美国国家公共电台 NPR Disability Advocates Fear Impact Of Medicaid Cuts In GOP Health Plan

 

RACHEL MARTIN, HOST:

The Republican health care plan the House passed back in May dramatically scales back Medicaid funding. The Senate is wrestling with that issue now, and it's a huge sticking point. So we're taking a look at where Medicaid money actually goes. And as Elly Yu from member station WABE in Atlanta reports, more than half of the Medicaid dollars go to the elderly and people with disabilities.

ELLY YU, BYLINE¹: Several decades ago, Evan Nodvin might not have been here.

(SOUND OF KNOCKING)

YU: He's 38 and welcomes me into his Atlanta area apartment.

Hi, are you Evan?

EVAN NODVIN: Hi. Come on in. That's me. Come on in.

YU: His roommate is at work, and Nodvin just got home from his job at a local community fitness center. He works five days a week.

NODVIN: I give out towels and put weights away and make sure people are safe.

YU: Nodvin has Down's Syndrome², a developmental disability. To get to and from work, he gets rides from people who are paid by Medicaid to help him. After he gets home, a counselor³ helps him with daily chores like grocery shopping, cleaning and cooking.

NODVIN: My favorite thing to cook - on most days, I like to cook turkey patties once a week. And on Thursdays, I make fish. And the other days, I make other good stuff like spaghetti.

YU: Nodvin can live on his own because of these services. They're covered under Medicaid in Georgia, which spends about 6 percent of its Medicaid budget on people with developmental disabilities. When Congress was talking about making big changes to Medicaid in the health care bill in March, Nodvin went to D.C. with a group of advocates to lobby. He read a speech there, which he recites to me in his living room.

NODVIN: I work, live and play in the community. My dream is to continue this healthy and useful life. Thank you.

YU: But the bill that passed the House puts this dream at risk. The Congressional Budget Office estimates the proposed cuts to Medicaid would amount to more than $830 billion over 10 years. And Georgia could take a big hit because the state already spends less on Medicaid per enrollee⁴ than most other states. Under the GOP's health care plan, states would be given a fixed⁵ number of dollars based on what they've spent in the past. Bill Custer with Georgia State University says if need outpaces funding...

BILL CUSTER: States are going to have to either find the money to maintain the program or shrink the program either by covering fewer services or covering fewer people or both.

YU: That worries Eric Jacobson.

ERIC JACOBSON: Medicaid is the lifeline for people with disabilities.

YU: Jacobson heads the Georgia Council on Developmental Disabilities, a state advocacy group. He says community support services like Nodvin gets are considered optional. States choose to offer them.

JACOBSON: Those are the kinds of services that we hope won't get cut but because of the reduction in funds might be the first on the chopping block.

YU: And he says services are already limited. Jacobson worries budget cuts might mean more people might be forced into institutions.

JACOBSON: The way I look at institutionalization for people with developmental disabilities - it's kind of like sending you to jail for no crime.

YU: Jacobson says there's been a movement to allow people with disabilities to live in their own communities. He says it's about quality of life, and it can save the state a lot of money. Back in his Sandy Springs apartment, Evan Nodvin tabs through his CD collection.

What kind of CDs do you have?

NODVIN: I have Michael Jackson, Beatles - what else?

YU: He's lived on his own for the last 16 years. He wanted to tell Congress he has a job, a girlfriend, an apartment, independence.

NODVIN: I am able to be independent because I get help from my Medicaid waiver in my state of Georgia.

YU: Which is why he and his family will be watching what happens next in Washington, D.C. For NPR News, I'm Elly Yu in Atlanta.

(SOUNDBITE OF DAMIAK'S "TENUOUS⁶ GEARS")

MARTIN: That story is part of a reporting partnership⁷ with NPR WABE and Kaiser Health News.

(SOUNDBITE OF DAMIAK'S "TENUOUS GEARS")

1 byline   

n.署名；v.署名

参考例句：

• His byline was absent as well.他的署名也不见了。
• We wish to thank the author of this article which carries no byline.我们要感谢这篇文章的那位没有署名的作者。

2 syndrome   

n.综合病症；并存特性

参考例句：

• The Institute says that an unidentified virus is to blame for the syndrome. 该研究所表示,引起这种综合症的是一种尚未确认的病毒。
• Results indicated that 11 fetuses had Down syndrome. 结果表明有11个胎儿患有唐氏综合征。

3 counselor   

n.顾问，法律顾问

参考例句：

• The counselor gave us some disinterested advice.顾问给了我们一些无私的忠告。
• Chinese commercial counselor's office in foreign countries.中国驻国外商务参赞处。

4 enrollee   

n.入会者；入学者；入伍者；名字被登入名单者

参考例句：

• Conclusion Generally speaking, the mental health state of enrollee is normal. 结论应征青年的心理健康状况总体正常。 来自互联网

5 fixed   

adj.固定的，不变的，准备好的；(计算机)固定的

参考例句：

• Have you two fixed on a date for the wedding yet?你们俩选定婚期了吗？
• Once the aim is fixed,we should not change it arbitrarily.目标一旦确定，我们就不应该随意改变。

6 tenuous   

adj.细薄的，稀薄的，空洞的

参考例句：

• He has a rather tenuous grasp of reality.他对现实认识很肤浅。
• The air ten miles above the earth is very tenuous.距离地面十公里的空气十分稀薄。

7 partnership   

n.合作关系，伙伴关系

参考例句：

• The company has gone into partnership with Swiss Bank Corporation.这家公司已经和瑞士银行公司建立合作关系。
• Martin has taken him into general partnership in his company.马丁已让他成为公司的普通合伙人。