Smfh
Are Black Voters Leaving Democrats Behind?
- Thread starter Maxxam
- Start date
Crazy thing is 4 yrs ago this woulda drove me crazy
I couldn't agree anymore with this shit
Cheer to u
Coming from the same bitch ass nigga that cried like a 2 dollar hoe because Dick Gregory ran over his speaking time at the Power Talk Conference a few years ago. Fuck this nigga
FOR IMMEDIATE RELEASE
February 23, 2022
Contact: HHS Press Office
202-690-6343
media@hhs.gov
“As we celebrate Black History Month, we are proud to report historic gains in health care coverage for Black Americans,” said Health and Human Services Secretary Xavier Becerra. “The Biden-Harris Administration is committed to building on the success of the Affordable Care Act and ensuring equitable access to the high-quality, affordable health care that everyone deserves. We will continue to work tirelessly to remove barriers to coverage and double down on our efforts to get more Black Americans insured.”
“Since the passage of the Affordable Care Act nearly 12 years ago, the law has significantly expanded access to life-saving health coverage, including for Black communities across the country,” said Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure. “Advancing health equity is one of my top priorities, and, in pursuit of this goal, CMS invested in significant outreach to the Black community during this recent Open Enrollment period. The coverage gains achieved during Open Enrollment are just a first step – CMS will continue to advance health equity by expanding coverage access through Medicaid and the Children’s Health Insurance Program, Medicare and the ACA Marketplaces.”
The report shows that states that have not expanded Medicaid have the highest percentage of uninsured adults and children who are Black. If the remaining twelve non-expansion states (Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, Wyoming) were to expand Medicaid, an estimated 957,000 Black Americans without insurance coverage would become eligible for Medicaid coverage.
To further expand health care coverage among Americans, particularly during the pandemic, the Biden-Harris Administration made a Special Enrollment Period (SEP) available on HealthCare.gov from February 15 to August 15, 2021, to offer quality, affordable health insurance plans. Many of the approximately 30 million uninsured Americans are members of communities of color, and health coverage has been perceived as out of reach because of cost. With increased subsidies from the American Rescue Plan (ARP), 76 percent of uninsured Black Americans could find a plan on Healthcare.gov for less than $50 a month, and 66 percent could find a plan for $0 a month in 2021.
The Biden-Harris Administration also extended the deadline for the 2022 Open Enrollment Period, which ran from November 1, 2021, to January 15, 2022 in most states, to give people more time to sign up for health insurance. More uninsured Americans gained coverage thanks to robust investments in outreach, such as quadrupling the number of assisters known as Navigators, many of whom are trusted messengers in the communities they live in, including Black communities.
In addition, by doubling the size of the Champions for Coverage program, thousands of local enrollment events were held across the country with expanded and targeted outreach in popular places of gathering, like barbershops and salons. These efforts were strengthened by outreach initiatives like the Black American Week of Action and the “Take Care of Joy” campaign that stressed the importance of protecting the joy in life by protecting your health and the health of your loved ones.
Key findings from the report include:
February 23, 2022
Contact: HHS Press Office
202-690-6343
media@hhs.gov
New HHS Report Highlights 40 Percent Decline in Uninsured Rate Among Black Americans Since Implementation of the Affordable Care Act
The Biden-Harris Administration further expanded historic gains in coverage through American Rescue Plan subsidies, Marketplace Special Enrollment Period, and increased outreach to Black Americans.
Today, the U.S. Department of Health and Human Services (HHS) released a new report that shows historic gains in health care coverage access and affordability among Black Americans. The report, which was produced by researchers in HHS's Office of the Assistant Secretary for Planning and Evaluation (ASPE), shows that since the implementation of the Affordable Care Act’s (ACA) coverage provisions beginning in 2010, the uninsured rate among Black Americans under age 65 decreased from 20 percent in 2011 (approximately 7.1 million people) to 12 percent in 2019 (approximately 4.4 million people), a decline of 40 percent. The report also highlights the Biden-Harris Administration’s legislative and administrative actions over the past year to expand affordable coverage options through American Rescue Plan subsidies, a Marketplace Special Enrollment Period (SEP), and enhanced outreach to Black Americans.“As we celebrate Black History Month, we are proud to report historic gains in health care coverage for Black Americans,” said Health and Human Services Secretary Xavier Becerra. “The Biden-Harris Administration is committed to building on the success of the Affordable Care Act and ensuring equitable access to the high-quality, affordable health care that everyone deserves. We will continue to work tirelessly to remove barriers to coverage and double down on our efforts to get more Black Americans insured.”
“Since the passage of the Affordable Care Act nearly 12 years ago, the law has significantly expanded access to life-saving health coverage, including for Black communities across the country,” said Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure. “Advancing health equity is one of my top priorities, and, in pursuit of this goal, CMS invested in significant outreach to the Black community during this recent Open Enrollment period. The coverage gains achieved during Open Enrollment are just a first step – CMS will continue to advance health equity by expanding coverage access through Medicaid and the Children’s Health Insurance Program, Medicare and the ACA Marketplaces.”
The report shows that states that have not expanded Medicaid have the highest percentage of uninsured adults and children who are Black. If the remaining twelve non-expansion states (Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, Wyoming) were to expand Medicaid, an estimated 957,000 Black Americans without insurance coverage would become eligible for Medicaid coverage.
