REALITY CHECK: REDUCING GUN VIOLENCE

America is Number 1. America has more guns than any other country, more than 300 million guns. That’s 120 for every 100 citizens, compared to Canada, the next closest, with 35 guns per 100 people. “We don’t ban cars, but we work hard to regulate them — and limit access to them — so as to reduce the death toll they cause. This has been spectacularly successful, reducing the death rate per 100 million miles driven by 95 percent since 1921. Use a public health approach instead, using auto safety as a model—constant efforts to make the products safer and to limit access by people who are most likely to misuse them.”

What would a public health approach look like for guns if it were modeled after cars? It would include:

Enforce background checks; 22 percent of guns are obtained without one.

Keep men who are subject to domestic violence protection orders from having guns.

Ban people under 21 purchasing firearms (this is already the case in many states).Require safe storage practices: trigger locks as well as guns and ammunition stored separately, especially when children are in the house.

Enforce laws on straw purchases of weapons, and some limits on how many guns can be purchased in a month.

Experimentation with a one-time background check for anybody buying ammunition.

End immunity for firearm companies. That’s a subsidy to a particular industry.

Ban bump stocks, the kind used in Las Vegas to mimic automatic weapon fire.

Research ‘smart guns’, like those that fire only after a fingerprint or PIN is entered, or if used near a particular bracelet. This would also cut down on the 200,000 annual gun thefts.

Research gun buybacks

Support anti-gang initiatives, such as Cure Violence, that have a good record in reducing shootings. Source: Nicholas Kristof, NYT

One study published in the Annals of Internal Medicine found that a gun in the house was associated with an increased risk of a gun death, particularly by suicide but also by homicide. Fewer guns result in fewer deaths. If we can reduce gun deaths by 1/3, we could save almost 15,000 lives. We can do this. Let’s focus on how to make ourselves and our families safer and keep guns out of the wrong hands.

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REALITY CHECK: MEDICAID EXPANSION

We Should All Support Governor Cooper’s Plan to Expand Medicaid in North Carolina


THE PROBLEM

When Medicaid was first enacted in 1965 under President Johnson, it provided health insurance to lower income people, their children, and people with certain disabilities. It is a means-tested program which places a ceiling on income eligibility tied to the federal poverty line. The Affordable Care Act (ACA) was enacted in 2010 under President Obama; it substantially expanded the Medicaid eligibility ceiling and coverage. It covers all citizens up to 138 percent of the federal poverty level including adults without children.

The ACA faced bitter opposition, especially from Republican elected officials. In 2012, the U.S. Supreme Court ruled that the states were not required to follow this mandated expansion and could retain previous Medicaid coverage. Thus it was up to each state to decide whether to expand Medicaid coverage to the ACA mandated levels. As of this date, all but 12 states have done so. North Carolina has not. The Republican leadership in the North Carolina General Assembly has opposed this Medicaid expansion since 2013. So, the problem is, what to do about it.


THE SOLUTION FOR NORTH CAROLINA

In his latest budget proposal, Governor Roy Cooper has included his long-time priority, Medicaid expansion for 500,000 North Carolinians without health insurance. The stand-off over Medicaid expansion between Cooper and the Republican-led legislature led to Cooper vetoing the state budget in 2019. “Getting more health care coverage to people in North Carolina is certainly a priority,” he said. “Medicaid expansion is the best way to do that.” In the past year countless numbers of North Carolina workers have lost their jobs and their health care coverage. This makes the issue of expansion more urgent in that the probable number of people who would benefit has climbed.
And just in time, another landmark piece of legislation, the American Rescue Plan (ARP), just recently signed into law by President Biden, provides substantial incentives for holdout states to finally expand Medicaid which, for North Carolina would include these, among other, benefits:

After the enactment of the Families First Coronavirus Response Act the government is now paying close to 74 percent of each Medicaid dollar spent in North Carolina. ARP would increase that even more by adding 5 percent. It is estimated that the boost to the bottom line would be about $1.7 billion while the cost to the state would be a 1/2 billion – a net gain of as much as $1.2 billion for the state.
Moreover, ARP would also provide extra coverage for new mothers for one year to fight pregnancy-related illness and deaths. Currently Medicaid only covers the first 60 days after birth.

We urge readers to contact the NC Senate President Phil Berger and the NC House Speaker Tim Moore and encourage them to work with Governor Cooper to expand Medicaid coverage.