While even President Trump described the House Trumpcare bill as ‘mean,’ his colorful verdict is an uncommon understatement as it applies to the House and Senate bills’ treatment of women’s healthcare. Trumpcare is ‘cruel’ to women, and especially harsh to North Carolinians.
Trumpcare allows the elimination of women’s access to healthcare, letting insurance companies refuse to provide maternity care, slashing Medicaid payments (by $834 billion in the House bill/$772 billion in the Senate bill), and restricting Title X reimbursement. Medicaid is the nation’s public health insurance program for people with low incomes, the disabled and the elderly. The Medicaid program covers about 75 million Americans, or 1 in 5, including many with complex and costly needs for care. Seventy percent (70%) of the adults covered by Medicaid are women. Title X is a federal program which provides funding family planning services to people beyond Medicaid, like low-income women who are not Medicaid-eligible. Their recipients? Women.
The Senate Trumpcare bill will cut Medicaid by almost $1 trillion dollars (that’s trillion with a ‘t’). These policies have disproportionate and disastrous consequences for women – young, middle-aged, and elderly, alike – especially in North Carolina. More than half of all births in North Carolina are covered by Medicaid – 54% in North Carolina in 2014, while other states vary from 24% to 72%, according to the Kaiser Family Foundation. Trumpcare allows insurance companies to refuse to cover maternity and newborn care as part of the 10 essential health benefits that insurance companies would no longer be required to cover.