To further expand health care coverage among Americans, particularly during the pandemic, the Biden-Harris Administration made a Special Enrollment Period (SEP) available on HealthCare.gov from February 15 to August 15, 2021, to offer quality, affordable health insurance plans. Many of the approximately 30 million uninsured Americans are members of communities of color, and health coverage has been perceived as out of reach because of cost. With increased subsidies from the American Rescue Plan (ARP), 76 percent of uninsured Black Americans could find a plan on Healthcare.gov for less than $50 a month, and 66 percent could find a plan for $0 a month in 2021.
The Biden-Harris Administration also extended the deadline for the 2022 Open Enrollment Period, which ran from November 1, 2021, to January 15, 2022 in most states, to give people more time to sign up for health insurance. More uninsured Americans gained coverage thanks to robust investments in outreach, such as quadrupling the number of assisters known as Navigators, many of whom are trusted messengers in the communities they live in, including Black communities.
In addition, by doubling the size of the Champions for Coverage program, thousands of local enrollment events were held across the country with expanded and targeted outreach in popular places of gathering, like barbershops and salons. These efforts were strengthened by outreach initiatives like the Black American Week of Action and the “Take Care of Joy” campaign that stressed the importance of protecting the joy in life by protecting your health and the health of your loved ones.
Key findings from the report include:
- Since the implementation of the ACA’s coverage provisions, the uninsured rate among Black Americans under age 65 decreased by 8 percentage points, from 20 percent in 2011 (approximately 7.1 million people) to 12 percent in 2019 (approximately 4.4 million people). The uninsured rate for Black Americans, however, is still higher than that for White Americans: 12 percent compared to 9 percent.
- The uninsured rate among Black Americans that report Latino ethnicity is similar to the uninsured rate among non-Latino Black Americans.
- Southern states that have not expanded Medicaid have some of the nation’s highest uninsured rates for all population groups, as well as large Black populations.
- While access to care improved for Black Americans between 2011 and 2020, disparities in affordability of health care between Black and White Americans persist.
- Starting in 2021, the Biden-Harris Administration implemented legislative and administrative actions to expand affordable coverage options. Under the American Rescue Plan, which increased Marketplace subsidies, 76 percent of uninsured Black Americans could find a plan for less than $50 a month, and 66 percent could find a plan for $0 a month in 2021 with those subsidies.
- The Biden-Harris Administration made a Marketplace Special Enrollment Period (SEP) available on HealthCare.gov in 2021 to offer uninsured individuals and current HealthCare.gov enrollees an opportunity to enroll in affordable coverage.
- To encourage enrollment during the SEP, the Administration increased funding and partnered with organizations to increase outreach to uninsured Black Americans, among other populations. Results show that among SEP enrollees reporting their race and ethnicity, the share of enrollees that were Black increased from 9 percent in 2019 to 15 percent in 2021.
Medicaid Expansion Has Helped Narrow Racial Disparities in Health Coverage and Access to Care
OCTOBER 21, 2020| BY JESSE CROSS-CALL
The Affordable Care Act’s (ACA) Medicaid expansion has helped narrow longstanding disparities in health coverage and access to care for people of color, and preliminary evidence suggests it is also improving their health outcomes. The 36 states (plus the District of Columbia) that have implemented expansion have made the greatest progress in increasing health coverage since the ACA’s major coverage provisions took effect in 2014, and these states have narrowed the gaps in uninsured rates between Black and Hispanic people and white people far more than states that haven’t expanded.
Expansion — which provides coverage to non-elderly adults with incomes below 138 percent of the poverty line (about $17,600 for a single adult) — has given Medicaid coverage to over 12 million people. With people of color experiencing especially large coverage gains, expansion states are also in a better position to respond to the higher COVID-19 infection and mortality rates that Black and Hispanic people and American Indians and Alaska Natives are facing in many places.
If the remaining states implemented expansion, at least 4 million additional uninsured adults would become eligible for Medicaid coverage, likely more due to the recession. Of these, nearly 60 percent are people of color.
If the remaining states implemented expansion, at least 4 million additional uninsured adults would become eligible for Medicaid coverage.
But progress achieved through expansion to date and the potential for further gains are in jeopardy. The Trump Administration and 18 state attorneys general are asking the Supreme Court to strike down the entire ACA, including the Medicaid expansion. That would cause more than 21 million people to lose their health coverage, with particularly large losses in expansion states, where the number of uninsured people would more than double. The burden would fall disproportionately on people of color: more than 1 in 10 American Indians and Alaska Natives and nearly 1 in 10 Black people and 1 in 10 Hispanic people would lose coverage, compared to about 1 in 14 white people, according to Urban Institute projections.[1]
Expansion Reduced Racial Disparities in Health Coverage, Access, and Outcomes
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Racism, economic and health system inequities, limitations on immigrants’ eligibility for Medicaid and other public health coverage, and numerous other factors have resulted in longstanding, harmful racial disparities in coverage, access to care, and health outcomes. Those disparities, while still significant, have narrowed since the ACA’s major coverage provisions took effect in 2014. (See Figure 1.)FIGURE 1
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The gap in uninsured rates between white and Black adults shrunk by 51 percent in expansion states (versus 33 percent in non-expansion states), while the gap between white and Hispanic adults shrunk by 45 percent in expansion states (27 percent in non-expansion states).[2] Medicaid expansion has also helped lower uninsured rates among American Indians and Alaska Natives. Their non-elderly adult uninsured rate fell from 31 percent in 2013 to 20 percent in 2017 in expansion states, while declining only slightly in non-expansion states.[3]
Of the uninsured people who could gain coverage through expansion in the remaining non-expansion states, nearly 60 percent are people of color. Hispanic people account for 29 percent of those who stand to gain and Black people 23 percent, according to Kaiser Family Foundation estimates.[4] In the non-expansion states of Texas, Mississippi, Georgia, Florida, and South Dakota, more than half of those who could gain coverage are people of color. (See Figure 2 for estimates by state.)
