www.mozilla.com Weather Central
Voices
Headlines

Kids do count -10/22/2014, 10:31 AM

Needing the past in the future? -10/22/2014, 10:31 AM

In praise of hunting -10/22/2014, 10:30 AM

What is a CID? Will it work for mall? -10/21/2014, 10:22 AM

Judging importance on the ballot -10/21/2014, 10:22 AM

Kansas Speaks -10/21/2014, 10:22 AM

Paying for schools -10/19/2014, 1:21 PM

Joining forces for Orman -10/19/2014, 1:21 PM

Research before voting -10/19/2014, 1:21 PM

Davis is moderate? -10/19/2014, 1:21 PM

The most important election in your lifetime -10/19/2014, 1:21 PM

Huelskamp stands out -10/19/2014, 1:21 PM

Kansas farm interests -10/19/2014, 1:21 PM

Keeping unfounded reports from 'going viral' -10/19/2014, 1:21 PM

The age of cynicism -10/18/2014, 9:02 AM

Preventable diseases -10/17/2014, 10:28 AM

Second term needed -10/17/2014, 10:28 AM

Kansans deserve better -10/17/2014, 10:28 AM

Officially killing Americans -10/17/2014, 10:27 AM

New era at FHSU -10/16/2014, 10:01 AM

Roberts is right choice -10/16/2014, 10:01 AM

Crumbling Constitution -10/16/2014, 9:52 AM

Redbelly's future -10/16/2014, 9:52 AM

Kansas deserves better -10/15/2014, 10:23 AM

Remember to vote on Nov. 4 -10/15/2014, 10:23 AM

You almost feel sorry for Sean Groubert -10/15/2014, 10:23 AM

Register to vote -10/14/2014, 10:14 AM

Living on that 70 percent -10/14/2014, 10:14 AM

New bullying problem for schools: parents -10/14/2014, 10:14 AM

Cheerios, marriage equality, the Supreme Court -10/13/2014, 9:49 AM

Wedded bliss -10/12/2014, 5:54 PM

Who is the real fraud? -10/12/2014, 5:08 PM

Teenagers 'make some noise' -10/12/2014, 5:08 PM

Not so private property -10/10/2014, 10:01 AM

Federal funding -10/10/2014, 10:01 AM

Teacher indoctrination -10/10/2014, 10:01 AM

Vote Republican -10/9/2014, 9:49 AM

Non-partisan politics -10/9/2014, 9:49 AM

Teen driver safety week Oct. 19 to 25 -10/9/2014, 9:04 AM

FHSU party -10/9/2014, 10:11 AM

Poverty in America -10/9/2014, 10:11 AM

Let the women serve -10/9/2014, 10:11 AM

Time for new direction -10/8/2014, 9:49 AM

Improving Kansas economically -10/8/2014, 9:35 AM

Water abusers -10/8/2014, 9:35 AM

Play safe on the farm -10/8/2014, 9:34 AM

Where the money comes from -10/7/2014, 10:24 AM

The president's security -10/7/2014, 10:24 AM

Marriage equality -10/7/2014, 10:24 AM

The sins of the father are visited -10/6/2014, 9:02 AM

Cannabis in America: The bottom line -10/6/2014, 9:20 AM

A reason to celebrate -10/6/2014, 9:20 AM

Gov. shields wealthy from paying for schools -10/5/2014, 2:07 PM

Passionate protest in defense of civil disorder -10/5/2014, 2:07 PM

October is time for baseball and, of course, film premieres -10/4/2014, 2:16 PM

Alley cleanup -10/3/2014, 10:01 AM

Will the West defend itself? -10/3/2014, 10:01 AM

Find another school -10/3/2014, 10:01 AM

It's better now -10/2/2014, 9:17 AM

The answer is to bomb Mexico? -10/2/2014, 9:17 AM

Falling revenue -10/2/2014, 9:17 AM

School facilities -10/1/2014, 9:27 AM

Look ahead, not back -10/1/2014, 9:27 AM

Secret Service needs to step up its game -10/1/2014, 9:27 AM

Roosevelts were true leaders -9/30/2014, 9:18 AM

Moral bankruptcy -9/30/2014, 9:18 AM

Expect some sort of change in Topeka -9/30/2014, 9:18 AM

'A tale of two countries' -9/29/2014, 9:59 AM

The last of the Willie Horton ads? -9/29/2014, 9:59 AM

Finding answers to the future of Kansas -9/28/2014, 2:20 PM

College: Where religious freedom goes to die -9/28/2014, 2:20 PM

Honoring Hammond -9/28/2014, 2:20 PM

Do statistical disparities mean injustice? -9/26/2014, 9:53 AM

World university rankings -9/26/2014, 9:52 AM

Kansas experiment -9/26/2014, 9:52 AM

Two anti-choice parties -9/25/2014, 10:03 AM

Not in the same old Kansas anymore -9/25/2014, 10:03 AM

Domestic violence -9/25/2014, 10:03 AM

Back to war we go -9/24/2014, 9:55 AM

Piling on the NFL -9/24/2014, 9:54 AM

Emma Watson looking for a few good men -9/24/2014, 9:54 AM

Renter runaround -9/23/2014, 7:32 PM

Enough is enough -9/23/2014, 9:02 AM

Life of politics in the state -9/23/2014, 9:02 AM

What is and is not child abuse -9/22/2014, 9:30 AM

Cannabis politics and research -9/22/2014, 9:30 AM

Future of The Mall -9/21/2014, 6:14 PM

