No Birth Certificate - No Medicaid!

The federal law that requires people filing for Medicaid to produce papers confirming they are citizens is backfiring. This rule was designed to keep illiegal immigrants from receiving Medicaid, but many citizens in the US do not have a birth certificate if they were born at home. Many are so poor they cannot purchase their birth certificates or cannot get to the county or state office that provides copies of these certificates.

Here's some excerpts from the New York Times that ran the story today:

Citizens Who Lack Papers Lose Medicaid
By ROBERT PEAR
WASHINGTON, March 11 — A new federal rule intended to keep illegal immigrants from receiving Medicaid has instead shut out tens of thousands of United States citizens who have had difficulty complying with requirements to show birth certificates and other documents proving their citizenship, state officials say.

Florida, Iowa, Kansas, Louisiana, New Mexico, Ohio and Virginia have all reported declines in enrollment and traced them to the new federal requirement, which comes just as state officials around the country are striving to expand coverage through Medicaid and other means.

Under a 2006 federal law, the Deficit Reduction Act, most people who say they are United States citizens and want Medicaid must provide “satisfactory documentary evidence of citizenship,” which could include a passport or the combination of a birth certificate and a driver’s license.

Some state officials say the Bush administration went beyond the law in some ways, for example, by requiring people to submit original documents or copies certified by the issuing agency.

“The largest adverse effect of this policy has been on people who are American citizens,” said Kevin W. Concannon, director of the Department of Human Services in Iowa, where the number of Medicaid recipients dropped by 5,700 in the second half of 2006, to 92,880, after rising for five years. “We have not turned up many undocumented immigrants receiving Medicaid in Waterloo, Dubuque or anywhere else in Iowa,” Mr. Concannon said.

Jeff Nelligan, a spokesman for the federal Centers for Medicare and Medicaid Services, said the new rule was “intended to ensure that Medicaid beneficiaries are citizens without imposing undue burdens on them” or on states. “We are not aware of any data that shows there are significant barriers to enrollment,” he said. “But if states are experiencing difficulties, they should bring them to our attention.”

So people that really need the help won't even apply because they don't have the documentation that they are truly citizens. More:

“Congress wanted to crack down on illegal immigrants who got Medicaid benefits by pretending to be U.S. citizens,” Mr. Jones said. “But the law is hurting U.S. citizens, throwing up roadblocks to people who need care, at a time when we in Wisconsin are trying to increase access to health care.”

Medicaid officials across the country report that some pregnant women are going without prenatal care and some parents are postponing checkups for their children while they hunt down birth certificates and other documents.

Rhiannon M. Noth, 28, of Cincinnati applied for Medicaid in early December. When her 3-year-old son, Landen, had heart surgery on Feb. 22, she said, “he did not have any insurance” because she had been unable to obtain the necessary documents. For the same reason, she said, she paid out of pocket for his medications, and eye surgery was delayed for her 2-year-old daughter, Adrianna.

The children eventually got Medicaid, but the process took 78 days, rather than the 30 specified in Ohio Medicaid rules.

Dr. Martin C. Michaels, a pediatrician in Dalton, Ga., who has been monitoring effects of the federal rule, said: “Georgia now has 100,000 newly uninsured U.S. citizen children of low-income families. Many of these children have missed immunizations and preventive health visits. And they have been admitted to hospitals and intensive care units for conditions that normally would have been treated in a doctor’s office.”

Dr. Michaels, who is president of the Georgia chapter of the American Academy of Pediatrics, said that some children with asthma had lost their Medicaid coverage and could not afford the medications they had been taking daily to prevent wheezing. “Some of these children had asthma attacks and had to be admitted to hospitals,” he said.

The ones who suffer most are the children and the elderly.

My thoughts are that this law/rule was also instituted for the purpose of pushing the need for a Federal ID Card. But even with the ID card you still need to prove citizenship.

The other problem this creates is a health problem. Without medicaid many people, children inparticular, do not get regular checkups and serious problems would bring them to an emergency room. This puts stress on the hospitals and eventually raises the rate we pay for healthcare.

Everything that has been done in the past 6 years by the admin and the Congress is suspect!

Suburban Poor

I received an email from a member of a progressive group I belong to. The contents was an article from our local paper, The Daily Herald, about the Suburban Poor. There have been many indications of this but, until recently, it went unreported. Here are excerpts of this article along with the link:

Poor among plenty
For the first time in history, more poor people are living in the nation's suburbs than in the cities. Soon that may be true in the Chicago area; the number of those living in poverty in the collar counties has risen dramatically since 1999.

BY MARNI PYKE
Daily Herald Staff Writer
Posted Thursday, February 15, 2007

More and more suburban residents are barely scratching out a living, a report on Illinois poverty indicates.

More than 386,000 people in the collar counties of DuPage, Kane, Lake, McHenry, Will and suburban Cook are among the have-nots, the study by the Mid-America Institute on Poverty of Heartland Alliance indicates.

And the number of those in need in the suburbs grew by 25 percent between 1999 and 2006, a rate that surpasses Chicago's rate of 8 percent.

"Poverty is a reality, not an urban phenomenon," said report researcher Amy Rynell of Heartland Alliance, a Chicago-based charitable organization.

In Illinois, the numbers of the poor come to 1.48 million, while in Chicago the tally is 573,486.

Heartland uses federal guidelines to define poverty as one person earning less than $10,210 a year or a family of four with an income of less than $20,650.

Experts say the poor are seniors, people with disabilities, domestic violence victims, young adults trying to make it on their own, single-parent families, new immigrants, individuals with health problems, and the unemployed.

They're also people with jobs, say social workers on the front lines.

"They're working hard, holding down two jobs and trying to find child care," explained Victoria Bran, director of the Rolling Meadows Police Neighborhood Resource Center.

The Illinois report echoes a national study by the Brookings Institution that found - for the first time in history - more of America's poor are living in the suburbs than in cities, a total of 1.2 million people in 2005.

snip

Other findings were that nearly 24,000 households a month use food pantries in Kane, Will, DuPage, Lake and McHenry counties and that a growing number of people in the Chicago region are paying more than one-third of their income toward rent.

State officials, meanwhile, say that in spite of the grim news, employment is increasing. Between 2005 and 2006, the unemployment rate went from 5.4 percent to 3.9 percent, Illinois Department of Employment Security economist Norman Kelewitz said.

U.S. Sen. Dick Durbin says yes, maybe more people have jobs, but they're not necessarily well-paying jobs.

"Incomes are not rising and the cost of living continues to go up," he said. "Costs for education, energy and health care are continuing to go up."

That's a sentiment shared by Maureen Murphy, association division manager at the Lake County branch of Catholic Charities.

The agency serves between 25,000 and 27,000 people a year and has noticed a dramatic increase in need.

Job losses and a high cost of living are hurting Lake County residents, Murphy said.

"If you work for a minimum wage in Lake, you have to work 133 hours a week to afford a two-bedroom apartment.

We are told daily that the economy is good, we have low unemployment. But the jobs aren't the same. Many subrbanites are having to get two jobs to afford the basics when 6 years ago one job sould suffice. And the cost of health care has risen so fast that people have no healthcare Insurance or policies that don't cover much.