The ACA, and particularly Medicaid expansion, has also helped narrow racial and ethnic disparities in access to care. For example, the gap between white and Black adults having trouble accessing care due to cost fell from 8.1 percentage points in 2013 to 4.7 points in 2018 and the gap between white and Hispanic adults fell from 12.7 percentage points to 8.3 points.[5] Among patients with cancer in expansion states, Black and Hispanic people experienced a larger drop in their uninsured rate than did other racial and ethnic groups.[6]
The ACA, and particularly Medicaid expansion, has also helped narrow racial and ethnic disparities in access to care.
Research shows that Medicaid expansion is also improving health outcomes, including by reducing premature deaths.[7] While much of this research does not examine outcomes by race or ethnicity, the fact that expansion has helped narrow racial disparities in coverage, combined with evidence that gaining coverage through expansion improved health outcomes, suggests expansion can narrow disparities in health outcomes as well. Indeed, some preliminary evidence suggests expansion is improving health outcomes for people of color in particular. For example, a 2018 JAMA study found reductions in mortality from end-stage renal disease in expansion compared to non-expansion states, with particularly large improvements for Black people (who are at higher risk for kidney failure).[8] Another study found that, among all women, Medicaid expansion was associated with 7 fewer maternal deaths per 100,000 live births than in non-expansion states. Black women experienced 16 fewer deaths per 100,000 live births in expansion states than in non-expansion states, compared to 6 fewer among Hispanic women and 4 fewer among white women.[9] And in a survey of enrollees in Michigan’s Medicaid expansion, Black people reported the largest drop in the number of days of poor physical health of any racial or ethnic group.[10]
FIGURE 2
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Expansion States Can Better Address COVID-19 Crises’ Disproportionate Impact on People of Color
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These improvements in coverage and access to care are all the more crucial during the COVID-19 pandemic and economic crisis.Infection rates and deaths in most states are higher among Black and Hispanic people and American Indians and Alaska Natives, available data show. Black people make up a disproportionate share of known COVID-19 cases in 44 out of 50 states (including D.C.) reporting such data; Hispanic people make up a disproportionate share in 45 of 46 states reporting the relevant data; and American Indians and Alaska Natives make up a disproportionate share in 17 of 37 states.[11] Overall the share of Black people in the United States who have died from COVID-19 is more than twice the share of white people and Asian people, and death rates for Indigenous people, Pacific Islanders, and Latino people are also particularly high.[12]
Medicaid expansion provides health insurance coverage for many people with underlying health conditions or demographic characteristics that make them more likely to get seriously ill if they contract COVID-19. For example, among non-elderly adults with incomes below $25,000 a year, over 34 percent of American Indians and Alaska Natives and 27 percent of Black people have an underlying health condition like heart disease, asthma, or diabetes that makes them more likely to get seriously ill, compared to 21 percent of all such adults.[13] Expansion is also a particularly important source of coverage for workers whose jobs put them at elevated risk of contracting COVID-19: 37 percent of low-income essential and front-line workers in expansion states have Medicaid coverage, compared to 15 percent in non-expansion states.[14]
In addition to the pandemic itself, the COVID-19 recession has hit people with low incomes and people of color especially hard. Nearly half of adults in lower-income households say they or someone in their household has lost a job or taken a pay cut due to COVID-19, according to an August Pew Research Center survey.[15] This includes 43 percent of Black, 47 percent of Asian, and 53 percent of Hispanic adults.
During the Great Recession, Black people saw an especially sharp rise in uninsured rates, and both Black and Hispanic people saw a disproportionate increase in the share of people unable to access needed care due to cost.[16] In expansion states, this recession is different from the last one in that most newly uninsured adults and others seeing large drops in income are eligible for Medicaid coverage. But non-expansion states will likely see uninsured rate rises more similar to past recessions.
Repeal of ACA and Medicaid Expansion Would Worsen Racial Disparities
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Next month, the Trump Administration and 18 state attorneys general will argue before the Supreme Court to strike down the entire ACA. While the legal arguments against the law are extremely weak, the stakes of repeal are enormous: over 21 million people would lose their health coverage, disproportionately harming people of color.[17] Urban Institute researchers project that, among non-elderly people in 2022, ACA repeal would cause more than 1 in 10 American Indians and Alaska Natives and nearly 1 in 10 Black people and nearly 1 in 10 Hispanic people to lose coverage, compared to about 1 in 14 white people.[18] Such coverage losses would bring the number of uninsured to about 1 in 4 American Indians and Alaska Natives, 1 in 5 Black people, and nearly 1 in 3 Hispanic people. (See Figure 3.) And coverage losses could be even larger in 2021, before the economic crisis caused by the pandemic starts to subside.FIGURE 3
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TOPICS:
HEALTH, MEDICAID AND CHIP
End Notes
[1] Linda J. Blumberg et al., “The Potential Effects of a Supreme Court Decision to Overturn the Affordable Care Act: Updated Estimates,” Urban Institute, October 15, 2020, https://www.urban.org/research/publ...verturn-affordable-care-act-updated-estimates.[2] Jesse C. Baumgartner et al., “How the Affordable Care Act Has Narrowed Racial and Ethnic Disparities in Access to Health Care,” Commonwealth Fund, January 16, 2020, https://www.commonwealthfund.org/pu...ACA-narrowed-racial-ethnic-disparities-access.
