Misunderstanding and mistrust of federal health reform has caused rural residents in Missouri and Illinois to be less likely than their urban counterparts to enroll in coverage, Jordan Shapiro and Walter Moskop report for the St. Louis Post-Dispatch. Before Obamacare, 773,000 Missourians and about 1.6
million Illinoisans did not have health insurance at some point during
2013, says U.S. Census Bureau estimates. During the first enrollment period, 152,000 people in Missouri and
217,000 in Illinois signed up. Illinois expanded Medicaid coverage, while Missouri did not.
The Post-Dispatch, which did a study by zip code of private plan enrollments, found that in "Illinois, the lowest-income areas had the lowest rates of sign-ups for
private insurance, although many residents likely qualified for
Medicaid, the federal-state insurance program expanded under the health
law," Shapiro and Moskop write." In Missouri, areas with higher uninsured rates saw a larger number
of enrollments in private insurance since that was the only option
available to them."
Ryan Barker, vice president of health policy at the Missouri
Foundation for Health, told the Post-Dispatch, "There’s a lot of misunderstanding in the rural areas about what this
is. There’s just a lot of mistrust and hatred of
Obamacare.” (Read more)
A digest of events, trends, issues, ideas and journalism from and about rural America, by the Institute for Rural Journalism, based at the University of Kentucky. Links may expire, require subscription or go behind pay walls. Please send news and knowledge you think would be useful to benjy.hamm@uky.edu.
Tuesday, October 21, 2014
In Illinois and Missouri, rural residents less likely than urban ones to enroll in ACA; mistrust an issue
Labels:
health care,
health insurance,
health reform,
Obamacare,
Patient Protection and Affordable Health Care Act,
rural health,
rural-urban disparities
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