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More people insured, fewer kids vaccinated: What a new national report shows about Kentucky

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kentuckylantern.com – Sarah Ladd – 2025-06-18 04:50:00


Kentucky ranks among the worst U.S. states for childhood vaccinations, with only 64% of children fully vaccinated. A new Commonwealth Fund report highlights improvements in insurance coverage due to Medicaid expansion, which helped reduce the state’s uninsured rate significantly. However, proposed federal cuts to Medicaid could reverse these gains. Despite some progress, Kentucky struggles with high rates of preventable deaths, substance abuse, dental issues, and suicides. The report stresses the importance of accessible, affordable, high-quality health care. While Kentucky moved from 40th to 37th in national health rankings, disparities remain, particularly due to misinformation and underinsurance.

by Sarah Ladd, Kentucky Lantern
June 18, 2025

Medicaid expansion helped Kentucky and other states get more people covered by health insurance, but proposed federal cuts could undo that, a new report found. 

“Fragile Progress, Continuing Disparities,” released Wednesday by the Commonwealth Fund, also shows a decline in the number of children getting routine vaccinations against such diseases as measles, mumps and rubella.

Kentucky was among the worst states for vaccinations, with 64% of children having all doses of recommended vaccines. Of its neighbors, Kentucky’s childhood vaccination rates were higher than only Tennessee, where about 63% of children are fully vaccinated. Commonwealth Fund researchers said misinformation about vaccines has caused public trust to decrease. 

Researchers also found that from 2013-2023, rates of uninsured individuals across the country fell to a “historic low,” Dr. Joseph Betancourt, the Commonwealth Fund president, said during a Tuesday call. 

“The coverage gains can largely be attributed to provisions in the Affordable Care Act that made Medicaid available to more people and that helped many low and middle income people afford the cost of health coverage purchased from federal and state run health insurance marketplaces,” Betancourt said. 

The report highlights how Kentucky’s decision to expand Medicaid to more low-income people has increased access to health care.

“In Kentucky, one of the first states to expand Medicaid eligibility, the uninsured rate for people with incomes under 200 percent of poverty ($30,120 for an individual and $62,400 for a family of four) fell by two-thirds between 2013 and 2023, from 38 percent to 12 percent,” the report states. “By contrast, in Tennessee, which has not expanded Medicaid, the uninsured rate for the same group of low-income adults declined by only one-third, from 37 percent to 24 percent.” 

Kentucky is inching higher in the report’s health rankings — from 40th among the 50 states in the 2023 report to 37th overall in the 2025 report. The state improved on several measures, including having more people covered by health insurance, fewer people with medical debt in collections and fewer depressed youth not getting treatment.

Meanwhile, Republicans in Congress are pushing to cut Medicaid over the next decade. A proposal that emerged from a U.S. Senate committee Monday makes even deeper cuts than those already approved by the U.S. House of Representatives in a controversial spending and tax package, dubbed the “big, beautiful bill” by President Donald Trump who supports the measure. The federal-state Medicaid program pays for almost 1 in 3 Kentuckians’ health care. Many health advocates are warning the Republican legislation will hurt hospitals and patients. 

Is health care affordable, accessible?

The Commonwealth Fund report looks at a variety of measures to rank how well health systems work across the nation. Researchers look at how affordable and accessible health care is, how widespread prevention treatments like vaccinations and screenings are, the prevalence of preventable deaths and more.

