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Registered nurse Paige Duracher checks Jacqueline Parker's vitals in the cardiac step-down area of the University of Mississippi Medical Center in Jackson, Mississippi October 4, 2013. Jacqueline Parker is a retired state employee who receives her heath insurance through Medicaid. Mississippi is one of at least 20 states that has decided not to expand Medicaid under the Affordable Care Act, better known as

The White House released a new report from the Council of Economic Advisors on Wednesday, detailing the healthcare and economic impact of refusing to accept Medicaid expansion, as 24 states have. Bottom line, it's 5.7 million people who would qualify for Medicaid, but be uninsured by 2016, "and these states will forgo billions in federal dollars that could boost their economies."

Much of what's included in this report has been hashed out in others. If these states took the expansion: "an additional 1.4 million people would have a usual source of clinic care once expanded coverage was fully in effect"; "an additional 651,000 people would receive "all needed care" over a given year once expanded coverage was fully in effect"; "255,000 fewer people would face catastrophic medical costs each year once expanded coverage was fully in effect"; "810,000 fewer people will have trouble paying other bills due to the burden of medical costs."

But there's another part of the story that Think Progress picks up: the refusal to expand Medicaid has a hugely disproportionate effect on women.

That’s because women make up nearly 70 percent of adults on Medicaid and the report finds that limiting their access to coverage significantly restricts their access to health care. Relying on past health research, the analysis concludes that “having health insurance increases the probability that individuals report receiving ‘all needed care’ over the prior year.” “If the 24 States that have not yet expanded Medicaid did so, an additional 651,000 people would receive ‘all needed care’ over a given year once expanded coverage was fully in effect,” it says.

An additional “214,000 women between the ages of 50 and 64 would receive mammograms” and “345,000 women would receive pap smears once expanded coverage was fully in effect.”

It's a two-fer for Republicans, a war on the poors and a war on women all in one. What they lack in compassion or a moral compass, they make up for in efficiency.

Originally posted to Joan McCarter on Wed Jul 02, 2014 at 02:28 PM PDT.

Also republished by This Week in the War on Women and Daily Kos.

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Comment Preferences

  •  Tip Jar (50+ / 0-)

    "The NSA’s capability at any time could be turned around on the American people, and no American would have any privacy left, such is the capability to monitor everything. [...] There would be no place to hide."--Frank Church

    by Joan McCarter on Wed Jul 02, 2014 at 02:28:39 PM PDT

  •  At least the WH seems to be paying attention (15+ / 0-)

    This is the message for this November hopefully getting people out to vote

    "I decided it is better to scream. Silence is the real crime against humanity." Nadezhda Mandelstam

    by LaFeminista on Wed Jul 02, 2014 at 03:08:37 PM PDT

    •  The headline needs to be repeated ceaselessly (4+ / 0-)
      Recommended by:
      Matt Z, Betty Pinson, cowdab, Tortmaster

      That and the minimum wage issue. Very populist, very women's issues.

      And then Get Out The Vote!!!

      If I had the $ of the Koch's or Soros, I would fund an organization to do just this and only this.

      Skepticism of all the elite institutions, not trust, is what required for successful leadership in this era. Digby

      by coral on Thu Jul 03, 2014 at 09:10:36 AM PDT

      [ Parent ]

  •  THANK YOU! THANK YOU! THANK YOU! (13+ / 0-)

    for putting this out there! i have been plastering my situation all over everywhere in hopes that someone will take notice. So far...i've been totally ignored - or given such ridiculous "advice" that im just about bangin my head on the wall. I have chronic kidney stones. And i have 5 stones, 8mm and up, 2 in the right partially blocking the kidney, and 3 in the left. I AM IN PAIN! And technically, THIS IS AN EMERGENCY SITUATION, because i can, and will, sooner or later, lose one or both kidneys, if i do not get surgery. But, Tennessee, in all it's wisdom, decided, just before Obamacare went into effect, to make all doctors INDEPENDENT CONTRACTORS. What this means for patients is that the doctor CAN and WILL refuse any doctoring to an indigent patient. AND they have now classified KIDNEY STONES AS ELECTIVE SURGERY. Yeah, im electing to live a life of agony and potential body parts loss! TN did this so their doctors WOULD NOT GET STUCK with those poor patients, thereby DENYING THEM CARE. I AM READY TO BLOW MY BRAINS OUT WITH PAIN...AND THEY DONT CARE!  THIS MATTERS! I am not able to get the same healthcare that everyone else is entitled to, because my state wants to do something "different".  They are calling it Tennessee's Health Plan. YEAH. Let me tell you what its all about. It is NOT about healthcare. IT IS A BUSINESS PLAN. To bilk Tennesseans of millions of dollars in healthcare money. This plan will COST MORE, COVER LESS, AND STILL LEAVE OUT THE POOR! That is their "BIG SOLUTION". The emergency room nurses are appalled at the situation. I do not have the money to buy healthcare because i CANNOT WORK LIKE THIS. And there is NOWHERE TO GO FOR HELP. Believe me, i have tried! Even out of state. But they dont want to take another states poor...can you blame them? i dont. WE NEED TO REALLY PUT THE SCREWS TO THE STATES WHO ARE REFUSING CARE. THIS IS NOT OK. I have waited over 3 years for obamacare to roll out...and when they did...and i called...and found out i was STILL SCREWED...I SAT AND BAWLED!  THE VERY LEAST THESE STATES SHOULD DO, IS TAKE THE OBAMACARE UNTIL THEY "ROLL OUT THEIR OWN PLANS".  WE WOULD AT LEAST HAVE CARE UNTIL THEN. and i say until then because lord knows what kind of crap insurance will be available then. Maybe we should be given a choice of O'care or state care? i dont know...i just know this is NOT working. I NEED HEALTHCARE, TO GET BACK TO WORK....SO I CAN GET HEALTHCARE! is this crazy or what?

