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Louisiana Will Eliminate Health Benefits For HIV Patients, Poor Children, And First Time Moms This Week

Posted by on Jan. 30, 2013 at 4:37 PM
  • 35 Replies

Louisiana Will Eliminate Health Benefits For HIV Patients, Poor Children, And First Time Moms This Week

 Last week, Louisiana’s poor and terminally ill residents won a surprising victory when Gov. Bobby Jindal (R) announced that his state would not stop providing hospice care to its Medicaid beneficiaries. Unfortunately, that’s about the only piece of good news for low-income Louisianans’ health coverage, as the state is still set to implement massive cuts for Medicaid programs that “provide behavioral health services for at-risk children, offer case management visits for low-income HIV patients and pay for at-home visits by nurses who teach poor, first-time mothers how to care for their newborns” this Friday.

While Jindal administration officials argue that the cuts could be mitigated by Medicare and private managed care programs, the reality is that many of these specialty services are simply unavailable — or unaffordable — outside of Medicaid:

Health and Hospitals Secretary Bruce Greenstein said he targeted programs that were duplicative, costly and optional under the state’s participation in the state-federal Medicaid program.

Greenstein said in many instances, people can get the care they’re losing through other government-funded programs. But he acknowledged that won’t happen in every case, meaning some people will simply lose the services or receive reduced services. [...]

Jan Moller heads the Louisiana Budget Project, which advocates for low- to moderate-income families. Moller said he’s most distressed by the cut to the Nurse-Family Partnership Program.

The health department is eliminating the portion of the program that offers at-home visits to low-income women who are pregnant with their first child. Registered nurses visit the women early in their pregnancy and until their children’s second birthday, offering advice on preventive health care, diet and nutrition, smoking cessation and other child developmental issues. [...]

“What the Nurse-Family Partnership does goes above and beyond what a good obstetrician does,” Moller said. “It’s really about teaching life-skills to at-risk moms to make them better parents and make them better able to care for their children, and it’s been proven to work.”

Speech therapy programs for low-income children are also on the chopping block. The cuts — as well as Jindal’s proposals to raise taxes on the poor while slashing public education and other health care funding — are meant to plug a midyear budget deficit. But they are more likely to raise health care costs and poverty levels in a state that already ranks among America’s least-insured and poorest locales by pushing people poor people into finding services that they will no longer be able to afford.

While Jindal has spoken at length on the Republican Party’s existential need to stop being “the stupid party,” the “austerity” policies that he has pursued for his state are some of the most regressive in the entire country.


by on Jan. 30, 2013 at 4:37 PM
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Replies (1-10):
Imacakebaker
by on Jan. 30, 2013 at 6:39 PM
2 moms liked this

 Who needs a nurse to come to their house to tell them how to take care of a baby?  The state is really paying for that?  They can cut that!!  Its a total waste of money.

What is behavioral health services?  A program for bratty out of control kids?

They aren't cutting actual health care for poor children/residents, just some of the crazy programs. 

Where is this "story" from?  I am betting its from a liberal site.

 

LIMom1105
by on Jan. 30, 2013 at 7:33 PM
2 moms liked this

I'm not sure what they classify as behavioral  health services, but it could be ABA or other therapies that help children with disorders such as autism and ADHD learn to function ( and no, this isn't something their parents can and should be doing). It could also include counseling for children with emotional issues. Children who are wired differently learn differently, it's not a euphemism for "bratty and out of control". I find it VERY disturbing that they are cutting something as crucial as this. Also speech therapy. Those children will be sooooo far behind their peers. THIS could be the very sort of intervention that helps these children function independently later, or semi-independently. Penny wise, pound foolish.

I agree about the home visits for pregnant moms, sounds nice, but assuming the mother is receiving Medicaid, she should be able to go to a doctor. 


rccmom
by Gold Member on Jan. 30, 2013 at 8:46 PM
2 moms liked this


They are going to cost themselves so much more down the road by not helping out the children. 

Quoting LIMom1105:

I'm not sure what they classify as behavioral  health services, but it could be ABA or other therapies that help children with disorders such as autism and ADHD learn to function ( and no, this isn't something their parents can and should be doing). It could also include counseling for children with emotional issues. Children who are wired differently learn differently, it's not a euphemism for "bratty and out of control". I find it VERY disturbing that they are cutting something as crucial as this. Also speech therapy. Those children will be sooooo far behind their peers. THIS could be the very sort of intervention that helps these children function independently later, or semi-independently. Penny wise, pound foolish.

