Elections have consequences. There could be significant consequences for the Medicaid program in Nevada depending on the outcome of the 2012 election. Here are two, improved graphics from yesterday’s post illustrating who is served by the Nevada Medicaid program — and who will be impacted by proposals from the GOP (Ryan Budget) to transform Medicaid into a block grant program, and to cut funding by approximately one-third.
The question becomes — where will we cut? From the 58% of the program which serves children? If we cut all funding from adults, that would save only 19% and we should remember that 150,200 of the people served are adult females, some of whom are pregnant receiving pre-natal care.
Speaking of women: Planned Parenthood Federation of America informs us there were 133,246 uninsured women in Nevada as of 2008-2009. Thanks to the Affordable Care Act (Obamacare) 66,623 are likely to qualify for Medicaid in 2014, and 55,963 are likely to qualify for premium credits in the health insurance exchanges.
Laying aside the Republican hyperbolic hysterical generalities about Socialism, Non-existent Death Panels, and Killing Grannies — the Affordable Care Act has some definite benefits for women, which ought to be considered before voting in favor of a candidate who wants to repeal it:
#1. Preventative and wellness visits to a physician — coverage must include screenings for breast and cervical cancer. #2. Coverage for gestational diabetes screening. #3. HPV-DNA testing for high-risk human papillomavirus (HPV) DNA testing every three years, regardless of Pap smear results. Early screening, detection and treatment have been shown to help reduce the prevalence of cervical cancer. #4. STI counseling and HIV testing. #5. Contraceptive and contraceptive counseling — and no the government isn’t paying for this, and employers aren’t paying for this — the insurance has to cover it. #6. Breast feeding support, supplies, and education. #7. Domestic violence screening and counseling services. [Time] And, by the way — health insurance corporations may no longer charge women more for an insurance policy just because they are — you know — female.
Women on the Reservation: While the Republican controlled House of Representatives stews about expanding efforts to extend protection for Native American women under the provisions of the Violence Against Women Act, [The Hill] there’s still a major domestic violence problem on Reservations. If one applied the GOP logic to the situation: “Suppose your sister was with you in Washington, DC, and her husband beat her up,” Moore says, “but because he was from Virginia, Washington couldn’t do anything about it.” [MJM]
There’s a little bit of help on the horizon from the Obama Administration’s Department of Justice. Help for at least four tribes.
“Through this special initiative, OVW will support salary, travel and training costs of four tribal SAUSAs, who will work in collaboration with the U.S. Attorneys Offices in the Districts of Nebraska, New Mexico, Montana, North Dakota and South Dakota. Specifically, OVW will award cooperative agreements to four federally recognized tribes to select qualified applicants in cooperation with the U.S. Attorney Offices to serve as cross-designated prosecutors. These prosecutors will maintain an active violence against women crimes caseload, in tribal and/or federal court, while also helping to promote higher quality investigations, improved training and better inter-governmental communication.”
The ladies on the following Reservations will be a bit safer — Pueblo of Laguna in New Mexico, Fort Belknap Tribe in Montana, Winnebago Tribe in Nebraska, Standing Rock Sioux Tribe, in North Dakota and South Dakota. Or, the House Republican leadership could stop hiding behind technicalities and vacation days and pass the re-authorization of the Violence Against Women Act.
Twenty Three Cents Worth: Lily Ledbetter (video) spoke to the disparity of pay in too many American workplaces, 23 cents worth on average. Let’s play with the calculator — the median expected salary for an entry level accountant in this country is $44,456 dollars per year. [Salary.com] If a husband and wife were both entry level accountants, and the pay was equal, their combined earnings would be $88,912. However, if her salary is only 77% of her husband’s she earns about $34,231. Their combined earnings are reduced to $78,687.12. Wonder what they could have done with $9,000? Wonder what the local economy could have done if family earnings were what they should be? Do the arithmetic.