    •  Is this too simple for a solution? (2+ / 0-)
      Recommended by:
      kalihikane, EABY

      If 16 of the 20 contraceptives were on and never left the table for Hobby Lobby, how has that changes anything?

      They were there before Obamacare was ever thought of and they are still there today.

      The argument was over the remaining 4 drugs also known as the “Morning After” pill that will induce a miscarriage or abortion by eliminating the growth of an embryo  and or preventing it from attaching to the uterine wall.

      The president has said many times, “I have a pen and a phone…” and he can make change number 37 or…(XX) to Obamacare and order insurance companies to pay 100% of the cost of those 4 drugs.  That will mean Hobby Lobby and all other corporations MUST provide all 20 contraceptives to all women because their argument of not wanting to pay for them is gone.

      Ideas?  It’s a simple solution at  a small cost and everyone wins.  Women would get all 20 drugs and  companies wishing to opt out can do so.  The president gets all 20 contraceptives in Obamacare.

      •  Yep. He could also take a pen and sign a (1+ / 0-)
        Recommended by:
        kalihikane

        complete invalidation of his signature achievement as President, which is what these uckers are after.

        LBJ, Van Cliburn, Ike, Wendy Davis, Lady Bird, Ann Richards, Barbara Jordan, Molly Ivins, Sully Sullenburger, Drew Brees: Texas is NO Bush League!

        by BlackSheep1 on Wed Jul 02, 2014 at 09:08:11 PM PDT

        [ Parent ]

    •  Yes, the inmates are in charge of the asylum (2+ / 0-)
      Recommended by:
      EABY, Tortmaster
      I NEED HEALTHCARE, TO GET BACK TO WORK....SO I CAN GET HEALTHCARE! is this crazy or what?
      This is known in Republican circles as Working as Designed.

      Is there any way you could move to Kentucky? The crazy is just enough not quite as strong there.

      I remember the crazy in Tennessee from 1966, when I was in Peace Corps training there, preparing to go to South Korea. They had hired several Koreans at a Bible college in Nashville to teach us. The downtown Black YMCA hadn't gotten around to changing its huge sign all up and down the front. Racism, misogyny, anti-Semitism, corruption…and proud of it all.

      South Korea is actually doing much better than Tennessee now.

      Back off, man. I'm a logician.—GOPBusters™

      by Mokurai on Thu Jul 03, 2014 at 11:32:51 AM PDT

      [ Parent ]

  •  Thanks for posting this!!! (3+ / 0-)
    Recommended by:
    Mary Mike, Cinnamon, coral

    Thanks for promoting the viewpoint that the War On Women covers many, many facets of women's lives.  

    Money is property, not speech. Overturn Citizens United.

    by Betty Pinson on Wed Jul 02, 2014 at 06:20:38 PM PDT

  •  I'm just about done saying this (1+ / 0-)
    Recommended by:
    Betty Pinson

    I just got Obamacare and my clinic won't see me until November (probably December by now) and want $100 up front I don't have. People keep telling me they don't believe that could happen.  I called the Crisis Center a few weeks later and said I didn't think it was normal to think about death all the time.  She was shockingly rude and I kept asking why won't you help me see a doctor I thought you were counselors. She told me three times that I'm sorry I'm not giving the answers you're expecting.  How effing sarcastic  My son's father died in February slowly over two years.  I knew he was dying at the time and I filled out tons of paperwork but couldn't get medicare or money to keep him in housing.  I keep asking for help and nobody will. I honestly don't know what I'm supposed to do anymore.  I gave up filing unemployment last week because reinstatement is never going to happen.  Actually I posted some of these same things a week ago and nobody responded once.  