Kentucky was among the worst states for vaccinations, with 64% of children having all doses of recommended vaccines. Of its neighbors, Kentucky’s childhood vaccination rates were higher than only Tennessee, which has about 63% of its children fully vaccinated. Commonwealth Fund researchers said misinformation about vaccines has caused public trust to decrease. (Screenshot)

The report shows:

  • In 2023, 4% of Kentucky children ages 0-18 were uninsured. The national average is 5%. 
  • In 2023, 8% of Kentucky adults ages 19-64 were uninsured, which is lower than the national average of 11%. 
  • In 2022, 40% of Kentucky adults hadn’t had a dental visit in the past year. That’s higher than the national average of 36%. 
  • In 2023, 36% of children did not have all their recommended vaccinations. The national average is 31%. 
  • In 2022, 70% of Kentucky adults living with substance use disorder did not receive treatment.  Nationally, that number is 77%. 
  • From 2020-2023, the 30-day hospital mortality in Kentucky was 15%, slightly higher than 14% across the U.S. 
  • In 2022-2023, Kentucky had 117 preventable deaths per 100,000 people, higher than the national rate of 86. 
  • In 2022, for every 1,000 live births in Kentucky, there were nearly 5.8 baby deaths, slightly higher than the 5.6 national average. 
  • In 2023, there were nearly 18 suicides for every 100,000 people. The national average is 14. The National Suicide Prevention Lifeline is 988. 
  • In 2023, Kentucky saw 18 firearm deaths per 100,000 people, which is higher than the national rate of 14. 
  • In 2022, 16% of Kentucky adults had lost six or more teeth. The national average is 9%. 
  • In 2023, Kentucky had more diabetic adults get their annual hemoglobin A1c test. That year, 4% of diabetic adults in Kentucky didn’t have the test, which is much better than the national average of 9%. 
Kentucky has high rates of premature deaths from preventable causes. (Screenshot)

Betancount said the insights should be a “call to action for policy makers” both federally and at the state level to “make sure everyone in America can get the care they need, no matter who they are, where they live, or how much money they earn.” 

“I see patients every week, and I and people across the nation can tell you that there is no substitute for being able to get the care you need when you need it, and the evidence is clear that policies that make health insurance and health care more affordable and accessible work and make a difference for people everywhere every day.”

Even though Kentucky still has a lot of bad health marks, having higher rates of insured people is key to improving health, said Sara R. Collins, a senior scholar and vice president for health care coverage and access and tracking health system performance at The Commonwealth Fund.

“Health insurance coverage is essential in this country,” she said. “One cannot access health care without it, except if you’re very, very wealthy.” 

It’s also important to have high quality of coverage, low deductibles, low cost sharing, Collins said. 

“We continue to have a lot of people, millions of people, who are underinsured in the country, and there are ways of addressing that, through public policy and changes in insurer behavior,” she said. “But it is really a necessary condition for improving home health system performance.” 

Kentucky is inching higher in the report’s health rankings — from 40th among the 50 states in the 2023 report to 37th overall in the 2025 report. The state improved on a few measures, including having more people covered by health insurance, fewer people with medical debt in collections and fewer depressed youth not getting treatment. (Screenshot)

 

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Kentucky Lantern is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Kentucky Lantern maintains editorial independence. Contact Editor Jamie Lucke for questions: info@kentuckylantern.com.

The post More people insured, fewer kids vaccinated: What a new national report shows about Kentucky appeared first on kentuckylantern.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

This article reflects a Center-Left bias through its favorable framing of Medicaid expansion and the Affordable Care Act, and by highlighting the negative implications of Republican-led efforts to cut Medicaid. The narrative emphasizes public health improvements tied to federal health policy while attributing potential setbacks to GOP legislation, using expert voices that support expanded healthcare access. Although the reporting presents data and quotes from reputable sources, the selection of perspectives and language—such as calling Republican proposals “controversial” and quoting warnings from health advocates—tilts the tone toward progressive health policy advocacy without outright editorializing.

News from the South - Kentucky News Feed

Stormy weather continues into the mid-week

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www.wtvq.com – T.G. Shuck – 2025-06-17 15:06:00

SUMMARY: Central and Eastern Kentucky have experienced persistent stormy weather with scattered showers and slow thunderstorms causing localized heavy rain and minor flooding. Tuesday saw cooler highs in the upper 70s to low 80s under thick clouds. Wednesday brings muggy conditions with mid-80s highs and mostly dry skies early, but a cold front will increase late-day thunderstorm chances, with a Level 2 severe risk for damaging winds northwest of Lexington. The front passes Thursday, ending daily storms but not lowering temperatures. Summer kicks off Friday with mid-80s warmth, rising to upper 80s and low 90s by the weekend, with humid, mostly dry weather and possible afternoon storms early next week.

