Unsurprisingly, Medicaid Expansion Helps Poor People Get More Medical Care

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Noam Levey reports on some new research about Medicaid expansion:

“The effects of expanding coverage will be an unfolding story over time,” said Dr. Benjamin Sommers, lead author of the study, published in the journal JAMA Internal Medicine….Sommers and other researchers at Harvard University have been tracking the effect of Medicaid expansion by surveying some 9,000 poor residents in Arkansas and Kentucky, both of which expanded Medicaid eligibility, and in Texas, which has rejected the expansion.

In Arkansas and Kentucky, the share of poor adults without health insurance plummeted between 2013 and 2015, from more than 40% in both states to 14% in Arkansas and less than 9% in Kentucky.

In Texas, by contrast, the uninsured rate dropped only from 39% to 32%. Although Texas has not expanded Medicaid, state residents have been able to buy health insurance on the new insurance marketplaces that were also created by the law.

The new coverage in Arkansas and Kentucky dramatically improved poor patients’ access to care and relieved financial strains, the surveys show.

This, of course, is no surprise. If you expand Medicaid, more poor people will get medical care. If you don’t, they won’t.

Skeptics will suggest that more coverage is not necessarily better. However, I have yet to meet a single one of these skeptics who actually believes this enough to give up their own medical coverage. I’ll take them more seriously when that happens.

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WHO DOESN’T LOVE A POSITIVE STORY—OR TWO?

“Great journalism really does make a difference in this world: it can even save kids.”

That’s what a civil rights lawyer wrote to Julia Lurie, the day after her major investigation into a psychiatric hospital chain that uses foster children as “cash cows” published, letting her know he was using her findings that same day in a hearing to keep a child out of one of the facilities we investigated.

That’s awesome. As is the fact that Julia, who spent a full year reporting this challenging story, promptly heard from a Senate committee that will use her work in their own investigation of Universal Health Services. There’s no doubt her revelations will continue to have a big impact in the months and years to come.

Like another story about Mother Jones’ real-world impact.

This one, a multiyear investigation, published in 2021, exposed conditions in sugar work camps in the Dominican Republic owned by Central Romana—the conglomerate behind brands like C&H and Domino, whose product ends up in our Hershey bars and other sweets. A year ago, the Biden administration banned sugar imports from Central Romana. And just recently, we learned of a previously undisclosed investigation from the Department of Homeland Security, looking into working conditions at Central Romana. How big of a deal is this?

“This could be the first time a corporation would be held criminally liable for forced labor in their own supply chains,” according to a retired special agent we talked to.

Wow.

And it is only because Mother Jones is funded primarily by donations from readers that we can mount ambitious, yearlong—or more—investigations like these two stories that are making waves.

About that: It’s unfathomably hard in the news business right now, and we came up about $28,000 short during our recent fall fundraising campaign. We simply have to make that up soon to avoid falling further behind than can be made up for, or needing to somehow trim $1 million from our budget, like happened last year.

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