Uninsured Kids

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According to a new study by the Robert Wood Johnson Foundation, upwards of 8.4 million children went uninsured in the United States last year, and as one would expect, many of those go without medical care or fail to go see a doctor when they need one. That’s appalling, sure, but what really stands out here is that over 70 percent of these children could enroll in public health care programs—such as Medicaid or SCHiP—but don’t, likely because their parents don’t even know that their children are eligible.

Part of the blame here rests with state governments, which don’t exactly walk the extra mile to alert people to these programs, or else make the requirements bewildering, in order to keep costs down. But setting that aside, this also highlights the fact that, very often, improving health care for the poor depends less on expanding insurance and more on making health care more convenient. In his book, The Escape From Hunger and Premature Death, 1700-2100, Robert Fogel notes:

Keep in mind that the poor are already entitled to health care under Medicaid and that the near poor often receive free health care through county or city hospitals and emergency rooms. Most proposals for extending health insurance involve taxing their wages for services they already receive. Such insurance may relieve the pressure on the public purse, but it will not guarantee better health care. I believe that screening in schools and community clinics has a better chance at success than unexercised theoretical entitlements.

As an argument against universal health care, this seems a bit tendentious. But as an argument that policymakers need to think less about the bewildering world of health insurance and more about making health care accessible—say, improving prenatal care, or free screening at schools, or community health centers—Fogel’s on the right path.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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