The emotional appeal for Medicaid expansion in Virginia from Kathryn Kadilak on February 5th in Fauquier Now is riddled with untruths and errors. Ms. Kadilak assumes that a Medicaid card guarantees access to actual care, but assuredly it does not. You can find documentation here, here, and here—and those are just the latest three stories on the subject!
She asserts that ER use will go down under Medicaid expansion. Nothing could be further from the truth. ER use goes UP, not down, when Medicaid is expanded. See here, here, and here. There are lots more where those came from.
She perpetuates the myth of the ‘coverage gap’— supposedly too poor to buy an Obamacare plan but too well-off to be eligible for Medicaid. The coverage gap is not the problem expansionistas make it out to be. In Virginia, several types of recipients are eligible for Medicaid even though they are at or above the Federal Poverty Level— Elderly and Disabled (Long-term Care— 219 percent FPL), Pregnant Women and Children (148 percent Medicaid, 200 percent CHIP), and Seriously Mentally Ill (100 percent). That just leaves Elderly and Disabled above 80 percent FPL, able-bodied Parents above 48 percent FPL (their children are covered), and the expansion population— childless able-bodied adults— who are not eligible without expansion (eligible up to 138 percent FPL in expansion states).