Adopt A Server: Patrons Help Ohio Valley Restaurant Workers Weather Pandemic Holidays

Stay-at-home mom Sarci Eldridge has a big heart. So when Kentucky entered its second round of restaurant restrictions due to the coronavirus pandemic, her first thought was for her favorite server, Jessica Carey.

“Me and my mom were talking, and we were just like, you know, we should just get Jessica something to get her through the holidays,” Eldridge said. “Some gift cards and stuff. She has a little boy.”

Carey has been a server and a bartender at Tex-Mex chain Chuy’s in Lexington, Kentucky, for about seven years. She loves the Eldridge family, too. “I was going through a lot of stuff when I met them, and she and [her husband] Nate and her mom were just so sweet to me, and always seemed to know when I needed a hug.”

Carey was surprised when, out of the blue, she received a message from Eldridge asking what her son, Dain, wanted for Christmas. But after months of reduced hours and meager unemployment benefits, Carey needed the help.

“So I sent her a super small list, it was just like four things I think.”

Eldridge posted about the exchange on her personal Facebook page, she said, and it blew up. “I had some people go, like, ‘Oh, that’s a really good idea, I should do something for my favorite server.’”

A few days later, Eldridge started a Facebook group based on the idea, which she called “Adopt a Server Kentucky.” Within a few days, it had hundreds of members; within a month, four thousand. Some were generous Kentuckians moved to help struggling restaurant workers. Others were restaurant workers themselves, swallowing their pride to ask for help buying necessities, paying the electric bill, and making Christmas special for their kids.

“We need to come together and try to help people through the holidays, because through no fault of their own, these people have lost their job twice in a year, or massive pay reduction, and that’s just not easy,” Eldridge said of the group.

Many Workers, Low Wages


According to the Brookings Institution, waiting tables is the eighth most common job in the United States, with more than 12 million Americans in the hospitality sector. (This figure includes hotel workers and back-of-house workers, like dishwashers, in restaurants.) Restaurant work ranks among the top 10 industries with the most workers in the Ohio Valley states of Kentucky, Ohio and West Virginia.

The industry has been hit particularly hard by the pandemic, with establishments forced to close for long periods and struggling to survive on reduced capacity even when they’re permitted to open their doors. It’s left servers like Carey with their heads spinning as they balance newly unreliable incomes with kids’ changing school schedules and concern for their health and their families’.

On top of that, the unemployment insurance system is uniquely ill-suited to meet the needs of people in the restaurant industry, according to the Brookings Institution Metropolitan Policy Program fellow Annelies Goger.

“In every state, you have to have income at a certain level every quarter in order to qualify [for unemployment], and many tipped workers, because that minimum wage is so low, wouldn’t be able to document that they have enough income to show that they’re eligible,” Goger said.

In addition to making too little money to qualify for unemployment in the usual system, the tipped minimum wage also hurts millions of servers. The national minimum wage is $7.25/hour, but the minimum wage for tipped workers is just $2.13 an hour. Since unemployment benefits are calculated as a percentage of wages, tipped workers who do qualify for unemployment insurance are likely to receive just a fraction of what other workers might bring in.

“They said I would get $199 every two weeks,” said Chuy’s server Carey. “I could make that much in one day in a good day shift. So that’s like one day, stretched over two weeks.”

The expiration of some federal support for displaced workers hit the Ohio Valley especially hard. A report from the U.S. Bureau of Economic Analysis shows personal income dropped last quarter by about 24% in Kentucky, and by about 30% in West Virginia — the sharpest declines in the country.

Kindness Amid “Dystopia”


Louisville server Sara Bell spent weeks unemployed, then suffered a knee injury that’s kept her off her feet even as Kentucky has reopened some dine-in capacity at its restaurants. With no paid time off, Bell turned to the brand-new Adopt a Server page for help.

“I felt a little weird asking for help, because I don’t have kids,” she said. But she does have cats: Jibby, Chewie and Duffy. “My main thing is that I want to keep them fed.”