[3] Kaiser Family Foundation, “Health and Health Care for American Indians and Alaska Natives (AIANS) in the United States,” May 10, 2019, https://www.kff.org/infographic/hea...or-american-indians-and-alaska-natives-aians/.
[4] Kaiser Family Foundation, “Who Could Medicaid Expansion Reach in All States?” January 23, 2020, http://files.kff.org/attachment/fact-sheet-medicaid-expansion-US.
[5] Baumgartner et al., op. cit.
[6] Madeline Guth, Samantha Artiga, and Olivia Pham, “Effects of the ACA Medicaid Expansion on Racial Disparities in Health and Health Care,” Kaiser Family Foundation, September 30, 2020, https://www.kff.org/report-section/...rities-in-health-and-health-care-issue-brief/.
[7] Sarah Miller et al., “Medicaid and Mortality: New Evidence from Linked Survey and Administrative Data,” National Bureau of Economic Research Working Paper 26081, August 2019, https://www.nber.org/papers/w26081.
[8] Shailender Swaminathan, Benjamin D. Sommers, and Rebecca Thorsness, “Association of Medicaid Expansion With 1-Year Mortality Among Patients With End-Stage Renal Disease,” JAMA Network, December 4, 2018, https://jamanetwork.com/journals/jama/fullarticle/2710505.
[9] Erica L. Eliason, “Adoption of Medicaid Expansion Is Associated with Lower Maternal Mortality,” Women’s Health Issues, February 25, 2020, https://www.whijournal.com/article/S1049-3867(20)30005-0/fulltext.
[10] Minal R. Patel, Renuka Tipirneni, and Edith C. Kieffer, “Examination of Changes in Health Status Among Michigan Medicaid Expansion Enrollees From 2016 to 2017,” JAMA Network, July 10, 2020, https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768102.
[11] Kaiser Family Foundation, “COVID-19 Cases by Race/Ethnicity,” accessed October 20, 2020, https://www.kff.org/other/state-indicator/covid-19-cases-by-race-ethnicity/.
[12] APM Research Lab, “The Color of Coronavirus: COVID-19 Deaths by Race and Ethnicity in the United States,” accessed October 12, 2020, https://www.apmresearchlab.org/covid/deaths-by-race.
[13] Wyatt Koma et al., “Low-Income and Communities of Color at Higher Risk of Serious Illness if Infected with Coronavirus,” Kaiser Family Foundation, May 7, 2020, https://www.kff.org/coronavirus-cov...serious-illness-if-infected-with-coronavirus/.
[14] We define essential and front-line workers as people with jobs that may require them to show up for work during the pandemic regardless of stay-at-home orders or other restrictions, such as hospital workers, home health aides, food manufacturers, grocery store workers, farm workers, pharmaceutical manufacturers and pharmacy workers, bus drivers and truck drivers, and warehouse workers. For more information, see Matt Broaddus, “5 Million Essential and Front-Line Workers Get Health Coverage Through Medicaid,” Center on Budget and Policy Priorities, August 4, 2020, https://www.cbpp.org/blog/5-million...-workers-get-health-coverage-through-medicaid.
[15] Kim Parker, Rachel Minkin, and Jesse Bennett, “Economic Fallout From COVID-19 Continues To Hit Lower-Income Americans the Hardest,” Pew Research Center, September 24, 2020, https://www.pewsocialtrends.org/202...es-to-hit-lower-income-americans-the-hardest/.
[16] National Health Interview Survey data show that the uninsured rate for Black people rose by 24 percent between 2007 and 2010, compared to a 9 percent increase for white people. While the uninsured rate for Hispanic people did not rise disproportionately, the share of Hispanic people skipping needed care due to cost rose 23 percent. That share rose 45 percent for Black people and 13 percent for white people.
[17] Tara Straw and Aviva Aron-Dine, “Commentary: ACA Repeal Even More Dangerous During Pandemic and Economic Crisis,” Center on Budget and Policy Priorities, October 5, 2020, https://www.cbpp.org/health/comment...dangerous-during-pandemic-and-economic-crisis.
Mark From Anaheim Political Sarcasm 101
·07/12/2022
“POSSIBLE THIRD-PARTY US PRESIDENTIAL ELECTION 2024”
Step No. 1: Make it basically impossible for any political party (other than the Democratic Party and Republican Party), to become successful on state / national level in the United States (US).
Step No. 2: Have the two primary political parties appear to be the same.
Step No. 3: Have the two primary political parties appear to be switching roles.
Step No. 4: Have enough disgruntled members from the two primary political parties, create bona fide third-parties (i.e Jill Steyn, Liz Cheney or Joe Manchin)..
Step No. 5: Have enough votes diverted to third-parties from President Joe Biden, that would deny Biden (and all other any US presidential candidates), from receiving the required 270 electoral college votes.
And
Step No. 6: Each state (regardless of size or population), receives one delegate vote and the US House of Representatives elects the president from the three presidential candidates who received the most electoral votes.
