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«Co-Principal Investigators Jerome Seliger, Ph.D. & Carl A. Maida, Ph.D. Department of Health Sciences California State University, Northridge August ...»

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(5) To those without Medi-Cal--What happened?

Five said they no longer have Medi-Cal because they had their children taken away from them and when they went from AFDC to General Relief (GR) they were no longer eligible for Medi-Cal.

(2) How many of you have health insurance through your jobs?

0. None is currently working. One woman had a job through GAIN and did have health insurance through the job.

–  –  –

(2) Of the reasons we just came up with, which of these was the biggest reason that kept you from obtaining health insurance?

Fourth Set of Questions (1) When you think of why you no longer have Medi-Cal, which of these persons were involved in your decision?

–  –  –

(2) What did they do to discourage you?

(3) Did you know that you could (can) keep receiving Medi-Cal after you leave AFDC or TANF?

A lot of confusion over this issue.

–  –  –

(5) How important is health insurance to you and your family on a scale of 1 (not very important) to 5 (very important)? For those who did not say one or five, how do you feel?

–  –  –

(6) Compared to other needs, how important is health insurance?

This group’s hierarchy was: “food, shelter, medical insurance, utilities.” Focus Group #3: St. Mary Medical Center April 15, 1998 n=7 ____________________________________________________________

First Set of Questions

–  –  –

(2) How many people have insurance through their job?

(3) How many have Medi-Cal today?

(4) To those with Medi-Cal--How come you still have it? What happened?

All 7 women said it’s because they have children.

–  –  –

Third Set of Questions (1) For those of you who do not have any insurance today, i.e. Medi-Cal or insurance through your job, why don’t you have it?

N/A - all have Medi-Cal.

–  –  –

(2) What did they do to discourage you?

(3) Did you know that you could (can) keep receiving Medi-Cal after you leave AFDC or TANF?

Five said “yes.”

–  –  –

(5) How important is health insurance to you and your family on a scale of 1 (not very important) to 5 (very important)? For those who did not say one or five, how do you feel?

All seven women answered “5.” (6) Compared to other needs, how important is health insurance?

“Health is number one priority. If we didn’t have health insurance, we’d have to spend money on that and couldn’t afford a roof over our heads or food.” “FHP was good, but my daughter had leukemia and we had to go all the way to Fountain Valley.” “If they have a clean knife and a rusty knife, just because you don’t have the money, the doctor shouldn’t use the rusty knife on you. That’s what doctors around here do. They’ll just kill you off. That’s not fair.” One woman said she got a job through GAIN and GAIN required that she have her boss sign something, so her boss knew she was on GAIN and it made her boss treat her badly so she had to quit her job.

Brainstorm comments regarding Medi-Cal and other health insurance.

“(On a health plan)If I had a problem that my family doctor does not cover and I had to go to an outside doctor, what kills me is when I have to wait for that referral....It takes almost a month.” “When I had to go see a doctor, they sent me all the way to Orange County and I live in Long Beach. I had to take the bus way out to Orange County just for them to tell me I needed some medicine; she didn’t even want to touch me.” “The time it takes to get a referral from a doctor who doesn’t handle that type of situation is ridiculous.” “The only problem is the referrals. If I didn’t have to go through all that, then I think the plan is good for me because in case of emergency I want to hurry and take my baby to the hospital.” “I’ll wash your car for 100 years to repay if you’ll just take care of me.” “Everybody who are on welfare are taking a sacrifice. Can’t buy your children clothing. So why not sacrifice some more and go to school and make your life better?” Then a discussion ensued regarding the need for day care. The women did not want to leave their children with a stranger.

“No one’s gonna take care of your children like you will.” “We need job training with day care on-site.” “(Regarding Welfare to Work) They want to snatch up every dime you make....and you’re back where you started.” “And who’s getting these deadbeat dads? They go after the rich dads. They need to go after my kid’s daddy.” Discussion ensued regarding Welfare to Work feels like targeting (picking on) women.

