Latino Patients Sue State Over 'Separate and Unequal' Health Care
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(Getty Images)","publishDate":1428421879,"status":"inherit","parent":24896,"modified":1499896267,"caption":"Latino patients filed a lawsuit in Alameda Superior Court alleging unequal treatment in the state's low-income health program. 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Her brother, Andrew, often lands in the emergency room because he can’t get his asthma prescription filled on time. Their mother, Rebecca Binsfeld, says she can’t find a pediatrician in Sacramento who takes their Medi-Cal coverage.\u003c/p>\n\u003cp>“They gave me a booklet, and in the booklet it has hundreds of doctors’ names and numbers, but you call and they’re not accepting new patients,” she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Binsfeld, who suffers from lupus, waited 10 months to see a rheumatologist (she’s supposed to see one every four months), and a year to see an ophthalmologist (she’s supposed to go every six months, to check for blindness associated with her medications). The delays in care led to several lupus flares, episodes during which Binsfeld experiences extreme fatigue, pain in her joints, and headaches. Repeated flares can cause organ damage or kidney disease.\u003c/p>\n\u003cp>“I just want better health care. I want to be able to call the doctor if I’m not feeling well and to be able to be seen,” Binsfeld says. “I want everybody else on Medi-Cal to be treated the same as those that have private insurance.”\u003c/p>\n\u003cp>The lawsuit alleges several shortcomings in the Medi-Cal program that lead to these delays, namely “extremely low” reimbursement rates and burdensome paperwork that forces doctors to limit the number of low-income patients they see.\u003c/p>\n\u003cp>“As the number of Latinos has grown in the program, the state has cut funding,” says Darin Ranahan, an attorney from the Oakland law firm \u003ca href=\"http://feinbergjackson.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Feinberg, Jackson, Worthman and Wasow\u003c/a>, representing the plaintiffs. “Simply put, if you disinvest from a program as it’s coming to serve more and more people of color, that’s a form of race discrimination.”\u003c/p>\n\u003cp>The state is also failing to adequately monitor the program and ensure that patients are being seen in a timely manner, Ranahan says. For example, state regulations require patients to get urgent care within 48 hours, primary care within 10 days, and specialty appointments within 15 days.\u003c/p>\n\u003cp>“What we’ve seen, repeatedly, is people on Medi-Cal are not able to get appointments within these times,” Ranahan says.\u003c/p>\n\u003cp>The state Department of Health Care Services countered, saying it routinely monitors patient access to care in the Medi-Cal program, and that neither the state, nor federal health officials, had identified any systemic problems.\u003c/p>\n\u003cp>Beyond that, the state said it's position on the allegations was outlined in \u003ca href=\"///Users/aprildembosky/Downloads/AG%20Response%20Letter%205.10.16.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a letter\u003c/a> the state attorney general wrote last year, after health advocates and union representatives from SEIU filed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/12/15/advocates-allege-medi-cal-violates-latinos-civil-rights/\" target=\"_blank\" rel=\"noopener noreferrer\">a similar complaint\u003c/a> with the U.S. Department of Health and Human Services Office for Civil Rights in December 2015.\u003c/p>\n\u003cp>The letter says the state's reimbursement rates have been thoroughly reviewed and approved by federal officials, and that rates are uniform for all providers and patients. It says Latino beneficiaries are treated the same as all Medi-Cal beneficiaries.\u003c/p>\n\u003cp>“We work hard to serve all beneficiaries equally,” Jennifer Kent, director of the Department of Health Care Services, said in a 2015 statement responding to the original complaint. “We are committed to serving all vulnerable populations with vital health services.”\u003c/p>\n\u003cp>The department also cited a \u003ca href=\"http://www.blueshieldcafoundation.org/sites/default/files/publications/downloadable/BSCF%20Delivering%20Promise%20Full%20Report%20Web.pdf\">January 2015 survey\u003c/a> by the Blue Shield of California Foundation that showed satisfaction gaps between whites and Latinos, which were identified in 2011, have been eliminated or dramatically narrowed. Overall satisfaction with Medi-Cal was 90 percent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Federal officials did not act on the original complaint, and advocates say that’s why they are now filing the lawsuit directly against the state.\u003c/p>\n\n","blocks":[],"excerpt":"Latino patients say waiting months to see a doctor violates their civil rights.","status":"publish","parent":0,"modified":1499982431,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":753},"headData":{"title":"Latino Patients Sue State Over 'Separate and Unequal' Health Care | KQED","description":"Latino patients say waiting months to see a doctor violates their civil rights.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Latino Patients Sue State Over 'Separate and Unequal' Health Care","datePublished":"2017-07-12T21:50:05.000Z","dateModified":"2017-07-13T21:47:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"353997 https://ww2.kqed.org/stateofhealth/?p=353997","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/07/12/latino-patients-sue-state-over-separate-and-unequal-healthcare/","disqusTitle":"Latino Patients Sue State Over 'Separate and Unequal' Health Care","path":"/stateofhealth/353997/latino-patients-sue-state-over-separate-and-unequal-healthcare","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Latino Medi-Cal patients are suing the state, alleging the health program for low-income Californians is a separate and unequal system of health care.