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News item from the Charlotte Observer:

“The Fort Mill, S.C., Republican who went public Tuesday with his plea for help paying for sight-saving surgery had raised almost $12,000 by Wednesday evening – most of it from self-described liberals and Affordable Care Act supporters saying they hope he’s learned a lesson.

That’s enough to ensure he can get the treatment he needs, said Dr. Andrew Antoszyk, an eye surgeon with Charlotte Eye, Ear, Nose and Throat Associates. After reading Luis Lang’s story in the Observer on Wednesday, Antoszyk said he’d work with Lang and with Novant Health to give him the care at reduced cost.

Lang, a self-employed handyman, declined to get health insurance until he needed expensive surgery for diabetes-related eye problems. His story went viral, spurring blogs and comments, national media commentary, thousands of social media shares and vigorous discussions across the country.

His GoFundMe.com page has been shared on social media more than 1,700 times since Tuesday morning, with more than 600 people making small donations, often with political commentary.

‘No one should be without medical (care) even if they have not made their own best choices in life,’ wrote Steve Kadel, who gave $10. ‘The party of personal responsibility (has) left you hanging on your own consequences. Progressives like me think that’s just cruel. Be well.’”

Whether Lang or other Affordable Care Act naysayers will learn a lesson is unclear at this point — Lang himself, offers rather muddled comments on the subject later in the Observer article — but a few things are clear from all this:

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Commentary

In case you missed it, be sure to check out Ned Barnett’s column from Sunday’s edition of Raleigh’s News & Observer in which he explains why the myth of runaway Medicaid spending is just that — a myth.

“Refusing to expand Medicaid may look reflexively anti-Obama and hardhearted, but Republicans say it’s a matter of fiscal responsibility. They say that Medicaid’s annual costs are prone to unpredictable surges and that its overall rate of increase means it will soon crowd out the state’s ability to meet its other obligations.

But the Medicaid monster is a myth. A new analysis by the nonprofit Medicaid management organization Community Care of North Carolina found the health care program to be a steady expense. It’s expensive, yes, but it does a lot to improve the health of a vulnerable population and may well head off more expensive medical costs that would inflate premiums for everyone.

John Alexander, Community Care’s vice president for Medicaid financial performance and analysis, sat in a conference room last week and presented the reality behind the illusion. ‘We found that spending on Medicaid isn’t broken, it isn’t unpredictable, it isn’t out of control,’ he said.

Indeed, he said, year-over-year spending on Medicaid is consistent, its administrative costs are relatively low and the cost per patient is going down, falling 9 percent in the last four years.”

The essay goes on to explain how supposed spikes in Medicaid spending in recent years are really just a result of the end of federal stimulus spending in response to the Great Recession:

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Commentary

The wonks at the Center on Budget and Policy Priorities are out with a new and powerful report today on the increasingly-evident benefits of Medicaid expansion. Here’s the lead:

“In the short time since states have been able to expand Medicaid to low-income adults under health reform, a clear divide has emerged between states that have expanded Medicaid and those that have not. Since the major coverage provisions of the Affordable Care Act (ACA) took effect in 2014, insurance coverage rates have improved across the country, but the gains are far greater in the states that have expanded Medicaid. As a result, hospitals in expansion states are treating fewer uninsured patients, and the amount of uncompensated care they are providing is declining steeply. Moreover, contrary to critics’ claims that Medicaid expansion is financially unsustainable for states, there is increasing evidence that expansion has saved states money, and these savings are expected to grow over time.

The Medicaid expansion has had an especially dramatic impact in Arkansas and Kentucky, which both had high uninsurance rates and limited Medicaid eligibility for non-elderly adults before health reform. Both states’ uninsurance rates have fallen by half in just over a year, and the expansion is expected to save each state more than $100 million by the time their current state fiscal years end on June 30.