Courtesy Sara Bell
/
Ohio Valley Resource
Adopt a Server helped Sara Bell get treats for Jibby (left) and Chewie (right).

Bell was quickly “adopted,” the language used on the page when a non-server commits to fill at least some of a server’s needs. “This sweet angel, she sent me a 22-pound bag of cat food and a big thing of their treats. And then she sent me a $100 Visa gift card and a $25 Starbucks gift card, and she kind of told me, everyone deserves a little Christmas.”

Also in Louisville, exotic dancer Tabitha Rowan worried how she would be received if she posted to Adopt a Server. But, she reasoned, closed mouths don’t get fed. “Here I am, you know, am I going to feed my son this last pack of hot dogs, this last box of cereal, and I’m just not going to eat so he can?”

So she posted, “I don’t want to come on here and not be 100% honest so here is my truth. I am not a server, I am a dancer.” She went on, “I was genuinely worried to make this post because of the “stereotype” that surrounds us. However, I promise that that stereotype does NOT apply to us all. I am just a mother that works VERY hard to take care of her son.”

She added a link to an Amazon wish list with Christmas presents for her three-year-old son, Legend.

In Lexington, Eldridge saw Rowan’s post, and she approved it. “She was just precious to me, for no other reason than she was just completely honest about her plight.”

Rowan was adopted the next day. “I opened up the door one day, and there were like six boxes sitting there.”

She went on, “I like the name Adopt a Server, but that group needs to be Beyond Blessings, is what it needs to be. That group is amazing.”

Courtesy Tabitha Rowan
/
Ohio Valley Resource
Tabitha Rowan asked for help with Christmas presents for her son Legend.

It’s hard to tell how many restaurant workers Adopt a Server has helped, but the page is brimming with multiple new posts each day. Scrolling through them is a rollercoaster of emotions: heartfelt photos of happy babies in brand-new clothes, interspersed with desperate pleas for help keeping the heat on.

Bell appreciates what the group has given her, but she sees a dark side to it, too. “This pandemic has really radicalized me,” she said. “As great as it is that people are so generous wanting to help others, it’s also incredibly dystopian the way our government failed the working class.”

An Unexpected Gift


Shortly after Jessica Carey sent Sarci Eldridge her son’s wish list, 11-year-old Dain came rushing to his mom’s side with a last-minute item for his Christmas list.

“There was a little bottle of cologne that he just loves, and he loves it because it is one that his dad gave him. And his dad died three years ago. He’s been stretching that cologne impossibly, and it finally ran out not too long ago,” she said. “He’s not very talkative about his dad. But that was one thing that meant a lot to him.”

The last few years have been difficult for Carey, she said, dealing with the loss of her high-school sweetheart and raising her son alone. It turns out, Adopt a Server had one more gift for Carey herself that wasn’t on any list.

“Me being me, I never thought that I was anything special. And I know that sounds bad to say about yourself, but … the fact that somebody thought that that was enough to want to help other people, like, I never realized that that is what I meant to them. And it feels really good.”

The Ohio Valley ReSource gets support from the Corporation for Public Broadcasting and our partner stations.

Watchdog Report Finds Over-Prescription Of Opioids For Some Medicaid Patients

A report from a federal oversight agency shows that over 4,000 patients in the Ohio Valley received high amounts of opioids in 2018 through Medicaid. The agency is encouraging states to enforce prescription drug monitoring programs and sharing data with Medicaid agencies.

The Office of Inspector General for the Department of Health and Human Services focused the report on six Appalachian states in support of their partnership with law enforcement agencies who are in the Appalachian Regional Prescription Opioid Strike Force.

Patients are considered at serious risk if they’ve received an extreme amount of opioids, which is defined as 32 tablets or more of 5 milligram Percocet every day for a year.

If patients appear to be doctor shopping which means receiving high amounts of opioids from multiple prescribers and pharmacies, they are also considered at serious risk.

The report found five prescribers in Kentucky and 13 in Ohio have questionable prescribing patterns.

Hilary Slover served as a team leader for the study. She says the oversight agency is concerned with the potential impacts COVID-19 maybe having on treatment and opioid prescribing.

