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This investigation comes from Beth Schwartzapfel at The Marshall Project , a nonprofit news organization covering the U.S. criminal justice system, and Jay Hancock, Kaiser Health News , a nonprofit news service covering health policy issues at the federal and state level. Radio story for Morning Edition by Jake Harper with WFYI and Side Effects Public Media , a news collaborative covering public health. “I have a serious mental disorder, which is what caused me to commit my crime in the first place,” said Ernest, who asked reporters to use only his middle name to protect his privacy. you could try this out“Somebody should have been pretty concerned.” The health law was supposed to connect Ernest and almost all other ex-prisoners for the first time to Medicaid coverage for the poor, cutting expensive visits to the emergency room, improving their prospects of rejoining society and reducing the risk of spreading communicable diseases that flourish in prisons. check out this siteArticle continues after sponsorship But Ernest’s experience is repeated millions of times across the country, an examination by The Marshall Project and Kaiser Health News shows. Most of the state prison systems in the 31 states that expanded Medicaid have either not created large-scale enrollment programs or operate spotty programs that leave large numbers of exiting inmates many of whom are chronically ill without insurance. Local jails processing millions of prisoners a year, many severely mentally ill, are doing an even poorer job of getting health coverage for ex-inmates, by many accounts. Jail enrollment is especially challenging because the average stay is less than a month and prisoners are often released unexpectedly. Ex-inmates with the worst chances of getting insurance and care are in 19 states that did not expand Medicaid.
For the original version including any supplementary images or video, visit http://www.npr.org/sections/health-shots/2016/12/06/504443879/signed-out-of-prison-but-not-signed-up-for-health-insurance?utm_medium=RSS&utm_campaign=morningedition