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Rural Kansans depend on Medicaid at beginning and end of life. D.C. proposals threaten program. • Kansas Reflector
In the public debate over Medicaid expansion in Kansas, a critical fact often gets lost: Large numbers of residents already depend on the program.
What’s more, despite racist stereotypes, those benefiting from the program live mostly in rural areas.
A new report from Georgetown University’s Center for Children and Families sketches the present system and makes clear the threat of potential Medicaid cuts from Congress. A menu of potential spending reductions from U.S. House Budget Committee chair Rep. Jodey Arrington slashes $2.3 trillion — yes, that’s with a “t” — from the program covering low-income Americans, Politico reported.
“Medicaid is really the backbone of so many aspects of our health care system, from birth to long-term care, and many stops in between,” said Joan Alker, executive director and cofounder of the center. According to surveys, “this is literally the last thing voters want — voters of all political parties.”
As lawmakers in Washington, D.C., prepare a massive tax cut and spending bill, it seemed worthwhile to learn about what Medicaid means to rural areas. It also seemed worthwhile to learn about what it means for Kansas. Again: The program already covers Kansans of all ages. Alker and Benjamin Anderson, the president and chief executive officer of Hutchinson Regional Healthcare System, joined me on the Kansas Reflector podcast to sort through the issues.
Anderson told me the program is absolutely vital.
“A disproportionate share of seniors, of moms and and children in our area receive health care through Medicaid, and some of them represent the working poor,” he said. “We are a state that has not expanded Medicaid, but children in in Kansas, it is a significant source of access for them. And so, when parents have a sick kid who can’t access health care, those parents can’t work, and when they can’t work, then we see economic impacts for that as well. It’s an essential partner, specifically around maternal child health, and then also with caring for seniors.’ ”
The report, based on information from the Census Bureau’s 2023 American Community Survey, stresses several key findings to bolster that perspective:
- Of kids in small towns and rural communities, almost 41% receive coverage through Medicaid. In metro areas, 38% do.
- Of adults under age 65 in small towns and rural communities, about 18% receive coverage through Medicaid. In metro areas, the figure is 16%.
- In areas with large numbers of tribal residents (American Indian or Alaska Native), those of all ages are likelier to be covered by the program.
In Kansas, 32.3% of kids in rural areas are covered by Medicaid or CHIP, compared to 28.7% of metro-area kids. Also, 11.9% of seniors in rural areas are covered by Medicaid, while 11.3% of seniors in metro areas are covered.
“From birth to seniors, Medicaid is a vital source of health insurance to our residents, covering more Kansans in rural communities,” said April Holman, executive director of the Alliance for a Healthy Kansas, on the report. “Additionally, this report makes clear that Medicaid is an important stable revenue source for hospitals and providers in rural Kansas, ensuring that we can access health care when and where we need it.”
Anderson spoke about his experience at Kearny County Hospital in Lakin. More than half of the births at the hospital were covered by Medicaid. Without that safety net, mothers wouldn’t have had access to prenatal care. Without prenatal care? Untold numbers of mothers and babies would suffer.
The effects on the elderly are similarly far reaching.
“They essentially deplete their resources before the end of their life,” Anderson said. “And these are people that diligently save, but people are living longer than they have, and just circumstances come up where that’s happened. And Medicaid is the backstop for skilled nursing. When we start compromising that infrastructure, and they can’t get into skilled nursing, they end up in our emergency department. There is well-documented evidence that among those vulnerable populations, over 50% of the health care spent in that person’s life is in their last six months. If we think we’re going to save by cutting this, we have a rude awakening coming.”
Taking a broader view, that means that Medicaid cuts have a negative multiplier effect, Alker said. If the federal government carves trillions out of the program, states will be forced to fill the gap. No one wants to see old people or children dying in the streets. But that means other services will suffer.
“This is going to impact education. It’s going to impact transportation, roads, law enforcement, everything in the state’s budget, because states will be left holding the bag,” she told me. “And it’s an absolutely untenable situation. They simply can’t manage their way out of this.”
Anderson characterized himself as a right-of-center conservative concerned about the deficit. But given his knowledge of the health care sector, he said, these types of cuts simply won’t have their intended effect.
“We’re only going to send people into the (emergency department) and spend more federal money in Medicare to offset it,” he said.
“There are ways to incentivize work,” he added. “There are ways to incentivize healthy families. This ain’t it, to use a west Kansas phrase.”
