Lacking Papers, Citizens Are Cut From Medicaid

  1. Lacking Papers, Citizens Are Cut From Medicaid


    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....

    ...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....

    http://www.nytimes.com/2007/03/12/us...21f&ei=5087%0A
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  2. 112 Comments

  3. by   banditrn
    Is this just a matter of not having birth certificates or SS cards? I'm unsure from the article.

    At a certain point in our lives we would definately have been considered low-income, yet we managed to obtain and hang onto our childrens birth certificates - it's called personal responsibility.
  4. by   justme1972
    I agree....these are standard documents that anyone should keep on hand and replace immediately if they are lost.

    I don't see anything wrong with the measure.
  5. by   pickledpepperRN
    Maybe some people are not smart enough to do this. Or they didn't know they needed to.
    Should their children suffer because their mother didn't know how to hurry government red tape?
  6. by   justme1972
    Quote from spacenurse
    Maybe some people are not smart enough to do this. Or they didn't know they needed to.
    Should their children suffer because their mother didn't know how to hurry government red tape?
    Well, children can't go to school without the proper documentation...I see it as the same thing. I don't think these people sitting behind a desk should just say, "Sorry, can't help you if you don't have _____".

    You are very correct in some people just don't know how to go about replacing a social security card or a birth certificate, and they should be given a printout of the phone numbers, addresses, and the process they should follow...and not assume everyone can afford a computer and internet service.
  7. by   lizzyberry
    I dont think its matter of birth certificates its a matter of illegal aliens if your not a citizen u dont have a birth certificate its just a way for the government to push out illegal immigrants. I bet the person who passed this their grandparents at one point were illegal immigrants Just crazy!
  8. by   CHATSDALE
    i am sure that the people in the office can assist thesse people in obtaining legal documentation
    just because the people are poor and need assistance doesn't make them feeble minded i know many people had to have public assistance and/or food stamps to make it through school but they were swift enough to make intelligent decisions with regard to their children's need
  9. by   angel337
    i agree that this is definitely a way to control illegal citizenship. unfortunately this rule will not make people go back to their native countries , it will only encourage more illegal behavior. did you know that you can get a fake ss card on line??? people will risk their freedom to stay in america. so the government will have to come up with something better.
  10. by   lizzyberry
    angel337 I completely agree to what u said.
  11. by   weirdRN
    I don't think that illegal residents should be allowed to use services paid for by LEGAL tax paying citizens.

    The very act of crossing the borders without permission is a Federal Offense.

    How would you feel if a homeless person came to your home and started eating all of your food, sleeping in your bed, and using your healthcare insurance that YOU paid for WITHOUT contributing and WITHOUT your permission?

    What would you do? Is not being an illegal resident alien the same thing?

    The burden to this country for healthcare alone in in the BILLIONS...I don't blame the states that enact legislation to reduce that burden. Having to prove citizenship is one way to do this.
  12. by   HM2VikingRN
    the point of the article was that this requirement harms children born in the us. as usual the repubs are suffering from a case of severe cranial-rectal impaction. does anyone care that by putting these kids in an uninsured status we end up paying 3-5 times the ordinary treatment cost for their care when they are treated through the er or hospitalized?

    we all pay more for our health insurance because these uncovered costs are shifted to our health insurance plans through higher premiums and fees for services.

    the easy solution is to allow provisional enrollment and give the states permission to access online databases of legal birth certificates. (the hospital issued certificate may not meet the federal requirement of "official".) asking poor families to pay for and produce official documents for benefits that they qualify for is an undue financial burden.

    imagine that document fees were based on your hourly wage. to get a copy of your birth certificate is 3 hours of work and you must pay your hourly wage pretax for the document. in minnesota a birth certificate costs 15$ in round numbers. this is the equivalent of 3 hours of work for a poor person at minimum wage. now you as a nurse earning 25 dollars per hour to replace your birth certificate must pay 75 dollars to replace your birth certificate to submit so you can renew your drivers license and you must show an original document each time you renew. is that a reasonable burden? of course not but that is the kind of burden that the the repub congress placed on poor families. this kind of id/document requirement smells of fascism.
    from the article:

    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 [color=#004276]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 [color=#004276]american academy of pediatrics, said that some children with [color=#004276]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.

    ...

    barry e. nangle, the state registrar of vital statistics in utah, said, “the new federal requirement has created a big demand for birth certificates by a group of people who are not exactly well placed to pay our fees.” states typically charge $10 to $30 for a certificate.
    Last edit by HM2VikingRN on Mar 18, '07
  13. by   weirdRN
    That goes back to the whole debate about IF a child born in this country to illegal immigrants IS a citizen. Most Americans are able to get their birth certificates and SS cards. There is almost always someone around who will either point in the right direction OR even do it FOR you.

    I submit that until the borders of our country are sealed to outsiders we will continue to have these problems.
  14. by   banditrn
    Quote from hm2viking
    the point of the article was that this requirement harms children born in the us. as usual the repubs are suffering from a case of severe cranial-rectal impaction. does anyone care that by putting these kids in an uninsured status we end up paying 3-5 times the ordinary treatment cost for their care when they are treated through the er or hospitalized?

    we all pay more for our health insurance because these uncovered costs are shifted to our health insurance plans through higher premiums and fees for services.

    the easy solution is to allow provisional enrollment and give the states permission to access online databases of legal birth certificates. (the hospital issued certificate may not meet the federal requirement of "official".) asking poor families to pay for and produce official documents for benefits that they qualify for is an undue financial burden.

    imagine that document fees were based on your hourly wage. to get a copy of your birth certificate is 3 hours of work and you must pay your hourly wage pretax for the document. in minnesota a birth certificate costs 15$ in round numbers. this is the equivalent of 3 hours of work for a poor person at minimum wage. now you as a nurse earning 25 dollars per hour to replace your birth certificate must pay 75 dollars to replace your birth certificate to submit so you can renew your drivers license and you must show an original document each time you renew. is that a reasonable burden? of course not but that is the kind of burden that the the repub congress placed on poor families. this kind of id/document requirement smells of fascism.
    from the article:

    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 [color=#004276]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 [color=#004276]american academy of pediatrics, said that some children with [color=#004276]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.

    ...

    barry e. nangle, the state registrar of vital statistics in utah, said, "the new federal requirement has created a big demand for birth certificates by a group of people who are not exactly well placed to pay our fees." states typically charge $10 to $30 for a certificate.
    as i said before - when we were low income, we managed to hang obtain and hang onto our childrens documents. and if you think the cost of all this is going to raise your health insurance premiums - imagine how your taxes are going to skyrocket when we end up with universal health care! who do you think is going to pay for all that? you and i, the taxpayers - and i'm just tired of it.

    i suppose there may be a few feeble minded folks in the bunch - but i would like to suggest it's more a 'cultural' thing that is sweeping our country - the 'take care of me, you owe me' culture. i see it every day of my life, and it's not the illegal aliens that are doing it.

    yes, i do feel badly for the children - but there's a limit to how much we can do before some of these 'poor' parents have to step up and start learning a little responsibility - they brought them into the world.

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