Expanding KanCare could help curb firearm fatalities

Kansas firearm death rates are 24% higher than the national average, and those by suicide are 46% higher. Expanding Medicaid would increase mental health outreach.

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Columnists

May 15, 2023 - 3:12 PM

Medicaid expansion has been a hot topic over the past decade. Despite many states across the country expanding their Medicaid programs under the Affordable Care Act, Kansas has yet to do so.

According to the 2022 Kansas Speaks public opinion survey distributed by the Docking Institute of Public Affairs at Fort Hays State University, nearly 76% of Kansans support KanCare expansion — KanCare is the name of the state’s Medicaid program.

Despite extremely high levels of public support, the state legislature has failed to expand KanCare. The reason is most often attributed to partisan politics.

However, opponents of KanCare expansion may want to take a second look at some specific benefits of extending the program — 90% of which would be paid for by the federal government.

The RAND Corporation, a non-partisan policy think tank, has published new data about state-level firearm related deaths. 

According to their findings, Kansas’ firearm death rates are 24% higher than the national average. This high percentage is driven mostly by the state’s firearm death by suicide rate, which is 46% higher than the national average. 

Firearm homicides are 7% lower in Kansas than the national average.

Contrary to popular belief, gun violence is not unique to urban areas. 

New research published in the Journal of the American Medical Association (JAMA) last month finds that gun violence is not even predominantly an urban issue — an argument that is generally used as justification for loosening gun laws. Rather, all areas of Kansas are impacted by gun violence. Especially self-harm via firearms.

In Kansas’ rural areas, firearm deaths are 14% higher than the national average, firearm deaths by suicide are 25% higher, and rural firearm homicides are 9% lower.

What does this have to do with KanCare expansion?

Research from the Kaiser Foundation finds that Medicaid expansion increases access to care for adults with mental health conditions, such as depression.

Medicaid expansion is associated with an increase in the number of mental health facilities accepting Medicaid patients and an increase in the number of visits individual patients make to mental health providers.

Medicaid expansion is especially beneficial in providing much needed mental healthcare to rural residents, as nearly half of all mental health professional shortage areas nationally are located in rural areas.

Furthermore, a report from the Kansas Health Institute and the Alliance for a Healthy Kansas found that an estimated 24,154 Kansans are likely to use extended mental and behavioral health services under KanCare expansion. 

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