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5A THE DAILY ASTORIAN • MONDAY, OCTOBER 15, 2018 Government study: Without Medicaid expansion, poor forgo medical care By RICARDO ALONSO-ZALDIVAR Associated Press WASHINGTON — Low-income people in states that haven’t expanded Med- icaid are much more likely to forgo needed medical care than the poor in other states, according to a government report released Monday amid election debates from Georgia to Utah over coverage for the needy. The nonpartisan Govern- ment Accountability Office worked with the National Center for Health Statistics to analyze federal survey data from 2016. The research focused on low-income adults ages 19-64 in states that did not expand Medicaid under the Obama-era Affordable Care Act, compared to their peers in states that did. Medicaid expansion is an issue in several high-profile gubernatorial contests and in states where supporters have gotten referendum questions on the ballot. Under the law, states may expand Medicaid for low-income people mak- ing up to roughly $16,750 for an individual or $34,640 for a family of four. Seventeen states have not adopted the expansion, opposed by many — but not all — Republicans. Among the report’s findings: —Nearly 20 percent of low-income people in states that did not expand Med- icaid said they passed up needed medical care in the past 12 months because they couldn’t afford it. That com- pared to 9.4 percent in states AP Photo/Jacquelyn Martin Sen. Ron Wyden, D-Ore., ranking member of the Senate Finance Committee, requested the Medicaid analysis. that expanded the program. —About 8 percent of those in states that did not expand Medicaid reported they either skipped medica- tion doses to save money or took less medication than pre- scribed. That compared to about 5 percent in states that expanded. For people with chronic conditions such as high blood pressure, diabetes and asthma, staying on a med- ication schedule is considered essential. —About 22 percent of those in states not expanding Medicaid said they needed but could not afford dental care, as compared to 15 per- cent of similar low-income adults in expansion states. —About 11 percent of those in non-expansion states said they needed to see a specialist but weren’t able to afford it, as compared to Divorce need not be expensive. We help you get the paperwork right and provide mediation to help you divide your assets. about 6 percent of those in expansion states. “States around the country have an opportunity to expand Medicaid to more people; these findings help show why it’s a winning proposition for states and the millions of Americans currently left out,” said Sen. Ron Wyden, D-Ore., who requested the analysis. Aides to Wyden said the 70-page report is the most detailed look yet at real-world differences that Medicaid expansion can make. In states that did not expand Medicaid, low-income adults are more likely to be uninsured. Medicaid is a federal-state program that has grown to cover about 1 in 5 U.S. resi- dents, from many newborns to severely disabled people to elderly nursing home res- idents. Its total cost is about $570 billion a year. Former President Barack Obama’s health care law expanded Medicaid to allow states to cover low-income adults with no children living at home. On Election Day, voters in Idaho, Nebraska and Utah will decide whether their states should expand the pro- gram. Montana voters will decide on maintaining that state’s expansion. Expansion also is an issue in gubernatorial races in Flor- ida, Georgia and Wiscon- sin, which have not expanded Medicaid. With the federal govern- ment covering at least 90 per- cent of the cost, expansion proponents argue states turn- ing it down are leaving on the table tax dollars their own cit- izens send to Washington. Backers include hospital sys- tems and health insurers, and many local business groups. Opponents contend that the cost is still too high for states, which have other major finan- cial responsibilities for health United Finnish Kaleva Brothers & Sisters Astoria Lodge #2 Brian G. Kulhanjian Paperwork Mediation 552 Commercial Street Astoria (503) 325-9115 A division of Stahancyk, Kent & Hook THE DAILY ASTORIAN M ONDAY E VENING A (2) (-) (-) (6) (-) (8) (9) (10) (12) (13) (-) (20) (-) (29) (30) (31) (32) (34) (35) (36) (38) (39) (43) (44) (45) (46) (47) (48) (49) (50) (51) (52) (53) (54) (56) (57) (58) (61) (63) (64) (65) (162) L KATU KOMO KING KOIN KIRO KGW KRCW KOPB KPTV KPDX KCPQ TBS KZJO ESPN ESPN2 NICK DISN FAM FMC LIFE ROOT FS1 SPIKE COM HIST A&E TLC DISC NGEO TNT AMC USA FOOD HGTV FX CNN FNC CNBC BRAV TCM SYFY RFD (2) (4) (5) (-) (7) (-) (3) (10) (12) (-) (13) (20) (22) (29) (30) (31) (32) (34) (35) (36) (38) (39) (43) (44) (45) (46) (47) (48) (49) (50) (51) (52) (53) (54) (56) (57) (58) (61) (63) (64) (65) (162) 6 said. “We put our heart into what we cook, and I think the judges saw that.” The win comes after the crew recently earned a dis- tinction as the best dining facility on a medium-sized Coast Guard cutter. The Alert is based at the 17th Street Dock. “I wanted a crew I could cook for and make them happy and improve morale on the boat,” said Northrop, whose specialty is baking. Northrop and Petty Offi- cer First Class Michael Allen, another member of the team from the Alert, are not sure if they will be able to return to fleet week next year. But they’d prefer it. “If we do go, I’d love to defend our championship,” Northrop said. Follow us on Facebook! Alder and Maple Saw Logs & Standing Timber Northwest Hardwoods • Longview, WA Contact: John Anderson • 360-269-2500 you All c eat an ! L aksLoda Thursday, October 18 th Starting at 11:30 AM • $ 12 FINNISH BAKE SALE Pulla (Cardamom Bread) • Rieska • Prune Tarts RESOLUTION SERVICES Continued from Page 1A WANTED annuaL Luncheon Christy Shoop care, education, infrastructure and law enforcement, and must balance their budgets. President Donald Trump’s administration is strongly opposed to Medicaid expan- sion and tried unsuccessfully to repeal it during Trump’s first year. Medicare and Medicaid administrator Seema Verma argues that Medicaid was orig- inally intended as a safety-net program for the most vulner- able in society and covering able-bodied adults is beyond its scope. Verma is encourag- ing states to set work require- ments for Medicaid, contend- ing that will encourage people to earn their way out of pov- erty and dependence on gov- ernment insurance. Supporters of Medicaid expansion say the argument for the program is getting stronger. “It’s the same as we’ve seen more broadly with the ACA,” said Judy Solomon of the Center on Budget and Policy Priorities, which advo- cates for low-income people. “It’s here to stay, and states that haven’t been able to get it over the finish line are ques- tioning themselves.” Chefs: Hope to defend title next year Suomi Hall 244 West Marine Drive Astoria, Oregon Many Thanks to Astoria Ford I had a 2017 F250 PU that had a major engine defect. Ford Motor Company replaced it with a new 2018 F250, thanks to the generous help from Astoria Ford. A very special thanks to Service Technician Kyle Nichols, Service Manager Lon Hill, Sales Rep. Jason Mickle and the entire service department of Astoria Ford Auto Group. Ken Crow SCHEDULE A - Charter Astoria/ Seaside - L - Charter Long Beach Evening listings MONDAY O CTOBER 15 PM 6:30 7 PM 7:30 8 PM 8:30 9 PM 9:30 10 PM 10:30 11 PM 11:30 Jeopardy! 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