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Illinois becomes 1st State to Give Medicaid to Undocumented

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Illinois becomes 1st State to Give Medicaid to Undocumented

Postby Shrillland » Thu May 28, 2020 3:53 pm

Pretty much what it says in the title: https://herald-review.com/news/state-and-regional/govt-and-politics/illinois-to-become-1st-state-to-provide-medicaid-regardless-of-immigration-status/article_2ce0b3d2-b48d-5c2c-932a-e4153cf0d5a8.html?fbclid=IwAR0PQUmi54RvH63ImPBX0YFFsEBvhu3SwrOHUnpaFGNeT-KgTvvj9y9rcmo

Illinois will become the first state to provide Medicaid for undocumented seniors not only because of what state Rep. Delia Ramirez has heard from her constituents, but because of her own family's experience.

Tucked in near the end of the 465-page budget implementation bill that passed the Illinois General Assembly late Saturday night was a provision giving Medicaid access to noncitizens over 65 years old and whose income is $12,670 or less, which is at or under the federal poverty level.

Gov. J.B. Pritzker said he will approve next year's budget and its implementations. Medicaid services for qualified undocumented seniors will kick in July 1 when the 2021 budget year begins.

The expansion was a big win for the Legislative Latino Caucus, which Ramirez took lead on the effort through the health and human services working group leading up to the special session. She said the coverage will save the state money in the long run, costing about $2 million, which in her opinion, "is nothing to a $2 billion Medicaid bill."

She said it's about three times cheaper to cover undocumented seniors than it is to not cover them and then "have them in a hospital when they're already dying and are in stage three of cancer and other things because they didn't show up until they tested positive with coronavirus and then all these other things they had also came to light and became too late to prevent."

One of the leading motivators for Ramirez was her mother, who is now a U.S. citizen. She was a homecare worker with diabetes who stopped working on March 24 because she and the 89-year-old person she was taking care of decided it'd be safer for her to stop visiting amid the pandemic.

When the Chicago Democrat asked her mother why she stopped paying for insurance after joining unemployment, her mother explained that they simply couldn't afford it. Ramirez's father retired without pension benefits and brings in just enough money to cover his medications and all other bills.

"'I can't pay out of pocket $500 a month (for insurance),'" Ramirez said what her mother told her. "'So until I go back to work, I have no insurance and I'm going to pray that I stay as healthy as possible and not go anywhere, so that I'm not in a position where I have to end up in a hospital with a bill we can't afford.'"

Ramirez had a similar bill last year that failed to reach a vote on the House floor, but she said the COVID-19 pandemic has shined a light on the need for expanded health care coverage.

She represents one of the hardest-hit districts from the pandemic, which primarily includes the Humboldt Park neighborhood in Chicago. The positivity rate for the virus in Ramirez's district reached nearly 50%, she said. The COVID-19 death rate in Illinois for Latinos is about 19% while Latinos make up about 17% of the state's population, according to the Illinois Department of Public Health and U.S. Census Bureau 2019 estimates.

Additionally, she noted that about 250,000 families in the state didn't receive an economic stimulus check because they were either mixed status families or undocumented.

"You could imagine the financial hardship," Ramirez said. "No access to health care, no access to unemployment insurance, living in multi-generational homes, no place to isolate. All of this equates to a higher risk of people not just testing positive, but literally dying."

She said there was some opposition to her bill last year from lawmakers saying "we should only be focusing on citizens," or asking how the state will pay for it. But during this year's special session, she didn't hear any opposition.

"Just this piece right here for a group of people who have been told that no resources -- you can pay taxes, you can do this, you can do that, you can be in this country for 25 years attempting to legalize, but you can't get this basic health care, basic ability to stay alive, covered. If ever before, this pandemic has shown us how critical that is," Ramirez said.

She also highlighted health care as a human right, undocumented or not, and that COVID-19 "has shown the way public health binds us all together and that denying health care to someone is hurting all of us."

ASI Home Care is one company that will benefit from the measure. Although based in Chicago, patients can be from anywhere in the state as ASI Home Care offers a variety of telehealth and remote monitoring services.

Marta Cerda, its CEO, said ASI Home Care is one of the few, if not only, Latino-led agencies in the state providing various home care services in English and Spanish.

"When COVID hit, one of my biggest moments of upset or despair was that I wanted to take care of undocumented elderly and we really couldn't do that under the circumstances we were under. Our programs don't allow for that," Cerda said. "So, because of the passage of this provision, they will be able to access Medicaid and they will be able to enter into our program, so we'll be able to take care of them."

The General Assembly won't return to Springfield until the veto session on Nov. 17 as Ramirez said there is more to be done, pointing to people who may make $100 too much to qualify for the expanded services and still can't afford health care.

