Press "Enter" to skip to content

South Dakota Has Worst Rate of Uninsured Poor in America

What prize did South Dakota get for refusing to expand Medicaid and become pawns to Barack Obama’s Marxist-Muslim plot to destroy America? Only the highest rate in the nation of low-income rural people going without health insurance:

The impact of Medicaid expansion is dramatic. On average, the uninsured rate for adult citizens up to 138 percent of FPL was 13 percent in the states that expanded Medicaid by the end of 2014. By contrast, the rate was more than twice as high (27 percent) in non-expansion states (Figure 1). The difference is similarly great in small towns and rural areas: 16 percent uninsured in these areas of expansion states versus 32 percent in the non-expansion states. In the states that have expanded Medicaid, the uninsured rate in small towns and rural areas has fallen to a level that comes closer to that in metro areas (16 percent versus 12 percent).

Eight non-expansion states have more than one-third of their low-income adults uninsured in their small towns and rural areas. The states with the highest rate of uninsured adults in rural areas are South Dakota, Georgia, Oklahoma, Florida, Texas, Alabama, Missouri, and Mississippi (Figure 2). This means that these states have significant room to improve coverage for low-income adults and strengthen the providers and hospitals that serve rural areas and small towns [Joan Alker, Jack Hoadley, and Mark Holmes, “Health Insurance Coverage in Small Town and Rural America: The Role of Medicaid Expansion,” Georgetown University Center for Children and Families and University of North Carolina Rural Health Research Program, September 2018, pp. 3–4].

Alker, Hoadley, and Holmes, Sept. 2018, p. 4.
Alker, Hoadley, and Holmes, Sept. 2018, p. 4.

47% of rural South Dakotans and 41% of metro South Dakotans living at 138% of the federal poverty level or below don’t have health insurance. The next-crappiest states are nine percentage points better off in the rural category (Georgia and Oklahoma) and eight points better off in the metro category (Mississippi). Chalk up another noble victory for anti-Obamaism. Yay, us.

One of the biggest things Billie Sutton can do if we make him Governor is expand Medicaid, which won’t cost this state one thin dime. Send me to the Senate, and one of the first votes I’ll cast will be to back Governor Sutton up and get thousands of our rural neighbors and their town cousins reliable health insurance.


  1. Jason 2018-09-25 23:09

    You still haven’t proven it won’t const one penny to South Dakota residents using real State numbers.

    What percentage of these people can afford it and choose not to purchase it?

  2. Rorschach 2018-09-26 04:37

    The GOP Party is in control here and don’t forget it. The working poor can go pound sand. If the working poor want a safety net they should get the hell out of here! If you want the freedom to work for less and go bankrupt to see a doctor, stay here. If you don’t like those things we have to offer, go to Minnesota. The choice is yours.

  3. mike from iowa 2018-09-26 07:18

    Jason Van Winkle fell asleep under a fever dream tree and woke up 20 years after still not realizing all his goofy questions were answered decades ago.

    Do try to keep up, Hon.

  4. Porter Lansing 2018-09-26 08:10

    In South Dakota 3.75% paid the penalty for not having healthcare insurance. Brain drain over decades has created a shallow gene pool of hide bounds.

  5. jerry 2018-09-26 08:43

    Here is what we know,”Does every member of the Republican Party really have to suffer a financially devastating medical emergency before they see the need for universal public healthcare?” They are like children who finally find out what happens when you touch a flame. ouch! Damn straight, and they now have a petulant child in the white house.

  6. jerry 2018-09-26 09:34

    Here is what we also know. Each person who reads this blog will need Medicaid at some point of their lives (unless they die quickly). Each person will have to spend down their entire life savings including the sales of their property, in order to possibly move into a nursing home. Medicaid is like death, you cannot escape it.

    So then, as long as we know what we know, then why not expand it to keep people alive and as healthy as they can be so we do not trigger a Medicaid event so soon?

