Why Alabama and 9 Other States Should Expand Medicaid

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Why Alabama and 9 Other States Should Expand Medicaid
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Expanding Medicaid could improve health outcomes, bring economic benefits, and promote health equity.

On Wednesday evenings during the school year, I spend my time volunteering as a Certified Application Counselor at the University of North Carolina’s SHAC clinic, the oldest student-run free clinic in the nation. Here, most patients lack health coverage, preventing them from seeing specialists and primary care doctors. Out of the dozens of patients I’ve walked through coverage options with, only one has been eligible for North Carolina’s Medicaid program.

Currently, the federal government funds 70% of our state Medicaid costs. If Medicaid were expanded, this coverage would grow to 90% of our costs, allowing for net savings. A study from the Public Affairs Research Council of Alabama emphasizes these benefits, estimating that expanding Medicaid would contribute almost $400 million in cost savings and a positive economic impact of $11.36 billion to Alabama's economy over the next six years.

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