Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Medicaid represents our nation’s moral commitment to help the poor

Ricky Choi, MD
Policy
July 14, 2011
Share
Tweet
Share

What if I were to tell you that Washington is trying to balance the budget by making cuts to a program that covers 70% of the nation’s nursing home costs and 43% of all births in California? Well they are.

The rancorous debate over how to balance the federal budget includes drastic cuts to Medicaid. And while this program may seem distant to people in power and the general public, the reality is that cuts will effect far more people than you expect and may even impact you or someone you know.

Here are a few statistics to ponder:

  • Medicaid covers 60 million people.
  • 2 in 5 children in the United States get their health insurance through Medicaid (30 million children).
  • More than 1/3 of all births are covered by Medicaid which includes prenatal and maternity care.
  • 7 in 10 people living in nursing homes are covered by Medicaid.
  • Medicaid provides 1/4 of all funding for mental health care.

Doesn’t the Medicaid program cost a lot of money?

Yes it does. But it’s a good deal if you consider that the average annual Medicaid spending per child is $2,422 and $7,683 for each adult and that the costs per enrollee is growing more slowly than premiums from employer based coverage (4.6% vs 7.7%).

Medicaid costs are going up because millions more are are needing it in these difficult times. Medicaid would be your safety net if you were to lose a job or experience a sudden drop in income.

For community health centers like mine, Medicaid is a lifeline. 37% of health center patients are covered by Medicaid. And this money is well spent. Community health centers have been shown to provide high quality cost effective care its 23 million patients.

Medicaid has its faults but few would argue that it is a lynch pin for our health care system and represents our nation’s moral commitment to help low income communities.

Attempts to make “reforms” like converting Medicaid into a block grant as championed by Representative Paul Ryan in legislation which passed in the House in April or applying a global spending cap are just gimmicks. The real impact will be a decrease in funds already cash strapped states have to pay for these programs, a loss of services or even closure of community health centers, and more uninsured people. In fact, these methods will not even cut costs, it will just shift the cost to states, providers and patients. It’s a shell game.

To make cuts to a program that is vital to the health of one in every five Americans is hazardous to our nation’s health. Don’t take it from me. One of our patients shares, “My friend is very frustrated with this government that prides itself on its democracy and equality for all, and yet blindly takes away the most basic services from its most vulnerable people who cannot otherwise afford or have access to medical care. There are millions of others in the same situation and it gets worse for those with multiple chronic conditions.”

Ricky Y. Choi is a pediatrician who blogs at SFGate and reprinted with the author’s permission.

 

Submit a guest post and be heard on social media’s leading physician voice.

Prev

Why I love being a family physician

July 13, 2011 Kevin 40
…
Next

Do non-compliant patients really sue their doctors?

July 14, 2011 Kevin 38
…

ADVERTISEMENT

Tagged as: Medicare, Public Health & Policy

Post navigation

< Previous Post
Why I love being a family physician
Next Post >
Do non-compliant patients really sue their doctors?

ADVERTISEMENT

More by Ricky Choi, MD

  • a desk with keyboard and ipad with the kevinmd logo

    What would you include in your perfect school lunch?

    Ricky Choi, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Dear Patient, great things are happening in health care

    Ricky Choi, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Our health problems will remain, despite how the Supreme Court rules

    Ricky Choi, MD

More in Policy

  • How the One Big Beautiful Bill could reshape your medical career

    Kara Pepper, MD
  • Why the U.S. Preventive Services Task Force is essential to saving lives

    J. Leonard Lichtenfeld, MD
  • Brooklyn hepatitis C cluster reveals hidden dangers in outpatient clinics

    Don Weiss, MD, MPH
  • Why nearly 800 U.S. hospitals are at risk of shutting down

    Harry Severance, MD
  • Innovation is moving too fast for health care workers to catch up

    Tiffiny Black, DM, MPA, MBA
  • How pediatricians can address the health problems raised in the MAHA child health report

    Joseph Barrocas, MD
  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Physician practice ownership: risks, rewards, and reality

      Paul Morton, CFP | Finance
    • Few people realize this common infection can cause serious complications [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Few people realize this common infection can cause serious complications [PODCAST]

      The Podcast by KevinMD | Podcast
    • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

      Jerina Gani, MD, MPH | Physician
    • My improbable survival of stage 4 cancer

      Kelly Curtin-Hallinan, DO | Conditions
    • How Filipino cultural values shape silence around mental health

      Victor Fu and Charmaigne Lopez | Education
    • Why leadership training in medicine needs to start with self-awareness

      Amelie Oshikoya, MD, MHA | Education
    • Federal shakeup of vaccine policy and the battle for public trust [PODCAST]

      American College of Physicians & The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 31 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Physician practice ownership: risks, rewards, and reality

      Paul Morton, CFP | Finance
    • Few people realize this common infection can cause serious complications [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Few people realize this common infection can cause serious complications [PODCAST]

      The Podcast by KevinMD | Podcast
    • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

      Jerina Gani, MD, MPH | Physician
    • My improbable survival of stage 4 cancer

      Kelly Curtin-Hallinan, DO | Conditions
    • How Filipino cultural values shape silence around mental health

      Victor Fu and Charmaigne Lopez | Education
    • Why leadership training in medicine needs to start with self-awareness

      Amelie Oshikoya, MD, MHA | Education
    • Federal shakeup of vaccine policy and the battle for public trust [PODCAST]

      American College of Physicians & The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Medicaid represents our nation’s moral commitment to help the poor
31 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...