This from the birth-certificate-secret-Moslem-against-Obama crowd. Demonization has been the bread and butter of the Tea-Party, cousins of the Mississippi Center for Public Policy(Jameson Taylor’s) people. In fact his organization is only a front for the oligarchs. Consider them the Mississippi branch of the Heritage Foundation, it the creation of the Koch brothers and Paul-shrink-the-electorate Weyrich. Only in the twisted minds of the conservatives is inequality not tantanmount to bigotry.
And of course those who oppose the insurance exchanges are protecting the oligarch-centric status quo. Of course the corporate front groups like the Mississippi Public Policy Center would see Medicaid as a failure and long for a return to the days when doctors accepted chickens for check-ups.
And you could never expect these so-called champions of the free-market to lobby for removal of the anti-trust exemption that the insurance industry has because they are fakes and aren’t interested in bettering the condition of the average American. They are only here to confuse you and muddy the waters to protect the status quo. You come to expect them to say things like “Never mind that the Bible also teaches we should pay our debts and that expanding government entitlement programs unjustly burdens future generations. “ But they can’t show you where in the bible Jesus dunned a paraplegic for his healing or turned the healed blind man’s bill over to collections subsequently driving him into bankruptcy. So they have to forgive us, if they can find that concept in their bible, for thinking of them as merciless, even if they feel “demonized.”
And when this crowd that feels demonized says “Medicaid patients have much higher mortality rates and much poorer health outcomes than people on private insurance.” Did they ever stop to think that to the extent that that is true, if it is true at all, then the difference might have something to do with income-related environmental factors, i.e. the availability and costs of healthy food, and environmental pollution factors which give health conditions before treatment or diagnosis different starting points.
And then the disingenuous corporate flacks say “As hard as it is to believe, Medicaid patients even fare worse than the uninsured — many of whom are getting health care in some way, but paying out-of-pocket for it.” If the uninsured are paying “out-of-pocket” we are dealing with quite a different group, from an income level, than those who qualify for Medicaid. So the question is who are you counting as uninsured? And using the emergency room for primary care is not a serious comparison to having Medicaid.
The commentators arguing that Medicaid causes poor outcomes anticipate some objections by noting that the cited studies include some variables to address socioeconomic and cultural factors that
can negatively influence the health of poorer Medicaid patients. Their interpretation of the results, then, must be that Medicaid patients have worse clinical outcomes than uninsured patients with the same socioeconomic and cultural characteristics, including, presumably, health-related behavior before and after a given procedure.
If so, the problem must lie with the physicians and hospitals (many of them academic medical centers) providing care for Medicaid patients. Are these commentators assuming that poor, uninsured patients, who in principle may qualify for Medicaid, actually have the resources to pay doctors and hospitals more than Medicaid would and that providers therefore give these patients better care and attention, leading to better outcomes? Or is the assumption that only less technically proficient doctors and health care facilities accept Medicaid patients, and the associated lack of skill and resources results in poor clinical outcomes?
It is simply odd, to put it in non-demonizing terms, that these conservative think-tank guys have so much concern for the poor and uninsured now after a Democratic House, Senate, and President started supplying legislation to address pre-existing conditions and life-time caps and money to close the donut hole and money for additional primary care doctors. And “The ACA authorizes money to increase the primary care workforce by training more doctors, nurses, nurse-practitioners and physician assistants. It includes more graduate medical education training positions, with priorities for primary care and general surgery, and more money for scholarships and loans for all health professionals. The law expands the number of patients seen at community health centers in areas with too few doctors and increases the number of staffers who work in the centers. It also expands nurse-managed clinics at nursing schools where nurses in training see patients who live in the area.”
But the truth is that Medicaid is working and so is Medicare despite efforts by the corporatists to degrade and destroy them at every term and install in their place a greater neo-feudal system.