Houston Chronicle Sunday

U.S. Rep Al Green of Houston hosts forum for those affected by possible Medicaid cuts.

- By Cindy George cindy.george@chron.com twitter.com/cindylgeor­ge

Drawing from his history as a civil rights activist, a lawyer and a former judge who has been arrested during several nonviolent protests, U.S. Rep. Al Green rallied about 200 people Saturday who will be affected most by potential Medicaid cuts.

The town hall meeting was a response to the U.S. Senate health bill, under constructi­on by the Republican majority, that would repeal the Affordable Care Act—knownasOba­macare — and install a new version of health care law.

The legislatio­n would cut Medicaid, the statebased insurance program that covers nearly4mil­lion Texans. About 70 percent of recipients are children, and the rest are pregnant women, the disabled and poor seniors — many of whom reside in nursing homes.

Green said the forum was one way to remind Congress that the U.S. is a participat­ory democracy.

“When the people speak, representa­tives listen — but people have to speak,” the Houston Democrat said.

More than a dozen area groups turned out Saturday to work with the congressma­n to push back on repeal-and-replace proposals. They included the Children’s Defense Fund-Texas, Houston Women’s March, Houston Area Urban League, Indivisibl­e Houston and Black Lives Matter Houston. Testimonia­ls The meeting included testimonia­ls from patients, physicians and health organizati­on leaders who depend on Medicaid for their care or to provide services.

Jason Jones, a Houston case manager for people with disabiliti­es, was born 33 years ago with rare, sightsteal­ing tumors in both eyes.

“It was Medicaid who was able to cover all the chemothera­py — all the radiation treatments,” he said. “My message to every senator … nothing about us, without us.”

Jimmieka Mills, 29, moved from California to Texas a decade ago and ended up in the hospital because of reactions to mosquito bites.

The two-day stay left her $4,000 in debt, she said. She remained uninsured because she didn’t qualify for Medicaid until she became pregnant.

“I was able to go to the doctor for the first time in years to get all the care that I needed,” said Mills, now a Houston Community College student. Her child, now 7, continues to have Medicaid.

“If it was not for Medicaid, my son probably wouldn’t be the healthy, thriving young man that he is today,” Mills said.

Maria R. Palacios, an author, activist and founder of theHouston-basedNatio­nal Women with Disabiliti­es Empowermen­t Forum, said disabled people are fighting Medicaid cuts in the name of a “right to exist.” “Our disabled lives are worth living ,” she said .“The killing of Medicaid programs that are life-sustaining for people with significan­t disabiliti­es is a death sentence to us.”

According to the Congressio­nal Budget Office, more than 20 million people will lose coverage under both the Republican Senate and the Republican House bills.

Green told the crowd he opposes insurance coverage caps and exclusions for people with pre-existing conditions.

He said personal stories can bridge a knowledge gap for his colleagues, who draw six-figure Congressio­nal salaries and have top-notch government health insurance aside from their accumulate­d wealth.

“It bothers me that our leaders in Austin have been so silent about this. This bill is bad for the state of Texas,” said Ken Janda, president and CEO of the Houstonbas­ed Community Health Choice—an insurance company that manages health care plans focused on lowincome families. “One party producing a bill in secret … is not the right thing to do. We need a bipartisan effort of bringing people together .” Nursing home care

Others testified about how Medicaid allows people to pay for nursing home care at the end of life, to live independen­tly with disabiliti­es and to survive chronic diseases.

Nearly 70 percent of Texas nursing home residents rely on Medicaid.

Chamane Barrow with the Houston Center for Independen­t Living has a daughter who was born with cerebral palsy. That child now has a college degree, works and lives on her own because of a Medicaidpa­id attendant.

“Medicaid isn’ t just about health care — it’s about services that support people being independen­t in the community. Without that, my daughter couldn’t get out of bed,” Barrow said. “It’s about people not having to go to nursing homes.”

Dr. Roopa Nalam, an internal medicine physician in Houston, cares for patients with cystic fibrosis. “What is the point of medical research if we do not value people’s lives enough to pay for their care?” she asked aloud through tears. “We cannot let this poisonous health care legislatio­n become the law of the land.”

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