“During this time some Medicaid programs have relaxed rules and suspended safeguards like the requirement for face to face visits with prescribers to receive opioid prescriptions,” Slover said. “In addition, patients may be experiencing reduced access to in person treatment and recovery support. ”

COVID-19 could have a greater effect on patients with an opioid use disorder because the virus attacks the lungs. According to the report, respiratory disease is known to increase the risk of fatal overdose.

Slover says the IG’s Office will release reviews that will assess the trends and challenges of opioid prescribing during the COVID-19 pandemic at a later date.

Report Shows Personal Income In The Ohio Valley Declined Between July and September

A new federal report shows that West Virginia and Kentucky saw the country’s sharpest declines in personal income last quarter. Alana Watson explains the losses are tied to the pandemic and declining support from the coronavirus relief act.

The U.S. Bureau of Economic Analysis says personal income decreased in every state in the third quarter of 2020, which includes the months of July, August, and September. West Virginia and Kentucky saw the largest declines.

Income in West Virginia declined by almost 30 percent and Kentucky by 24 percent. Ohio’s personal income declined by 16 percent.

Personal income had increased in the second quarter from April to June due to the government’s economic support during partial COVID-19 shutdowns.

Matthew von Kerczek is an economist for the Bureau of Economic Analysis. He says the reduced COVID-19 aid from the CARES Act was one of the leading contributors to the decline in the third quarter.

“In the second quarter, the CARES act boosted personal income by about 3 trillion dollars. In the third quarter it’s just over 1 trillion dollars,” Kerczek said.

Von Kerczek says there was a partial rebound in earnings in the third quarter due to the gradual reopening of the economy.

The final 4th quarter report will be released in March 2021.

Mine Safety Officials Won’t Do More To Protect Coal Miners From COVID-19, Letter Says

The Mine Safety and Health Administration is declining to issue an emergency temporary standard that could protect coal miners whose jobs make them vulnerable to the coronavirus.

That’s according to an Aug. 14 letter from Department of Labor Deputy Assistant Secretary Joe Wheeler to West Virginia Sen. Joe Manchin. MSHA can issue emergency temporary standards only when it determines that miners are exposed to a grave danger. It has only issued a handful of such standards, MSHA said, typically in the aftermath of large-scale mining disasters.

In the letter, Wheeler writes, “At this time, MSHA has determined it lacks evidence that COVID-19 poses a grave risk specific to miners.”

MSHA does not keep a comprehensive list of coronavirus cases among coal miners, though it does track mines where cases have been reported. According to a spokesperson for the Department of Labor, MSHA is currently aware of 188 mines that have reported instances of COVID-19.

To bolster its point, MSHA said that states with the highest numbers of working coal miners, including West Virginia, have relatively low rates of COVID-19.

A government official with knowledge of coal mining, who asked to remain anonymous over concerns for their job, said comparing rates of disease in a state to the risk of contracting a disease in a mine is “not incredibly useful.” According to the official, it only takes one case to spark an outbreak in a confined working environment. “Just take the meat-packing industry, for example. The explosion of cases in those facilities occurred in states that had relatively few cases. But the nature of the work, close quarters, little ability to social distance and no PPE caused the virus to infect upwards of 40-60 percent of employees.”

West Virginia news outlet WBOY reported this month that a Murray Energy mine in Harrison County had four cases of the virus, qualifying it as an official outbreak, according to health department procedures.

“Miners are particularly vulnerable to respiratory illnesses,” said a spokesperson for Sen. Tim Kaine of Virginia, who has supported efforts to force MSHA to intervene. “The fact that the agency tasked with protecting them is saying that the risk miners face from COVID-19 is similar to or less than the general population is extremely concerning.”

MSHA said existing permanent standards are sufficient to protect miners’ health. But even before the arrival of coronavirus there were indications of serious shortcomings in health protections. Reporting from NPR and the Ohio Valley ReSource found epidemic-levels of black lung disease among working and retired coal miners, demonstrating that existing safety regulations and enforcement procedures still leave miners at risk of respiratory illness. Respiratory disease, in turn, can make people more vulnerable to serious effects from COVID-19 infection.

