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Medicaid Cuts Threaten Detroit’s Healthcare Safety Net

Guest Opinion:

EL CENTRAL by EL CENTRAL
May 15, 2025
in Community, Español
Reading Time: 3 mins read
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  • Felix Valbuena, Jr., MD, CEO of CHASS Center
  • May 15, 2025
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This month, Congress is considering hundreds of billions of dollars in cuts to the Medicaid program. As the CEO of Community Health and Social Services (CHASS) Center, I am deeply concerned. Any reduction to Medicaid would disrupt the fragile balance that allows our Health Center to meet the healthcare needs of Detroit residents.

CHASS serves over 11,000 patients every year. Nearly half—47%—are covered by Medicaid. That coverage accounts for a significant portion of our overall revenue and keeps our doors open. Any cut to the program would threaten our sustainability and, more importantly, the care our patients rely on.

Medicaid is funded through a long-standing partnership between Michigan and the federal government: our state contributes, and the federal government matches those funds. But proposed changes would upend that partnership. These include requiring work mandates (even though most people on Medicaid already work), reducing the federal match, shifting more of the cost burden to states, or adding red tape that limits who qualifies.

Each of these proposals leads to the same outcome: fewer people covered, lower payments to providers, or both. And that means less access to care in communities like ours. When people lose insurance, they often lose access to doctors, medications, and preventive services. At CHASS, we are committed to caring for all who walk through our doors, but our resources are not unlimited. Cuts to Medicaid would likely force us to reduce services at a time when our community needs us most.

We are proud to serve this community, and we believe everyone deserves access to quality care. However, our ability to do so depends on a stable and reliable Medicaid program. Protecting Medicaid means protecting local healthcare—and protecting the health and dignity of our neighbors.

Los recortes a Medicaid amenazan la red de seguridad médica de Detroit

Este mes, el Congreso está considerando cientos de miles de millones de dólares en recortes al programa Medicaid. Como director ejecutivo del Community Health and Social Services Center (CHASS), estoy profundamente preocupado. Cualquier reducción a Medicaid alteraría el equilibrio frágil que permite que nuestro Centro de Salud satisfaga las necesidades de atención médica de los residentes de Detroit. CHASS atiende a más de 11,000 pacientes cada año. Casi la mitad, el 47%, están cubiertos por Medicaid. Esa cobertura representa una parte significativa de nuestros ingresos totales y mantiene nuestras puertas abiertas.

Cualquier recorte en el programa amenazaría nuestra sostenibilidad y, lo que es más importante, la atención de la que dependen nuestros pacientes. Medicaid se financia a través de una asociación que existe hace mucho tiempo entre Michigan y el gobierno federal: nuestro estado contribuye y el gobierno federal iguala esos fondos. Pero los cambios propuestos pondrían volcar esa asociación. Estos incluyen exigir mandatos de trabajo (a pesar de que la mayoría de las personas con Medicaid ya trabajan), reducir la contrapartida federal, trasladar una mayor parte de la carga de los costos a los estados o agregar burocracia que limita quién califica. Cada una de estas propuestas conduce al mismo resultado: menos personas cubiertas, pagos más bajos a los proveedores, o ambos. Y eso significa menos acceso a la atención en comunidades como la nuestra.

Cuando las personas pierden el seguro, a menudo pierden el acceso a médicos, medicamentos y servicios preventivos. En CHASS, estamos comprometidos a cuidar de todos los que entran por nuestras puertas, pero nuestros recursos no son ilimitados. Los recortes a Medicaid probablemente nos obligarían a reducir los servicios en un momento en que nuestra comunidad más nos necesita. Estamos orgullosos de servir a esta comunidad y creemos que todos merecen tener acceso a una atención de calidad. Sin embargo, nuestra capacidad para hacerlo depende de un programa de Medicaid estable y confiable. Proteger Medicaid significa proteger la atención médica local y proteger la salud y la dignidad de nuestros vecinos.

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