Whether they were politically motivated or not, some seriously dangerous healthcare malfunctions that were endangering Florida children have just come to light.
With about half of all children in
Florida on Medicaid in 2015, lives were thrown out of balance when, during the
spring and summer, the state switched about 13,000 children out of a program
called Children's Medical Services (CMS) and into other insurance programs that
don't specialize in caring for extremely sick children.
This meant that children suffering from
things like birth defects, heart disease, diabetes, and blindness couldn't get
the help they needed.
There were several problems at play
here. First off, according to medical experts, the data analysis used to
transfer the children was "inaccurate" and "bizarre."
Florida Department of Health nurses asked the parents of sick children a very
particular question: "Is your child limited or prevented in any way in his
or her ability to do the things most children of the same age can
do?"—which disqualified children who were seriously ill but could still
get by day to day.
"This was a truly duplicitous
question," said pediatrician Dr. Philip Colaizzo. Many of his patients, he reports, were taken off
CMS.
Second problem: the screening tool the
state used had already been dubbed "completely invalid" and "a
perversion of science" by experts in children's health. But it was still
being used.
And finally, while a state
administrative law judge ruled in the fall of 2015 that the Department of
Health should stop using the tool, the DOH didn't automatically re-enroll many
of the children into CMS.
Then there's the potential political
issue: the new version of Medicaid that didn't cover these children was made up
of insurance companies that gave money to the Republican party during the last
election.
Luckily, the insurance process has since
been corrected, so these kids can get the healthcare they need.
While the Florida DOH argues that the
recent CNN article with the above allegations is "100% false,"
they're basing their statement on the current healthcare system—not what
Florida had in place during 2015.
Meanwhile, the political element is
still getting play. Democratic gubernatorial candidate Chris King recently called for an independent investigation into the situation.
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