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Report Finds More Low-Income Older Adults Die Prematurely In States That Have Not Expanded Medicaid

Jackie Fortier / StateImpact Oklahoma
A registered voter signs the petition to put Medicaid expansion on the Oklahoma ballot. Ashton Gores (right) volunteers to collect signatures in the Tulsa area.

Oklahoma is one of 14 states that has not expanded the government health insurance program to include more low-income adults.

new report about the effect of Medicaid expansion shows 476 Oklahomans nearing retirement age died prematurely between 2014 and 2017.

Researchers compared mortality rates among Medicaid eligible 55- to 64-year-olds in expansion states to mortality rates among similar older adults in non-expansion states, like Oklahoma. They found that more older adults die in states that haven’t expanded.

Danielle Wells, a spokesperson for the Center on Budget and Policy Priorities, says nationally, thousands of people have died prematurely.

"State decisions not to expand have cost the lives of 15,600 people," says Wells.

Meanwhile, in Oklahoma, proponents of a Medicaid ballot initiative turned in a record number of signatures last month. If the question survives any legal challenges, it will be up to Governor Kevin Stitt to place State Question 802 on the ballot in 2020.

Jackie Fortiér worked for StateImpact Oklahoma from November 2017 to January 2020, reporting on a variety of topics and heading up its health reporting initiative. She has many journalism awards to her name during her years of multi-media reporting in Colorado, and was part of a team recognized by the Society of Professional Journalists with a Sigma Delta Chi award for excellence in breaking news reporting in 2013.
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