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The number of uninsured children in Arkansas rose by 3,000 from 2016 to 2017, marking the first year since 1997 that the number has increased, according to a report released Thursday.

The rise follows a national trend that shows an estimated 276,000 more children lacked insurance in 2017 than in 2016, up to 3.9 million children from 3.6 million the previous year, according to the report by the Georgetown University Health Policy Institute Center for Children and Families.

It is the first time the report has shown an increase nationally since the institute began recording the numbers in 2008.

Arkansas sits in the middle of the pack in terms of the number of uninsured children, ranking 20th in the nation with 33,000. Arkansas' percentage of uninsured children is 4.4 percent, better than all but two of its surrounding states, Tennessee and Louisiana.

In Tennessee, 71,000 (4.4 percent) of children are uninsured -- the same percentage as Arkansas and lower than the national average of 5 percent. Louisiana has 36,000 uninsured children, or 3.1 percent.

Texas has the highest number of uninsured children in the nation at 835,000, which is 21 percent of all the nation's uninsured children.

Marcy Doderer, president and CEO of Arkansas Children's Hospital, said the increase in the number of uninsured children in Arkansas is fairly small and that the state is doing a good job of providing children with health insurance.

"Arkansas currently does well by kids," she said.

Doderer expressed concern that surrounding states that have markedly more uninsured children could eventually affect Arkansas.

If Arkansas' economy continues to improve, in line with state officials' plans, then the better circumstances will draw families from neighboring states. Doderer said parents from those states could be conditioned to being unable to obtain state health insurance for their children and less likely to seek it here.

The report said the national uptick in uninsured children can be traced to attempts to overhaul publicly funded health care.

The study blamed the increases on repeated efforts by Republicans to repeal the Patient Protection and Affordable Care Act. It also noted that President Donald Trump's administration dramatically cut the law's outreach and enrollment grants and shortened the time period in which people can enroll in coverage.

Such actions made families less likely to enroll in health care, the report said.

"The Trump administration has done everything that it possibly could to undermine the Affordable Care Act," said Rich Huddleston, executive director of Arkansas Advocates for Children and Families.

The report also noted the administration's increased pressure on immigrant families, which it said reduced the trust those families have in government operations and therefore decreased the likelihood they would enroll their children in publicly funded health care.

The report's authors also expressed concern that the uptick in uninsured children will continue unless officials take immediate and drastic measures.

Huddleston said he believes the newly established work requirement for Arkansas Works will indirectly raise the number of uninsured children.

Even though parents are exempt from the stipulation, Huddleston said he believes they'll be intimidated by the work requirement and under the impression that it would apply to them, which would deter parents from applying for the coverage.

Huddleston said parents often learn about the state's insurance program for children, ARKids First, when they sign up for Arkansas Works. So if fewer parents enroll in Arkansas Works, Huddleston worries that fewer parents will know about ARKids First and will fail to enroll their children.

Gov. Asa Hutchinson, who has lauded the state's work requirement, disagreed.

"A parent or guardian with a dependent at home is exempt from the Arkansas Works work requirement," Hutchinson said in a released statement. "It is hard for me to believe, based on that fact, that a parent or guardian would choose not to apply for Arkansas Works for that reason."

Joe Thompson, a pediatrician and president of the Arkansas Center for Health Improvement, said access to children's insurance is important because uninsured children face increased health problems.

When children are uninsured, parents usually aren't able to pay for preventive care, which is important early in life, he said.

"If you don't have a financial mechanism to help pay for the doctor, you're less likely to go to the doctor," Thompson said.

Thompson said it's crucial for parents to take their children to the doctor during the first few years of life to address early developmental problems.

"A kid's direction in life is largely set by the time they enter kindergarten," Thompson said.

Photo by Spencer Tirey
Marcy Doderer
Rich Huddleston
Photo by Staton Breidenthal
Gov. Asa Hutchinson
Photo by AP
Dr. Joe Thompson

A Section on 11/30/2018

Print Headline: Arkansas sees first increase in uninsured children since 1997


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  • PopMom
    November 30, 2018 at 6:48 a.m.

    Every child should be covered.

  • titleist10
    November 30, 2018 at 8:01 a.m.

    I thought it was the FAMILYS RESPONSIBILITY to take care of their kids not the tax payers

  • Nodmcm
    November 30, 2018 at 8:15 a.m.

    Let's understand Republican and conservative social theory on uninsured, sick children. Why didn't their parents study their calculus in high school and become doctors, so they could afford medical care for their children? Well, Republicans say, "While they are watching their children die from lack of medical care, perhaps they can tell others to study their calculus so they can get medical degrees and so their children will not suffer without medical care." The social theory is termed, 'social Darwinism,' and it is implemented just exactly like this. Republican motto: "The rich are never rich enough (cut their taxes), and the poor are never poor enough (let their children suffer and die from lack of medical care)."

  • 23cal
    November 30, 2018 at 8:45 a.m.

    About "I thought it was the FAMILYS RESPONSIBILITY to take care of their kids not the tax payers."
    When those parents don't or simply financially can't take care of that responsibility.....what? "Sucks to be you, kid, get sick and die?"
    Did it ever occur to you that many families simply cannot afford insurance or medical care? Approximately 100 million people in the USA----almost 1/3 of the population---lives in or near poverty. This is why the ACA that Republicans hate so much insured over 20 million more people than had been insured.
    Thank you for your illustration of the compassion, the love, and the humanity of a Republican Christian.

  • mrcharles
    November 30, 2018 at 9:54 a.m.

    a republican christmas is just a moment in time where they can yell the heathens say "Happy Holidays", a most evil and insulting statement to those who know it is the season of buying and pagan rituals. After all , it is confusing as to did the birth occur in Bethlehem cause they lived there or they went there due to a made up story of how the family got there. Just because holiday means, Holy days, that is not enough as the republican ILKS must have their annual gripe and hate response to feel the spirit of xmas...I know fox is against happy holidays as if that goes away they will have to come up with a new bunch of BS to complain about the heathens who try to make sense of things.

    those dang kids, once born, should they starve or die due to lack of medical care, republicans dont care, either would fit their view of the world , after all the ancient book can place and/or not place the sins of the father on progeny [ sounds fair to most repugnants]. They tell me many parents have shoes when their is plenty of cardboard out there to make self made shoes to go around. And refrigerators, what a luxury, though not like a 3rd summer home of the Elites.

    Perhaps if we allow those with voices in their head to take their children on long and dreary walks, to cut their throats, gut them and then say hocus pocus Mr. Magoo, burn them for a pleasin odor to placate the gods who like flies hoover around the most sacred ritual of lunatics.

    did you ever think of the thought that jesus created his own mother and step father? pretty neat trick there. Did mary suffer from demitia later of not knowing of her child's special magic powers- like no needing disposable diapers?

    actually believe the jesus would want his followers to take care of children. Therefore titlist why do you hate Jesus?

  • GeneralMac
    November 30, 2018 at 10:05 a.m.

    You posters shooting your mouth off evidently didn't read the article.

    Read paragraphs 7,8, and 15 before you liberals foam at the mouth and start posting !

  • TheBatt
    December 2, 2018 at 10:42 p.m.

    Yet another “blame Trump” pile.

    Seriously? Trump has taken nothing away from children. He has not cut funding. He has not closed programs to provide coverage.

    Arkansas EXPANDED coverage. Again, no coverage has been taken away from anyone by the state (other than those who chose to not work, volunteer, take classes, or to simply report the above, as required to keep coverage.