Showing posts with label Medicaid expansion. Show all posts
Showing posts with label Medicaid expansion. Show all posts

Wednesday, January 22, 2014

The Sermon on the Mount in Our World, Part 1: Blessed are the Poor

This is the first of a semi-daily blog series about the Sermon on the Mount. I want to go through the Sermon from Matthew 5 teaching-by-teaching and talk about each teaching in the context of today's world. This being a blog about Christianity and politics, these modern-day applications will of course focus on public policy and governing. This will come from Matthew 5:3-7:27, and the translation is the NRSV, although I will reference others as well (noted in parentheses throughout.)

The stained glass series presented throughout the Beatitudes comes from Saint Vincent de Paul Catholic Church in Seward, Nebraska. The story behind these beautiful pieces of art can be found here. The captions under each come directly from the St. Vincent de Paul's website.

"Blessed are the poor in spirit, for theirs is the Kingdom of Heaven." -Matthew 5:3

The Crown and Scepter symbolize the Kingdom of Heaven; the dove the Holy Spirit; the hand reaching from the flower symbolizes humility.
Jesus opens his Sermon with the Beatitudes, a set of blessings commonly found in Hebrew writings. Jesus, however, shakes things up from the start by pronouncing blessings on a very unlikely group of people. His first: the poor in spirit, or the hopeless (CEV).

In first century Palestine, this encompassed a very large part of the population. Most people in ancient Palestine lived in abject poverty. They lived hand to mouth, and had to constantly worry about the whims of the Roman proconsul or legionnaires. The tension, stress, and want they lived with engulfed them in a poverty of spirit, a lack of hope. Nothing had ever been good for them. Why would anyone ever think it would?

So Jesus making them the very first line of his great Sermon is huge. Immediately, he is reaching out to people listening, most of whom lived in despair and without hope. Immediately, he told them they are blessed before all others. What a way to get them listening!

Who are the poor in spirit in our world today? Notice Jesus doesn't just say "the poor" here. Now, I'll admit, when I first began embracing progressive Christianity, this bothered. I thought it must be a mistranslation. Wouldn't it make more sense for Jesus to just say "the poor?" I never quite understood it.

But by saying "the poor in spirit," Jesus casts a wider net in today's world. There are many people who live in poverty. There are many more who suffer not just from a lack of wealth, but from depression, or mental illness, or addiction, or loss. This is the poor in spirit in our world.

And yet, they are often the most forgotten. I wrote just today about how the mentally ill are becoming the first victims of states' refusal to accept federal dollars for Medicaid expansion, as safety net hospitals are forced to turn away patients. When it comes to living up to Jesus' first blessing, we are failing miserably.

Two-thirds of the homeless population in the United States are mentally ill. Over 90% of suicides involve a someone suffering from a mental illness. Since the beginning of the war in Afghanistan, over 100,000 veterans have been treated by the VA for mental illness. 57% of children with mental health issues come from families living under the poverty line.

And yet, our nations leaders continue with a push for brutal austerity that inevitably falls hardest on those who need help the most. When cuts happen to federal and state budgets, they don't fall on corporate subsidies and perks. They fall on Medicaid, on DHS, on CHIP, on addiction counseling. Every time we cut more and more in a effort to stop the "takers," we are leaving behind thousands of the mentally ill and needy. We are leaving behind the poor in spirit that Jesus spoke of with his first breath in the Sermon.

If the poor in spirit are so important that Jesus felt compelled to name them first, why do we make them the last in our society today?


How "Christian America" Deals With the Mentally Ill

It's often the most politically conservative states who like to pride themselves on being the most Christian states as well. They only elect God-fearing Christians, they say, and the only rules they live by are the rules of Christ.
Christian Example and Georgia Governor Nathan Deal

So how do the God-fearing men and women of Georgia explain this?
Every day he’s without his meds, Scott Patrick’s demons return: the urge to get high to forget that he’s dying of AIDS; the anxiety, paranoia, and phantom noises spurred on by his bipolar disorder and PTSD.

Patrick, a former male prostitute and recovering drug addict, was released from a Georgia jail last month without any of his medications on hand. “I could die dirty or die clean,” he said. “I want to die clean.”

So like many struggling Atlantans with nowhere else to go, Patrick sought treatment at Grady Memorial, the state’s largest safety net hospital. He carried all his worldly possessions with him: a change of clothes, a Bible, and some vitamin C drops.

The partisan war over Obamacare is now threatening the mental health services that Patrick and countless others are seeking. The president’s health care law cuts federal subsidies to safety-net hospitals that were expected to have more paying patients under the law’s Medicaid expansion and insurance exchanges. But Republican-controlled states like Georgia have refused to go along with the expansion. That’s turned safety-net providers like Grady into unintended casualties—and mental health services for Georgia’s most troubled residents are first on the chopping block.

It was never meant to happen this way. States like Georgia, which has the nation’s sixth-highest uninsured rate, were supposed to be the biggest beneficiaries of the new Medicaid dollars. But in 2012, the Supreme Court unexpectedly ruled that the federal government couldn’t force states to accept the expansion.

Along with 22 other states with Republican governors or statehouses, Georgia Gov. Nathan Deal has refused to go along with the Medicaid expansion, saying the cost to the state would be untenable. Democrats counter that it’s a cruel political stunt, since the cost of new coverage is overwhelmingly paid for by the federal government.

So safety-net hospitals like Grady are now caught in the middle: they aren’t getting new Medicaid funding, yet they’ll see a cumulative $18 billion reduction in federal payments by 2020.
It's terrible that people have to live like this, with no hope and no security. And all for political games, all for the purpose of sticking it to President Obama. Rejection of live saving medical care for the most vulnerable doesn't seem very Christ-like to me. These political games and partisan cheap shots have real world consequences for real people. Perhaps Governor Deal and other Republican leaders should put down the latest Americans for Prosperity newsletter, and pick up a Bible.