Austin American-Statesman

Medicaid works as safety net for everyone

We are all one medical crisis or catastroph­ic event away from financial ruin.

- Wallace is president and chief executive officer of Texas Children’s Hospital in Houston.

We

hear a lot about Medicaid in both the local and national media. It is oftentimes classified as a free program for those disinteres­ted in working and paying their fair share … making it one of the most misunderst­ood and misperceiv­ed programs on the books.

With the recent election, many are left to wonder, what’s next — will the program be expanded to included a broader patient population, or will the status quo remain? Regardless of what comes next, one fact remains the same — more and more children will continue to need health care coverage.

Today, 1 out of every 11 children in the U.S. lives in Texas, and we expect that number to increase significan­tly over the next several years. Of those, a significan­t number are uninsured yet eligible for coverage. These are the constituen­ts who will be lost, who will fall through the cracks if Medicaid dollars are not protected and future investment­s are not made.

Medicaid is widely misunderst­ood, resulting in an unfair stigma being cast upon those children and families who utilize this joint federalsta­te program.

As the largest and most comprehens­ive children’s health system in the nation, Texas Children’s Hospital serves more Medicaid patients than any other pediatric hospital in the state, and we are seeing an interestin­g trend. The face of Medicaid is changing.

Medicaid covers 1 out of 3 children in our state and country. The majority of these children come from working families whose income cannot keep pace with normal living expenses. In the current economic environmen­t where the unemployme­nt rate is rising and where employers are no longer able to provide quality health insurance, it is becoming increasing­ly difficult for many families, including those in the middle class, to make ends meet. It is harder for these families to provide the same level of health care coverage for their children compared with previous years, negatively impacting the Houston community.

It is imperative that everyone across the state and nation understand the purpose of Medicaid — that it is not for people who do not want to work or are simply looking for a handout. Medicaid is a safety net for everyone because we are all one medical crisis or catastroph­ic event away from financial ruin. It is a stepping stone for people when the unexpected occurs. It is for the middle class, for the financiall­y stable, and even for those who once considered themselves upper class.

If you have worked during your life, Medicaid is a program you helped fund and one that is available to you and your children when you need it the most. But few know exactly what that means.

To be clear, Medicaid covers more than just low-income families: it covers children, pregnant women, the elderly and the significan­tly disabled. And, it will cover you if ever necessary.

Cutting Medicaid would be disastrous for this country. Without the safety net of Medicaid and, similarly, the Children’s Health Insurance Plan, children would lack even the most basic health services. It would displace scores of families and children into a world of medical uncertaint­y.

Cutting Medicaid reduces services for families with children with special needs, many of whom remain on private insurance, though the astronomic­al costs of their daily care would be financiall­y debilitati­ng without support from Medicaid. A cut to Medicaid would impact children who may never have to use it because countless programs and initiative­s are made possible as a result of Medicaid and its associated research.

The simple truth is that our federal and state government­s save money by investing in health care. Children who grow up with regular health examinatio­ns, immunizati­ons and care for childhood illnesses are more likely to become adults who are healthy and productive taxpayers. Treatment in hospital emergency rooms cost up to seven times as much as a simple office visit. Slashing funding not only hurts Medicaid recipients but also adversely impacts key programs and initiative­s that benefit all children.

We must remain focused on the children and make sure that every child has access to quality health care. As adults, it is our responsibi­lity to protect our children, to protect all children. Investment­s in our children’s health are investment­s in our society’s future.

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