Our nation should not waste time and energy on the past. Numerous protests to attempt to preserve ACA may or may not have impact. What is most important is shaping a better future - really shaping a better future. A better future begins with better children - children healthier and more developed mentally and physically and emotionally. Better health outcomes and better outcomes in education, economics, and other areas are about better children. Children are also the key to returning sanity and accountability to the new leadership.
Children's health insurance known as CHIP has enjoyed bipartisan political support for many years. The current movement away from this support is the mistake that should cost current leaders their leadership or force them to be accountable.
- CHIP is a program specific to child health. Arguments used against wasted support for "less motivated" adults do not work. Cutting CHIP hurts children and those who care for children where care is most needed.
- Well over 50% of poor children are in Red Counties. Red counties already have the fewest dollars spent locally per person. CHIP loss would decrease dollars for health care and result in declining support for local practices, local jobs, and local servi
- CHIP is an important program for families moving up to escape welfare. Terminating CHIP widens the gap and provides a disincentive.
- CHIP is an important program for working poor families.
A setback on CHIP would demonstrate that Fire, Ready, Aim should be avoided although this appears to be the new plan for the nation and not just in health care.
Battles along political lines or battles over past programs will not work. People left behind who voted against the establishment are the ones who indicated their frustration with being left behind. Working with counties, populations, and leaders left behind across 2700 counties would indicate a change from the past and a move to support all Americans in the future. Rather than fighting against Red Counties, red voters, or red politicians, change starts with understanding and awareness. Once awareness is built on both sides, progress can be made. For those who think that various health care designs have been equitable, a review of Designs Favoring Blue over Red can be useful.
After building awareness of CHIP with most poor children in Red Counties, the following can be pointed out about all of the counties left behind that are Red with a few dozen Blue and have higher concentrations of support dollars and people in need of support:
- Higher concentrations of elderly, the most elderly, and the complex elderly
- Higher concentration of Social Security dollars
- Higher concentrations of SNAP dollars, especially those important to elderly and young children
- Higher concentrations of Veterans
- Higher concentrations of preventable deaths and numerous chronic diseases
- Higher concentrations of age 65 and 66 Americans, with nearly 4 million about to lose Medicare and another 2 million in Red Counties.
- If all of the Red Party changes occur, the impact will be devastating on Red Counties. Prevention is better than addressing setbacks that can last for decades.
Since those about to be left behind are clearly concentrated in the lower concentration or Red Counties, and include people who voted to end the establishment policies, it might be helpful to work with the people who stand to lose the most from cuts in Medicaid, Medicare, decreases in Medicaid eligibility, increase to age 67 for Medicare eligibility, cuts in SNAP, cuts in Social Security, and especially cuts in CHIP.
In the rush to get what they want, sometimes people or politicians disregard areas that may be most important to them in the future.
Making a different future now is most important.
In the rush to get what they want, sometimes people or politicians disregard areas that may be most important to them in the future.
Making a different future now is most important.
The problems that resulted in the last election have not gone away. Blaming rural or Red County or other voters for the result only works to divide the nation further.
The serious problems that face the nation from proposed changes in Medicare, Medicaid, Social Security, and other areas are easy to predict. But these consequences are not easy to see for those who are likely to be impacted most.
Why not rally around CHIP in a pro active way?
Why not start with children and move to all people behind by design?
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Robert C. Bowman, M.D. Robert.Bowman@DignityHealth.orgThe blogs represent the opinion of the blogger alone.
Copyright 2017
Robert C. Bowman, M.D. Robert.Bowman@DignityHealth.org
The blogs represent the opinion of the blogger alone.
Copyright 2017
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