Alabama Legislature: Doesn’t care about Babies or Grandma

I have now lived in Alabama seven years.  My 7th anniversary serving as minister of the Unitarian Universalist Congregation of Tuscaloosa was August 1st.  In that time period, I have been arrested twice for standing up against Alabama’s injustice to its citizens.  The first was regarding their draconian anti-immigrant law which was gutted of most of its punch by SCOTUS. The second was to call attention to thousands of Alabamians who fall into the gap between Medicaid and the Affordable Care Act.  We need Medicaid Expansion in this state.  Lives are at stake. Lives have been lost needlessly because they could not access the medical care needed to save their lives.  Medicaid expansion will create jobs in the tens of thousands.  Medicaid expansion will save the lives of loved ones who cannot now receive life saving treatment.

This week the Alabama legislation has been meeting in special session allegedly to fix the budget deficit that will cripple Alabama even further if new revenues are not found. How does Alabama respond?  With a $156 million cut to the state’s Medicaid budget.  This vote will sign the death warrant, not just for hospitals in rural and inner city areas, but for the thousands of people who will be kicked off of Medicaid. The federal government matches state funds for Medicaid at a ratio of 2:1.  This cut will in reality be closer to $460 million.  “If Alabama chooses not to have a Medicaid system, you will see an impact on the health care system you can only begin to imagine in your worst dreams,” said Dr. Don Williamson.  

Alarmist?  No, he is just stating the facts of what a massive cut will do to this state which is already among the highest in poverty and unemployment in the nation.

FIFTY-THREE PERCENT of all births in Alabama are paid by Medicaid.   OF ALL BIRTHS.  Our Legislators, who are adamant in their proclamation of being pro-life for the fetus, are condemning mothers-to-be to early 20th century birthing practices that resulted in high mortality rates for both mother and child.  We are talking about LIVES here.  In this state mid-wives assisting home deliveries are illegal.  Not to mention that the only type of mid-wives allowed are the 20 nurse-midwives in the state and they must practice in a hospital. So what this Medicaid cut is really doing is sending Alabama even further back than early 20th century birthing practices because mid-wives are not allowed.  Imagine the extraordinary cost paid by taxpayers of an emergency room delivery because a mother cannot receive Medicaid to receive the pre-natal and birth services from within the hospital.

SIXTY PERCENT of all seniors in nursing facilities are having their care paid by Medicaid.  The Nursing homes will not survive such cuts to their funding. This is your grandmother and grandfather which the state has voted to throw onto the streets.  Are you able to take them in and provide for their care?  Are you going to be able to quit your job to ensure that Grandma is safe at home?  Their 24/7 needs dictated a safe place where their physical and medical needs are met, which is why you chose a nursing home in the first place.  Now they will not be able to afford this care and where will they go?

There are other people who depend on Medicaid for their health concerns such as people living with developmental disabilities, people living with other physical and mental disabilities.  What will happen when Medicaid is no longer available to sustain their lives at home with home health aides?

This special session is to come up with a sustainable budget with increased revenue to cover the deficit.  There are several possibilities as to where that revenue might be raised.  A cigarette and vapor tax was proposed and defeated.  A lottery.  A 5 cent per gallon gasoline tax.  Revamping the 70 year old tax code to meet the modern day economy.   Raise the income tax.  Eliminate corporate subsidies and tax loop holes. This is where the debate should be in the legislature.  Instead, they are wasting our time and tax dollars introducing new bills that have no relationship on balancing the budget at all.

Alabama is sending a strong message to the citizens of this state: You are throw away people.  If you agree with this statement then do nothing about this stance the Alabama House has taken.  If, however, you believe you have dignity and worth and should be respected to be able to live your life to your fullest potential, then you need to write, protest, get arrested if need be to let Alabama Legislators know that they were elected to do a job.  That job is to do what is best for the people of Alabama.  Eliminating Medicaid is not in our best interest and NOT ACCEPTABLE.  WRITE your legislators, PROTEST at rallies, GET ARRESTED in civil disobedience actions but this treatment of the people of Alabama is unconscionable and offensive to high heaven.

Published in: on August 5, 2015 at 2:12 pm  Comments Off on Alabama Legislature: Doesn’t care about Babies or Grandma  
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Alabama Lives Matter!

Alabama lives Matter!  But you wouldn’t know this to be true if you consider the actions and behaviors of our state legislators or governor.  It is time for the people of Alabama with a united voice to rise up and tell our state legislators and our governor that their behaviors and actions are placing Alabama lives in harms way.  Case in point is the continual blockage of medicaid expansion by the State’s Senate and House Republicans as well as Governor Bentley, who ironically is a medical doctor who should know his Hippocratic oath.  The Affordable Care Act, aka Obamacare, allows for the expansion of Medicaid to cover those individuals who 1) do not qualify for current medicaid provisions in their state by raising those eligible for Medicaid to 133% of the federal poverty level and 2) covers those individuals who although are working do not meet the eligibility threshold of the Affordable Care Act.  In Alabama that would cover an additional 300k lives.