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Smiths Grove man arrested after motorcycle pursuit

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www.wnky.com – WNKY Staff – 2025-06-17 13:28:00

SUMMARY: A Warren County man, Steven Dye, 38, of Smiths Grove, was arrested after leading Kentucky State Police on a high-speed motorcycle chase in Bowling Green. The pursuit began when troopers attempted a traffic stop for a missing taillight. Dye fled, reaching 75 mph in a 35 mph zone, ran a red light, nearly caused a head-on collision, and eventually lost control on Rock Creek Drive. Authorities found meth, pills, marijuana, a handgun, digital scales, cash, and a stolen motorcycle. Dye faces multiple charges including drug trafficking, fleeing police, possessing a firearm as a felon, and driving under the influence.

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Two-thirds of those in nonpartisan poll view GOP’s tax and spending cut bill unfavorably

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kentuckylantern.com – Jennifer Shutt – 2025-06-17 06:37:00


A KFF poll reveals broad public opposition to the GOP’s House-passed “big, beautiful bill,” with 64% of Americans disapproving, including 87% of Democrats and 73% of independents, though 61% of Republicans and 72% of MAGA supporters favor it. Opposition grows when informed of impacts like a $700 billion Medicaid cut and 10 million losing insurance. The bill risks reducing funding for hospitals and blocks Medicaid funds for Planned Parenthood, a provision opposed by 67%-80% of respondents. Despite controversy, 83% support Medicaid overall. Senate Republicans are modifying the bill, facing vote-a-rama debates before approval.

by Jennifer Shutt, Kentucky Lantern
June 17, 2025

WASHINGTON — Republicans and backers of President Donald Trump’s Make America Great Again platform support the party’s “big, beautiful bill” as passed by the U.S. House, though Americans overall view the legislation unfavorably, according to a poll released Tuesday by the nonpartisan health research organization KFF.

The survey shows that nearly two-thirds of those polled, or 64%, don’t support the tax policy changes and spending cuts Republicans have included in the sweeping House version of the bill that the Senate plans to take up this month.

When broken down by political affiliation, just 13% of Democrats and 27% of independents view the legislation favorably. Those numbers are in sharp contrast to Republicans, with 61% supporting the bill and 72% of those who identify as MAGA supporters.

But those views fluctuated when the people surveyed were asked specific questions about certain elements of the package and the real-world impacts of the legislation:

  • The overall percentage of those surveyed with an unfavorable view of the bill increased from 64% to 67% when they were told it would lower federal spending on Medicaid by more than $700 billion, an estimate by the nonpartisan Congressional Budget Office.
  • Dislike of the legislation rose to 74% when those polled were told policy changes would lead to 10 million people losing their health insurance coverage, another estimate from the CBO analysis.
  • Opposition rose to 79% when people were told the legislation would reduce funding for local hospitals.

“The public hasn’t had much time to digest what’s in the big, beautiful, but almost incomprehensible bill as it races through Congress, and many don’t have a lot of information about it,” KFF President and CEO Drew Altman wrote in a statement. “Our poll shows that views toward the bill and its health-care provisions can shift when presented with more information and arguments about its effects, even among MAGA supporters.”

Senators wrestling with what to do

The House voted mostly along party lines to approve its 11-bill package in late May, sending the legislation to the Senate.

GOP senators have spent weeks internally debating which parts of the House legislation to keep, which to change and which to remove, while also conducting closed-door meetings with the parliamentarian to determine which parts of the bill comply with the rules for the complex reconciliation process.