RESULT: A potential far-right-wing authoritarian US president, which the majority of the US populace would have never voted for.
Semper Fi,
“Major Pain”
Bruh, there are lots of examples of tangibles in this thread.
But I will ask what is it that you want Dems to do for Black people that's within their power that they haven't done?
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Damn. I don’t know much about umar. He must be a real horrible person sounds like
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Trump should have built the wall better. So you're here to show how Trump and his wall are failures?
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@Jason_Garcia: The Republican-controlled Florida House of Representatives just filed sweeping legislation that would block efforts in communities all across the state to make businesses pay higher wages, provide bet...…
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No just showing what's on the way to Black people's neighborhoods courtesy of the democrat party.
Obama’s boy!!!
You sound like a Republican bro.
I definitely read all of this!
Great posts fam!
Get em!
Great posts fam!
Get em!
Medicaid Expansion Has Helped Narrow Racial Disparities in Health Coverage and Access to Care
OCTOBER 21, 2020
| BY JESSE CROSS-CALL
The Affordable Care Act’s (ACA) Medicaid expansion has helped narrow longstanding disparities in health coverage and access to care for people of color, and preliminary evidence suggests it is also improving their health outcomes. The 36 states (plus the District of Columbia) that have implemented expansion have made the greatest progress in increasing health coverage since the ACA’s major coverage provisions took effect in 2014, and these states have narrowed the gaps in uninsured rates between Black and Hispanic people and white people far more than states that haven’t expanded.
Expansion — which provides coverage to non-elderly adults with incomes below 138 percent of the poverty line (about $17,600 for a single adult) — has given Medicaid coverage to over 12 million people. With people of color experiencing especially large coverage gains, expansion states are also in a better position to respond to the higher COVID-19 infection and mortality rates that Black and Hispanic people and American Indians and Alaska Natives are facing in many places.
If the remaining states implemented expansion, at least 4 million additional uninsured adults would become eligible for Medicaid coverage, likely more due to the recession. Of these, nearly 60 percent are people of color.
If the remaining states implemented expansion, at least 4 million additional uninsured adults would become eligible for Medicaid coverage.
But progress achieved through expansion to date and the potential for further gains are in jeopardy. The Trump Administration and 18 state attorneys general are asking the Supreme Court to strike down the entire ACA, including the Medicaid expansion. That would cause more than 21 million people to lose their health coverage, with particularly large losses in expansion states, where the number of uninsured people would more than double. The burden would fall disproportionately on people of color: more than 1 in 10 American Indians and Alaska Natives and nearly 1 in 10 Black people and 1 in 10 Hispanic people would lose coverage, compared to about 1 in 14 white people, according to Urban Institute projections.[1]
Expansion Reduced Racial Disparities in Health Coverage, Access, and Outcomes
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Racism, economic and health system inequities, limitations on immigrants’ eligibility for Medicaid and other public health coverage, and numerous other factors have resulted in longstanding, harmful racial disparities in coverage, access to care, and health outcomes. Those disparities, while still significant, have narrowed since the ACA’s major coverage provisions took effect in 2014. (See Figure 1.)
FIGURE 1
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The gap in uninsured rates between white and Black adults shrunk by 51 percent in expansion states (versus 33 percent in non-expansion states), while the gap between white and Hispanic adults shrunk by 45 percent in expansion states (27 percent in non-expansion states).[2] Medicaid expansion has also helped lower uninsured rates among American Indians and Alaska Natives. Their non-elderly adult uninsured rate fell from 31 percent in 2013 to 20 percent in 2017 in expansion states, while declining only slightly in non-expansion states.[3]
Of the uninsured people who could gain coverage through expansion in the remaining non-expansion states, nearly 60 percent are people of color. Hispanic people account for 29 percent of those who stand to gain and Black people 23 percent, according to Kaiser Family Foundation estimates.[4] In the non-expansion states of Texas, Mississippi, Georgia, Florida, and South Dakota, more than half of those who could gain coverage are people of color. (See Figure 2 for estimates by state.)
The ACA, and particularly Medicaid expansion, has also helped narrow racial and ethnic disparities in access to care. For example, the gap between white and Black adults having trouble accessing care due to cost fell from 8.1 percentage points in 2013 to 4.7 points in 2018 and the gap between white and Hispanic adults fell from 12.7 percentage points to 8.3 points.[5] Among patients with cancer in expansion states, Black and Hispanic people experienced a larger drop in their uninsured rate than did other racial and ethnic groups.[6]
The ACA, and particularly Medicaid expansion, has also helped narrow racial and ethnic disparities in access to care.
Research shows that Medicaid expansion is also improving health outcomes, including by reducing premature deaths.[7] While much of this research does not examine outcomes by race or ethnicity, the fact that expansion has helped narrow racial disparities in coverage, combined with evidence that gaining coverage through expansion improved health outcomes, suggests expansion can narrow disparities in health outcomes as well. Indeed, some preliminary evidence suggests expansion is improving health outcomes for people of color in particular. For example, a 2018 JAMA study found reductions in mortality from end-stage renal disease in expansion compared to non-expansion states, with particularly large improvements for Black people (who are at higher risk for kidney failure).[8] Another study found that, among all women, Medicaid expansion was associated with 7 fewer maternal deaths per 100,000 live births than in non-expansion states. Black women experienced 16 fewer deaths per 100,000 live births in expansion states than in non-expansion states, compared to 6 fewer among Hispanic women and 4 fewer among white women.[9] And in a survey of enrollees in Michigan’s Medicaid expansion, Black people reported the largest drop in the number of days of poor physical health of any racial or ethnic group.[10]
FIGURE 2
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Expansion States Can Better Address COVID-19 Crises’ Disproportionate Impact on People of Color
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These improvements in coverage and access to care are all the more crucial during the COVID-19 pandemic and economic crisis.
