Texas Uninsured Struggle to Piece Together Care
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One in 4 Texans has no health insurance. The president's signature piece of legislation --The Affordable Care Act-- seeks to fix that problem in part by expanding Medicaid. But some governors say they'll opt out of making Medicaid larger. (July 17)

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[VOICE OVER] [LOCATOR: DALLAS][VIDEO: AP] JOSEFINA CANO, A SINGLE WORKING MOTHER OF TWO, SUMS UP HOW IMPORTANT HEALTH INSURANCE IS FOR HER-- [[SOT]] [[SUPER: JOSEFINA CANO/UNINSURED MOTHER] "without health insurance you got nothing" [[VOICE OVER] AND YET SHE DOES WITHOUT-- "I'm a medical assistant, but I don't have health insurance." [[VOICE OVER]] LIKE MANY LOW INCOME WORKING MOMS IN DALLAS, HER KIDS GET COVERAGE THROUGH THE STATE CHILD HEALTH INSURANCE PROGRAM. HER EMPLOYER DOES NOT PROVIDE COVERAGE. CANO ALSO MAKES TOO MUCH MONEY TO QUALIFY FOR MEDICAID. ONE IN FOUR TEXANS LIKE CANO HAS NO HEALTH INSURANCE-THE HIGHEST RATE OF UNINSURED IN THE U-S. [[SOT]] " I don't have enough income to go to the doctor when I get sick and take care of myself."[[VOICE OVER]] MANY PEOPLE LIKE CANO GO TO CLINICS LIKE LOS BARRIOS UNIDOS-- [[SOT] [[SUPER: LEONOR MARQUEZ, CEO LOS BARRIOS UNIDOS] "we know about 60 % of our clients have no health insurance." [[VOICE OVER] [[NEED SCOTUS, PERRY BROLL] THE AFFORDABLE CARE ACT-UPHELD IN LARGE PART BY THE U-S SUPREME COURT LAST MONTH, SOUGHT TO REMEDY THAT PROBLEM BY EXPANDING MEDICAID..THE JOINT STATE-FEDERAL HEALTH CARE PROGRAM FOR THE POOR AND DISABLED. HOWEVER THE COURTS ARE LEAVING IT UP TO THE STATES TO DECIDE WHETHER TO BROADEN MEDICAID'S SCOPE. SINCE THEN SEVERAL REPUBLICAN GOVERNORS, INCLUDING TEXAS GOVERNOR RICK PERRY, HAVE REFUSED TO EXPAND A PROGRAM--[[SOT]][[SUPER: GOV. RICK PERRY/R-TX] " I think it's very important for the people of Texas to understand that the current Medicaid program is unsustainable…to ask or to DEMAND for the state of Texas to expand a program that is already broken is just not good public policy." [[VOICE OVER]] IT'S A POSITION WHICH HAS MANY SUPPORTERS IN THE LONE STAR STATE…BUT IT HAD THESE DEMONSTRATORS WHO SUPPORT THE PRESIDENT HOPPING MAD… THEY WERE KNOCKING ON THE GOVERNOR'S DOOR IN AN EFFORT TO CHANGE HIS MIND. [[[]NATS -OPEN UP ! OPEN UP!]]THE CONSEQUENCE OF THE POLITICAL DECISION WOULD LEAVE MILLIONS OF TEXANS UNINSURED WHEN THE LAW TAKES EFFECT IN 2014[[[]NATS -OPEN UP ! OPEN UP!]][[SOT] [[SUPER: LEONOR MARQUEZ, CEO LOS BARRIOS UNIDOS] "it's not a philosophical question for me. I think people need high quality care. It shouldn't only be available to people with insurance coverage." [[VOICE OVER] THE LOS BARRIOS UNIDOS CLINIC'S C-E-O SAYS NOT EXPANDING MEDICAID WILL HARM HER STAFF'S ABILITY TO PROVIDE CARE TO PATIENTS IN NEED. THE CLINIC PROVIDES MOSTLY PREVENTATIVE HEALTH CARE, WHICH IS CHEAPER THAN AN EMERGENCY ROOM VISIT-- [[SOT]] [[SUPER: INES MEDINA] [in spanish} [TRANSLATION] "I went to the emergency to get some tests, and I am sitting on the bills." [[VOICE OVER] WHICH IN INES MEDINA'S CASE HAS PUT HER IN DEBT. SHE BRUSHES THAT ASIDE THOUGH, BECAUSE SHE SAYS HER DAUGHTER'S NEEDS COME FIRST…SHE BROUGHT THE TODDLER IN TO SEE THE DOCTOR BECAUSE THE LITTLE GIRL IS GETTING HEADACHES. JOHN MONE ASSOCIATED PRESS DALLAS.