Senate Majority Leader John Thune, R-S.D., plans to bring his chamber’s version of the package to the floor next week, though that timeline could slip. Before the Senate can approve the rewritten bill, lawmakers will spend hours voting on dozens of amendments during what’s known as a vote-a-rama.

Significant bipartisan support for Medicaid

The KFF poll released Tuesday shows that 83% of Americans support Medicaid, slated for an overhaul and spending reductions by GOP lawmakers.

That support remains high across political parties, with 93% of Democrats, 83% of independents and 74% of Republicans holding a favorable opinion of the state-federal health program for lower-income people and some with disabilities.

Those surveyed appeared supportive of a provision in the House bill that would require some people on Medicaid to work, participate in community service, or attend an educational program at least 80 hours a month.

The change is supported by about two-thirds of those surveyed, though the numbers shift depending on how the question is asked.

For example, when told that most adults on Medicaid already work and that not being able to complete the paperwork associated with the new requirement could cause some to lose coverage, 64% of those polled opposed the new requirement. 

Planned Parenthood

There was also broad opposition, 67% overall, to language in the House bill that would block any Medicaid funding from going to Planned Parenthood for routine health care. There is a long-standing prohibition on federal funding from going toward abortion with exceptions for rape, incest, or the life of the pregnant patient.

Opposition to the Planned Parenthood provision increased to 80% when those polled were told that no federal payments to Planned Parenthood go directly toward abortion and that ending all Medicaid payments to the organization would make it more challenging for lower-income women to access birth control, cancer screenings and STD testing.

Republicans are more supportive of that change, with 54% backing the policy and 46% opposing the new block on Medicaid patients going to Planned Parenthood. But 78% of independent women and 51% of Republican women oppose the change.

Food assistance program

Those surveyed also had concerns about how changes to the Supplemental Nutrition Assistance Program, or SNAP, would impact lower-income people’s ability to afford food, with 70% saying they were either very or somewhat concerned.

Democrats held the highest level of concern at 92%, followed by independents at 74% and Republicans at 47%.

Overall, Republicans hold the highest share of people polled who believe the dozens of GOP policy changes in the “big, beautiful bill” will help them or their family.

A total of 32% of Republicans surveyed believe the legislation will benefit them, while 47% said it will not make much of a difference and 21% said it will hurt them or their family.

Thirteen percent of independents expect the legislation will help them, while 39% said it likely won’t make a difference and 47% expect it will harm them or their family.

Of Democrats polled, just 6% said they expect the GOP mega-bill to help them, while 26% said it wouldn’t matter much and 66% expected it to hurt them or their family.

When asked whether the bill would help, not make much of a difference, or hurt certain groups of people, the largest percentage of those polled expect it to help wealthy people.

Fifty-one percent of those surveyed said they expect wealthy people will benefit from the bill, 21% believe it will help people with lower incomes and 20% said they think middle-class families will benefit.

Seventeen percent think it will help immigrants, 14% expect it to help people who buy their own health insurance, 13% believe it will help people on Medicaid, 13% think it will help people on SNAP and 8% expect it will benefit undocumented immigrants.

KFF conducted the poll June 4 – 8, both online and by telephone, among a nationally representative sample of 1,321 U.S. adults. The margin of error is plus or minus 3 percentage points for the full sample size. 

Kentucky Lantern is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Kentucky Lantern maintains editorial independence. Contact Editor Jamie Lucke for questions: info@kentuckylantern.com.

The post Two-thirds of those in nonpartisan poll view GOP’s tax and spending cut bill unfavorably appeared first on kentuckylantern.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

This article presents data from a nonpartisan poll while highlighting public opposition to a Republican-backed bill, emphasizing the negative impacts of proposed GOP policy changes, particularly in areas like Medicaid, SNAP, and Planned Parenthood funding. The framing often underscores how public support drops when consequences are explained, and it presents the perspectives of Democrats and independents more sympathetically. Although factual and sourced, the tone and selective emphasis on adverse outcomes and dissent suggest a modest Center-Left bias in how the information is contextualized and presented.

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