OK Kathryn. The source is indicated in the graph on the previous page.
Lets address inequitable health care access. What exactly do I mean by inequitable health care access?
Well, lets look at the available means for the poor to get access to health care.
State Medicaid.- I can personally attest that if one makes one dollar over a set amount, you will not qualify. Now, this does not mean that you can now afford health insurance. I think we can all agree that the costs of health insurance are out of control. And there are many factors that can disqualify one from receiving State Medicaid.
So the person who works at what may be the only job available for him/her, makes too much for Medicaid, yet makes to little to afford decent health insurance. and none is offered by his employer, is left in limbo.
What are there options? Well, there is always the free clinic, unfortunately, that is so overwhelmed that they cannot get registered for three months. Of course by then, they can go to the Emergency Room because they have progressed beyond a simple doctors visit to a condition that will require the Hospital by law to give them at least minimal treatment. This racks up a huge medical bill that you may think will simply be written off by the hospital. However, again through personal experience, the city owned hospital decides to turn over all past due bills to a collection agency. this collection agency will accept nothing under a certain minimal amount in monthly payments. (remember, during this process, your health problem has only been temporarily abated in the emergency room.)
But wait! The free clinic can now get you in, but there is a problem, they, like the emergency room, can only treat the immediate symptoms. They do not have the means to actually treat the problem.
Meanwhile, because of the financial hardships caused through missing work to take care of all the redtape, application interviews and the fact that the condition itself has not been addressed, you have to move to a cheaper apartment.
(Good news! Your recent Medicaid application is under review!!)
Oops, you did not let the collection agency know about your new address, so when they served you with a court order demanding information on all your financials, you did not get it. Now their attorney goes to the judge without these court ordered financials and the judge issues a contempt citation against you.
Three weeks later, you play it a little to close on a yellow light and get pulled over. No big deal, you screwed up, now you have to pay a ticket. But the officer sees the contempt warrant on his computer and takes you to the county lockup.
It is there that you find out that the law requires a $1000 dollar cash only bond before you can be released. Now, no bondsman does cash only bonds, because by definition, these are bonds that are not returned when you go to court.
So after four days of incarceration, your spouse is finally able to come up with your bond money through every means legal and you are released.
Unfortunately, you no longer have a job. But the good news is, you finally qualify for State Medicaid!!
Two weeks later you go to court on the contempt citation, your thousand dollar bond is handed over to the collection agency to pay some of your hospital bill, you get to finally see a doctor and start regular treatments for your condition.
And that is only one (very true) example of inequitable access to health care.
If you think that all those programs out there to help the under and uninsured gain access to health care are equal to those with adequate health insurence, you are dead wrong. (pun intended)