Infection rates and deaths in most states are higher among Black and Hispanic people and American Indians and Alaska Natives, available data show. Black people make up a disproportionate share of known COVID-19 cases in 44 out of 50 states (including D.C.) reporting such data; Hispanic people make up a disproportionate share in 45 of 46 states reporting the relevant data; and American Indians and Alaska Natives make up a disproportionate share in 17 of 37 states.[11] Overall the share of Black people in the United States who have died from COVID-19 is more than twice the share of white people and Asian people, and death rates for Indigenous people, Pacific Islanders, and Latino people are also particularly high.[12]
Medicaid expansion provides health insurance coverage for many people with underlying health conditions or demographic characteristics that make them more likely to get seriously ill if they contract COVID-19. For example, among non-elderly adults with incomes below $25,000 a year, over 34 percent of American Indians and Alaska Natives and 27 percent of Black people have an underlying health condition like heart disease, asthma, or diabetes that makes them more likely to get seriously ill, compared to 21 percent of all such adults.[13] Expansion is also a particularly important source of coverage for workers whose jobs put them at elevated risk of contracting COVID-19: 37 percent of low-income essential and front-line workers in expansion states have Medicaid coverage, compared to 15 percent in non-expansion states.[14]
In addition to the pandemic itself, the COVID-19 recession has hit people with low incomes and people of color especially hard. Nearly half of adults in lower-income households say they or someone in their household has lost a job or taken a pay cut due to COVID-19, according to an August Pew Research Center survey.[15] This includes 43 percent of Black, 47 percent of Asian, and 53 percent of Hispanic adults.
During the Great Recession, Black people saw an especially sharp rise in uninsured rates, and both Black and Hispanic people saw a disproportionate increase in the share of people unable to access needed care due to cost.[16] In expansion states, this recession is different from the last one in that most newly uninsured adults and others seeing large drops in income are eligible for Medicaid coverage. But non-expansion states will likely see uninsured rate rises more similar to past recessions.
Repeal of ACA and Medicaid Expansion Would Worsen Racial Disparities
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Next month, the Trump Administration and 18 state attorneys general will argue before the Supreme Court to strike down the entire ACA. While the legal arguments against the law are extremely weak, the stakes of repeal are enormous: over 21 million people would lose their health coverage, disproportionately harming people of color.[17] Urban Institute researchers project that, among non-elderly people in 2022, ACA repeal would cause more than 1 in 10 American Indians and Alaska Natives and nearly 1 in 10 Black people and nearly 1 in 10 Hispanic people to lose coverage, compared to about 1 in 14 white people.[18] Such coverage losses would bring the number of uninsured to about 1 in 4 American Indians and Alaska Natives, 1 in 5 Black people, and nearly 1 in 3 Hispanic people. (See Figure 3.) And coverage losses could be even larger in 2021, before the economic crisis caused by the pandemic starts to subside.
FIGURE 3
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TOPICS:
HEALTH, MEDICAID AND CHIP
End Notes
[1] Linda J. Blumberg et al., “The Potential Effects of a Supreme Court Decision to Overturn the Affordable Care Act: Updated Estimates,” Urban Institute, October 15, 2020, https://www.urban.org/research/publ...verturn-affordable-care-act-updated-estimates.
[2] Jesse C. Baumgartner et al., “How the Affordable Care Act Has Narrowed Racial and Ethnic Disparities in Access to Health Care,” Commonwealth Fund, January 16, 2020, https://www.commonwealthfund.org/pu...ACA-narrowed-racial-ethnic-disparities-access.
[3] Kaiser Family Foundation, “Health and Health Care for American Indians and Alaska Natives (AIANS) in the United States,” May 10, 2019, https://www.kff.org/infographic/hea...or-american-indians-and-alaska-natives-aians/.
[4] Kaiser Family Foundation, “Who Could Medicaid Expansion Reach in All States?” January 23, 2020, http://files.kff.org/attachment/fact-sheet-medicaid-expansion-US.
[5] Baumgartner et al., op. cit.
[6] Madeline Guth, Samantha Artiga, and Olivia Pham, “Effects of the ACA Medicaid Expansion on Racial Disparities in Health and Health Care,” Kaiser Family Foundation, September 30, 2020, https://www.kff.org/report-section/...rities-in-health-and-health-care-issue-brief/.
[7] Sarah Miller et al., “Medicaid and Mortality: New Evidence from Linked Survey and Administrative Data,” National Bureau of Economic Research Working Paper 26081, August 2019, https://www.nber.org/papers/w26081.
[8] Shailender Swaminathan, Benjamin D. Sommers, and Rebecca Thorsness, “Association of Medicaid Expansion With 1-Year Mortality Among Patients With End-Stage Renal Disease,” JAMA Network, December 4, 2018, https://jamanetwork.com/journals/jama/fullarticle/2710505.
