Patients feel pain of Medicaid cuts

Associated Press

CHICAGO

In Illinois, a pharmacist closes his business because of late Medicaid payments. In Arizona, a young father’s liver transplant is canceled because Medicaid suddenly won’t pay for it. In California, dentists pull teeth that could be saved because Medicaid doesn’t pay for root canals.

Across the country, state lawmakers have taken harsh actions to try to rein in the budget-busting costs of the health care program that serves 58 million poor and disabled Americans. Some states have cut payments to doctors, paid bills late and trimmed benefits such as insulin pumps, obesity surgery and hospice care.

Lawmakers are bracing for more work when they reconvene in January. Some states face multibillion-dollar deficits. Federal stimulus money for Medicaid is soon to evaporate. And Medicaid enrollment has never been higher because of job losses.

In the view of some lawmakers, Medicaid has become a monster, and it’s eating the budget. In Illinois, Medicaid sucks up more money than elementary, secondary and higher education combined.

Medicaid costs are shared by the federal and state governments. It’s not just the poor and disabled who benefit. Wealthier people do, too, such as when middle-class families with elderly parents in nursing homes are relieved of financial pressure after Medicaid starts picking up the bills.

Contrary to stereotype, it’s the elderly and disabled who cost nearly 70 cents of every Medicaid dollar, not the single mother and her children.

In Arizona, lawmakers stopped paying for some kinds of transplants, including livers for people with hepatitis C. When the cuts took effect Oct. 1, Medicaid patient Francisco Felix, who needs a liver, suddenly had to raise $500,000 to get a transplant.

The 32-year-old’s case took a dramatic turn in November when a friend’s wife died, and her liver became available. Felix was prepped for surgery in hopes financial donations would come in.

When the money didn’t materialize, the liver went to someone else, and Felix went home. His doctor told him he has a year before he’ll be too sick for a transplant.

“They are taking away his opportunity to live,” said his wife, Flor Felix. “It’s impossible for us or any family to get that much money.” The family is collecting donations through a website and plans a yard sale this weekend, she said.

In Illinois, late payments became the rule.

Tom Miller, 54, closed his pharmacy in rural southern Illinois this summer and is going through bankruptcy, largely because the state was chronically late making Medicaid payments.