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Medicaid reforms taking shape amid criticism

(Columbia) February 3, 2006 - Governor Mark Sanford says change is on the way for those on Medicaid. But there are more questions about efforts to reform the program and cut state spending.

Sylvia Green has arthritis and needs extra time to get around. She also needs her Medicaid coverage, and worries about changes that might be coming for the program. "I have to try to do the best I can, I guess, to pay for it, because I really want to stay on it."

This week, Congress voted to slash billions in entitlements, including Medicare and Medicaid.

That paves the way for a Medicaid reform plan backed by Governor Mark Sanford which could mean new co-payments for medical services, more out-of-pocket expenses, and health savings accounts. Those would allow participants to buy private insurance or pay directly for their health services.

Sanford says, "The only question with Medicaid is are we going to be proactive or reactive with regard to change."

The Governor's plan is designed in part to save the state money, $300 million over a five year period. Sanford says the plan will also give Medicaid recipients like the ones at the Read Street Senior Center more control over their health care.

Critics still have doubts about how the changes would affect people with low incomes.

Sue Berkowitz of the Appleseed Legal Center says, "By just making changes to the Medicaid program, that's not going to solve the other problems we have with 850,000 people who can't access affordable health care."

Outside the senior center on an unusually warm day, Retha Dennis has a frosty response when asked about the proposed savings accounts, "Me and my husband, we go to a lot of different doctors. That money would be used up like that. Especially if you had just one stay in the hospital."

Others told us it's too early to know what the changes could mean for them. Some say there might not be much they can do to keep their health care as simple or affordable as they believe it is now.

Reported by Jack Kuenzie

Posted 7:55pm by Chantelle Janelle

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