[9] Erica L. Eliason, “Adoption of Medicaid Expansion Is Associated with Lower Maternal Mortality,” Women’s Health Issues, February 25, 2020, https://www.whijournal.com/article/S1049-3867(20)30005-0/fulltext.
[10] Minal R. Patel, Renuka Tipirneni, and Edith C. Kieffer, “Examination of Changes in Health Status Among Michigan Medicaid Expansion Enrollees From 2016 to 2017,” JAMA Network, July 10, 2020, https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768102.
[11] Kaiser Family Foundation, “COVID-19 Cases by Race/Ethnicity,” accessed October 20, 2020, https://www.kff.org/other/state-indicator/covid-19-cases-by-race-ethnicity/.
[12] APM Research Lab, “The Color of Coronavirus: COVID-19 Deaths by Race and Ethnicity in the United States,” accessed October 12, 2020, https://www.apmresearchlab.org/covid/deaths-by-race.
[13] Wyatt Koma et al., “Low-Income and Communities of Color at Higher Risk of Serious Illness if Infected with Coronavirus,” Kaiser Family Foundation, May 7, 2020, https://www.kff.org/coronavirus-cov...serious-illness-if-infected-with-coronavirus/.
[14] We define essential and front-line workers as people with jobs that may require them to show up for work during the pandemic regardless of stay-at-home orders or other restrictions, such as hospital workers, home health aides, food manufacturers, grocery store workers, farm workers, pharmaceutical manufacturers and pharmacy workers, bus drivers and truck drivers, and warehouse workers. For more information, see Matt Broaddus, “5 Million Essential and Front-Line Workers Get Health Coverage Through Medicaid,” Center on Budget and Policy Priorities, August 4, 2020, https://www.cbpp.org/blog/5-million...-workers-get-health-coverage-through-medicaid.
[15] Kim Parker, Rachel Minkin, and Jesse Bennett, “Economic Fallout From COVID-19 Continues To Hit Lower-Income Americans the Hardest,” Pew Research Center, September 24, 2020, https://www.pewsocialtrends.org/202...es-to-hit-lower-income-americans-the-hardest/.
[16] National Health Interview Survey data show that the uninsured rate for Black people rose by 24 percent between 2007 and 2010, compared to a 9 percent increase for white people. While the uninsured rate for Hispanic people did not rise disproportionately, the share of Hispanic people skipping needed care due to cost rose 23 percent. That share rose 45 percent for Black people and 13 percent for white people.
[17] Tara Straw and Aviva Aron-Dine, “Commentary: ACA Repeal Even More Dangerous During Pandemic and Economic Crisis,” Center on Budget and Policy Priorities, October 5, 2020, https://www.cbpp.org/health/comment...dangerous-during-pandemic-and-economic-crisis.
Trump told us the border wall our taxes paid for was impossible to get by.
What happened, Slay?
Why don't you post the laws or policies Biden changed on the border policy.
Because it's basically the Trump border policy that's failed.
We have to first vote Democrats IN to office first. After they're in office THEN hold them ACCOUNTABLE.
After that and they don't satisfy us, we make sure to vote for a candidate (Gotta be a Dem though) the NEXT election season.
Stop quoting folks. They dont know you're trolling and you're going to piss them off. If you can find a sane republican or 3rd party candidate, vote for them. Most of those have left the party or hoping against hope they can save it from the crazies. Tell me what non dem candidates you support and why so we can consider how they will be better for a black agenda.
How do I sound like a republican because I don't have the right to question where my vote goes? Or just cause I'm black I have to vote Democrat
I've voted Democrat since I turned 18, I'm 43 yrs old; shit i just voted Democrat for the senate last month. But I disagree with the notion that just because I'm black I have to vote for the democratic party. But if I want answers I should be able to get them so I have the proper knowledge to understand why my vote is still important when I feel letdown every time.
only one person in here posted solid pts, the rest of y'all just in here tryna see who's blacker.
I grew up dirt poor in the hood that was on the border of a racist ass white town so I really know what its like to be black. My PJs was 7 buildings 13 floors with 8 apts on each floor. Which means I grew up with 1000s of ppl just like my family. Raised in those crazy 80-90s so don't know much about politics cause I spent majority of my life running the streets but I do know what it is to be black so I don't have to come in here and out black others which seems most of y'all care about
Everytime ppl question the democrats yall always have to bring up the Republicans No mfers just worry about the dems cause that's what the discussion is about well at least mine.
And keep going and going...and eventually it will all work out for us
Because the Republicans are worst duh..they want to enslave you with their policies. The Democrats want to help you after they help themselves
We just have to trust the process bro.
President Obama teaches us that change is slow. I know it's been a long couple of years for you, but remember, Moses walked through the desert for FORTY years homie.
What little progress you think we have (it's really a TON-Dems just don't advertise their wins) the evil Republicans WILL take them away next year. We'll be slaves if we do a protest vote or try to push for unattainable "tangibles".
This election will determine the future of our country. It's very IMPORTANT.
See how this works? Jewish folks decided they don't like Bowman's stance on Isreal. They didn't tell their people to hold their vote to teach him a lesson. They are backing another candidate in the primary.
Prominent New York Democrat launches primary against Rep. Jamaal Bowman
Westchester County Executive George Latimer announced on Wednesday that he would challenge Rep. Jamaal Bowman in the June 25 Democratic primary, a long-awaited announcement that sets up what will be ...
www.dailykos.com
This a flex? You think black people collectively can wield the same power?See how this works? Jewish folks decided they don't like Bowman's stance on Isreal. They didn't tell their people to hold their vote to teach him a lesson. They are backing another candidate in the primary.