Multiculturalism is a failure -9/19/2014, 9:52 AM

State education rankings -9/19/2014, 9:52 AM

Kobach gone wild -9/19/2014, 9:52 AM

Bias prevents civil discussion of education issues -9/18/2014, 9:35 AM

Immigration is American -9/18/2014, 9:35 AM

Costs to states not expanding Medicaid -9/17/2014, 10:14 AM

Medicare threats -9/17/2014, 10:12 AM

Green fields in northwest Kansas -9/17/2014, 10:12 AM

Consolidation by starvation -9/16/2014, 9:54 AM

School mergers tricky -9/16/2014, 9:54 AM

Hotel tipping -9/16/2014, 9:54 AM

Abuse video revealed nothing we didn't know -9/15/2014, 9:20 AM

Lessons from 13 years ago -9/15/2014, 9:20 AM

myTown Calendar

SPOTLIGHT
[var top_story_head]

The upside of divisive KanCare debate

Published on -5/1/2012, 2:20 PM

Printer-friendly version
E-Mail This Story

While most of the public angst leveled against the governor's new KanCare system for managing payment of health-care expenses of some 380,000 poor Kansans has been aimed at those with specialized disabilities, much of what isn't in the headlines makes a lot of sense.

The governor last week agreed to delay for at least a year including persons with mental retardation and developmental disabilities (the Statehouse acronym is MR/DD) from his KanCare system that will eventually replace Medicaid. That MR/DD population requires extensive contact with care providers and isn't just routine medical care.

But for Kansans who can't afford the health care most of us just flip an insurance card through the window to cover, parts of this KanCare business seem to make a lot of sense.

Nobody wants the poor or mothers or small children or the elderly to go without health care. But we'd like to see that government-funded health care be done efficiently.

Kansans, we hope, are willing to see our tax money (mostly federal, but also state) used to take care of all Kansans. That's just having a heart.

And at least one facet of this KanCare program is lodging every Kansan who receives state/federal financed health care with a care manager. That's someone like the old-school family doctor, who knows about your general state of health. It means, very simply, someone who knows whether you still have a gall bladder or whether you have other health issues.

It might mean that if you break your leg, whoever takes care of that won't spend hours and thousands of KanCare dollars doing medical tests for every malady known to modern science. That's what private health insurance companies do to make sure you get the health are you need, but not a lot of expensive interaction that really isn't necessary.

There is going to be a lot more emphasis on keeping KanCare clients healthy so that they don't require more expensive health care. That's what private insurers do, too.

And it will mean more checking up on KanCare clients to make sure that they're taking their medications, that they're making efforts to improve their health. Those of us with privately paid-for, or employer paid-for, insurance get those same reminders, the little pamphlets from the insurers.

All of that sort of stuff is brewed into the KanCare program for Medicaid recipients, and it's probably the right way to go. The more you know about a patient the more accurately you can target health care to put him/her back on their feet -- not just help amortize those fancy machines and seemingly unrelated tests on patients.

But this KanCare that is awaiting federal approval is a new way to do things, and nobody really likes change.

Delaying the MR/DD portions of the program probably makes sense -- both because those clients have more complicated health-care needs and because most of us would like to see whether KanCare can actually work efficiently and bring better health to recipients with less complicated problems.

If KanCare gets better, more efficient, health care to poor Kansans, well, that's a win, isn't it?

Syndicated by Hawver News Co. of Topeka; Martin Hawver is publisher of Hawver's Capitol Report. To learn more about this statewide political news service, visit www.hawvernews.com.

digg delicious facebook stumbleupon google Newsvine
More News and Photos

Associated Press Videos

AP Breaking News