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Op-Ed Columnist: What Ails Florida?

January 12, 2004
 By BOB HERBERT 



 

MIAMI 

The State of Florida really knows how to hurt a kid. It has
money for sports stadiums. It lavishes billions of dollars'
worth of tax breaks and other goodies on private
corporations. It even has money for a substantial reserve
fund. But, in an episode of embarrassing and unnecessary
tightfistedness, it has frozen enrollment in a badly needed
state health insurance program for low-income children. 

Some 60,000 to 70,000 children who are eligible for
KidCare, Florida's version of the popular and successful
children's health insurance program, have been put on
waiting lists. Even kids who already have serious health
problems are being placed on the lists, which are
lengthening every day. No one knows when - or if - the
children will get coverage. 

"We've had families tell us they've put off buying
groceries so they can afford to take their child to the
doctor," said Conni Wells, director of the Florida
Institute for Family Involvement, which advises families on
health matters. 

The institute has alerted officials to the plight of a
family in Jacksonville that has three sons who need medical
care now. The boys' father had been laid off for a while
and during that period the children were covered by
Medicaid. Now that the father has resumed working, the
children have been bounced off Medicaid but qualify for
coverage under KidCare. They're on a waiting list. (The
family can't afford private health insurance.) 

One of the boys, a 14-year-old, broke his back a year ago
and still needs extensive therapy. A younger brother needs
an expensive growth hormone and has asthma. A third son
also has asthma. Florida officials will not say when the
children might actually get coverage. 

Most of the children on the waiting list are from families
whose incomes are just over the poverty line. (The children
of the very poor are covered by Medicaid.) The freeze was
imposed at the end of July, ostensibly because of state
budget problems. But the Florida budget problems are not as
bad as those in many other states. Since last July Florida
has qualified for nearly $1 billion in help from the
federal government, which has come up with $400 million in
increased Medicaid matching funds and more than $500
million in a fiscal relief grant. 

The cost of providing the authorized coverage for the tens
of thousands of youngsters on the KidCare waiting lists is
estimated at just $23 million for the remainder of this
fiscal year. The money from the federal government could be
used for that purpose, but Gov. Jeb Bush and the Florida
Legislature have not been willing to take that step. These
kids are not part of a particularly favored constituency.
Their parents do not have much political clout, and may not
even vote. Some of the kids may end up desperately ill
(some may die), but as a group they are not the kind of
kids who get a lot of attention or sympathy from the powers
that be in Florida today. 

A spokesman for Governor Bush, Jacob DiPietre, told me
yesterday that no immediate action is planned to provide
health coverage to the children on the waiting lists. "Be
assured that the governor and his entire administration are
concerned about the waiting list," he said. But he added,
"This is a problem that requires a long-term, sustainable
solution." 

And he made a point of noting, "The KidCare program is not
an entitlement." 

Florida is one of 34 states that have made serious cuts in
public health insurance programs for low-income people over
the past two years. A study by the Center on Budget and
Policy Priorities found that from 1.2 million to 1.6
million men, women and children have lost coverage as a
result. 

The cuts are spreading, not receding, as states look for
solutions to budget problems that in many cases are far
more severe than Florida's. 

On Thursday President Bush and Governor Bush made a joint
appearance in Palm Beach, where the president picked up a
quick million dollars for his re-election campaign. There
was plenty of laughter and glad-handing, and little talk
about such unpleasant matters as the denial of health care
to low-income children.  

http://www.nytimes.com/2004/01/12/opinion/12HERB.html?ex=1074931580&ei=1&en=d822faa88beb6d27


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