“Our miners work in close proximity to one another from the time they arrive at the mine site,” said Cecil Roberts, president of the United Mine Workers of America. “They get dressed, travel down the elevator together, ride in the same man trip, work in confined spaces, breathe the same air, operate the same equipment, and use the same shower facilities.”

The UMWA has worked with individual mines to implement uniform safety precautions, including additional disinfection between shifts and limiting the number of miners who enter the mines in confined “man trips.” The union also asked MSHA to issue an emergency temporary standard, even going so far as to file suit in a Washington D.C. circuit court asking a judge to force the agency to act. The judge dismissed that suit.

MSHA said it has implemented reporting procedures for miners who are concerned about COVID exposure in their workplaces. MSHA said it has received complaints through its tip line and, from March 1, 2020 to Aug. 14, 2020, has issued 122 citations for violations of various regulations regarding sanitary conditions that could contribute to the spread of COVID-19.

Black Lung, Red Ink: Residents Press McConnell As Deadline Looms For Black Lung Fund

On a cool but clear November day about a dozen residents from eastern Kentucky’s coal mining region crowded into the lobby of an office building in the small town of London, Kentucky. That’s where Kentucky’s powerful senior senator, Mitch McConnell, has his local field office.

McConnell’s staff let the local advocates for black lung treatment into the office a few at a time to make their case for funding the federal Black Lung Disability Trust Fund.

There was a lot of laughter and plenty of selfies, but there was tension, too. Many of these residents know miners and families affected by the deadly disease who depend on benefits from the fund, and they know the clock is ticking on a tax that has supported the fund for more than 35 years.

Some people quietly rehearsed what they hoped to say; others brought written statements to read to the senator’s staff.

“I have lived in Appalachia almost 40 years,” Virginia Meagher read aloud. Her first job out of law school was helping disabled miners get approved for black lung benefits. “As our society makes the transition to clean energy we should not forget how our coal miners provided the foundation.”

Another resident, Morgan Brown, said she was visiting McConnell’s office on behalf of her father, a retired coal miner suffering from black lung. Brown said her father worked for different coal companies across the state. Now he struggles with the disease and fights to get benefits from the industry.

“You thought these were your employers, they cared about you,” she said. “Just to see them fight so hard against him is just, like I said it’s infuriating. You just really feel anger.”

Brown’s father is seeking benefits from a company he worked for. But more than 25,000 miners and their dependents rely on the federal trust fund for benefits because a responsible employer cannot be identified.

An excise tax on each ton of coal mined supports the fund, but early in the fund’s operation it slid deep into debt. Congress roughly doubled the coal tax in 1981, and renewed that rate ten years ago.

That rate expires at the end of the year, which would send the tax back to its 1980 level. That would save money for the mining industry but would likely sending the fund’s debt spiraling billions of dollars higher unless Congress acts to extend the existing tax rate.

Credit Sydney Boles / Ohio Valley ReSource
/
Ohio Valley ReSource
Disabled retired miner Carl Shoupe prepares to deliver a message to Sen. McConnell.

Retired miner Carl Shoupe said if anyone can get Congress to act, it’s his state’s senior senator.

“Senator McConnell, he’s the most powerful senator in, in the world, as far as that goes. And if he gets on this, he can push it through. I believe that,” Shoupe said. “And I hate to put that on him, but it’s the truth, you know?”

The fate of the trust fund is unfolding amid an epidemic surge in cases of black lung disease among Appalachian miners and a sharp downturn in the region’s mining industry. That leaves McConnell in an uncomfortable position that pits the interests of powerful home-state mining companies against those sickened by work in that industry.

McConnell’s Message

As Majority Leader, Sen. McConnell could find a way to extend the tax. During an October event in eastern Kentucky he appeared to indicate he would do that.

