Orlando Sentinel

Florida must expand Medicaid

- Donna Sabatino is director of state policy and advocacy for the AIDS Institute.

Everyone deserves access to quality and affordable health care. And we know that early, routine screenings and easy access to care and treatment are critical to ending the HIV epidemic — especially in the South, where access to health care is the most limited.

Unfortunat­ely, Florida is one of the 10 states that have yet to expand Medicaid under the Affordable Care Act. That means almost 500,000 Floridians are living without access to affordable health coverage and unable to receive the care they need, including treatment for HIV.

The South is also home to a disproport­ionately high number of HIV cases, especially in Black communitie­s. Many interconne­cted social factors contribute to this reality. The South has the highest poverty rate and lowest median household income compared to other regions of the U.S. When it comes to HIV, there is less awareness, more stigma, and several access and prevention barriers that lead to increased transmissi­on and disproport­ionate impact in communitie­s of color.

We’ve seen Medicaid expansion work in other states, delivering improved longterm health outcomes for their communitie­s and significan­tly reducing the spread of HIV infections. In his recent visit to Tallahasse­e, N.C. Sen. Kevin Corbin, a Republican, described just how well it’s working for their state. Besides saving the state money, it has strengthen­ed rural hospitals and given hardworkin­g families the security of health-care coverage. It is clearer now more than ever — expanding Medicaid in Florida will help those living with HIV and many other chronic diseases.

Donna Sabatino

Flagler Beach

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