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Could part of this be due to cultural differences in the South, particularly the rural South? Going back in history before the sunbelt boom of the later 20th century to now, the South was largely an agricultural area where people were taught to basically take care of things on their own, whether that be for their food, their health care and other aspects of life that shaped the culture in a different way than the parts of the US that urbanized much earlier.
There could be a sense of pride in not "needing" to seek medical help, but pulling one up by their bootstraps and keeping trucking. This is the same dynamic that goes on when men tend to delay seeking medical advice, but its very different with women (who are all about awareness--just watch a newscast and there's frequently some women's health issue that's being discussed but rarely does this happen for men).
The same dynamic is true for health care, and with the political climate we're in, "organized" (Obamacare, Medicaid) health care is all lumped together as "socialist." Some programs and strategies obviously work well and some work poorly, but when health care in general is viewed as an ineffective bureaucratic nightmare (which can be true), but also unnecessary (which is the dangerous part of this view), there is collateral damage to the importance of health care in general, effecting health outcomes, which effects poverty and economic outcomes.
Good points. It also explains why southern states, especially NC, are loath to rely on unions and protectionism. The Trump mentality seems relatively recent and shocking to me.
I was just curious as to why I see a lot of people go out everyday and beg for money along interstate exits...I came across an article stating that 1.8 million people out of the state's 9.8 million live below the poverty line. Many of them without access to even get Medicaid, and even so there is a lack of health care professionals in some areas of the state. Any thoughts as to why this problem still lingers today?? Why is there so much poverty in NC and why isn't anything being done about it?
Why don't those in poverty have access to Medicaid? My understanding is that anyone who meets very minimal requirements can get Medicaid but it DOES take a tiny bit of effort to apply and follow through. If there is some certain group of people out there begging for money that actually don't have access to government assistance programs then I am definitely interested to know who they are and why.
It's normally a lack of interest and/or lack of effort on the part of the individual.
Why don't those in poverty have access to Medicaid? My understanding is that anyone who meets very minimal requirements can get Medicaid but it DOES take a tiny bit of effort to apply and follow through. If there is some certain group of people out there begging for money that actually don't have access to government assistance programs then I am definitely interested to know who they are and why.
It's normally a lack of interest and/or lack of effort on the part of the individual.
Drug addicts, alcoholics, sex workers and illegal immigrants may want to avoid anything that could get them locked up, deported or into treatment. Runaways and victims of domestic violence may be on the run. People with mental illness may just not know any better.
There has been an increase nationwide in highway exit beggars because the Supreme Court ruled a few years ago that begging is a form of speech. Cities have to be careful how they draft ordinances. They don't like wasting time and money on challenges by the ACLU.
Google around. Some localities are trying new methods to doscourage beggars... altering the shape of medians, removing them, sometimes putting up "Do Not Pay Panhandlers" signs.
Why don't those in poverty have access to Medicaid? My understanding is that anyone who meets very minimal requirements can get Medicaid but it DOES take a tiny bit of effort to apply and follow through. If there is some certain group of people out there begging for money that actually don't have access to government assistance programs then I am definitely interested to know who they are and why.
It's normally a lack of interest and/or lack of effort on the part of the individual.
People in NC who don't have children can't get Medicaid unless they're disabled..and even with that I'm sure they need some type of paper to prove that..and parents can only qualify if they earn less than 45% of the poverty level.
Why don't those in poverty have access to Medicaid? My understanding is that anyone who meets very minimal requirements can get Medicaid but it DOES take a tiny bit of effort to apply and follow through. If there is some certain group of people out there begging for money that actually don't have access to government assistance programs then I am definitely interested to know who they are and why.
It's normally a lack of interest and/or lack of effort on the part of the individual.
There's a good explanation in the following analysis. I didn't see any reference to lack of interest or effort. Maybe you can provide a citation.
My brother in Texas, who has a severe disability but is able to support himself by working part-time, falls into this gap. He earns too much for Medicaid but too little to be eligible for ACA subsidies. When he was too disabled to work, he was eligible for Medicare and SS Disability payments. If he stopped working, he could go back on Medicare and SS Disability. However, he'd rather work. Thanks, Governor Greg Abbot, for making it too difficult for my brother to have health insurance.
Nationally, nearly three million3 poor uninsured adults fall into the “coverage gap” that results from state decisions not to expand Medicaid, meaning their income is above current Medicaid eligibility but below the lower limit for Marketplace premium tax credits. These individuals would have been newly-eligible for Medicaid had their state chosen to expand coverage.
Adults left in the coverage gap due to current state decisions not to expand Medicaid are spread across the states not expanding their Medicaid programs but are concentrated in states with the largest uninsured populations. More than a quarter of people in the coverage gap reside in Texas, which has both a large uninsured population and very limited Medicaid eligibility (Figure 2). Twenty percent live in Florida, eleven percent in Georgia, and eight percent in North Carolina. There are no uninsured adults in the coverage gap in Wisconsin because the state is providing Medicaid eligibility to adults up to the poverty level under a Medicaid waiver.
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