GOVERNMENTS’ MEA CULPA*

Are our governments responsible for involuntary manslaughter? That depends upon your interpretation of “anticipated or unanticipated” consequences.

Recently a Floridian died of heart disease.  Her name Charlene Dill, 32 and the single parent of three young children.  She died because she worked three jobs and made $11,000.00 last year, enough money to fall into the “Medicaid expansion gap.”  She was just one of the millions of working poor who could not afford insurance, and because of various governmental actions was unable to afford medication and medical management.  The underlying cause of her death is that some States chose not to participate in the expanded Medicaid coverage under the Affordable Care Act (ACA) which prevented her from obtaining medical coverage. Only 26 states have Medicaid expansion under ACA and Charlene would most likely be alive today if Florida was one of those states.

Let me explain the government’s mea culpa.  When Congress passed the ACA, it required States to expand Medicaid to cover all the working poor like Charlene.  The cost of this expanded Medicaid coverage would be funded entirely by the federal government for three years and 90% thereafter.  The legality of the ACA was challenged by some States and ultimately heard before the Supreme Court.  The Court determined that States could opt out of ACA and the Medicaid expansion, which many States did.  This “opted out” action is costing those States tens of billions of federal assistant dollars and denying health care coverage to millions of constituents. The rejective action of Governors and/or legislators has also had a negative impact on those States economy.  In the case of Florida, it is estimated that over a 1000 people will needlessly die each year because of the Medicaid expansion gap and a loss of tens of billions of dollars to the State’s economy. 

You might ask who shares the mea culpa: the members of Congress who voted against the ACA, the States who brought the ACA before the Supreme Court, the Court itself in its’ 5-4 decision, the Governors and/or legislators who opted out of the Medicaid expansion, or all of the above!   

Of course the story doesn’t end there, now that Charlene is gone, her children will receive Aid to Dependent Children for many years to come and the question is how many more children will be put on the Aid to Dependent Children roll for government’s mea culpa!

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You can find out which States did not participated in the Medicaid expansion at the www.DOLLARBILLBRIGADE.com

*  “MEA CULPA” is Latin for “through my fault” as in the Catholic Mass Confessional “mea culpa, mea culpa, mea maxima culpa” or if you prefer the older Yom Kippur prayers “Avinu Malkeinu and Viduy”.

 

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