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Care for the aging poor

Editorial, the
Denver Post

January 05, 2004

It isn't a very happy new year for more than 4,000 legal immigrants whose medical benefits under the state's Old Age Pension program were drastically slashed as of last Thursday.

The state will stop paying for the hospital stays of these poor legal residents. It has also slashed reimbursement to doctors from 82 percent of the Medicaid rate to 50 percent. The state Medical Services Board voted Dec. 12 to cut the Old Age Pension Health and Medical Care Fund because the program would exceed its budget by $2.5 million.

Earlier last year, Gov. Bill Owens signed a bill that revoked Medicaid coverage for some legal immigrants. The American Civil Liberties Union challenged the law in federal court on equal-protection grounds. After a federal district judge threw out the lawsuit, it was appealed to the 10th U.S. Circuit Court of Appeals. The appellate court stayed implementation.

Most of the 4,289 people receiving the $589-a-month state old-age benefits are legal immigrants, including Russian-Jewish refugees, Vietnamese and Hispanics. The constitutionally authorized plan dates from Depression days and provides $10 million a year for the care of the elderly poor - over 60 but younger than 65, the minimum age for Medicare.

Some aren't eligible for Social Security and are very ill cancer victims, whose chronic conditions don't qualify for emergency treatment, which is mandated under federal law.

These immigrants have nowhere else to turn - some of the Russian Jews, for example, were offered refuge by our government as they fled anti-Semitism in the former Soviet Union .

The idea of poor, sick people being abandoned without hope in the world's richest country strikes us as unconscionable.

As cash-strapped as state government is, surely it can find the needed $2.5 million somewhere in its multi-billion-dollar reserves. (Especially now that the economy is turning up.)

The true measure of a society isn't how prosperous its wealthiest citizens are but how it tends to the neediest. Surely Colorado 's shoulders are big enough to carry these elders.

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