My discussion with Alker and Anderson proves a point that I’ve made repeatedly. Officials in Kansas and Washington, D.C., have to find ways to separate partisanship from policy. While Medicaid might not be perfect — we chatted about various reforms that could strengthen the program — it serves an invaluable role in the same rural communities that voted for the new president.
We all have a duty to care for those in need during their darkest hours. That duty transcends creed or party. It goes to the very core of what makes us human.
Clay Wirestone is Kansas Reflector opinion editor. Through its opinion section, Kansas Reflector works to amplify the voices of people who are affected by public policies or excluded from public debate. Find information, including how to submit your own commentary, here.
Rural Kansans depend on Medicaid at beginning and end of life. D.C. proposals threaten program. • Kansas ReflectorThe Medicaid program plays a crucial role in providing healthcare coverage for rural Kansans, particularly during the most vulnerable times in their lives. From prenatal care to end-of-life services, Medicaid ensures that individuals in rural communities have access to the necessary medical support they need.
However, recent proposals in Washington D.C. threaten to dismantle the Medicaid program, putting the health and well-being of rural Kansans at risk. As policymakers debate the future of Medicaid, it is essential to consider the impact on those who rely on this program for essential healthcare services.
Rural Kansans deserve access to quality healthcare, regardless of their income or zip code. Medicaid is a lifeline for many in these communities, and any cuts or changes to the program could have devastating consequences. It is imperative that we advocate for the protection and expansion of Medicaid to ensure that all Kansans, especially those in rural areas, have access to the care they need to live healthy and fulfilling lives.
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On Dec. 24, Amazon Prime released “Chiefsaholic: A Wolf in Chiefs Clothing,” charting the fame of Xavier Babudar, who rose to celebrity as a Kansas City Chiefs fan costumed each game as a wolf, before being arrested for bank robbery. The story became only more bonkers after his arrest: allegations of serial bank robberies on the way to Chiefs away games, an escape from law enforcement and more than $1 million in gambling to launder stolen money.
Babudar’s story was headline news for months before it was the “Chiefsaholic” documentary.
The storyline is a jackpot for the algorithmic recommendations of streaming television. Sports? Yes. True crime? Yes. A hidden identity built on lies? Yes.
And what if the sport was football? Even more specifically, Kansas City Chiefs football? And what if the true crime was a tale of serial bank robber hiding behind a mask — both during the heists and in real life?
The novelty of Babudar’s story combined with the movie’s in-depth documentary approach create a fun, if complicated, watch.
“Chiefsaholic,” like most contemporary documentaries, relies on access. In this respect, the producers deliver. Most importantly, they persuade Babudar to sit for interviews and to observe his life after he is released on bail. The camera watches him as he cheers for the Chiefs in the 2023 Super Bowl. He’s desperate for a win, both to see his favorite team crowned champions, but also to cash in a lucrative sports gamble for them.
In these moments, he reveals himself as profane and immature, trash talking his imagined doubters with tirades and celebrations pointed at the camera. This access allows us to know the man behind the mugshots.
The swirl of people surrounding Babudar further enriches the documentary. We meet Michael Lloyd, the mercurial and indefatigable bondsman who is on the hook for $80,000 if he can’t track down the suspect. The woman who stood at the end of Babudar’s fake pistol during his final bank robbery in Oklahoma, Payton Garcia, is a vulnerable and moral counterweight to the sports-fueled bravado of Chiefsaholic and his fellow self-proclaimed superfans.
Only Babudar’s mother, Carla Baduban, and her other son keep the camera distant — but alluringly so. Through the telephoto lens, Carla seems a tragic and withered woman who lives a nomadic and troubled life. Seeing her from a distance, we viewers speculate about how Xavier Babudar’s upbringing with her might have led to his federal jail cell.
By the end, the cast of characters feels outlandishly complex. The documentary veers away from a silly sports romp that you might have anticipated when you clicked on something called “Chiefsaholic” with promotional images featuring a football fan costumed as a wolf.
To counter this weight, the program delivers upbeat and goofy moments as well. Montages — almost too many to count — provide recaps of Chiefs’ wins and social media reactions. The quick-cut pace brings levity. Backed by TechN9ne’s song “Chiefs Kingdom,” game footage and social media screenshots remind us of the events leading to the Chiefs’ rise and Babudar’s fall.
The movie also relies on reenactments of Babudar’s crimes, as well as other events. In addition to relying on the actual bodycam footage of his arrest, the producers staged scenes that imagine aerial shots of the police cars speeding to the scene, details of his booking and fingerprinting and more. These staged set pieces distract us from the archival footage and the real people. These scenes (along with the ever-present montages) lard up the storytelling and push the movie’s runtime to 115 minutes, when 90 minutes could likely have fully and tautly told the story.
