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    COMMENTARY: New healthcare bill the wrong choice for African Americans

    In 1954, Thurgood Marshall and a team of NAACP attorneys argued the landmark civil rights case, Brown v. Board, before the Supreme Court. They demonstrated to the Justices that segregated schools violated the Fourteenth Amendment’s Equal Protection Clause — that separate was and would always be unequal.
    Our representatives are on the brink of instating a health care plan that epitomizes separate and unequal. Thirteen U.S. Senators — all white men — sat behind closed doors in Washington, D.C. and crafted a replacement to the Affordable Care Act (ACA).
    Their proposed bill, the Better Care Reconciliation Act (BCRA), based off of the House’s American Health Care Act (AHCA), would only benefit people like themselves — healthy, wealthy white men — and quarantine the rest of the country into the confines of high cost, low quality health care.
    The Senate’s inequitable protection plan would disproportionately hurt the sick, the poor, the elderly, women, and people of color. It would make healthcare more expensive for seniors and people who are already sick, increase out-of-pocket costs for doctor’s visits, slash subsidies to help low-income people pay for health insurance, and cut Medicaid support to states by three-quarters of a trillion dollars.
    In more than twenty years as a health and social policy professional, I have witnessed the dire consequences of African Americans living without health care, and I have watched the ACA repair some of the most egregious inequities in our health care system. If the Senate bill passes, the impact will be devastating, and, in many cases, lethal.
    The current version of the Senate’s health care plan is projected to cause some 22 million people to lose their coverage by 2026, including 15 million next year. It also proposes to cut more than $772 billion from the Medicaid program over ten years and phase out additional funding for its expansion. At the same time, the bill proposes tax cuts of $700 billion that will largely benefit high-income individuals and big businesses — especially profiting the top one percent of earners. In effect, cuts to Medicaid for the poor and to premium subsidies for low-income people will serve to refund the rich.
    The Senate’s plan grants several allowances to states that hold the potential for serious harm. The plan permits states to opt out of providing essential health benefits that made coverage under the ACA more comprehensive, such as maternity and mental health care. States that opt out of providing these essential benefits would receive their share of $112 billion over ten years to help offset the states’ cost for covering those who need care most and likely set up high-risk insurance groupings. This provision would incentivize states to mark up the cost of coverage for people with certain needs, ostracizing them to their own costly risk pool.
    But the sick are not the only ones that the Senate plan puts at risk: under the new bill, low-income families and individuals would also be significantly hurt by the cuts to Medicaid. Proposed changes to Medicaid would make it more likely that states will reduce much-needed services or cut back enrollment. The resulting increased cost of care would be hurtful to elderly Americans, most of whom experience a decline in income, but they would be especially crippling to African-American seniors, who experience poverty at twice the rate of their white counterparts.
    The ACA cut the uninsured rate for African-American adults by almost half between 2010 to 2015 and eliminated the inequity in uninsured rates between African-American and white children. For the first time in history, thanks to the ACA, a Black child is no longer more likely to be uninsured than a white child. The new bill threatens to undo all of this progress. Suddenly, health care and insurance will once again be out of reach for many African Americans, nearly a quarter of whom were living below the poverty line in 2015.
    Further, the BCRA is an assault on the health of women of all races. The bill would prevent Planned Parenthood from receiving federal funding for at least one year, including Medicaid and Title X, despite its status as a source of care for services that women need, such as contraception and screenings for cancers and STDs.
    Our nation does not need a new health reform law. The ACA is the most comprehensive legislative effort to improve and democratize health care access in our nation’s history. We need to bolster the ACA’s promises of progress, not regress to conditions that were unacceptable then and are indefensible now. We need Congress to develop policies that help prevent illness, better manage disease, and facilitate health and well-being in our society overall. Our government’s focus should be on repairing and strengthening the ACA, not replacing it–much less with a dangerous, divisive alternative. It is time to put all of America first.
    By Marjorie Innocent
    Guest Columnist
    Join the NAACP on social media with the hashtag #BeInTheRoom. Dr. Marjorie Innocent is senior director, NAACP Health Programs. Contact: Malik Russell, director of communications, mrussell@naacpnet.org, 410-580-5761 (office)
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    Legislators say their top priority is North Baton Rouge’s health care service

    With the closure of the emergency room at Baton Rouge General Hospital Mid City, North Baton Rouge area state legislators issued the following statement regarding the closure and next steps to insure that citizens have continued access to health care services.
     

         “For months we have worked tirelessly with other community leaders, citizen groups, hospital executives, the medical community, and state health and hospital officials to avoid the closure of Baton Rouge General’s emergency room in Mid City. Sadly those efforts were not successful. And while we are encouraged that the state along with its private hospital partner Our Lady of the Lake have made an effort to expand the health care services available to residents at both the LSU Mid City and North Baton Rouge clinics, we are convinced that will not be enough to protect the health, safety and welfare of tens of thousands of hard-working North Baton Rouge area residents.

         What is particularly discouraging is that there are alternatives. Expansion of eligibility for the federally- funded Medicaid program would provide health care coverage to over 200,000 Louisiana citizens and ease the financial burden on health care providers and emergency rooms who now care for those uninsured. It is working in other states, like Arkansas, and it can work here.

         Another option is to re-think the state’s partnership with Our Lady of the Lake Hospital to provide additional state financial support for those hospitals and healthcare providers who treat the uninsured outside the public-private partnership agreement. A direct appropriation to those other hospitals that are impacted by the changing health care landscape should also be considered.

         Anyone who thinks that the closure of the Baton Rouge General Mid City emergency room will not have a ripple effect across not only East Baton Rouge but surrounding parishes as well is not grounded in reality. The effect of the closure will not only impact those who have depended on those services but anyone who is need of emergency health care services in the region, regardless of their insurance status or geographical location. For many it may be a matter of life or death.

         As state legislators and proud residents of East Baton Rouge Parish, we will continue to fight and advocate for a health care system that preserves the lives and livelihoods of our parish, our communities, our neighborhoods and our families.

    —From State Senators Sharon Weston Broome and Yvonne Dorsey Colomb and State Representatives Regina Barrow, Pat Smith, Ted James, Dalton Honore, and Alfred C. Williams.

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