The tragedy of states who will not expand medicaid
I work in Virginia and the dopey rat bastid crook previous governor spongebob vaginaprobe and his band of demented rightwing loons in the legislature refused the mcaid expansion. So I don't want to go into too much detail about the patient transferred to me last night but needless to say he has a serious chronic illness, not much formal education, has a low wage part time job with no insurance and falls through the cracks since he does not meet the subsidy for obamacare but makes too much to get on mcaid as it exists now. This guy is trying very hard but here he is getting admitted for an entirely preventable issue if he could qualify for mcaid and get treatment and meds. So rather than a less costly alternative to inpatient care, here he is. So far he has spent a few days in icu before transfer to where I work. All preventable and this guy is so knowledgeable about his illness he could very easily manage it. When he was a minor and covered under mcaid he had the treatment he needed, he was so smart about his illness even the doctor was impressed and said you tell me what orders I need to write to get you back on track. This guy could teach a class. He is under 26 and could stay on his mom's insurance but she is on mcaid herself for disability, so he can't go on her insurance. He could qualify for disability but he wants to work, he told me he is capable of working and watching his mom life on disability convinced him he can only get ahead in life if he works, he doesn't want to be poor, he wants to work, he wants to be a tax payer, he wants to pay his way but his meds are very expensive and the more times he gets sick, the more likely he will not be able to work. totally preventable. not to mention this will shorten his life and he will spend his life much sicker than he should be.
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