"When I think about my mother and father who have been here for 37 years, there's significantly far more to be done," Ramirez said, "so that people are not put in a position that they have to choose between their property taxes and their medication."


With this, we're the first state to provide medicaid for seniors or those below the poverty line regardless of immigration status as of July 1. What's your view, NSG?

For me, it's a decent enough idea. They're here, they work, they pay taxes, as long as they aren't trouble to anyone else, why shouldn't we help them out?
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Postby Vetalia » Thu May 28, 2020 3:58 pm

How is Illinois going to pay for it? And for that matter, why aren't these seniors US citizens by now? We should definitely not be spending citizens' tax dollars on people who shouldn't be here to begin with.
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Postby Senkaku » Thu May 28, 2020 4:00 pm

Vetalia wrote:How is Illinois going to pay for it?

taxes, i assume
And for that matter, why aren't these seniors US citizens by now?

i assume bc we've made it pretty hard for them to become citizens
We should definitely not be spending citizens' tax dollars on people who shouldn't be here to begin with.

you do know undocumented ppl pay taxes too right lmao
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Postby Shrillland » Thu May 28, 2020 4:01 pm

Vetalia wrote:How is Illinois going to pay for it? And for that matter, why aren't these seniors US citizens by now? We should definitely not be spending citizens' tax dollars on people who shouldn't be here to begin with.


All the impact reports said it wouldn't cost much more than $2 million a year, which is pretty cheap policy-wise.
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Postby Major-Tom » Thu May 28, 2020 5:03 pm

Shrillland wrote:
Vetalia wrote:How is Illinois going to pay for it? And for that matter, why aren't these seniors US citizens by now? We should definitely not be spending citizens' tax dollars on people who shouldn't be here to begin with.


All the impact reports said it wouldn't cost much more than $2 million a year, which is pretty cheap policy-wise.


2 million a year for a state like Illinois is a drop in the bucket, they spend far more on small-scale infrastructure projects in Chicago alone.
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Postby Rusozak » Thu May 28, 2020 5:05 pm

Vetalia wrote:How is Illinois going to pay for it? And for that matter, why aren't these seniors US citizens by now? We should definitely not be spending citizens' tax dollars on people who shouldn't be here to begin with.


lol, as an Illinois native I can verify the state was utterly broke and on the verge of going bankrupt even before all of this started. My prediction is the biggest tax hike we've ever seen.
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Postby Luziyca » Thu May 28, 2020 5:06 pm

Congrats to Illinois. Hope they eventually roll out a universal healthcare program and be the Saskatchewan of the States with regard to healthcare.
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Postby Joohan » Thu May 28, 2020 5:17 pm

Illinois has the second-highest debt in the U.S. with total liabilities equaling $248.1. With total assets of $53.9 billion, Illinois has $192.4 billion in unfunded liability. In order to pay that off, every person in Illinois’s 12.7 million population would need to pay $15,291.

On top of this, Illinois has the fastest declining population of any state in the Union. Counties are floundering to prop up local services, with only pitiful support coming in from Springfield, and are thus having to lay the tax burden on local residents.

Not only is this stupid, I would say that it is criminally negligent. We have no money, our credit is garbage, counties barely scrapping by for funding ( if at all sometimes ), and John Q Public isn't seeing a cent of his tax dollars being put into use because it's all going into paying off a bottomless debt.

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Postby Loben The 2nd » Thu May 28, 2020 5:19 pm

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Postby Rusozak » Thu May 28, 2020 5:20 pm

Joohan wrote:Illinois has the second-highest debt in the U.S. with total liabilities equaling $248.1. With total assets of $53.9 billion, Illinois has $192.4 billion in unfunded liability. In order to pay that off, every person in Illinois’s 12.7 million population would need to pay $15,291.

On top of this, Illinois has the fastest declining population of any state in the Union. Counties are floundering to prop up local services, with only pitiful support coming in from Springfield, and are thus having to lay the tax burden on local residents.

Not only is this stupid, I would say that it is criminally negligent. We have no money, our credit is garbage, counties barely scrapping by for funding ( if at all sometimes ), and John Q Public isn't seeing a cent of his tax dollars being put into use because it's all going into paying off a bottomless debt.

Wisconsin, if you're reading this, please invade.


This will only drive more of us to leave the state. It's already a sinking ship.
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Postby Shrillland » Thu May 28, 2020 5:22 pm

Rusozak wrote:
Vetalia wrote:How is Illinois going to pay for it? And for that matter, why aren't these seniors US citizens by now? We should definitely not be spending citizens' tax dollars on people who shouldn't be here to begin with.


lol, as an Illinois native I can verify the state was utterly broke and on the verge of going bankrupt even before all of this started. My prediction is the biggest tax hike we've ever seen.


