When President Trump was campaigning, one of his keystone promises was to ‘repeal and replace Obamacare,’ which is the Affordable Care Act of 2010. Passed strictly along party lines, the legislation had promised that everyone would have affordable access to health care, though the realities -with rising insurance costs, fewer doctors participating in various insurance policies, and more- have helped to increase costs to the average citizen.
Now, though, there are some serious concerns about the current proposal from the GOP led Congress and the second attempt at healthcare reform legislation. Some believe that cuts to Medicaid spending will have a direct and negative impact on nursing home care and in home care support services.
Terry Spencer, Associated Press reporter, noted in the article, Medicaid cut in GOP health bill worries the nursing home set, published by ABC News:
“Supporters of the bill say nursing home subsidies would not suffer significant cuts, but opponents say they are inevitable. The uncertainty is frustrating to those who rely on them.
In the case of Bernard’s 83-year-old mother, retired teacher Franceen Golditch, the $4,000 that she receives each month from her pension and Social Security goes almost entirely to the nursing home.
“Without Medicaid supplementing, I don’t know what would happen,” said Bernard, a self-employed graphic artist in Boynton Beach, Florida. She added: “I have a house and kids to support myself. I honestly have no answer.”
What often gets ignored, at least within the mainstream media reporting of this proposed legislation and Medicaid spending is that the Affordable Care Act (Obamacare) put into effect a 14 percent cut in Medicaid reimbursements over a period of four years to help pay for this massive healthcare overhaul.
At the time there were many within the in home care industry who believed this would lead to lower quality care to clients who relied on Medicaid or even seniors and disabled clients not having access to any care. It has had an impact, but it has also forced the industry to innovate and begin relying more on technology to fill in the gaps.
Whether the legislation moves through Congress and is signed into law or whether a completely new bill comes along to replace it is yet to be seen, but people will worry. It’s as unclear and uncertain how any potential reductions in Medicare or Medicaid spending would have on those in need, but forward thinking and innovation may be the key to helping those who rely on these services to feel more comfortable and confident about the future.