“That’ll be taken care of before we get into an expiration situation,” McConnell said in response to a ReSource reporter’s question about the status of the trust fund and the coal tax. “It just won’t be allowed to be unfunded,” McConnell reiterated.

Credit U.S. Senate
/
Senate Majority Leader Mitch McConnell, of Kentucky.

But with less than a week remaining in the Congressional session, black lung advocates are still waiting for McConnell to follow through on that, and McConnell’s staff appears to be softening the senator’s earlier statement.

McConnell’s office did not answer detailed questions about the fate of the tax or commit to extending it at its current rate. In a written statement to the ReSource, McConnell said, “It is a top priority of mine to maintain and protect benefits for those suffering from black lung disease.”

As the ReSource reported in June, a report from the Government Accountability Office estimates that a reduced coal tax would likely add billions to the already sizable debt for the trust fund. In one scenario, the GAO estimates a $15 billion debt for the fund by 2050.

That would not immediately put miners’ benefits in jeopardy. In the past the federal government has forgiven the fund’s debt. But advocates say a large debt raises the possibility of reduced benefits down the road or greater barriers for future applicants to win benefits. And they raise questions about the fairness of having taxpayers, rather than the industry, paying off the fund’s debt.

The United Mine Workers of America, the union representing miners, argues that allowing the coal tax rate to expire would shift the burden for black lung benefits from the industry to the public.

“At a time when black lung is on the rise, especially among younger miners, Congress should not be even considering allowing the coal industry contribution to be cut,” UMWA President Cecil Roberts said in a statement. “Miners are going to need these benefits for decades to come. This is a problem that has been created by the coal industry, there is a system to help the victims of this disease already in place that the coal industry pays for, and I see no reason why we would put the taxpayers on the hook instead.”

Industry Concerns

The coal mining industry has been arguing behind the scenes in Washington and in regional opinion pages that the coal tax at its current rate is “an unfair burden” and should be allowed to expire.

Kentucky Coal Association President Tyler White said that would not mean the tax is going away, rather it would go back to the level Congress originally intended.

“Extending current higher tax rates beyond their scheduled expiration, we kind of look at that as a tax increase,” White said. “At a time when we’re still experiencing a significant economic stress.”

Credit Howard Berkes / NPR
/
NPR
Mackie Branham views a lung X-ray with Dr. James Brandon Crum, who was among the first physicians to note an uptick in black lung diagnoses.

White said that would hurt the coal industry’s ability to remain viable which, in turn, could put the trust fund in jeopardy if there is no coal production to be taxed.

Congress has reason to listen when the coal industry speaks. Coal mining companies and their political action committees doled out more than $20 million in political spending in the last two election cycles, according to an analysis of campaign finance records by the nonprofit Center for Responsive Politics. About 95 percent of campaign contributions went to Republicans and some of the top contributing companies have a major presence in the Ohio Valley, including Alliance Resource Partners and Murray Energy.

The mining industry’s aggressive lobbying appears to be paying off. For example, a draft version of a House tax bill had included a modest, one-year extension of the current excise tax rate on coal for the trust fund.

Then in late November the National Mining Association sent members of Congress a letter urging them to remove that section from the bill. The letter from NMA President Hal Quinn also warned that if the provision was not removed NMA “will include this floor vote in its Congressional Scorecard” as a negative mark against lawmakers.

When House Republicans released a new version of the bill in December, the coal tax rate extension was gone.

Not Giving Up

“Well it just shows you how responsive Congress can be to lobbyists from an industry that’s on its decline,” said Wes Addington, Deputy Director of the nonprofit Appalachian Citizens’ Law Center. 

Addington is the son of a miner and the law center operates in Whitesburg, deep in eastern Kentucky’s coal country, where staffers work on black lung benefits and other mining community issues.

He noted that the trust fund has been especially important for Appalachian mining communities because of the region’s long history of mining and frequent problems identifying a company to take responsibility for a sick miners’ benefits.

Department of Labor figures support that. From 2009 to 2018, Kentucky, Ohio and West Virginia have been responsible for 63 percent of all black lung benefit claims the department received. In that time residents of the three states have relied on over $1.3 billion to from the fund to help pay for medical and other life expenses brought about by black lung disease.