The Senate recently passed a resolution forbidding Governor Bentley from expanding Medicaid in the state. It is now before the House and it is presumed it will come up for a vote this coming week.  Governor Bentley has opposed Medicaid expansion since the passage of the federal act against the best interests of the people he is elected to serve. However, in recent months he has indicated that he may finally expand Medicaid because doing so would increase revenue into the state and help meet the budgetary shortfall.  Notice however, he is not thinking of doing this because it would save Alabamian lives but rather his administration.

Every year up to 700 lives, that is 3 lives every two days, are lost because they were unable to get timely treatment for medical conditions resulting in their death.  It has been argued by Governor Bentley and others that no one will be denied health care in Alabama. However, Emergency rooms are not treatment centers for devastating diseases like cancer or diabetes.  Women cannot get mammograms in an emergency room visit. Emergency room care is not preventative treatment. And Governor Bentley of all people should know this; his behaviors in response to this life and death crisis is unconscionable.

The cost of providing emergency room services as treatment centers is causing hospitals in poorer economic regions of Alabama to close.  Since 2011, the first year that Governor Bentley could have expanded Medicaid in the state, 10 hospitals have closed.  There are 12 additional hospitals in the state that are expected to close in the next 12-24 months.

Bullock County in Alabama is one location under the threat of losing their only hospital.  This county has 33% of the population below the federal poverty level and the average income for a family of four is $23k.  It has the highest illiteracy rate in the state at 34%. Its unemployment rate is currently at 7.1%, not the highest in the state per county but significantly above the state rate of 5.8%.   The actions of the State Senate reveal their attitude that the individuals and families of Bullock County are throw-away people, regardless of race. Their lives are not worth saving to our elected officials.  This is the same Senate that passed a resolution declaring the personhood of the human fetus (they have been moving towards legislating this theological and religious doctrine into law). We need to tell them their actions regarding Medicaid Expansion are immoral and violate their own self-professed values for the sanctity of life.  With poverty this high, the people living here are not going to be able to travel an hour plus to a hospital in a bordering county for emergency care let alone treatment for life threatening diseases.  Alabama Lives Matter and it is high time that our state legislators not only know it but act accordingly.

Governor Bentley has campaigned on a promise to create jobs in Alabama.  He has spent millions of dollars courting international businesses to set up shops in Alabama and has marginal success but not as much success as Medicaid Expansion would have. According to a study by the University of Alabama, 30,000 new jobs would result from the expansion of Medicaid.  The Federal government would pay 100% of the expansion cost for the first three years and then reduce that support to 90% in 2020 and thereafter. 30,000 new permanent jobs, not temporary jobs with no benefits like Mercedes is offering in Vance, AL but permanent jobs that have a huge impact on our economic viability as a state. It is projected that over a period of six years the states gross domestic product would increase by $17 Billion and workers’ earnings by $10 Billion.  Job creation through Medicaid Expansion literally saves lives but apparently Governor Bentley doesn’t understand because he has refused to expand medicaid.  Alabama Lives Matter!

Governor Bentley does not need the approval of the State Senate or the State House to expand or deny Medicaid Expansion.  He could begin saving lives today by signing the executive order to expand Medicaid.   He could do the right thing even if the motive is ensuring his party’s continued control of the legislature and not  for the least of his brothers and sisters in Christ. He is going to need encouragement to do so and needs to know that Alabama Lives Matter regardless of their religious convictions.

What can you do?  If you are able come to the State house on Tuesday, April 28.  Moral Monday is having a rally outside the State House at 12 Noon and SOS is having a press conference and prayer vigil on the 3rd floor at 12:30 PM.  We need you to voice your desire to save lives in Alabama by expanding medicaid. People are dying because our state legislature prefers playing political games rather than addressing the needs of the people of this state. This needs to stop now.  Our silence on this issue is condemning lives to death.

Bring this issue to social media. Social media today has become a viable means to create news stories in the mainstream press.  This is a life and death issue that needs to be on the minds of every Alabamian.  Repost this blog on your Facebook pages and Twitter. Post other stories about medicaid expansion on Facebook and Twitter as well. If you or a loved one are among the 300K in Alabama falling in the gap without medical insurance tell your story of emergency room visits not being a mode of treating illnesses like cancer and diabetes.

Tweets can be sent to @GovernorBentley with the #AlabamaLivesMatter and #ExpandMedicaid  and #alpolitics .  The #AlabamaLivesMatter will track how many  the tweets this campaign sends out.  The hashtags ExpandMedicaid and alpolitics will place these tweets before those who are following this issue in Alabama and elsewhere.  Here are few examples:

@GovernorBentley save 700 lives this year by signing on to #ExpandMedicaid #AlabamaLivesMatter #alpolitics

@GovernorBentley Create 30K jobs #ExpandMedicaid #AlabamaLivesMatter #alpolitics

@GovernorBentley #ExpandMedicaid and save 12 rural hospitals from closing #AlabamaLivesMatter #alpolitics

You can also tweet House Speaker Rep. Hubbard  @SpeakerHubbard using these same hashtags and encourage him to  do the right thing regarding medicaid expansion and not pass the Senate resolution to block Medicaid.  Look and see if your state senator or representative is on Twitter or Facebook and let them know that Alabama Lives Matter.

Lives are at stake. We need to send the message loud and strong that Alabama Lives Matter and we will not be silent any longer.