Medicare/Medicaid Dual Eligibility and Access to Care – Oregon

Even with coverage of two major plans, some Oregonians struggle to get health care, By Andy Dworkin, August 19, 2009, The Oregonian: “Little noticed in the debate on public medical insurance and health reform is a group of 55,000 Oregonians covered by two major public health plans. The so-called ‘dual eligibles’ qualify for both Medicare and Medicaid because they have low incomes and are disabled or over 64. About 9 million Americans have both Medicare and Medicaid, according to the Kaiser Family Foundation, and they tend to be poorer, sicker, less educated and more often women or minorities than other citizens. As some Democrats push Congress to create a national public health insurance option, the dual eligibles show both benefits and pitfalls expanded public coverage could bring. On one hand, dual eligibility gives fairly complete insurance to poor, sick people who can’t afford private insurance, and would likely be rejected by most private plans for their existing health problems. But caring for dual eligibles costs upward of $200 billion a year. And some people covered by both plans still have trouble finding doctors or buying prescriptions — proof that expanding insurance coverage isn’t enough to lower costs or improve health care, two other, competing goals of health reform…”