Medicaid discussed on All Things Considered

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Be affected children and people with disabilities this focuses on adults who are under age sixty five and enrolled in Medicaid so how it works is states apply for this waiver to get this block grant if approved they'd get at Capt budget from the feds for that population and in return they would have more flexibility to run the program they could make changes to benefits for example they could limit the drugs that are covered right now Medicaid covers all drugs Oklahoma's governor Kevin stitch was there with firm it today he said as he's going to apply for this and called it a game changer and he talked about how this would allow him to charge premiums and add work requirements for adults and Medicaid and he said this could be quote a trampoline it to their future okay that's a memorable image so this announcement came this morning what has the reaction been or other states on board so it's not clear if other states are gonna apply besides Oklahoma Washington state for one tweeted out that it was a hard pass but some states are going to be interested and critics were really quick to jump in here and say that this is not a good idea it's not a good plan for states one example of a group that came out against this was the American academy of pediatrics which put out a statement that it is quote baffling and alarming that such drastic harmful changes are being proposed to a program that works so well critics have started to paint this as a threat to the safety net and some pointed to Porter Rico which actually does already get a block grant for Medicaid and has had many to natural disasters and their what they've had to do is cut benefits and cut provider payments which is caused to doctor shortages and folks are pointing to that as a cautionary tale mmhm how big a deal this is change gonna be great it's optional for states Seth it wouldn't change Medicaid for everybody who uses the program so is this transformation it might be I mean it depends as I just said it and terms of what states do with that how many states apply but it is actually a really big deal to be changing Medicaid at all this idea of block grants has been on the table for a really long time I mean it was talked about in the Nixon era almost it's almost as old as Medicaid and it has always been passed over so it's a big deal for the trump administration to finally get it done without Congress but polling suggests that Medicaid is really popular even in red states Idaho Utah Nebraska where some of the latest to expand Medicaid by popular vote which is a pillar of obamacare and so it may be politically risky for the trump administration to be doing this an election year and legally risky to it will almost certainly be challenged in court that is NPR health policy reporter Selena Simmons Stephan thanks thank you the World Health Organization has declared the new corona virus from China a public health emergency that underlines the increasingly global nature of this epidemic and here in the U. S. federal health officials have identified a sixth case it's a Chicago man whose wife fell ill after she travel to hunt China this is the first case to arise with in the US but NPR science correspondent Richard Harris reports that health officials say it is not cause for alarm health officials in Chicago have been on high alert since a woman who returned from a trip to Wuhan China on January thirteenth fell ill with the novel coronavirus that vigilance has paid off doctor in goes he is he gay is director of the Illinois department of public health the second patient did not travel to China indicating the first person to person transmission of novel coronavirus in the United States the man in his sixties has been hospitalized and is in stable condition according to Dr Jennifer Leighton the Illinois state epidemiologist his wife is largely bounce back from her disease laden says but remains in isolation well she completes her recovery we believe that the husband was exposed to his spouse well he was symptomatic that's a key point because scientists are trying to figure out if the disease can be spread before people are coughing or showing other symptoms Dr Izzie K. underscored that this case is not a surprise this person to person spread was between two very close contact a wife and husband the virus is not spreading widely across the community they spoke at a telephone news conference organized by the federal centers for disease control and prevention also on the call was the CDC's Dr Nancy mess and yet I understand this may cause people to be worried about the virus and how it could affect them this long infection is a serious disease she said but with just six cases in the United States it does not pose a threat to the general public all what we can expect to see more cases in more cases mean the potential for more person to person spread so the CDC is following a tried and true approach to preventing these sporadic cases from fueling an epidemic disease detectives are keeping watch on those who've come in close contact with known cases including their health care workers they are quickly isolating people who get sick and they're urging people who recently traveled to China to be alert for symptoms including cough and fever but doctor missing a says there's no need now for extreme measures such as wearing face masks in public or canceling events we want to lean forward and be aggressive but we won our action three evidence based and appropriate the current circumstance those circumstances can change as we learn more about the disease she says to that end the CDC is eager to get more first hand information from a World Health Organization scientific delegation which will soon be travelling to the diseases epicenter China's hu bay province it's good news that there will be a W. tell mission in China there is much to learn from their more detailed experience that is by far where the vast majority of cases are indeed the case count in China has now surpassed seventy seven hundred including a hundred and seventy deaths the novel coronavirus is still a much smaller wrists to global health than the annual flu which killed hundreds of thousands of people every year but health officials are eager to snuff out the new disease before it.

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