North Carolina has not expanded Medicaid coverage to low-income adults and or the homeless
January 5, 2107 – Update –
According to The Christian Monitor – North Carolina Gov. Roy Cooper (D) said Wednesday he plans to expand Medicaid to cover an additional 650,000 people, despite his predecessor having signed a law that expressly prohibits such a move.
Republican State Senate Leader Phil Berger described the governor’s plan as a quote “brazenly illegal attempt to force” Medicaid expansion upon state taxpayers.
Wow, “brazenly illegal” right after attempting to “brazenly” strip the new Governor of North Carolina of his duties – well that’s in another story see – rejection.
Seriously folks, I would like to start with some moments of awareness. Did you know that in the Middle Ages – a time between the fall of Rome and the beginning of the Renaissance in the 14th century, mental illness was described as one having a possession of evil spirits? Interestingly enough the King James Bible states from the book of Corinthians – Wherefore whosoever shall eat of this bread, and drink this cut of the Lord, unworthily, shall be guilty of the body and blood of the Lord. But let a man examine himself, and so let him eat of that bread, and drink of that cup. For he that eateth and drinketh unworthily, eateth and drinketh damnation to himself, not discerning the Lord’s body. For this cause many are weak and sickly amoung you, and many , the author, is indicating that those that do not believe when taking communion shall fall to sickness in the body. There are folks today like Christian Scientists that believe only in prayer and meditation to relieve all sickness vs. making a doctor visit.
I’m not so sure that homeless men and women (including Veterans) mother’s and children in the beautiful state of North Carolina are either Christian Scientists or even believe in prayer and meditation to relieve their mental and/or physical health issues. Secondly it was the duty of the King (Governor, Senator, etc.) to protect the land of the idiots and provide them with the basic necessities of life.
The King who would (in the 21st century be known as the “State”) would take or should be taking the responsibilities of the citizens that fall under the mental illness and/or in need of healthcare category. Additionally, the Elizabethan Poor Laws and the Poor Law of 1601 can fall under the category of DSS, DCF or Medicaid.
The Title 19 program stems from the 13th century. The idea that relief for the poor was the responsibility of the Church yet how many churches can actually show proof positive that they are financially involved in helping with the fudiciary, judiciary or medical needs of the poor. Sure they have annual coat drives, food pantries, chicken dinners and raffle tickets, but when was the last time a church in your neighborhood took up a collection for wound care or cash payments for medicine for uninsured children and their families?
It would appear that folks have always been thinking of ways to assist those in need. It also appears that perhaps that only happens outside of North Carolina’s uninsured population.
Original Story- Medicaid CHIP in North Carolina – Family Planning = Birth Control!
Medicaid is a health and long-term care coverage program that was enacted in 1965. The Children’s Health Insurance Program (CHIP) was established in 1997 to provide new coverage opportunities for children in families with incomes too high to qualify for Medicaid, but who cannot afford private coverage. Both Medicaid and CHIP are administered by states within broad federal guidelines and jointly funded by the federal government and states.
This page outlines key characteristics of Medicaid and CHIP in North Carolina and provides documents and information relevant to how the programs have been implemented by North Carolina within federal guidelines.
North Carolina Medicaid/CHIPEnrollmentAvg July-Sept2013Total September20160600,0001,200,0001,800,0002,400,000
|Avg July-Sept 2013||1,595,952|
|Total September 2016||2,020,076|
As of September 2016, North Carolina has enrolled 2,020,076 individuals in Medicaid and CHIP — a net increase of 26.57% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. North Carolina has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate enrollment in Medicaid and CHIP.
The Federally-facilitated marketplace (FFM) offers coverage in North Carolina.
In federal fiscal year (FFY) 2014, North Carolina voluntarily reported 12 of 18 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set. North Carolina voluntarily reported 0 of 10 frequently reported health care quality measures in the CMS Medicaid Adult Core Set.
North Carolina has not expanded coverage to low-income adults… Here’s the thing a homeless woman who is over the age of having children receives 1 physical exam a year and access to birth control – they call it family planning?!