{"id":1993,"date":"2017-09-11T06:33:11","date_gmt":"2017-09-11T13:33:11","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=1993"},"modified":"2017-07-17T09:05:52","modified_gmt":"2017-07-17T16:05:52","slug":"1993","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=1993","title":{"rendered":"WHO WILL BE HURT BY THE REPEAL OF THE ACA"},"content":{"rendered":"

California made huge strides in care for the uninsured since ACA implementation in 2014.\u00a0 California decreased the number of uninsured from 6.5 million in 2013 to only 3.3 million by 2015.\u00a0 It may surprise you to learn that the largest drops in lack of insurance occurred with low income adults, part time workers and Latinos.\u00a0 Most of these people have jobs, they just don\u2019t make enough money to buy health insurance. They are the working poor. The fact is that so many Medi-Cal expansion adults are working is not well known. In fact, 47% are currently employed and 12% are actively looking for work.<\/p>\n

California offered Medi-Cal coverage to legal residents ages 19 to 64 with incomes below 138% of the federal poverty level (FPL).\u00a0 This is really not much income since 138% of the FPL is only $16,400 for an individual and only $33,500 for a family of four in 2016.\u00a0 It would be hard enough to have food and a place to live without the additional cost of health insurance.<\/p>\n

Medi-Cal expansion numbers:<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Expansion adults<\/strong><\/td>\n3.67 million<\/td>\n<\/td>\n<\/tr>\n
Adult male<\/td>\n1.79 m<\/td>\n51%<\/td>\n<\/tr>\n
19 to 39<\/td>\n1.87 m<\/td>\n51%<\/td>\n<\/tr>\n
40 to 54<\/td>\n0.99 m<\/td>\n27%<\/td>\n<\/tr>\n
55 to 64<\/td>\n0.81 m<\/td>\n22%<\/td>\n<\/tr>\n
Hispanic<\/td>\n1.37 m<\/td>\n42%<\/td>\n<\/tr>\n
White<\/td>\n0.95 m<\/td>\n29%<\/td>\n<\/tr>\n
Asian\/Pacific Islander<\/td>\n0.63 m<\/td>\n19%<\/td>\n<\/tr>\n
African American<\/td>\n0.28 m<\/td>\n9%<\/td>\n<\/tr>\n
English speaking<\/td>\n2.59 m<\/td>\n71%<\/td>\n<\/tr>\n
Spanish speaking<\/td>\n0.81 m<\/td>\n22%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

In some of PHC\u2019s counties, the Medi-Cal expansion adults make up a significant part of the population.\u00a0 Humboldt, Lake and Mendocino counties each had over 13% of the general population covered as Medi-Cal expansion adults.\u00a0 The total enrollment for Medi-Cal in those counties in 2016 was 39.7% (Humboldt), 48.8% (Lake) and 47.0% (Mendocino).<\/p>\n

Repeal of the ACA could immediately cost 3.7 million Californians their health care coverage under Medi-Cal expansion.\u00a0 This would result in 7 to 14% of the total populations of PHC counties again becoming uninsured.\u00a0 This does not even take into account those members who enrolled in Covered California through insurance subsidies.\u00a0 Losing subsidies would add an addition 3 to 5% increase in the uninsured in PHC counties.<\/p>\n

The ACA has done so much to reduce disparities in health coverage among people of color in California.\u00a0 It has also offered health insurance to a large number of the working poor. It will be very hard to accept a loss of the ACA\u2019s benefits to people of California.\u00a0 We could double the number of uninsured overnight.<\/p>\n

For more information: ACA Repeal in California: Who Stands to Lose. Dietz, et all, UC Berkeley Center for Labor Research and Education\/UCLA Center for Health Policy Research, December 2016<\/p>\n

James Cotter, MD<\/p>\n","protected":false},"excerpt":{"rendered":"

California made huge strides in care for the uninsured since ACA implementation in 2014.\u00a0 California decreased the number of uninsured from 6.5 million in 2013 to only 3.3 million by 2015.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1993","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nWHO WILL BE HURT BY THE REPEAL OF THE ACA - PHC Primary Care Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/phcprimarycare.org\/?p=1993\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"WHO WILL BE HURT BY THE REPEAL OF THE ACA - 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