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Home Contrarian

Oregon Medicaid Provides Air Conditioners

A breathe of fresh air

Jay K Joshi by Jay K Joshi
May 14, 2024
in Contrarian
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Oregon Medicaid Provides Air Conditioners

Carlos Lindner

The Biden administration’s groundbreaking approach to expand Medicaid into the realm of social services is truly a first-in-the-nation experiment that aims to improve the overall health and well-being of individuals, aligning with healthcare policy and innovations in healthcare. Health and Human Services Secretary Xavier Becerra emphasized the importance of addressing issues like climate change as a healthcare issue, indicating a shift towards a more holistic approach to healthcare, which reflects modern medicine practices. 

The Biden administration’s strategy to expand Medicaid beyond traditional medical care and into social services is a groundbreaking initiative that is being tested in Oregon, showcasing innovative healthcare system management. Health and Human Services Secretary Xavier Becerra believes that addressing issues like climate change is essential for improving overall health outcomes. However, there is concern about the potential for abuse when government funds are used for services that are in high demand,  prompting careful considerations in healthcare insurance policies.

Despite this, many states are already utilizing Medicaid funds for social services such as housing assistance for the homeless and providing healthy meals for those with chronic conditions like diabetes, demonstrating adaptability within healthcare policy. Oregon’s innovative approach to use Medicaid funds for climate-related equipment to assist vulnerable residents sets a precedent for other states to follow suit. This initiative has the potential to not only improve the health and well-being of Medicaid enrollees but also to address broader societal challenges like climate change.

Recipients must meet federal guidelines that categorize them as “facing certain life transitions,” a stringent set of requirements that disqualify most enrollees. For example, a person with an underlying medical condition that could worsen during a heat wave, and who is also at risk for homelessness or has been released from prison in the past year, could receive an air conditioner. But someone with stable housing might not qualify.

Scientists and public health officials say climate change poses a growing health risk. The federal government’s latest climate assessment projects that more frequent and intense floods, droughts, wildfires, extreme temperatures and storms will cause more deaths, cardiovascular disease from poor air quality and other problems.

The mounting health effects disproportionately hit low-income Americans and people of color, who are often covered by Medicaid, the state-federal health insurance program for low-income people.

Most of the 102 Oregonians who died during a deadly heat dome that settled over the Pacific Northwest in 2021 “were elderly, isolated and living with low incomes,” a report by the Oregon Health Authority found.

Eligibility for air conditioner provision under federal guidelines requires recipients to be navigating pivotal life transitions. These rigorous criteria often exclude the majority of applicants. For instance, individuals who are susceptible to exacerbating medical conditions during extreme heat events, and simultaneously face risks such as potential homelessness or recent release from incarceration within the past year, may qualify for assistance. However, those in stable housing situations generally do not meet the eligibility requirements.

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Jay K Joshi

Dr. Joshi is the founding editor of Daily Remedy.

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Videos

Summary

In this episode of the Daily Remedy Podcast, Dr. Joshi discusses the rapidly changing landscape of healthcare laws and trends, emphasizing the importance of understanding the distinction between statutory and case law. The conversation highlights the role of case law in shaping healthcare practices and encourages physicians to engage in legal advocacy by writing legal briefs to influence case law outcomes. The episode underscores the need for physicians to actively participate in the legal processes that govern their practice.

Takeaways

Healthcare trends are rapidly changing and confusing.
Understanding statutory and case law is crucial for physicians.
Case law can overturn existing statutory laws.
Physicians can influence healthcare law through legal briefs.
Writing legal briefs doesn't require extensive legal knowledge.
Narrative formats can be effective in legal briefs.
Physicians should express their perspectives in legal matters.
Engagement in legal advocacy is essential for physicians.
The interpretation of case law affects medical practice.
Physicians need to be part of the legal conversation.
Physicians: Write thy amicus briefs!
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