  7. bearcreekbat 2018-09-26 10:27

    Rorshach’s observation that many in SD seem to think, “If you don’t like those things we have to offer, go to Minnesota” reminds me of the Pennington County Poor Relief Program (County General Assistance) in the late 1970’s and early 80’s.

    At that time the program was administered unlawfully vesting absolute discretion in the director of the program. His view was often that the only assistance he would offer to the poor and indigent sick people that he considered undesirable was a one way bus ticket out of town. It took a class action federal lawsuit to change this behavior. The lawsuit was settled quickly when the County agreed to adopt and implement objective standards that had to be followed by the poor relief administrator, so the case is not published on line. Despite the viewpoint of those Rorshach mentions, these standards still apply for anyone who stands in need, including needing medical care.

  8. Porter Lansing 2018-09-26 10:43

    BCB … That sounds like a hold over from the days of the Federal Indian Agent who had total control. (You often see their descendants on Antiques Roadshow bringing highly valuable Native items with the supposed provenance that these decorative moccasins or textiles were bought from the artist. Yeah, right. The Indian Agent took/stole the artwork in exchange for food the Indians were guaranteed by treaty.) It’s the same policy in ESD. The aid program is a bus ticket to Minneapolis.

  9. Porter Lansing 2018-09-26 12:50

    Medicaid expansion leads to decrease in uninsured adults in rural Colorado
    By Jessica Seaman 9/26/2018
    The Denver Post
    The uninsured rate for low-income adults has dropped 29 percentage points since Colorado expanded Medicaid — the largest decrease experienced by a state, according to a new study.
    Colorado is one of multiple states to see a decrease in the number of uninsured adults in rural areas since expanding Medicaid.
    The state saw the uninsured rate for adults in rural areas and small towns slide from 42 percent in 2008-09 to 13 percent in 2015-16, according to the report by Georgetown University’s Center for Children and Families and University of North Carolina’s NC Rural Health Project.
    “We knew Medicaid expansion was having a big impact in rural parts of our state but this report — it really sort of outlines how dramatic that impact has been,” said Adam Fox, director of strategic engagement for the Colorado Consumer Health Initiative.

  10. Debbo 2018-09-27 01:22

    Spinmeisters screw themselves into the ground trying to make Medicaid expansion look bad, and still fail. But they make great stakes to chain your dog to when you put her outside on a nice autumn afternoon.

  11. o 2018-09-27 09:16

    Jason, is it good for the poor to be uninsured? In fact, is it good for anyone to be uninsured?

    I think that fundamental question has to be answered to frame the discussion. We can talk about ways to pay for coverage, but if you begin with the fundamental belief that it is good for a society to tell some that they have to go without insurance (which his in effect care) then we are at impasse.

  12. jerry 2018-09-27 09:55

    120,000 South Dakotan’s or 14% of us are at risk. Who benefits from the uninsured, it sure is not taxpayers.

    “Approximately 120,000 people, or 14 percent of the state’s population, rely on Medicaid for their health insurance.7,8 This includes hundreds of thousands of people with disabilities, kids, seniors, and pregnant women. Without Medicaid, most of these South Dakotans will have no access to affordable care or long-term care.

    We don’t know what Congress has in store for the country’s Medicaid program. But whatever they have in store will affect South Dakota’s Medicaid program. We also know that a vote to repeal the ACA will throw the nation’s entire health care system into chaos, putting Medicaid recipients at serious risk.”

    Billie Sutton, we know that you are a Christian (according to you latest blurb) so we now want to see how you, as a Christian, will follow your teachings in your Book, like this one. ““heal the sick, raise the dead, cleanse those with skin diseases, drive out demons. You have received free of charge; give free of charge.” Mathew 10:8-9

    We know that NOem has denied the works of compassion some 65 times with her votes in Washington. We know that she is uncaring to the suffering of the poor, the sick and the needy. Give us something, some sign that you, Governor Sutton, will make this a campaign promise to expand Medicaid and fight for healthcare for South Dakota.

Leave a Reply

Your email address will not be published.