We're already voting on that in November, and most of us won't see our taxes go up. All we need to do after that is property tax reform, reorganise the pension systems, and it's clear sailing.
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Postby Joohan » Thu May 28, 2020 5:23 pm

Rusozak wrote:
Joohan wrote:Illinois has the second-highest debt in the U.S. with total liabilities equaling $248.1. With total assets of $53.9 billion, Illinois has $192.4 billion in unfunded liability. In order to pay that off, every person in Illinois’s 12.7 million population would need to pay $15,291.

On top of this, Illinois has the fastest declining population of any state in the Union. Counties are floundering to prop up local services, with only pitiful support coming in from Springfield, and are thus having to lay the tax burden on local residents.

Not only is this stupid, I would say that it is criminally negligent. We have no money, our credit is garbage, counties barely scrapping by for funding ( if at all sometimes ), and John Q Public isn't seeing a cent of his tax dollars being put into use because it's all going into paying off a bottomless debt.

Wisconsin, if you're reading this, please invade.


This will only drive more of us to leave the state. It's already a sinking ship.


It's a shame too, I really like Illinois. Sure mountains and flowers are pretty, I guess, but i've got a taste for cornfields and infinite horizons - miserably hot summers and arctic winters. It's just not financially doable for me.
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Postby Joohan » Thu May 28, 2020 5:32 pm

Shrillland wrote:
Rusozak wrote:
lol, as an Illinois native I can verify the state was utterly broke and on the verge of going bankrupt even before all of this started. My prediction is the biggest tax hike we've ever seen.


We're already voting on that in November, and most of us won't see our taxes go up. All we need to do after that is property tax reform, reorganise the pension systems, and it's clear sailing.


Oh is that all?!

Illinois has one of the most ridiculously generous public-servant pension plans in the country - combined with an extremely influential public sector union. You just gonna ask one of the biggest political players in the state to bite the bullet for the greater good? There's a reason it ain't happened in the last 40 years.

I'm not an anti-union guy, but groups like the AFSCME and IFT ( more their Chicago branch than anything ) are seriously more of a hindrance than anything.
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Postby Valrifell » Thu May 28, 2020 5:35 pm

Illinois is gonna get it's midwest card removed if it keeps pushing the liberal agenda smh.
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Postby Vetalia » Thu May 28, 2020 5:39 pm

Senkaku wrote:taxes, i assume


The last thing Illinois needs is new taxes...they are literally in a state of fiscal emergency as is and people and businesses are fleeing the state in droves due to oppressive taxation.

i assume bc we've made it pretty hard for them to become citizens


What is so hard about it? 756,000 other people managed to do so last year.

you do know undocumented ppl pay taxes too right lmao


How much tax is paid vs. the number of illegals in the country? I bet it's quite a bit lower than what they would be paying if they were citizens, especially any payments made under-the-table that are undoubtedly not reported.
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Postby Shrillland » Thu May 28, 2020 5:39 pm

Joohan wrote:
Shrillland wrote:
We're already voting on that in November, and most of us won't see our taxes go up. All we need to do after that is property tax reform, reorganise the pension systems, and it's clear sailing.


Oh is that all?!

Illinois has one of the most ridiculously generous public-servant pension plans in the country - combined with an extremely influential public sector union. You just gonna ask one of the biggest political players in the state to bite the bullet for the greater good? There's a reason it ain't happened in the last 40 years.

I'm not an anti-union guy, but groups like the AFSCME and IFT ( more their Chicago branch than anything ) are seriously more of a hindrance than anything.


Even I'll agree on that, my family's been union for generations. Yes, AFSCME and the IFT need to step up. We did try to amend the state constitution to allow pension cuts, but it only got 56% voting yes(Illinois needs 60%).

Even so, this small $2 million a year addition isn't going to be that much more damage, and it's going to people who are already taxpayers even if they're not here legally.
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Postby Vetalia » Thu May 28, 2020 5:41 pm

Shrillland wrote:Even I'll agree on that, my family's been union for generations. Yes, AFSCME and the IFT need to step up. We did try to amend the state constitution to allow pension cuts, but it only got 56% voting yes(Illinois needs 60%).

Even so, this small $2 million a year addition isn't going to be that much more damage, and it's going to people who are already taxpayers even if they're not here legally.


First off, we would need to see how much they pay in taxes vs. how much it costs. Secondly, we would also need to see what the long-term costs are going to be...it might be $2m now but since it's an unfunded entitlement it could balloon far beyond that as the next generation of illegals ages into Medicaid.
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Postby Joohan » Thu May 28, 2020 5:46 pm

Shrillland wrote:
Joohan wrote:
Oh is that all?!

