Op-Ed Contributor
My
State Needs Obamacare. Now.
By STEVE BESHEAR
Published: September 26,
2013 64 Comments
FRANKFORT,
Ky. — SUNDAY morning news programs identify Kentucky as the red state with two
high-profile Republican senators who claim their rhetoric represents an
electorate that gave President Obama only about a third of its presidential
vote in 2012.
The
law is starting to take effect. Were the dire predictions correct, or is it
lowering costs and expanding access?
So
why then is Kentucky — more quickly than almost any other state — moving to
implement the Affordable Care Act?
Because
there’s a huge disconnect between the rank partisanship of national politics
and the outlook of governors whose job it is to help beleaguered families,
strengthen work forces, attract companies and create a balanced budget.
It’s
no coincidence that numerous governors — not just Democrats like me but also
Republicans like Jan Brewer of Arizona, John Kasich of Ohio and Rick Snyder of
Michigan — see the Affordable Care Act not as a referendum on President Obama
but as a tool for historic change.
That
is especially true in Kentucky, a state where residents’ collective health has
long been horrendous. The state ranks among the worst, if not the worst, in
almost every major health category, including smoking, cancer deaths, preventable
hospitalizations, premature death, heart disease and diabetes.
We’re
making progress, but incremental improvements are not enough. We need big
solutions with the potential for transformational change.
The
Affordable Care Act is one of those solutions.
For
the first time, we will make affordable health insurance available to every
single citizen in the state. Right now, 640,000 people in Kentucky are
uninsured. That’s almost one in six Kentuckians.
Lack
of health coverage puts their health and financial security at risk.
They
roll the dice and pray they don’t get sick. They choose between food and
medicine. They ignore checkups that would catch serious conditions early. They
put off doctor’s appointments, hoping a condition turns out to be nothing. And
they live knowing that bankruptcy is just one bad diagnosis away.
Furthermore,
their children go long periods without checkups that focus on immunizations,
preventive care and vision and hearing tests. If they have diabetes, asthma or
infected gums, their conditions remain untreated and unchecked.
For
Kentucky as a whole, the negative impact is similar but larger — jacked-up
costs, decreased worker productivity, lower quality of life, depressed school
attendance and a poor image.
The
Affordable Care Act will address these weaknesses.
Some
308,000 of Kentucky’s uninsured — mostly the working poor — will be covered
when we increase Medicaid eligibility guidelines to 138 percent of the federal
poverty level.
PricewaterhouseCoopers
and the Urban Studies Institute at the University of Louisville concluded that expanding Medicaid would inject $15.6 billion
into Kentucky’s economy over the next eight years, create almost 17,000 new
jobs, have an $802.4 million positive budget impact (by transferring certain
expenditures from the state to the federal government, among other things),
protect hospitals from cuts in indigent care funding and shield businesses from
up to $48 million in annual penalties.
In
short, we couldn't afford not to do it.
The
other 332,000 uninsured Kentuckians will be able to access affordable coverage
— most with a discount — through the Health Benefit Exchange, the online
insurance marketplace we named Kynect: Kentucky’s Healthcare Connection.
Kentucky
is the only Southern state both expanding Medicaid and operating a state-based
exchange, and we remain on target to meet the Oct. 1 deadline to open Kynect with
the support of a call center that is providing some 100 jobs. Having been the
first state-based exchange to complete the readiness review with the United
States Department of Health and Human Services, we hope to become the first one
to be certified.
Frankly,
we can’t implement the Affordable Care Act fast enough.
As
for naysayers, I’m offended by their partisan gamesmanship, as they continue to
pour time, money and energy into overturning or defunding the Affordable Care
Act. It’s shameful that these critics haven’t invested that same level of
energy into trying to improve the health of our citizens.
They
insist that the Affordable Care Act will never work — when in fact a similar
approach put into effect in Massachusetts by Mitt Romney, then the governor, is
working.
So,
to those more worried about political power than Kentucky’s families, I say,
“Get over it.”
The
Affordable Care Act was approved by Congress and sanctioned by the Supreme
Court. It is the law of the land.
Get
over it ... and get out of the way so I can help my people. Here in Kentucky,
we cannot afford to waste another day or another life.
Steve
Beshear, a Democrat, is the governor of Kentucky.