Medicaid cuts protested at rally

Gov. Blunt maligned for reducing income limit, funds for supplies
Wednesday, February 15, 2006 | 12:00 a.m. CST; updated 9:56 a.m. CDT, Monday, July 21, 2008

JEFFERSON CITY – For Raymond Conyers, Medicaid keeps him and his family from having to choose between the medicine he needs and basic necessities.

“A lot of the medicines that I take are like 95 percent of what I draw,” Conyers said. “So therefore, I either do without my medicine or I do without food or a place to live. When your medicine is costing more than what you’re drawing, it’s pretty bad.”

While Medicaid is a priority in his life, he said he doesn’t feel it’s one in the Capitol.

“We can build roads and stuff like that,” he said. “Why can’t we take care of the elderly and the disabled? It don’t make sense to me.”

Conyers, 43, of Cuba, Mo., came to the Capitol rotunda Tuesday, along with union members, Democratic legislators, clergy members, grass-roots activists and Attorney General Jay Nixon, to protest last year’s Medicaid cuts.

Much of the ire at the rally was channeled against a bill crafted last year by state Sen. Chuck Purgason, R-Caulfield, which, among other changes to the system, “reduces income levels for eligibility and eliminates some optional services, including the medical assistance for the working disabled (MAWD) and general relief medical assistance programs.”

The cuts to the Medicaid system last year caused nearly 94,000 residents to lose coverage.

Speakers and rally organizers called for the bill’s repeal, and lambasted Gov. Matt Blunt and state legislators for lowering the income limit and eliminating funding for “optional” medical supplies.

“Dental, eyeglasses, physical therapy, durable medical equipment — we have to go out and beg for it,” said Rich Blakley, executive director of Disabled Citizens Alliance for Independence.

State Sen. Chuck Graham, D-Columbia, said eliminating the funding for supplies promotes wasteful spending. He presented an anecdote of a person who needed a new battery for a wheelchair to prove his point.

“They said, ‘We won’t do that, but we’ll buy you a new power wheelchair,’” Graham said. “Where’s the state saving money on that?”

Flanked from all sides by hand-drawn signs trumpeting his 2008 gubernatorial run, Nixon criticized the governor for “misleading” Missouri citizens about his plans for Medicaid funding.

“We were told that this governor would not be the kind of Republican who would cut Medicaid. He would instead work to eliminate waste, fraud and abuse,” Nixon said. “But that is not what has happened, is it? From his first step, he has cut health care for those in the greatest need.”

Nixon said the government should not be giving handouts, but they shouldn’t be kicking people when they’re down.

“Our goal is to give people a hand up,” Nixon said. “Cuts to the MAWD and the Welfare to Work program push our state in the wrong direction.”

Republicans said the changes to Medicaid were necessary in order to balance the budget.

Purgason said Medicaid growth would have gone up by as much as $200 million if his bill had not been passed by the legislature and signed by the governor last year.

“So, we would have to come up with the funding, if that bill was reinstated, approximately $150 to $200 million,” Purgason said. “And I’m not sure where that funding would come from.”

Jessica Robinson, spokeswoman for Blunt, said it would have been “heartless” to let the “old, fraud-laden” system go on unabated and fail to protect the system for those who need it most.

“If changes had not been made, it would have consumed the entire budget, and that would have strangled funds for education, for roads, for public safety,” Robinson said. “It would have been a program that the state could simply not afford.”

She said it is disappointing, even a year later, that critics of much-needed reform have not presented their own plan on how they intend to address this challenge.

“The bottom line is if they want to raise taxes, they need to say who they want to raise taxes on and by how much,” she said. “And if they want to cut other parts of the budgets, they need to say by how much and where.”

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