this post was submitted on 06 Feb 2024
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States are plowing billions of dollars into a high-stakes health care experiment that’s exploding around the country: using scarce public health insurance money to provide housing for the poorest and sickest Americans.

California is going the biggest, pumping $12 billion into an ambitious Medicaid initiative largely to help homeless patients find housing, pay for it, and avoid eviction. Arizona is allocating $550 million in Medicaid funding primarily to cover six months of rent for homeless people. Oregon is spending more than $1 billion on services such as emergency rental assistance for patients facing homelessness. Even ruby-red Arkansas will dedicate nearly $100 million partly to house its neediest.

At least 19 states are directing money from Medicaid — the state-federal health insurance program for low-income people — into housing aid and addressing the nation’s growing homelessness epidemic, according to the Centers for Medicare & Medicaid Services. Even though there’s little agreement that this will provide a long-term fix for vulnerable patients’ health or housing, the Biden administration is encouraging other states to jump in. Several are in the pipeline, including Tennessee, West Virginia, and Montana — and New York got the green light from the federal government in January.

Using health care funding to house people is “a big philosophical debate,” said Alex Demyan, assistant director of Arizona’s Medicaid agency. “We know health care can’t solve all the problems, but we also know that housing agencies are maxed out and we have enormous need to help stabilize people.”

Homelessness jumped 12% in the U.S. last year, to an estimated 653,104 Americans, the highest level on record, even as the nation dramatically increased its inventory of permanent housing and temporary shelter beds.

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[–] GONADS125@feddit.de 31 points 9 months ago* (last edited 9 months ago)

People must have their basic needs of food, shelter, and safety met before anything else can be reasonably addressed/improved.

[–] nicetriangle@kbin.social 18 points 9 months ago

Given all the really well understood externalities of homelessness, I'd say so.

[–] ApathyTree@lemmy.dbzer0.com 7 points 9 months ago (2 children)

Why can’t we fund both properly? Housing and healthcare? Maybe both should be a guarantee. Can’t really have life, liberty, and the pursuit of happiness without food, healthcare, and housing security, after all.

[–] jkrtn@lemmy.ml 5 points 9 months ago (1 children)

Oh, sorry, but it is socialism if the government is providing services to us taxpayers instead of giving handouts to billionaires.

[–] ApathyTree@lemmy.dbzer0.com 3 points 9 months ago

I like socialism, that’s fine with me! :)

[–] stratosfear@lemmy.sdf.org 0 points 9 months ago

Because the US needs poor desperate people to join the military.

[–] BarrelAgedBoredom@lemm.ee 2 points 9 months ago

No one chose to be born. You can't live without housing, food, water, or medicine. They've human rights and societies should recognize that. It's disgusting that we live in an era of excess to the point it's suffocating the planet and people are dying in the streets from a lack of resources. Artificial scarcity for the sake of profit isn't a valid reason for people to suffer

[–] gedaliyah@lemmy.world 2 points 9 months ago

Take two houses and call me in the morning.

[–] SoylentBlake@lemm.ee 2 points 9 months ago

The rest of the civilized world decided 76 years ago that housing is an innate, natural human right.

The homelessness problem endemic to America (it's not an epidemic if it never goes away) is flagrant violation of human rights.

Never ending human rights violations...that pushes us up against crimes against humanity. A logical evolution towards making that case (tho I'm already of the opinion that the allowed existence of poverty anywhere constitutes crimes against humanity)