Health Care Reform for Children?

I was recently at a conference where a health care futurist was describing health care reform possibilities under President Obama and the future of health care with the baby boomers retiring. During his presentation he made a comment that if Medicare is not reformed, he will be walking around with a big "M" on his forehead and no doctor will want to treat him (due to low payments). My reaction.... "Welcome to the world of a child on Medicaid." His statement indicates that he deserves the best medical care in his elder years. Of course he does. But so do our children. Medicaid pays approximately 1/3 of what private insurance pays for regular primary care. If you were a private doctor, would you treat Medicaid-insured children? The SCHIP Reauthorization Act allows states to expand Medicaid coverage up to 300% of the federal poverty guidelines (approximately $62,000 for a family of four). The expanded eligibility will cover millions more children. While this is good news, there is a sense in Washington that health care reform for children is solved. Current health care reform discussions are revolving around Medicare and uninsured adult care; also good news. However, I must argue that the SCHIP expansion does not solve all the barriers for children. If there aren't doctors willing to treat children with Medicaid- what good is having coverage?

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