Meanwhile, the states that have not expanded Medicaid are falling further behind. In the non-expansion states, large numbers of low-income people remain uninsured and without access to affordable health coverage. These individuals are caught in a ‘coverage gap’ because their incomes are too high for Medicaid but too low for subsidies to purchase coverage in the marketplace. Hospitals in these states continue to provide large amounts of uncompensated care, and the states are missing the opportunity to leverage billions of dollars in new federal funding through the Medicaid expansion.”

Click here to see the numbers and read more details about how North Carolina continues to fall farther behind as the result of its stubborn and self-destructive refusal to expand the program.

Commentary

Nicole and LindaTomorrow is Women’s Advocacy Day at the North Carolina General Assembly and there are a lot of good reasons for caring women (and men) to attend. The one at the top of my list will be Medicaid expansion – the long-neglected plan to extend decent, affordable health coverage to hundreds of thousands of North Carolinians.

As has been explained repeatedly in countless places in recent months, North Carolina would benefit greatly from Medicaid expansion. The numbers of lives that would be saved and the amount of money that would flow to the state are both huge and more than reason enough for state leaders to act. As a group that has long endured lower pay and benefits, women would also benefit disproportionately from expansion.

For me, however, the motivation for speaking out goes well beyond the numbers. It’s also about speaking out on behalf of people who I know and care about – people like my friend, Linda Dunn (that’s us on the left at the General Assembly last month).

I met Linda back in December at a community forum in Kinston at which Sen. Don Davis, Lenoir County Sheriff Ronnie Ingram and several other community leaders expressed concern about the failure to expand Medicaid and the fact that, in Lenoir County alone, expansion would cover 2,270 residents and create more than 350 desperately needed jobs.

Linda attended the forum along with her adult daughter. I met them just before the discussion was set to begin. She was terribly concerned about her daughter’s lack of access to insurance and medical care.

In fact, she was so concerned that she was later inspired to travel to Raleigh to share her family’s story during last month’s Medicaid Expansion Advocacy Day. Linda held onto the podium in the Legislative Building press room while some in the audience held back tears as she spoke like only a mother could about the devastating impacts of suffering from chronic health conditions without insurance. Read More

Commentary

Medicaid expansionIn case you missed it, the best editorial of the weekend dealt with the most important failure of North Carolina’s political leadership in recent years. The essay in Raleigh’s News & Observer was entitled:

NC losing funding and savings with Medicaid holdout: By balking on Medicaid expansion, N.C. forgoes billions of dollars and a chance to cut costs.”

As the editorial noted:

“In medicine, the small things can matter most. And it is the neglect of the small things that can lead to the biggest costs.

That’s why preventative care is so important and early intervention so significant. And that’s why North Carolina’s stubborn refusal to expand Medicaid is so wildly irresponsible and hugely expensive. As a result of its intransigence, the Republican-led General Assembly is struggling to find tax revenue on one end and turning away billions of dollars on the other.”

The piece goes on to explain how North Carolina’s award-winning nonprofit Medicaid manager, Community Care NC, is saving millions upon millions of dollars and thousands of lives already and to lament the toll in both categories that is being taken by the state leadership’s pigheaded refusal to close the Medicaid gap for hundreds of thousands of lower-income, working people. It also cites report which holds up the astounding amount in federal funds the state is foregoing:

“The report estimates that forgoing federal Medicaid expansion from 2013 to 2022 will cost North Carolina $39.6 billion. In addition, the state’s hospitals will lose out on $11.3 billion in federal funds intended to offset cuts in their Medicare and Medicaid reimbursements as required under the Affordable Care Act, which anticipated that all states would expand Medicaid.

That’s more than $50 billion in federal funding forgone over 10 years. Meanwhile, the state would have to spend about $3 billion for its share of expansion. That is a mindboggling deal to refuse so that conservatives can express their pique over ‘Obamacare.’

Republican leaders say they’re worried about being saddled with a higher entitlement cost if the federal government reneges on its promise to pay its full share, but the design and history of Medicaid do does not support that concern. Meanwhile, there are billions of reasons to expand Medicaid now.”

Amen. Read the entire editorial by clicking here.