Why Medicaid Is Important Even to the Middle Class

Fight disinformation: Sign up for the free Mother Jones Daily newsletter and follow the news that matters.

Bob Somerby was happy to see Paul Krugman writing about Medicaid in the New York Times today, but thinks he errs in hauling out a bunch of facts and figures that portray Medicaid primarily as a program for the poor without giving equal time to a few other facts and figues:

As far as we know, none of that is wrong. But what about all the middle-class people who receive (expensive) nursing home care through the Medicaid program, at least in certain states?

To what extent does Medicaid pay for nursing home care for middle-class seniors? To what extent do middle-class voters understand this topic when they heard that Romney wants to slash spending for this program?

We don’t know the full answer to that first question. That said, we’ll guess that the vast majority of middle-class voters don’t understand that Medicaid may pay the bills for the future care of their own parents or grandparents.

Until recently, I would have agreed with Bob. But a couple of months ago the Kaiser Health Tracking Poll asked a question about Medicaid, and it turned out that:

  • 67 percent of respondents supported the Medicaid expansion in Obamacare.
  • Even among middle-class families, 61 percent said that Medicaid was important to them.
  • Of those who said Medicaid was important to them, 49 percent said it was because “you or someone you know” has received long-term nursing care via Medicaid.

As a matter of pure numbers, total Medicaid spending in 2010 was a little under $400 billion, and of that, $123 billion was for long-term nursing care. So that’s roughly a third of Medicaid spending.

That’s for everyone, of course, not just middle class folks, but it’s obviously a big chunk of Medicaid spending no matter how you slice it. And judging from Kaiser’s poll responses, most middle-class voters probably do understand that. It’s one reason the Obama campaign may have missed a bet by not making a bigger deal out of Mitt Romney’s plan to slash Medicaid and then dump the whole program on the states.

We've never been very good at being conservative.

And usually, that serves us well in doing the ambitious, hard-hitting journalism that you turn to Mother Jones for. But it also means we can't afford to come up short when it comes to scratching together the funds it takes to keep our team firing on all cylinders, and the truth is, we finished our budgeting cycle on June 30 about $100,000 short of our online goal.

This is no time to come up short. It's time to fight like hell, as our namesake would tell us to do, for a democracy where minority rule cannot impose an extreme agenda, where facts matter, and where accountability has a chance at the polls and in the press. If you value our reporting and you can right now, please help us dig out of the $100,000 hole we're starting our new budgeting cycle in with an always-needed and always-appreciated donation today.

payment methods

We've never been very good at being conservative.

And usually, that serves us well in doing the ambitious, hard-hitting journalism that you turn to Mother Jones for. But it also means we can't afford to come up short when it comes to scratching together the funds it takes to keep our team firing on all cylinders, and the truth is, we finished our budgeting cycle on June 30 about $100,000 short of our online goal.

This is no time to come up short. It's time to fight like hell, as our namesake would tell us to do, for a democracy where minority rule cannot impose an extreme agenda, where facts matter, and where accountability has a chance at the polls and in the press. If you value our reporting and you can right now, please help us dig out of the $100,000 hole we're starting our new budgeting cycle in with an always-needed and always-appreciated donation today.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate