Opinion

Editorial: Failure to expand Medicaid in N.C. hinders response to opioid abuse crisis

Tuesday, March 6, 2018 -- The N.C. legislature's prohibition against expanding Medicaid coverage cost $10.9 billion since 2014. North Carolina taxpayers subsidize Medicaid coverage in 32 other states. Don't let anyone try the flimflam that it's saving N.C. taxpayers. We're missing out on creating jobs - 61,295 in the last four years, but are willing to spend billions to get fewer jobs than that with Amazon.

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Medicaid
CBC Editorial: Tuesday, March 6, 2018; Editorial # 8276
The following is the opinion of Capitol Broadcasting Company

We find it hard to believe that any North Carolina lawmaker would vote to prevent Medicaid expansion for 500,000 fellow citizens. It must be sheer ideological bias and blinding hatred of Obamacare. But that is exactly what is happening now in North Carolina.

The legislature’s prohibition against expanding Medicaid coverage under the Affordable Care Act has cost North Carolina $10.9 billion since 2014. At the same time, North Carolina taxpayers are helping subsidize Medicaid coverage to millions of low-income adults in 32 other states.

There is no logic to this callous neglect. But there are REAL costs.

Don’t let anyone try the flimflam that it’s saving North Carolina taxpayers. Not only do we send money to other states to pay for their health insurance, we’re missing out on creating jobs here in this state – an estimated 61,295 in the last four years. We are willing to spend billions to get that many jobs with Amazon.

A recent study from the Center on Budget and Policy Priorities showed in “Medicaid expansion states, the uninsured rate for opioid-related hospitalizations plummeted by 79 percent, from 13.4 percent in 2013 (the year before expansion implementation) to 2.9 percent in 2015.

“The decline in non-expansion states (like North Carolina) was a much more modest 5 percent, from 17.3 percent in 2013 to 16.4 percent in 2015.” Treatment in North Carolina could be especially critical since the rate of deaths from opioid overdoses is increasing faster in North Carolina – 24.7 percent since 2015 – than any of our neighboring states except Virginia.

Medicaid expansion is an important “intervention for improving outcomes related to the opiate epidemic,” said Jay Unick a professor at the University of Maryland School of Social Work.
Gov. Roy Cooper is correct when he continues to contend, as he did more than a year ago, that: "Right now, North Carolina tax dollars are going to Washington, where they are being redistributed to states that have expanded Medicaid."

There is no justification for this outrage. It is shameful.

November can’t come soon enough.

BY THE NUMBERS: COST OF DENYING HEALTH INSURANCE IN N.C.

2014-16 2017 Jan.-March 2018 TOTAL Diabetics Without Medication* 81,132 19,048 6,762 33,942 Annual Mammograms Missed* 36,153 12,048 3,012 51,213 Deaths* 3,436 to 1,355 1,750 to 456 435 to 114 5,621 to 1,925 Federal Funding Lost** $9 billion $1.454 billion $463.6 million $10.918 billion Jobs Not Created** 43,700 14,076 3,519 61,295 *Opting Out Of Medicaid Expansion: The Health And Financial Impacts, Health Affairs Blog
** The Economic and Employment Costs of Not Expanding Medicaid in N.C., Center for Health Policy Research, The George Washington University, Dec. 2014