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Perhaps it sounds a little odd, but people both in Louisiana and elsewhere are sometimes fuzzy about the differences between the Affordable Care and Patient Protection Act, expanded Medicaid, and “Obamacare” — the politically charged term that involves the whole of the parts.
About three fourths of residents (72 percent) approve of expansion. Approval of the move extends across a number of demographic and political groups. Democrats (91 percent) and independents (73 percent) approve of Medicaid expansion. While Republicans are less enthusiastic about the policy, they lean toward approval (51 percent approval versus 45 percent disapproval).
More than 405,000 Louisiana residents who were uninsured a year ago now have coverage because of the Medicaid expansion offered under the Affordable Care Act. That is even more than the state predicted would sign up.
The Louisiana Department of Health will host a series of town hall meetings with clinical providers from across the state to solicit input on the selection of Medicaid performance quality measures.
Numerous studies show that access to mental health, substance use and other health care services helps former offenders better integrate back into their communities, lessening the likelihood of these individuals committing future crimes. Now, because of Medicaid expansion, the Louisiana Department of Health and the Department of Corrections are helping incarcerated individuals enroll into Medicaid, with coverage beginning once the individual’s sentence is complete and they transition out of prison.
Medicaid Expansion enrollment in Louisiana reaches 400,635 new members enrolled, and the most recent Gallup report shows the uninsured rate in Louisiana has decreased by nearly half to 12.5 percent in 2016, down from 21.7 percent in 2013. Gallop cites expansion as the key contributor for the reduction in the uninsured rate.
If the goal of health policy is to keep people healthier, there is a lot of room for debate over how to go about that process. If the measurement is insurance coverage, so that medical care is more easily available and affordable, "Obamacare" is a big success.
Medicaid expansion is covering hundreds of thousands more working adults and ensuring they have access to primary care. In addition, Medicaid Expansion is bringing in more federal tax dollars to our state and saving Louisiana taxpayers $184 million.
At the national level, where there is a move to dismantle the Affordable Care Act, and in Louisiana where some officials want to end Medicaid expansion, there are critics who use the argument that Medicaid patients get worse care than those without coverage.
For all the debate about whether states should expand eligibility for Medicaid under the Affordable Care Act, it’s unclear whether doing so actually makes people healthier. Initial research into the impact of expansion is at the same time exhaustive and scarce, as well as seemingly contradictory in some cases.
Today, I’m hearing different stories. I recently spoke to a middle-aged mother who was diagnosed with cancer only because she now has coverage. Without coverage, her tumor may have been picked up too late to cure and her daughters would have grown up without their mother. I heard from a man in the Lafayette area who has sickle cell anemia. Because he now has a primary care doctor, he no longer has to go to the local emergency room several times a month for care.