“If there’s a father in the house and we had steady jobs, to hell with welfare. But they want to put us in CalWorks and give us two years;

that ain’t gonna bring the daddy back.” There was a lot of concern about losing benefits after two years.

“You can cut myself off, but what about my kids?”

Questionnaire Summary:

–  –  –

Focus Group #4: Flossie Lewis Center April 15, 1998 n = 16 ____________________________________________________________





First Set of Questions (1) How many people have health insurance today?

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(1) Imagine the governor and legislature were here now; what would you like to tell them about what Medi-Cal and other types of health insurance mean to you today?

“We should have it like Switzerland....See, our doctors are all about the money. There all the doctors get paid the same, so everyone has medical insurance. There be no poor and no rich; everyone gets the same kind of medical equality....I just think medical care should be provided to each and every person in the country, as long as they’re citizens or whatever. There should be no child who shouldn’t be able to go down and get immunizations.” “The governor should for one day spend a day in our shoes. For him to sit in that friggin welfare office and filling out forms and waiting to be called and treated like shit all day long because we happen to be single parents or aren’t working at the time....The whole process is totally demoralizing.” “Those welfare workers act like the money we’re getting is coming straight out of their pockets.” “It should be O.K. for people with drug and alcohol problems to tell the truth and get help, because someday those people will be better for society.” “Maybe if the politicians would stop being so greedy and making their own pockets fat, they wouldn’t cut out so many government aid, and I’m not just talking about a county check; I’m talking about the parks and the schools.” “It’s really pathetic that the public schools don’t have enough books.” “When enough home invasions start happening because there are no jobs, every year there’s less and less jobs, computers are taking over jobs....enough people coming up dead, then will they look at reinstating welfare. I think the Governor needs to resign and let someone who’s for the people take his place....” “We need drug treatment programs in the prisons, because I’ve been there (so maybe people can come out and stay clean).” “I did GAIN and I had a really good job, but before that I worked for my parents and learned new things and at the GAIN job I did the same thing always, so I went back to work for my parents. But GAIN was very beneficial for me.” “I went through GAIN....it did have a lot of tools...taught us how to dress, how to interview, body language....I picked up on things I didn’t know.” One woman said she applied for the GAIN program and was not accepted.

“I went through it (GAIN) once and I got off welfare and asked if I could do it (GAIN) again and the worker said I had done it once and I could not do it again.” One woman said they need consistency in GAIN and welfare information. Her friend received a letter and was cut off because she missed her appointment, while this woman never received a letter, even though their situations are exactly the same. Her friend is very upset.” They said some people get GAIN and some don’t and they’re frustrated.” (2) Brainstorm comments regarding Medi-Cal and other health Insurance.

Six said they prefer a Medi-Cal health plan; seven said they prefer regular Medi-Cal.

“With regular Medi-Cal you can go anywhere.” “My experience is I was treated better when I was married with regular insurance than I am treated now as a single parent with MediCal.” “When I first got on Medi-Cal, I signed up for Foundation Health Plan and it was real good...they provided (transportation).” “The Medi-Cal covers everything; the health plans, sometimes you go to the pharmacy and they don’t cover that medication.” “Some women...don’t know how to pick a good health plan; that’s what we need to be educated on, to know what each one is offering and how to pick.” “They send a package with booklets in there.... They got the health education class at the welfare office and...they explain to you about all the different health plans.” “I was on regular health insurance, then I was on an H.M.O. (not Medi-Cal) and it was great. Now I have a Medi-Cal H.M.O. and I’m treated just like everyone else on Medi-Cal; it really is different.” “They do know you’re on Medi-Cal when you go in.”

Questionnaire Summary:

1. How long have you been an AFDC/TANF recipient?

Range: 2mo.-16.5yrs Median: 3yrs Mean: 4.1yrs.

–  –  –

Transitional Medi-Cal Questionnaire Spanish Language Version



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