The most general statement of our politics at the present time would be that we are actively committed to struggling against racial, sexual, heterosexual, and class oppression, and see as our particular task the development of integrated analysis and practice based upon the fact that the major systems of oppression are interlocking. The synthesis of these oppressions creates the conditions of our lives. As Black women we see Black feminism as the logical political movement to combat the manifold and simultaneous oppressions that all women of color face.
Endnotes While millions of people have gained coverage through the expansion of Medicaid under the Affordable Care Act ACAstate decisions not to implement the expansion leave many without an affordable coverage option. This expansion fills in historical gaps in Medicaid eligibility for adults and was envisioned as the vehicle for extending insurance coverage to low-income individuals, with premium tax credits for Marketplace coverage serving as the vehicle for covering people with moderate incomes.
While the Medicaid expansion was intended to be national, the June Supreme Court ruling essentially made it optional for states.
As of June17 states had not expanded their programs. Medicaid eligibility for adults in states that did not expand their programs is quite limited: Gap in Coverage for Adults in States that Do Not Expand Medicaid Under the ACA This brief presents estimates of the number of people in non-expansion states who could have been reached by Medicaid but instead fall into the coverage gap, describes who they are, and discusses the implications of them being left out of ACA coverage expansions.
An overview of the methodology underlying the analysis can be found in the Methods box at the end of the report, and more detail is available in the Technical Appendices available here. These individuals would be eligible for Medicaid had their state chosen to expand coverage. Adults left in the coverage gap are spread across the states not expanding their Medicaid programs but are concentrated in states with the largest uninsured populations.
More than a quarter of people in the coverage gap reside in Texas, which has both a large uninsured population and very limited Medicaid eligibility Figure 2. Seventeen percent live in Florida, eleven percent in Georgia, and nine percent in North Carolina.
There are no uninsured adults in the coverage gap in Wisconsin because the state is providing Medicaid eligibility We need poor people adults up to the poverty level under a Medicaid waiver. Distribution of Adults in the Coverage Gap, by State and Region The geographic distribution of the population in the coverage gap reflects both population distribution and regional variation in state take-up of the ACA Medicaid expansion.
The South has relatively higher numbers of poor uninsured adults than in other regions, has higher uninsured rates and more limited Medicaid eligibility than other regions, and accounts for the majority 9 out of 17 of states that opted not to expand Medicaid.
The characteristics of the population that falls into the coverage gap largely mirror those of poor uninsured adults. Several states that have large Black populations e. As a result, Blacks account for a slightly higher share of people in the coverage gap compared to the total poor adult uninsured population.
Demographic Characteristics of Adults in the Coverage Gap Nonelderly adults of all ages fall into the coverage gap Figure 3. Notably, over half are middle-aged age 35 to 54 or near elderly age 55 to Adults of these ages are likely to have increasing health needs, and research has demonstrated that uninsured people in this age range may leave health needs untreated until they become eligible for Medicare at age These individuals have known health problems that likely require medical attention.
Studies repeatedly demonstrate that uninsured people are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases. Aboutuninsured children have a parent in the coverage gap data not shown.
Research has found that parent coverage in public programs is associated with higher enrollment of eligible children, 9 so these children may be hard to reach if their parents continue to be ineligible for coverage.
The share of people in the coverage gap who are adults without dependent children versus parents varies by state see Table 1 due to variation in current state eligibility.
For example, Tennessee covers all parents up to at least poverty, so all people in the coverage gap in that state are adults without dependent children.
This pattern occurs because women make up the majority of poor adults in states not expanding their programs. The work status of people in the coverage gap indicates that there are limited coverage options available for people in this situation. Six in ten people in the coverage gap are in a family with a worker, and about half are working themselves Figure 5.
Further, many firms do not offer coverage to part-time workers. A majority of workers in the coverage gap also work in industries with historically low insurance rates, such as the agriculture and service industries.
Work Status of Adults in the Coverage Gap Four in ten adults in the coverage gap are in a family with no workers. Since the Medicaid expansion was designed to reach those left out of the employer-based system, and because people in the coverage gap by definition are poor, it is not surprising that most are unlikely to have access to health coverage through a job.
If states that are currently not expanding their programs adopt the Medicaid expansion, all of the 2.
Though most of these adults are eligible for tax credits to purchase Marketplace coverage, 11 Medicaid coverage may provide lower premiums or cost-sharing than they would face under Marketplace coverage. If all states expanded Medicaid, those in the coverage gap and those who are instead eligible for Marketplace coverage would bring the number of nonelderly uninsured adults eligible for Medicaid to 4.
The potential scope of Medicaid varies by state Table 2. Discussion The ACA Medicaid expansion was designed to address the high uninsured rates among low-income adults, providing a coverage option for people with limited access to employer coverage and limited income to purchase coverage on their own.
In states that expanded Medicaid, millions of people gained coverage, and the uninsured rate dropped significantly as a result of the expansion.The Working Poor: Invisible in America [David K.
Shipler] on pfmlures.com *FREE* shipping on qualifying offers. From the author of the Pulitzer Prize–winning Arab and Jew, an intimate portrait unfolds of working American families struggling against insurmountable odds to escape poverty.
As David K. Shipler makes clear in this powerful. In , Martin Luther King, Jr. launched the Poor People’s Campaign and March on Washington in an effort to shine a light on the plight of America’s most vulnerable citizens. Monday evening. Joshua Corn – Editor-in-Chief Josh is a health freedom advocate and veteran of the natural health industry.
He has been actively involved in the natural health movement for over 15 years, and has been dedicated to the promotion of health, vitality, longevity and natural living throughout his career. The Combahee River Collective Statement Combahee River Collective. We are a collective of Black feminists who have been meeting together since .
Nov 09, · If you’re a poor person in America, President Trump’s budget proposal is not for you. Trump has unveiled a budget that would slash or abolish . So what do poor people want?
Thanks to some very big studies, such as the World Bank's Voices of the Poor, which involved 60, people in 60 countries, we have a pretty good idea. There's a long.