Hernandez is uninsured. She cannot afford to buy a policy in the commercial market even if she could qualify, which she couldn’t. Arkansas Medicaid won’t take her either. She doesn’t fit any of the eligibility categories. Medicaid officials have said that she might qualify under the “medically needy” program, but first she has to spend a large part of her income on medical care. But, she says, she doesn’t have seventy-five dollars to pay for doctors’ visits, even though she needs a check-up and an eye exam. Retinal exams, the standard of care for diabetics, are out of the question. “I can’t see through these glasses,” Hernandez says.
She finds herself in the classic Medicaid dilemma. She needs medical bills to qualify for Medicaid, but has no money to pay doctors in order to accumulate those bills. She has often gone without her medicines — for a thyroid problem and her diabetes — because they are unaffordable. Although a drug company assistance program periodically supplies insulin, the lack of proper, continuing care for her disease is taking its toll.