Illinois has one of the most ridiculously generous public-servant pension plans in the country - combined with an extremely influential public sector union. You just gonna ask one of the biggest political players in the state to bite the bullet for the greater good? There's a reason it ain't happened in the last 40 years.

I'm not an anti-union guy, but groups like the AFSCME and IFT ( more their Chicago branch than anything ) are seriously more of a hindrance than anything.


Even I'll agree on that, my family's been union for generations. Yes, AFSCME and the IFT need to step up. We did try to amend the state constitution to allow pension cuts, but it only got 56% voting yes(Illinois needs 60%).

Even so, this small $2 million a year addition isn't going to be that much more damage, and it's going to people who are already taxpayers even if they're not here legally.


I trust an Illinois budget plan as much as I trust an Illinois governor.

Aside from the fact i'm certain they'll absolutely mess it up, i'm against the proposal on principal. Regardless of if these people are tax payers, they are here illegally, having either entered into this nation without consent, or having staying beyond the point to which they were welcomed. The resources of Illinois should go to it's own citizens, to their fellow American's, and those foreigners who are our guests
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Postby Nevertopia » Thu May 28, 2020 5:48 pm

Vetalia wrote:
Shrillland wrote:Even I'll agree on that, my family's been union for generations. Yes, AFSCME and the IFT need to step up. We did try to amend the state constitution to allow pension cuts, but it only got 56% voting yes(Illinois needs 60%).

Even so, this small $2 million a year addition isn't going to be that much more damage, and it's going to people who are already taxpayers even if they're not here legally.


First off, we would need to see how much they pay in taxes vs. how much it costs. Secondly, we would also need to see what the long-term costs are going to be...it might be $2m now but since it's an unfunded entitlement it could balloon far beyond that as the next generation of illegals ages into Medicaid.


as a Canadian I can say that for us historically when you invest in social safety nets and relaxing laws that acutely target minorities, you end up with lower crime rates and a better standard of living overall. I know America is a different breed of beast but when it comes to the social impact of social programs you have to focus on the margins. Its not just a simple return of investments because while the upfront cost might be expensive, the overall expense of supporting undocumented immigrants into citizenship has a broader social impact that can only be seem by studying how other government programs are impacted.
Last edited by Nevertopia on Thu May 28, 2020 5:48 pm, edited 1 time in total.
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Postby Vetalia » Thu May 28, 2020 5:52 pm

Nevertopia wrote:as a Canadian I can say that for us historically when you invest in social safety nets and relaxing laws that acutely target minorities, you end up with lower crime rates. I know America is a different breed of beast but when it comes to the social impact of social programs you have to focus on the margins. Its not just a simple return of investments because while the upfront cost might be expensive, the overall expense of supporting undocumented immigrants into citizenship has a broader social impact that can only be seem by studying how other government programs are impacted.


I just don't buy this idea that it's incredibly hard for people to become US citizens when almost a million people per year go through the process every single year without a problem. There is no logical or justifiable reason for someone who is here illegally to remain that way for years or even decades unless they're up to something that is itself illegal or getting a free ride by not paying taxes. We need to deport anyone who isn't here legally without question and if they want to be here let them come through via the same legal channels as everyone else.
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Postby Vetalia » Thu May 28, 2020 5:57 pm

Joohan wrote:I trust an Illinois budget plan as much as I trust an Illinois governor.

Aside from the fact i'm certain they'll absolutely mess it up, i'm against the proposal on principal. Regardless of if these people are tax payers, they are here illegally, having either entered into this nation without consent, or having staying beyond the point to which they were welcomed. The resources of Illinois should go to it's own citizens, to their fellow American's, and those foreigners who are our guests


I agree 100%, American taxpayer funds should be used first and foremost for the benefit of American citizens.

I'm sorry but I just don't buy the line of reasoning that prevents these people from becoming American citizens for years or even decades. I'd really be interested to see just how much in taxes illegal immigrants actually pay vs. the amounts they earn but it would be impossible to quantify given most are paid under the table.
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Postby Cekoviu » Thu May 28, 2020 7:09 pm

cool
i mean, we should be giving everybody full universal healthcare, but cool
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Postby Shrillland » Thu May 28, 2020 7:19 pm

Cekoviu wrote:cool
i mean, we should be giving everybody full universal healthcare, but cool


Illinois definitely can't afford that on its own, alas.
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Postby Cekoviu » Thu May 28, 2020 7:19 pm

Shrillland wrote:
Cekoviu wrote:cool
i mean, we should be giving everybody full universal healthcare, but cool


Illinois definitely can't afford that on its own, alas.

on a national level, that is
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