Recent attempts within states to scale back vital health care programs for our most vulnerable citizens at a time when they are critically needed is cause for concern. The move began with Arizona Governor Brewer’s request to the federal government for a waiver from stability protections that prevent states from restricting eligibility levels for the Medicaid program. In response, Georgia Governor Nathan Deal’s spokesperson was quoted by Bloomberg news organization earlier today that while the Governor has not offered specific cuts, he “would happily work on such a proposal.”

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Guest Blog by Holly Lang, Georgia Watch

In a March ruling that could hold implications for all nonprofit hospitals, the Illinois Supreme Court stripped not-for-profit Provena Covenant Medical Center of its exemption from property tax, stating that the hospital did not provide enough charity care to justify that exemption.

A hospital earns its tax-exempt status through the benefits it provides to the community, the most of which being the free or reduced-cost care for those eligible for such assistance. Such care is deemed indigent or charity care.

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On Saturday, March 27th at the Georgia International Convention Center in Atlanta the Georgia Free Clinic Network and the National Association of Free Clinics are sponsoring a Free Health Clinic for the state’s uninsured residents.  Based on the success of similar events country-wide, we anticipate serving 1800-2200 uninsured Georgians.  Similar free clinics have been sponsored by the NAFC in Houston TX, New Orleans LA, Little Rock AR, Kansas City MO, and Hartford CT.  These events have been documented by the Dr. Oz Show, Good Morning America, CNN and MSNBC.  The Atlanta event will also be a focus of the national press.   To view videos of some of previous one-day clinics, click here.

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By Tim Sweeney

Over at the Georgia Budget & Policy Institute, we’ve recently released a brief that shows why expanding Medicaid to cover hundreds of thousands of low-income, uninsured Georgians is a bargain for the state. (Read the brief here.)

Instead of focusing on the small portion of the expansions costs that will be borne by the state (about 10 percent for newly eligible people), Georgia leaders should focus on the substantial social and economic benefits that the expansion and additional federal money would bring to Georgia.

Low-income Georgians already have far less access to employer-sponsored health insurance than higher income Georgians, and are seeing their limited access decline even more. Georgia had the 10^th highest uninsured rate in the nation, on average, from 2006-2008, and because Medicaid eligibility thresholds here are pretty low, the state would benefit greatly from the national expansion.

Tim Sweeney

Sr. Healthcare Analyst

Georgia Budget & Policy Institute

By Benjamin Nanes, HealthSTAT

HealthSTAT previously reported concerns from students and health professionals that it is becoming more difficult for immigrants to access care in the Grady Health System, which includes Grady Memorial Hospital and its eight neighborhood health centers. Though this issue has not been widely reported, there have been similar worries in the community at large as well. Yolanda Hallas, Executive Director of the Hispanic Health Coalition of Georgia, has collected reports from immigrants who have been denied discounted care at Grady due to apparent changes in how the health system enforces its policies. Among them are unemployed patients and family members of Medicaid-eligible children, people who clearly cannot afford health care anywhere else. In order to understand what is happening, it is important to look at the big picture: how the Grady system delivers care to those who are unable to pay, and the financial and political pressures that system faces.

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Guest Blog By Holly Lang

In January 2009, Georgia Watch was awarded a two-year grant to help expand access to affordable health care to uninsured and underinsured consumers in the metro area. Called the Metropolitan Atlanta Hospital Accountability Project, or HAP, we’ll examine the challenges low-income, uninsured and underinsured patients face in the metro Atlanta area by surveying consumers, by analyzing the financial aid policies at area for profit and nonprofit hospitals, and by looking at current public policies that force hospitals to give free or low-cost care to the state’s uninsured and underinsured consumers. We’ll come up with ways to make those policies better.

Georgia has the sixth-highest number of residents without health insurance in the US and ranks 11th in its percentage of the population lacking coverage, according to a 2008 report from the Georgia State University’s Health Policy Center and the Center for Health Services Research. According to the report, only one in five individuals living below poverty have private insurance and nearly 38 percent are uninsured.

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Guest Blog By Brittany Freeman

The American Cancer Society is proud to congratulate Georgians for a Healthy Future on its recent launch. We are honored to share in the work of this organization that is dedicated to developing solutions and strategies that address Georgians’ need for accessible, adequate, affordable quality health care.

The American Cancer Society has been a strong advocate for cancer patients, survivors, caregivers and others since its inception. Both on the legislative front and in every community, the American Cancer Society is dedicated to expanding access to care to more individuals. Like Georgians for a Healthy Future, we believe that health care should be available, affordable, adequate and administratively simple – we refer to these as our “4 A’s”. Health care that meets these four standards, promotes prevention and focuses on quality of life will support our work to eliminate cancer as a major health problem.

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