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Georgia Medicaid doesn't help smokers quit

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Camille Bailey has not picked up a cigarette since Feb. 27 and after more than 20 years of smoking, she said it is a great feeling.

After Christene Peek (right) quit smoking, Camille Bailey was inspired to also kick the habit. Today is the Great American Smokeout, when smokers are urged to take the day to consider quitting or plan ahead and quit today.  Michael Holahan/Staff
Michael Holahan/Staff
After Christene Peek (right) quit smoking, Camille Bailey was inspired to also kick the habit. Today is the Great American Smokeout, when smokers are urged to take the day to consider quitting or plan ahead and quit today.

“You feel like you are free,” she said. “It is such an addiction, your whole lifestyle changes because you are not trying to support the doggone habit.”

Bailey used the Freshstart smoking cessation program offered through University Hospital and for a time used the drug Chantix – although she dropped it because of side effects.

“It gave me a good start anyway,” she said. “It gave me an option for quitting.”

It is not an option, however, for most people on Georgia Medicaid. Today is the Great American Smokeout, when smokers are urged to take the day to consider quitting or plan ahead and quit today.

One of the biggest populations that has expressed the most desire to quit is Medicaid patients. According to a recent report from the Centers for Disease Control and Prevention, Medicaid patients expressed the highest desire to quit and the highest rate of attempting to quit among those who had insurance, but had the lowest success rate. Georgia is one of only two states that do not offer smoking cessation coverage to Medicaid patients who are not pregnant, said Jennifer Singleterry, the manager of cessation policy for the American Lung Association in Washington, D.C.

Medicaid smoking rates are “one of the highest rates if you break it down by insurance coverage,” she said.

But the Georgia Depart­ment of Community Health, which oversees Medicaid in Georgia, offers different reasons for not doing so. When first asked about it, department spokeswoman Pamela A. Keene said in an e-mail it was not offered “because there are no federal matching funds available” and the cost of products and counseling would be $13 million a year. Not so, Singleterry and the lung association said.

“It’s not true,” she said. “Tobacco cessation treatment is reimbursed just like any other health care expense that Medicaid could provide.” The state should know this because the Centers for Medicare and Medicaid Services sent a letter to state Medicaid directors on June 24 that included a number of ways state Medicaid programs could provide these services to all Medicaid patients.

Keene sent another e-mail Wednesday saying that the Social Security Act of 1927 “restricts the use of tobacco cessation drugs under the Medicaid program.” Also not true, Singleterry said. The law says that the drugs are on a list of drugs that “may be excluded from coverage or otherwise restricted” but does not require it.

The department’s e-mail goes on to say that “tobacco cessation success is directly related to the presence of both behavior modification therapy in addition to pharmacotherapy,” which the department says would mean providing “intensive face-to-face” counseling that is “much more costly.” State funding to cover both has not been provided, the department said. But Singleterry said she has never heard of the federal government not matching tobacco cessation spending by state Medicaid programs.

State Medicaid programs that have done it have seen marked success, according to the June 24 letter. Massachusetts’s Medicaid program, for example, provided comprehensive smoking cessation coverage and saw its Medicaid smoking rate drop from 38.3 percent to 28.3 percent, a decline of about 26 percent, according to CMS.

The lack of Georgia Medicaid coverage is an ongoing issue for health advocates, said June Deen, the state director for the American Lung Association.

“We intend to encourage state officials to re-examine this issue,” she said. “It just seems like a lost opportunity not to provide this benefit for the Medicaid population as well. Georgia can only win by providing this option.”

On a bright note, the State Health Benefit Plan will be providing coverage next year of one prescription per year to help state workers quit smoking.

“It’s not great but it’s a start,” Deen said.

As now a former smoker, Bailey said the important thing is to not stop trying.

“If you don’t quit one time, try it again because it is the most rewarding feeling,” she said.

BENEFITS OF QUITTING

Today is the American Cancer Society’s Great American Smokeout, when smokers are encouraged to think about quitting or to plan ahead and quit today. In just 48 hours, according to the Society for Vascular Surgery, the former smoker will see a number of health benefits:

  • Blood pressure will decrease
  • Pulse rate will drop
  • Oxygen and carbon monoxide levels in the blood will return to normal
  • The risk of heart attack will decrease

Financially, there is an advantage to becoming a former smoker. For someone who paid around $5 a pack and smoked a pack a day, the savings will be $152 a month and $1,825 a year.

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allhans
25529
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allhans 11/16/11 - 10:16 pm
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0
If a smoker wants he stop, he

If a smoker wants he stop, he will.

fgriswell
0
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fgriswell 11/17/11 - 09:05 am
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If a person can afford to buy

If a person can afford to buy cigarettes they can afford to pay for the help to stop smoking. Our tax dollars can be better spent on someone that did not pick their poison.

tinman
35
Points
tinman 11/17/11 - 09:29 am
0
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I smoked for over 50 years

I smoked for over 50 years and enjoyed it. However it us expensive and admittedly, it us bad for the health. But I just set a date and stopped smoking that day. That was one and a half years ago. I still get the urge to smoke one, but I am man enough to tell myself NO!

stillamazed
1489
Points
stillamazed 11/17/11 - 11:31 am
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It is great when people can

It is great when people can stop but allhans quitting is not that easy, some people are not as strong as others and when people are under a lot of stress for instance quitting may be even harder for them. I do agree with your remark fgriswell the meds or patches are cheaper than smoking. My grandfather started smoking at age 11 and at age 71 he just stopped cold turkey but my uncle who was in a very high stress job tried many times and was unsuccessful. Everything is not so cut and dry.

Jane18
12332
Points
Jane18 11/17/11 - 12:58 pm
0
0
Someone please tell me why,

Someone please tell me why, why why, people are always expecting someone else to pick up and pay for their weaknesses. I'm sorry, if someone cannot take care of themselves, don't expect me and the taxpayer to do it!

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