Report: Number of uninsured kids spikes to 3.9M in US
Nationally, the number of uninsured children increased by an estimated 276,000 in 2017, from a historic low of 4.7 percent in 2016 to 5 percent last year. Experts say about 75 percent of the newly uninsured children are clustered in states that did not expand Medicaid such as
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She said that what is perhaps most concerning is that the uninsured rate among children increased despite an improving economy and low unemployment rate that allowed more children to get private coverage through their parents.
The study blamed the increases on the Trump administration's repeated attempts to prompt an overhaul of publicly funded health care. There were major efforts to repeal Obama's Affordable Care Act and cut Medicaid, and the children's CHIP insurance funding also ran out and hung in the balance for months before
"There was a lot of confusion among families as to whether these public coverage sources were available," Alker said.
At the same time, the Trump administration slashed funding for advertising and enrollment counselors to help sign people up for these health insurance programs. The country's enrollment decline was not just in Medicaid and CHIP, but also in Obamacare or the federal marketplace where parents can purchase private health insurance and often receive a subsidy to help pay for it.
The report noted that many of the children who do not have health insurance are eligible for coverage, but just aren't enrolled.
He did agree that there were dips in Medicaid enrollment and through the Obamacare marketplace, but noted there's no enrollment cutoff for Medicaid, meaning families can sign up their children year-round.
"It's really more of a fluctuation. There's no policy driver there," he said, saying he didn't think marketing cuts had any impact.
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The report also expressed concern that strict immigration policies and enforcement were making many immigrant families leery of enrolling, even if their children are eligible for health coverage. "We think it's really this national unwelcome mat regarding public coverage," Alker said.
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