This approaches being a no brainer, and will go a long way to
developing a vicious circle...people lose their insurance , then they
get sick, then... they can't work, and cant get affordable
insurance.   When people lose their jobs, they begin a downhill slide
toward ruin.  Once they hit bottom...homeless beggars, there are very
few resources to aid them at getting back on their feet...they don't
have a home, telephone (call back after interview) shower, (bad smell)
laundry,  In many areas an adress is required to qualify for social
assistance,,,, and if you start to wander in hopes of  success, it
will only get worse.

On Jan 15, 8:36 am, "liberal mike532  !" <[email protected]>
wrote:
> Struggling States Cut Healthcare for Poor Before Obama Can Bolster
> Coveragehttp://www.truthout.org/011409HA
> The unprecedented reductions come as millions are losing their jobs
> and insurance. They are so steep that the federal rescue package may
> not be able to revive them.
>
>     Washington - Even as President-elect Barack Obama plans an
> ambitious push to expand health coverage nationwide, states are
> slashing health services to their poorest residents amid the economic
> downturn.
>
>     The unprecedented cuts in public assistance come as millions of
> Americans are losing their jobs and health insurance.
>
>     In many cases, the cuts are so deep that even the massive federal
> rescue package being assembled on Capitol Hill may not be enough to
> restore services being eliminated in the burgeoning crisis, health
> officials warn.
>
>     And the faltering economy has all but killed trailblazing state
> campaigns to expand coverage for the working poor - once seen as
> hopeful signs for national health care reform.
>
>     Illinois' senior citizens are facing the traumatic prospect of
> being moved from nursing homes teetering on the edge of bankruptcy as
> the homes wait for months to be paid by the floundering state
> government.
>
>     South Carolina has cut treatment for low-income women under 40
> with breast or cervical cancer and stopped providing nutritional
> supplements for people with kidney failure.
>
>     In southern Nevada, cancer patients without health coverage no
> longer have a place to get chemotherapy after the state's largest
> public hospital stopped providing outpatient oncology services.
>
>     "This is exactly the time when we should be beefing up services,"
> said Anthony Wright, executive director of Health Access California,
> a
> leading consumer advocacy group. "Instead, we are unraveling the
> safety net to the point where it may not be possible to stitch it
> back
> together again."
>
>     Congressional Democrats hope to begin offering some help today,
> as
> the House takes up legislation to expand the popular State Children's
> Health Insurance Program, a top priority of the incoming
> administration.
>
>     The expansion, which could extend coverage to an additional 4
> million low-income children, was vetoed twice by President Bush in
> 2007, but is expected to easily win approval now.
>
>     Lawmakers on Capitol Hill are also at work on a stimulus package
> that could include as much as $100 billion to bail out Medicaid, the
> primary federally funded health program for the poor administered by
> the states.
>
>     That aid package is expected to require states to maintain some
> of
> the medical services currently on the chopping block, though it may
> come too late to reverse many cuts already made.
>
>     Lawmakers plan additional assistance to help Americans keep their
> health insurance if they lose their jobs.
>
>     But even some congressional leaders concede the help will be
> insufficient. "Let's be honest," said Sen. Richard J. Durbin (D-
> Ill.),
> a close Obama ally. "We won't be able to save every soul here."
>
>     At least 44 states are facing budget shortfalls over the next two
> years totaling more than $350 billion, according to a recent survey
> by
> the Center for Budget and Policy Priorities, a liberal Washington-
> based think tank.
>
>     Unable to run deficits like the federal government, states have
> been scrambling for months to cut aid to schools, universities and,
> increasingly, residents who rely on the state for medical care.
>
>     Nationwide, roughly 60 million low-income people -- half of them
> children -- use the Medicaid program to get some form of healthcare,
> including basic physician services, prescription drugs, X-rays,
> dental
> care and even hospice care.
>
>     Some of those services are now in jeopardy.
>
>     Florida is poised to cut its home services for poor senior
> citizens, such as bathing and meal preparation, as nearly 19,000
> seniors in the state are on a waiting list to get the care rather
> than
> be sent to nursing homes.
>
>     Utah lawmakers are looking at cutting public health programs and
> eliminating coverage for about 20,000 low-income people who rely on
> the state-funded Utah Primary Care Network.
>
>     "The scale of this is unprecedented," said AARP Vice President
> Elaine Ryan, who has spent nearly three decades working on health
> policy at the state and federal level. "I really have never seen
> anything like this."
>
>     Some states have tried to avoid cuts in services by delaying or
> reducing payments to doctors and other medical providers who treat
> low-
> income patients.
>
>     This is taking a toll, however, as a growing number of providers
> stop treating those with state-funded insurance.
>
>     Nevada's largest county closed its outpatient oncology clinic
> last
> year, citing decreases in Medicaid funding for treating low-income
> cancer patients.
>
>     Now, advocates in Las Vegas are having to counsel patients to
> look
> at getting care by moving to other states where they have relatives.
>
>     "We're essentially creating medical refugees," said Stacey Gross,
> community programs manager at Susan G. Komen for the Cure of Southern
> Nevada.
>
>     Melvin Siegel, who operates five nursing homes serving some 400
> seniors around Springfield, Ill., said he is close to closing because
> of slow payments from the state.
>
>     Nursing homes, which rely heavily on Medicaid, often don't have
> the option of rejecting patients on public assistance.
>
>     "There is no place to go," said Siegel, 79, who said he has
> borrowed against his home, life insurance and retirement savings to
> keep in business. "If this falls apart, I'll be penniless. . . . It's
> never been this bad."
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