“Why is McConnell not following through with his sort of promise to miners and their families in Appalachia?” Addington asked. “This fund that’s so crucial to their health and well-being,”

With just days left before Congress is scheduled to adjourn, the Kentucky black lung advocates weren’t ready to give up. They were planning one more visit to McConnell’s regional office.

ReSource staff Alexandra Kanik and Jeff Young contributed reporting.

Healthy Debate: Ohio Valley Health Concerns Driving Competitive Midterm Races

The political ads in the Ohio Valley are playing on what seems like a constant loop. That’s not unusual for election season. But what is unusual this year is how many ads focus on health care. Consider this one from Kentucky Republican Andy Barr, who’s facing a tough challenge in the 6th Congressional District from Democrat Amy McGrath.

-rA

McGrath supports maintaining the Affordable Care Act and its essential benefits with some tweaks. Barr’s campaign ads proclaim her a radical socialist whose plan “doubles your federal taxes and ends Medicare as we know it.” It is complete, of course, with dramatic background music.

Not to be outdone, West Virginia Democratic Sen. Joe Manchin actually uses a gun in his targeted rebuke of his Republican opponent, Patrick Morrisey, who has promised to repeal Obamacare.

“He’s just dead wrong. It just ain’t going to happen,” Manchin says in the ad. Then there is the ringing sound of a shot fired.

-IJg

Yes, Manchin fires a shotgun into a piece of paper to prove his point. Some political junkies may remember that he did essentially the same thing in 2012 when he was taking aim at “cap and trade.”

The midterm story on health care is much the same in Ohio where incumbent Democratic Sen. Sherrod Brown is facing tough-talking, motorcycle-riding Republican Jim Renacci, who is sometimes referred to in the press as a “mini-Trump.”

But while the campaigns simplify and weaponize health care, the future of the Affordable Care Act is a pivotal issue in midterm races across the Ohio Valley with major implications for millions of residents. The Act’s expansion of Medicaid dramatically increased access to health care in Kentucky, Ohio, and West Virginia, and the Act protected some three million people in the region with pre-existing health conditions. The future of those parts of the Act may now be determined by the outcome of the Nov. 6 election.

Important Details

Simon Haeder is an Assistant Professor in the Department of Political Science in the John D. Rockefeller IV School of Policy & Politics at West Virginia University. He said the healthcare debate actually centers on the wonky intersection of something called the individual mandate and its impact on people with pre-existing conditions.

“Before the Affordable Care Act everybody wanting to get insurance in the private market had to go through a medical screening and insurers were very eager to screen out individuals who could cost them a lot of money,” he said.

Those individuals were determined to have pre-existing conditions. That term had a broad scope that could include everyone from those treated for acne to victims of domestic violence who often have high medical bills. Haeder said the ACA declared that people with pre-existing conditions couldn’t be denied insurance and added another critical provision.

“It also required that every American get insurance, and that was called the individual mandate,” he said.

Alexandra Kanik
/
Ohio Valley ReSource

With the individual mandate people who didn’t get insurance faced a financial penalty. Those healthy people who don’t need a lot of care paying into the system are crucial to making the overall ACA math work. Now Republicans in Congress have eliminated that penalty. Haeder said that without facing a penalty more people will simply not get insurance

Further, 20 state Attorneys General have used that as an argument in a lawsuit to repeal the ACA through the courts. Morrisey, Manchin’s Republican opponent, is among that group.

The lawsuit says that without the money from the individual mandate and the premium payments from healthy folks, there is not enough money to pay for the care of all those people with pre-existing conditions.

Haeder said the lawsuit claims “we should throw the entire Affordable Care Act out because the individual parts cannot stand on their own. That threatens those individual marketplace components for the ACA including protections for pre-existing conditions.”

If the ACA is gutted, Haeder said people with pre-existing conditions could lose their coverage or be required to pay expensive premiums.

