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In Georgia, Some Individuals Make Too Much for Medicaid Yet Not Enough for Private Insurance


A Georgia woman, Dawn Harrell, faced heartbreaking challenges in accessing healthcare due to the state’s refusal to expand Medicaid under the Affordable Care Act. Despite being diagnosed with cancer, Harrell found herself caught in a web of bureaucracy that left her without essential care.

Georgia Governor Brian Kemp opposed Medicaid expansion citing cost concerns, leading to the creation of a health policy commission to study potential improvements to the state’s healthcare system. Harrell, like many others, fell through the cracks of the system, unable to qualify for the limited Medicaid expansion under Kemp’s alternative program, called Georgia Pathways to Coverage.

Pathways has seen low enrollment rates and significant administrative costs, prompting criticism and legal challenges. While Kemp and some Republican lawmakers believe in giving the program a chance to work, advocates for Medicaid expansion argue that it could provide much-needed healthcare access for hundreds of thousands of uninsured Georgians.

The Biden administration’s rejection of Georgia’s work requirement for Pathways has further complicated the situation, leading to a lawsuit between the state and federal government. As the state commission begins its work, the focus remains on improving and expanding Pathways, despite ongoing criticisms and challenges.

Individual stories like Harrell’s, as well as others like Heather Payne, who struggled to access healthcare after being unable to work due to health issues, highlight the human cost of the state’s healthcare policies. Advocates continue to push for Medicaid expansion in Georgia, while Kemp and his supporters maintain their cautious approach, emphasizing work requirements and concerns about long-term federal funding.

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Photo credit www.ajc.com

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