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This blog is dedicated to distribute current information about the Coalition for the Homeless in Cleveland or poverty or the state of homelessness. Entries are written by board or staff of the Coalition. The opinions contained in this blog reflect the views of the author of the post. This blog features information on shelters, affordable housing, profiles, statistics, trends, and upcoming events relating to homelessness. We welcome comments, and will remove offensive or inappropriate messages. All postings are signed by the author.

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Two Americas: Those who have access to health care and those who don't

This is a really nice graphic from the Advisory Board Company which provide 
consulting, technology and research to health care organizations.
It shows a clear divide within the United States.

Where the States Stand
Via: The Advisory Board Company

For homeless people this graph shows some really bad news.  Those living in Texas or Pennsylvania or North Carolina are out of luck.  Those in Ohio, Illinois, California or Arizona will have safety net insurance to avoid years of debt for one encounter with the local emergency room.  These blue colored states from above graph may be able to expand mental health care and alcohol treatment centers with the cost savings from not having to provide emergency room care to those without insurance.  Hospitals in the blue states from the graph will have a reason to expand preventative care and to not discharge sick people to the shelters.  Because you happen to live in one of the Red States above you will not have the ability to access affordable health insurance. 

Studies in the past have never found that people moved to a state because the government benefits were better.  I have to believe that this will change with the Affordable Care Act disparity that is developing.  Health care is such a big contributor to homelessness and destablizing a family that I have to believe that people will move to a state that has expanded Medicaid.  Many states are going to be left behind with the decision to not accept expanded Medicaid.

Brian Davis

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