\u003c/p>\n\u003cp>Because the majority of Medi-Cal patients are Latino – 7.2 million out of 13 million total enrollees – the \u003ca href=\"http://www.seiu-uhw.org/wp-content/blogs.dir/166/files/2016/07/Medi-Cal-Complaint-2017-07-12.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">lawsuit\u003c/a> alleges that delays in access to care, and denials of care, amount to civil rights violations.\u003c/p>\n\u003cp>“Medi-Cal participants suffer from greater pain, illness, and undiagnosed and untreated serious medical conditions—with significant impact to their overall health—than do their fellow Californians with other insurance,” the complaint says.\u003c/p>\n\u003cp>That’s been true for Gloria de Jesus, 16, who waited months to see a neurologist after being diagnosed with epilepsy. Her brother, Andrew, often lands in the emergency room because he can’t get his asthma prescription filled on time. Their mother, Rebecca Binsfeld, says she can’t find a pediatrician in Sacramento who takes their Medi-Cal coverage.\u003c/p>\n\u003cp>“They gave me a booklet, and in the booklet it has hundreds of doctors’ names and numbers, but you call and they’re not accepting new patients,” she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Binsfeld, who suffers from lupus, waited 10 months to see a rheumatologist (she’s supposed to see one every four months), and a year to see an ophthalmologist (she’s supposed to go every six months, to check for blindness associated with her medications). The delays in care led to several lupus flares, episodes during which Binsfeld experiences extreme fatigue, pain in her joints, and headaches. Repeated flares can cause organ damage or kidney disease.\u003c/p>\n\u003cp>“I just want better health care. I want to be able to call the doctor if I’m not feeling well and to be able to be seen,” Binsfeld says. “I want everybody else on Medi-Cal to be treated the same as those that have private insurance.”\u003c/p>\n\u003cp>The lawsuit alleges several shortcomings in the Medi-Cal program that lead to these delays, namely “extremely low” reimbursement rates and burdensome paperwork that forces doctors to limit the number of low-income patients they see.\u003c/p>\n\u003cp>“As the number of Latinos has grown in the program, the state has cut funding,” says Darin Ranahan, an attorney from the Oakland law firm \u003ca href=\"http://feinbergjackson.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Feinberg, Jackson, Worthman and Wasow\u003c/a>, representing the plaintiffs. “Simply put, if you disinvest from a program as it’s coming to serve more and more people of color, that’s a form of race discrimination.”\u003c/p>\n\u003cp>The state is also failing to adequately monitor the program and ensure that patients are being seen in a timely manner, Ranahan says. For example, state regulations require patients to get urgent care within 48 hours, primary care within 10 days, and specialty appointments within 15 days.\u003c/p>\n\u003cp>“What we’ve seen, repeatedly, is people on Medi-Cal are not able to get appointments within these times,” Ranahan says.\u003c/p>\n\u003cp>The state Department of Health Care Services countered, saying it routinely monitors patient access to care in the Medi-Cal program, and that neither the state, nor federal health officials, had identified any systemic problems.\u003c/p>\n\u003cp>Beyond that, the state said it's position on the allegations was outlined in \u003ca href=\"///Users/aprildembosky/Downloads/AG%20Response%20Letter%205.10.16.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a letter\u003c/a> the state attorney general wrote last year, after health advocates and union representatives from SEIU filed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/12/15/advocates-allege-medi-cal-violates-latinos-civil-rights/\" target=\"_blank\" rel=\"noopener noreferrer\">a similar complaint\u003c/a> with the U.S. Department of Health and Human Services Office for Civil Rights in December 2015.\u003c/p>\n\u003cp>The letter says the state's reimbursement rates have been thoroughly reviewed and approved by federal officials, and that rates are uniform for all providers and patients. It says Latino beneficiaries are treated the same as all Medi-Cal beneficiaries.\u003c/p>\n\u003cp>“We work hard to serve all beneficiaries equally,” Jennifer Kent, director of the Department of Health Care Services, said in a 2015 statement responding to the original complaint. “We are committed to serving all vulnerable populations with vital health services.”\u003c/p>\n\u003cp>The department also cited a \u003ca href=\"http://www.blueshieldcafoundation.org/sites/default/files/publications/downloadable/BSCF%20Delivering%20Promise%20Full%20Report%20Web.pdf\">January 2015 survey\u003c/a> by the Blue Shield of California Foundation that showed satisfaction gaps between whites and Latinos, which were identified in 2011, have been eliminated or dramatically narrowed. Overall satisfaction with Medi-Cal was 90 percent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Federal officials did not act on the original complaint, and advocates say that’s why they are now filing the lawsuit directly against the state.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/353997/latino-patients-sue-state-over-separate-and-unequal-healthcare","authors":["3205"],"categories":["stateofhealth_14"],"tags":["stateofhealth_2808","stateofhealth_3129","stateofhealth_99","stateofhealth_2519"],"featImg":"stateofhealth_24898","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. 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