From City Limits <[email protected]>
Subject Tension and Confusion Over Medicaid Budget Gap
Date January 31, 2020 3:37 PM
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Gray Dawn

Thirty-six years ago Hollywood gave us the movie “Red Dawn,” a Cold War classic in which American high-school kids take up arms against a Soviet invasion. The premise was absurd—the USSR was never actually going to parachute into Colorado—but it sure was fun to see Patrick Swayze and Charlie Sheen defend our way of life.

Other problems facing the United States, and New York City, are less exciting than after-school combat, but they are much more real. One is the need to care for our steadily aging population.

The rising share of the population that's over age 65 presents a complex bundle of opportunities and challenges. City Limits has documented many of both in its Age Justice ([link removed][UNIQID]) series over the past two years. But the current debate over the state's Medicaid budget gap brings some of the problems into sharp relief.

Blame the gap ([link removed][UNIQID]) on rising enrollment Medicaid. Blame it on soaring subscription to Long-Term Care. Blame it on an explosion of interest in CDPAP, the program that pays for family members to provide in-home help. Yes, there's likely some fraud or inefficiency in the mix. But a huge share of the rising price-tag—regardless of the particular form it takes—merely reflects an effort to cover the enormous cost of caring for people who need very intense help at the end of their lives, sometimes for years.

Monday would have been my dad's 74^th birthday. He died in July of Alzheimer's after a struggle lasting 14 years, the last eight of which were spent in a residential facility paid for through Medicaid (not in New York). My family, like many others, learned a lesson which ought to guide the discussions about closing this year's budget gap: The state can throw the bill for long-term care to families, to insurance companies, to counties or cities. But it cannot throw it away.

- Jarrett Murphy, executive editor


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City Limits en Español

Lo que necesita saber sobre: La licencia de conducción para indocumentados en Nueva York
Residentes del estado de Nueva York, sin importar el estatus migratorio, pueden solicitar licencia de conducción en el departamento de motores y vehículos. Lee mas. ([link removed][UNIQID])


City Stat

There were
1,329 arson fires in New York City in fiscal year 2019—61 percent lower than in 2010. The number of arson fires has dropped each of the past 10 years.

See more FDNY stats here. ([link removed][UNIQID]) And read our 2014 investigation. ([link removed][UNIQID])
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