plus Nashville's $3B transportation plan has 'something for everybody', SCOTUS may OK criminalizing homelessness but collaboration is key and more
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THIS WEEK IN GOVERNING APRIL 27, 2024

Farm workers in a field

Hispanics are overrepresented in professions such as agriculture, construction and service industries where employers don't provide insurance coverage. (Ben Gray/TNS)

Nearly 1 in 5 Hispanic Americans don’t have health insurance, a share almost three times greater than Anglos. They account for close to half of all those in the country who aren’t covered.

 

The current rate of 18 percent of Hispanics without coverage represents significant progress since 2010, when it was pegged at 33 percent. Coverage rates began to improve in 2014 when implementation of the Affordable Care Act (ACA) brought new options for those with low and moderate incomes. Medicaid expansion made it possible for more of the poorest to obtain coverage.

 

The barriers to obtaining coverage are complicated and nuanced. Some are strictly tied to immigration status, others are not. Many Latinos are reluctant to apply for Medicaid due to uncertainty about immigration policy. Immigrants who are seeking to become lawful permanent residents can run into trouble on their path to citizenship if they are determined to be a “public charge,” reliant on certain forms of government support. Technically, they could even be subject to deportation, though this is extremely rare.

 

Language is also a stumbling block. More than 1 in 10 people in the U.S. speak Spanish at home, and more than half of them have limited English proficiency. Hispanics with limited English proficiency are more than twice as likely to be uninsured than proficient English speakers, according to Dr. Jessica Himmelstein, who has studied the issue. Enrolling in health insurance can be daunting for anyone, Himmelstein says. Adding a language barrier on top of that makes things even harder.

 

Emergency room care is the most expensive of all, but this is where people whose health problems have gone undiagnosed and untreated end up. “All those uncompensated emergency room bills are sure to be reflected in the next year’s insurance prices,” says Arturo Vargas Bustamante, a public health researcher and professor at UCLA. “It’s an incredibly inefficient way of paying for health care.” READ MORE

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MUST-READS YOU MAY HAVE MISSED

 

TRANSPORTATION

Nashville's $3B Transportation Plan Has 'Something for Everybody'

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HOMELESSNESS

The Supreme Court May OK Criminalizing Homelessness, but Collaboration Is Key

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POLITICS

Lt. Gov. Dan Patrick Wants Control Over Texas House, Too

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SOCIAL ISSUES

More States Consider Bans on Child Marriages

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MENTAL HEALTH

A Simple Way to Make the Suicide Hotline More Effective

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ENVIRONMENT

The Problems Caused by Food Waste in Landfills

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TRANSPORTATION

Resisting the Campaign for Safer Streets

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BROADBAND

States Target the Paperwork That Slows Broadband Expansion

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FINANCE

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PENSIONS

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BUREAUCRACY

How to Combat Unaccountable Rules from the Federal Bureaucracy

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SAFETY NET

The Problems With Universal Basic Income Programs

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HUNGER

Addressing the Problem of Food Deserts

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COMING NEXT WEEK IN GOVERNING

 

Already, a partial opening to Baltimore’s port has been dredged, following the collapse of a bridge last month. It’s the latest example of a major project happening on an accelerated timeline. This seems to happen whenever a bridge collapses or there’s some other major disaster. Why, in the absence of emergencies, are major projects subject to endless delays. Governing Columnist Aaron Renn says it’s not a question of technical ability, but simply the absence, in so many cases, of political will.

 

One of the perennial problems of our time is extending broadband access to rural areas. The big expense is the basic problem of laying wire across scattered properties. Wise County, Texas, cut through that problem by cutting the cord. The county created a public-private partnership with a company that set up a high-speed wireless connection and managed to connect everyone in the county within seven months. Governing Senior Staff Writer Carl Smith tells the story.

 

Building a road north and south through the vast middle of the country, cutting all the way from Mexico to Canada, has been a national dream dating back to the 1950s. It’s always fallen short. Driving south from Canada, you can only get through Michigan before you run out of road. Indiana, the self-described “crossroads of America,” issued endless studies about how to complete the proposed Interstate 69, but never managed to accomplish the feat. This year, the state is finally on track to complete the trickiest sections, as Governing Senior Staff Writer Jared Brey explains.

 

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