I agree about the home visits for pregnant moms, sounds nice, but assuming the mother is receiving Medicaid, she should be able to go to a doctor. 




SallyMJ
by Ruby Member on Jan. 30, 2013 at 8:55 PM
7 moms liked this

Please clarify your erroneous title - Louisiana is reducing CERTAIN benefits, not ELIMINATINGl health care benefits for these people. 

ALL states are struggling with this. We need to structurally reform all our entitlements - primarily Medicare, Medicaid, and Social Security. We don't have enough money, and there is a lot of waste in these programs.

Obama doesn't want to do fix these programs - in a sense says these are untouchable - even though these are the biggest programs of all and the cost is escalating out of control.

There is not enough money to keep doing things the way they are - plus the programs will go bankrupt.

Maybe if Obama were to work in a bipartisan manner with Congress and agree to reform entitlements, instead of publicly denigrating them and saying he will not let Congress revise the programs - our elected leaders could actually get some work done for the American people instead of pointing fingers at each other.

Uh-oh. Pointing fingers - Looks like a gun - That's going to get them all suspended for two days.

Citygirlk
by on Jan. 30, 2013 at 11:58 PM
1 mom liked this

As a teen mom living over a thousand miles away from any family I needed there was a lot of things I didn't know and the nurse help me so much and I am forever grateful for that especially since I have twins and had millions of questions.

Quoting Imacakebaker:

 Who needs a nurse to come to their house to tell them how to take care of a baby?  The state is really paying for that?  They can cut that!!  Its a total waste of money.

What is behavioral health services?  A program for bratty out of control kids?

They aren't cutting actual health care for poor children/residents, just some of the crazy programs. 

Where is this "story" from?  I am betting its from a liberal site.

 


soonergirl980
by Member on Jan. 31, 2013 at 12:17 AM
3 moms liked this
If there is no money then there is no money.
Billiejeens
by Ruby Member on Jan. 31, 2013 at 10:38 AM
1 mom liked this

 

No reason to even read the story, it's from Think Progress.

Quoting Imacakebaker:

 Who needs a nurse to come to their house to tell them how to take care of a baby?  The state is really paying for that?  They can cut that!!  Its a total waste of money.

What is behavioral health services?  A program for bratty out of control kids?

They aren't cutting actual health care for poor children/residents, just some of the crazy programs. 

Where is this "story" from?  I am betting its from a liberal site.

 

 

 

Sisteract
by Socialist Hippie on Jan. 31, 2013 at 10:41 AM
1 mom liked this

Yep- and in addition, penny wise and thousands of dollars foolish.

Quoting rccmom:


They are going to cost themselves so much more down the road by not helping out the children. 

Quoting LIMom1105:

I'm not sure what they classify as behavioral  health services, but it could be ABA or other therapies that help children with disorders such as autism and ADHD learn to function ( and no, this isn't something their parents can and should be doing). It could also include counseling for children with emotional issues. Children who are wired differently learn differently, it's not a euphemism for "bratty and out of control". I find it VERY disturbing that they are cutting something as crucial as this. Also speech therapy. Those children will be sooooo far behind their peers. THIS could be the very sort of intervention that helps these children function independently later, or semi-independently. Penny wise, pound foolish.

I agree about the home visits for pregnant moms, sounds nice, but assuming the mother is receiving Medicaid, she should be able to go to a doctor. 





LIMom1105
by on Jan. 31, 2013 at 11:42 AM
1 mom liked this

The people being cut from these services are primarily children. What do you think happens as they get older if they don't have assistance? They suddenly become "cured"?

We will pay for them at some point. I'd prefer to spend less while they are young and give them a chance at being independent adults later. 

Quoting soonergirl980:

If there is no money then there is no money.


rccmom
by Gold Member on Jan. 31, 2013 at 12:24 PM

 

Time and time again it has been shown to be more cost effective to help children rather than waiting til they are adults and have a lot more problems. Those behavioral issues they are refusing to address now will grow into full blown adult problems costing more money in the long run.  
 

Quoting soonergirl980:

If there is no money then there is no money.


 

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