Prominent New York Democrat launches primary against Rep. Jamaal Bowman
Westchester County Executive George Latimer announced on Wednesday that he would challenge Rep. Jamaal Bowman in the June 25 Democratic primary, a long-awaited announcement that sets up what will be ...www.dailykos.com
I can just see myself crying and praising Jesus watching my great grandkids celebrate black wealth going from 0.1 to 0.5 percent...progress @Soul On Ice @VAiz4hustlaz
I think most people want to vote. But I also think that most people want to feel like they aren't voting in vain, and that their concerns are being heard and taken seriously. i.e., Cops killing Black men are not taken seriously by either party, neither is the wealth gap. That's my opinion.
It's one thing to vote for a candidate and lose to another party. But it's another thing to want a different person to represent you in your particular party and the Democratic/Republican National Committee goes, "This is the guy we're putting up. You have to vote for him because people (delegates) who are politically smarter than you said so. Plus, he has the best chance of winning. No, he may not listen to your concerns; but at least the other guy won't be in office."
It's one thing to vote for a candidate and lose to another party. But it's another thing to want a different person to represent you in your particular party and the Democratic/Republican National Committee goes, "This is the guy we're putting up. You have to vote for him because people (delegates) who are politically smarter than you said so. Plus, he has the best chance of winning. No, he may not listen to your concerns; but at least the other guy won't be in office."
And some Black men are actually going to vote for Trump 
Bring civics back in elementary and high school.See how this works? Jewish folks decided they don't like Bowman's stance on Isreal. They didn't tell their people to hold their vote to teach him a lesson. They are backing another candidate in the primary.
Prominent New York Democrat launches primary against Rep. Jamaal Bowman
Westchester County Executive George Latimer announced on Wednesday that he would challenge Rep. Jamaal Bowman in the June 25 Democratic primary, a long-awaited announcement that sets up what will be ...www.dailykos.com
The Asians fucking wanted to end affirmative action so bad to spite us, went along with the GOP and look where it got them.
All Donald Trump does is lie. And these cacs lie right along with him. Millions of them. Everyday.
If you allow them to have their way by not voting against them, what do you think they're going to do? Reward Black People???
Had all the cacs of America thought the same, we would still be enslaved. If you really think the Southern States cared more about State's Rights than keeping the institution of slavery alive, you are fooling yourself.
And these cacs are still mad about Obama. They say Fuck Joe Biden because they think the actual president running the show behind the scenes IS Obama.
If they can trick you to side with them, they will. Racism/White Supremacy is the strongest religion in the world. Do I wholeheartedly trust White Democrats?? Hell no!! But these goddamn Republican cacs? I'll take my chances with the Dems and HOLD THE DAM.
But holding the dam ain't the only play I'm making. I'm focused on building and supporting Black business, and spreading the ideology that we absolutely must let the dollar circulate among us.
All Donald Trump does is lie. And these cacs lie right along with him. Millions of them. Everyday.
If you allow them to have their way by not voting against them, what do you think they're going to do? Reward Black People???
Had all the cacs of America thought the same, we would still be enslaved. If you really think the Southern States cared more about State's Rights than keeping the institution of slavery alive, you are fooling yourself.
And these cacs are still mad about Obama. They say Fuck Joe Biden because they think the actual president running the show behind the scenes IS Obama.
If they can trick you to side with them, they will. Racism/White Supremacy is the strongest religion in the world. Do I wholeheartedly trust White Democrats?? Hell no!! But these goddamn Republican cacs?
I'll take my chances with the Dems and HOLD THE DAM.But holding the dam ain't the only play I'm making. I'm focused on building and supporting Black business, and spreading the ideology that we absolutely must let the dollar circulate among us.
I think we just need to accept it bro.
0.5% wealth is a WHOLE lot better than 0.00% wealth that the evil Republicans want us to have.
We just have to hold our nose and eventually they'll do right by us (The Dems). I've been swayed by my new found brethren and they've shown me the light.
Get em bro !The Asians fucking wanted to end affirmative action so bad to spite us, went along with the GOP and look where it got them.
All Donald Trump does is lie. And these cacs lie right along with him. Millions of them. Everyday.
If you allow them to have their way by not voting against them, what do you think they're going to do? Reward Black People???
Had all the cacs of America thought the same, we would still be enslaved. If you really think the Southern States cared more about State's Rights than keeping the institution of slavery alive, you are fooling yourself.
And these cacs are still mad about Obama. They say Fuck Joe Biden because they think the actual president running the show behind the scenes IS Obama.
If they can trick you to side with them, they will. Racism/White Supremacy is the strongest religion in the world. Do I wholeheartedly trust White Democrats?? Hell no!! But these goddamn Republican cacs?
But holding the dam ain't the only play I'm making. I'm focused on building and supporting Black business, and spreading the ideology that we absolutely must let the dollar circulate among us.
Like Outkast say,
"HOLD ON, BE STRONG"
Now ain't the TIME. WE can't let the Republicans back into the office!
It's a wrap for Black people this time. We'll see the REAL Trump this time.!
Get em bro !
Like Outkast say,
"HOLD ON, BE STRONG"
Now ain't the TIME. WE can't let the Republicans back into the office!
It's a wrap for Black people this time. We'll see the REAL Trump this time.!
