Modern Healthcare

Plan to end non-emergency Medicaid transporta­tion is penny-wise, pound-foolish

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Regarding the Nov. 26 Guest Expert column “Ending non-emergency rides to care for Medicaid patients would be counter-productive”

(p. 35), individual­s who have always had access to transporta­tion lack understand­ing of what it is like to not have it. Many of us can’t even walk five miles on a treadmill, and yet this policy proposal suggests that the children and ailing adults, those participat­ing in Medicaid, shouldn’t have a problem obtaining their own transporta­tion to keep medical appointmen­ts.

Shame, shame on being pennywise and pound-foolish.

The low-income condition of many individual­s puts them at a disadvanta­ge of being denied what we so often take for granted. Walking for exercise is one thing; walking to see the doctor or for outpatient care is far different. The use of Uber or Lyft requires a credit card for payment. Buses in some areas can be few in number and bus stops can be far apart. What do you do when dealing with wind, rain, snow or sun, with two or three small children in tow? What if your car breaks down, or you can’t afford gas or insurance for protection? These are only a few things that impede individual­s when it comes to transporta­tion.

If we are going to assist the less fortunate, then let’s do it right, or at least better than we have in the past. Let’s take a walk in their shoes before making dramatic agency changes regarding non-emergency transporta­tion for Medicaid recipients.

Barbara Willis CEO Portsmouth (Va.) Community Health Center

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