valley are well aware, July 13 marked two years since the disappearance of cousins Elizabeth Collins and Lyric Cook-Morrissey of Evansdale.The passage of time provides some semblance of healing, but the sadness, particul

    July 22, 2014

  • UI needs to keep its admission standards high There’s been a lot of talk lately — most of it coming from the leadership of the Iowa state Board of Regents — about the University of Iowa not being passionate enough about its recruitment of in-state undergraduates. Regent president Bruce Rastetter

    July 21, 2014

  • Vote fraud myths meet voting rights reality Before she was allowed to register and vote for the first time in Franklin County, North Carolina, Rosanell Eaton had to read the entire preamble to the U.S. Constitution out loud in front of three men in the county courthouse.Eaton is black. The thr

    July 21, 2014 1 Story

Poll

With the Clinton County Justice Coordinating Commission and the Clinton County Board of Supervisors discussing proposals to construct a new jail, do you think the time has come for Clinton County to construct such a facility?

Yes
No
     View Results
Facebook