A decade after Obamacare became law, California has vastly expanded health coverage; Texas has resisted. Such regional differences have had a huge impact on many people's lives.
Jenny Morones and Courtney Marrs are both working mothers. Both labor to raise three children on low incomes. Both fled abusive relationships.
“Blue states and red states are moving in very different directions,” said Drew Altman, head of the nonprofit Kaiser Family Foundation, which studies the U.S. healthcare system. “California is a remarkable story,” said Anthony Wright, the longtime head of Health Access California, one of the state’s leading consumer groups. “We were once a poster child for what was wrong with healthcare in America, but the state went from laggard to leader.”
But Covered California, the insurance marketplace the state created through the healthcare law, has moved aggressively to control costs. Since the marketplace debuted in 2014, premiums in California have risen much more slowly than the national average, data show. With passage of the healthcare law, the percentage of uninsured patients at Omni plunged from 35% in 2010 to 9% in 2018.Morones, who grew up in foster care and dreams of finishing a degree in child development, wasn’t able to get health insurance through the Greek restaurant where she works. But she qualified for Medi-Cal.
“It has been remarkable,” said Omni Chief Executive Francisco Castillon, who noted the system’s reserves have also helped Omni weather the current crisis. Charity programs such as the Rose, a Houston nonprofit that provides money for mammograms, can help, but they often have limited slots. So, too, do local hospitals, which cap charity care.“The ones who come in with cancer are the really difficult ones,” said Yvette Enriquez, an eligibility specialist who tries to connect patients with aid.
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