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As a Catholic and a parent, I’d like to
know how after the 1990s – a period of unprecedented prosperity – millions
of families in California are still lacking health insurance. We have more
dream homes, SUVs and satellite TV dishes than ever before, and yet seven
million people in the state still lack their own doctor.
This issue came to the fore last month
in the midst of the state budget crisis, with the Governor’s proposed cuts
in health coverage for the poor. “Crisis” is a relative term here. For
those of us at Catholic Charities, the real crisis is trying to find care
for a child with a toothache, or affording medicine for a parent trying to
control hypertension.
As California thinks about belt
tightening, let’s not begin with those whose belts are already tight.
During the boom of 1990s, the number of working poor did not decline, but
held steady at nearly two million families. The poor did not benefit from
rising wages in the 1990s – wages rose less than one percent for low-income
workers, compared to a ten percent hike for upper-income employees, after
adjusting for inflation.
In his budget for next year, Governor
Davis proposed health cuts affecting over a half million Californians.
These include lowering Medi-Cal income eligibility levels, reducing payments
to clinic doctors, increasing paperwork requirements and eliminating dental
care for adults. A previously approved expansion in the Healthy Families
insurance program for children is to be delayed until 2006.
The federal government may add further
strain – if President Bush’s new proposal to block grant Medicaid funding is
adopted, the number of uninsured in California will likely rise further.
The White House and Congress have to be part of the solution, bringing
federal resources to bear. For example, if we were to reserve just
one-third of the President’s proposed $670 billion tax cut and spend it on
health care, we could insure every child in America.
Somehow, most European and other
industrialized countries have worked out a way to provide health care to all
of their residents. Compared to other countries, the World Health
Organization ranks the United States health system 37th overall
and 55th in terms of fairness. Systems vary widely, but somehow
many others have managed to care for their poor, often more efficiently.
They made a commitment, and then figured out a way to make it happen.
As recent popes and the American bishops
have consistently emphasized, the Catholic vision upholds health care as a
right, not a luxury. This comes from the dignity that God instills in every
human being. The Church doesn’t believe that health care should be denied
an immigrant with diabetes any more than Jesus would have turned away
someone asking for healing.
Last month, leaders from four Bay Area
counties made a remarkable announcement. In the midst of a recession
disproportionately affecting the Bay Area, those counties declared a major
expansion of health insurance for young people to age 18. The Healthy Kids
Initiative, funded partially by Proposition 10 tobacco taxes, will provide
comprehensive medical, dental and vision services for the area’s 31,000
uninsured children who do not qualify for other subsidized insurance.
Although the initiative won’t by itself
solve the health care crisis, it is a step in the right direction. Those
counties decided that health care was a priority, and then challenged
themselves to find a way to make it happen. It is the same challenge that
our church makes of us.
As Catholics, our voices will be
critical to the state and federal budget debates. Are we willing to
communicate with our legislators and convey our commitment to those in
need? Are we willing to forgo the lure of lower taxes, if it is at the cost
of our neighbors’ health? If health care is a God given right, what are we
going to do to make it happen?
Rick Mockler is the Executive
Director of Catholic Charities of California. He can be reached at rmockler@cacatholic.org.
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