    Quelle connerie la guerre.

    by QuelleC on Wed Jul 02, 2014 at 10:54:58 PM PDT

    •  emergency psychiatric care (4+ / 0-)
      Recommended by:
      coral, snackdoodle, qofdisks, QuelleC

      is extremely difficult to obtain in many parts of the country. Giving you access to medical insurance is not going to solve that problem. Might try some of the religious based counseling services like Jewish or catholic family service, if your clinic is not responding. There are multiple social service agencies to try. Sorry I don't know where you are.

      fact does not require fiction for balance (proudly a DFH)

      by mollyd on Thu Jul 03, 2014 at 05:03:36 AM PDT

      [ Parent ]

  •  5000 women condemned to death each year.... (4+ / 0-)
    Recommended by:
    coral, qofdisks, splashy, Mokurai

    by Republicans.

    A recent study in Annals of Internal Medicine showed that RomneyCare saved lives in Massachusetts. (1)

    "Reform in Massachusetts was associated with a significant decrease in all-cause mortality compared with the control group .... The number needed to treat was approximately 830 adults gaining health insurance to prevent 1 death per year."

    By refusing Medicaid to 5.7 million peoples, 70% of them women, Republicans have condemned to death 5000 women and 2000 men each year.

    1. Changes in Mortality After Massachusetts Health Care Reform: A Quasi-experimental Study. Benjamin D. Sommers, MD, PhD; Sharon K. Long, PhD; and Katherine Baicker, PhD. Ann Intern Med. 2014;160(9):585-593

    Counting stars by candlelight...

    by frasca on Thu Jul 03, 2014 at 09:06:25 AM PDT

  •  logical disconnect here? (0+ / 0-)

    As I understand it, 70% of existing (pre-expansion) Medicaid recipients are women.

    That does not mean that 70% of those who are currently left out of Medicaid are also women.

    The biggest population and the costliest for Medicaid are elderly poor women in nursing homes, who are dual-eligible (Medicare+Medicaid). They were already included, so are not in the "expansion" group.

    What is the make-up of the uninsured / Medicaid expansion group? I don't know. But you can't get there by extrapolating from the already-in-Medicaid figures, because they're different populations.

    Also the mammogram/pap smear figures are misleading because there was already in place a federally-funded program (Women's Cancer Screening and Treatment) to cover those specific tests. Diabetes testing and supplies would have been a better example.

  •  War on the poor (0+ / 0-)

    Yes, it is a war on the poor.  But medicaid rules already deny coverage to non-elderly, non-disabled adults that are not caring for dependents.  This group is the poor but able bodied men that are uninsured.  So yes, denying expanded coverage will affect a greater percentage of women, but that's because you've already excluded the men from the equation.

    •  There are many non elderly women without insurance (2+ / 0-)
      Recommended by:
      cowdab, splashy

      And without dependent children. They have low incomes, havent reached retirement age and their children are over 18.

      These women often stayed out of full time work while raising a family. Once they re enter the workforce, they're not able to secure well paying full time jobs with benefits. OTOH, men don't usually interrupt their careers to raise families, so usually earn more than women. It's a similar problem for women when spouses retire, but the younger wife has a few years left before being Medicare eligible.

      Those are just a few examples of how women fall through the health care safety net. Yes, many non elderly men are also uninsured, but the Medicare expansion covers them as well. Pointing out how women are disproportionately affected by this problem is a way to mobilize other women to political  activism to solve the problem.

      Money is property, not speech. Overturn Citizens United.

      by Betty Pinson on Thu Jul 03, 2014 at 11:07:24 AM PDT

      [ Parent ]

      •  missing the statistical point... (1+ / 0-)
        Recommended by:
        mollyd

        The point is, the reason that 70% of the people denied health care by the failure of medicaid expansion are women is that women represent the biggest group to receive the benefit of medicaid because men are already excluded (women being more likely to care for dependent children so are more likely to qualify for medicaid, expansion or no).

        Making it into a gender issue when its a poverty issue is misusing the statistics that are available.  The crime is that we don't have insurance for everyone.

  •  The weapon of choice ... (0+ / 0-)

    ... for Republicans is withholding mammograms and insulin. That's evil.

    My dog likes me because I'm salty. Not salty like a pirate. Salty like a pretzel.

    by Tortmaster on Fri Jul 04, 2014 at 03:54:32 AM PDT

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