Pivotal Issue

According to the Kaiser Family Foundation if those protections against pre-existing conditions were eliminated that would leave roughly a third of non-elderly adults in the Kentucky, Ohio and West Virginia without affordable health care. That’s about 881,000 in Kentucky, 1.2 million in Ohio and 392,000 in West Virginia.

And Haeder said the numbers could be even higher.

Using insurance guidelines that defined what were considered pre-existing conditions before the ACA, Haeder found that the impact could be even greater.

By considering health problems that resulted in an automatic denial of insurance, exclusion of the condition being covered by insurance, or higher premiums, he estimated the number of people with pre-existing conditions in West Virginia to be as high as 720,000.

Credit Alexandra Kanik / Ohio Valley ReSource
/
Ohio Valley ReSource

The high proportion of people with pre-existing conditions is related to the generally poor health outcomes in the region when compared to the rest of the country. For example, not only do Kentucky, Ohio and West Virginia have higher rates of deaths due to cancer, those death rates have remained stubbornly high while the rest of the country has seen general improvement.

According to the Institute of Health Metrics and Evaluation, while national cancer death rates dropped by more than 20 percent between 1980 and 2014, Kentucky saw less than a 5 percent decrease; West Virginia saw less than a 4 percent decrease. Ohio’s decrease in cancer deaths is closer to the national average, but still lagging at 16 percent.

Midterms and Medicaid

At the recent annual meeting of the health advocacy nonprofit Kentucky Voices For Health, “Let’s Talk About Medicaid” was the message printed on dozens of campaign buttons strewn across a registration table. A few feet away inside the meeting room a slide slowly dissolved on two large screens between these messages: “Vote Like Your Healthcare Depends On It” and “Vote Like Your Life Depends On It.”

Credit Mary Meehan / Ohio Valley ReSource
/
Ohio Valley ReSource
Dustin Pugel, of the Kentucky Center for Economic Policy.

Dustin Pugel, a policy analyst at the Kentucky Center for Economic Policy, a left-leaning research center, spoke to the group gathered in Lexington about efforts to upend the ACA and also about the potential impact of the midterms on Medicaid expansion.

Medicaid has long been the main way many people with certain pre-existing conditions could get coverage. The ACA also allowed states to expand the number of people who could qualify for Medicaid.

There are ongoing efforts to attempt to change Medicaid expansion and allow insurance companies again to deny service to those with pre-existing conditions.

“There are a lot of ways that 2017 was just one attack after another against folks who have been sick in the past, women of childbearing age, or anybody who might be predisposed to different conditions,” he said.

And he said Republicans are intent on continuing their efforts.

“We’ve already heard lawmakers in D.C. say we are going to take another crack at this,” he said.

Pugel said consumers are concerned. Kentucky has submitted a plan, called a waiver, to the federal government to change its current Medicaid program. As part of the waiver process, the public can comment on the proposed changes. Pugel said of the 9,500 comments, about 8,500 did not support the proposed changes. Those changes include a work requirement that health advocates fear will disqualify many who gained insurance when Medicaid was expanded.

Changing Politics

Not so long ago, Democrats were less eager to talk about the ACA or “Obamacare.” Al Cross, who directs the Institute for Rural Journalism at the University of Kentucky, says polls across the country show retaining health care is a top concern for voters. That puts Republicans who have long touted repeal in a bind.

Credit Mary Meehan / Ohio Valley ReSource
/
Ohio Valley ReSource
Demonstrators targeting Sen. Mitch McConnell.

“The fact that across the county there are more health care ads from Democrats than from Republicans indicates that Obamacare issue has finally turned against the ruling party.”

Something else is happening, he said.

“I think it is safe to say that women will not under-vote in this election the way they usually do in midterms,” he said. Between the #MeToo movement, the outrage of teachers, and the motivation for women candidates such as Amy McGrath, Cross said, “this election could see a bigger impact from the women’s vote than any election since 1960, when women probably elected John F. Kennedy.”

And women frequently make most of a family’s health care decisions.

Alexandra Kanik contributed to this report.

Exit mobile version