How Expanded Medicaid Could Improve Food Security

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NPR's Michel Martin speaks with Jim Carnes, policy director at Alabama Arise, about how the expansion of Medicaid could help lift Americans out of the poverty that causes food insecurity.

It seems fairly obvious that one of the root causes of food insecurity is poverty. If you don't have enough money, then it stands to reason that it's likely to be hard to get enough food, or at least enough good nutritious food, on a regular basis. But what might not be so obvious is why so many people in the United States are still in poverty. According to recent data from the U.S. Census Bureau, the No. 1 factor driving Americans into poverty is medical expenses.

CARNES: Well, the Census Bureau measures poverty in two different ways. The older way that we've been doing for 50-plus years is strictly cash income-based. And it looks at how many households have cash income less than three times the cost of what the Health and Human Services Department calls a minimum food diet for their family size.

MARTIN: Break it down for me. Like, how does that work? What tends to be the case? Is it people with chronic health conditions and the cost of treating those conditions is high? Or is it a catastrophic incident? Why is it that medical expenses force people - that many people into poverty every year? MARTIN: Is the connection between health care costs, poverty and food insecurity one that is starting to make sense to people? Are people starting to connect the dots? Because it's not - I mean, if you lived it, you can see why people would understand it. But if you - if they've never lived through it, then maybe it doesn't - it's not as real. And I just wondered if people are seeing that connection at all.

 

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