Besides the connection to our favorite NFL team, the movie offers other connections to Kansas. Babudar claims to have graduated in 2016 from Kansas State University, although no one in the documentary seems to believe that. Babudar often visits Kansas casinos, making wagers on the Chiefs and, the FBI alleged, laundering the money from his bank robberies.
As his bail bondsman and law enforcement chase him, the movie shows locations in Kansas City. (Coincidently, these areas are within a few miles of another recent KC-based documentary: the “Payday” episode of “Dirty Money” in 2018.) While the documentary is a tour of the Midwest, from Oklahoma to Minnesota, much of it plays out in Kansas.
The documentary ups the production values and stylistic choices over another Chiefsaholic documentary, ESPN’s “Where Wolf” from 2023. In “Chiefsaholic,” director Dylan Sires smartly chooses and lights locations for his interviews. When social media posts are displayed to help tell the story, Sires adds a pixelated effect. In these moments, the style reminds us of the barrier between real life and online life. Those pixels add subtle skepticism, asking: “What is real life?”
This is the strongest theme in the documentary. If NFL superfans are only celebrities when when they dress up for a game, if people don’t recognize them in real life and if people don’t even know their real names, then what is their fame? Whether in a wolf mask or another costume, superfans in this movie aren’t who they pretend to be.
“Chiefsaholic” showcases the trapping of superfans: the extravagant makeup, the social media trash talking, the customized buses, the curated online profiles. It investigates why these people are driven to embrace a team so completely. However, it can only hint at the answer to that question, and only for one person: Babudar.
The most revealing scene with Babudar comes as he watches the 2023 Super Bowl. He talks gently about how he must provide for his mom and brother. But then, fueled by the Chiefs gear he is wearing and the game on the TV, his persona swerves as he revs up to game mode. The superfan performance returns. For the benefit of the camera and thousands of miles from the actual game, he is “Chiefsaholic” again, announcing his return on social media.
As one Chiefs fan says in the movie: “I don’t have any problem with these people having alternate personas. The problem is when the persona becomes the purpose. Versus the purpose being the game.”
This fan could have been commenting on how regular people, especially young men fueled by online sports gambling and social media, transform when they put on their superfan costumes for game day and risk their money on football games.
In this way, the movie suggests that people’s alternate personas — the ones doing the most harm — might be online. People who follow Babudar online can’t cope with his guilt, despite the evidence.
In another scene, Garcia, the bank teller who was threatened by Babudar, explains her frustration at people supporting Chiefsaholic by believing his innocence. She wonders how people could so easily jump online to glibly assert his innocence, after he had threatened her life. Why take his side over hers? Her tears of sadness before the camera show how blind allegiance online — often posted for laughs — can wound real people.
By the end of the movie, we wonder how much sympathy we should have for Babudar, a person who most of us only knew online.
In exploring our willingness for sympathy, the documentary succeeds. It tells a well-known story in a way that still provides tension. We know that he will be arrested, that he will flee and that he will be found again.
But we don’t know how we will feel about him, and where we will place the blame for this bizarrely American story of true crime tangled with sports.
Eric Thomas teaches visual journalism and photojournalism at the William Allen White School of Journalism and Mass Communication at the University of Kansas in Lawrence. Through its opinion section, Kansas Reflector works to amplify the voices of people who are affected by public policies or excluded from public debate. Find information, including how to submit your own commentary, here.
The recent release of the documentary “Chiefsaholic” has left many viewers questioning their understanding of what it means to be a superfan. The film follows the life of John Smith, a die-hard Kansas City Chiefs fan whose obsession with the team takes a dark and troubling turn.Smith’s devotion to the Chiefs is unparalleled, with his entire life revolving around the team. He spends all of his time and money on Chiefs memorabilia, attends every game, and even has a Chiefs-themed room in his house. But as the documentary delves deeper into Smith’s psyche, it becomes clear that his fandom has taken a toll on his mental health.
The film explores how Smith’s obsession with the Chiefs has isolated him from friends and family, leading to a sense of loneliness and desperation. His behavior becomes increasingly erratic and destructive, culminating in a violent outburst at a game that lands him in legal trouble.
“Chiefsaholic” challenges viewers to reconsider the boundaries of fandom and the impact it can have on an individual’s life. It serves as a cautionary tale about the dangers of letting sports consume one’s identity and raises important questions about the line between passion and obsession.
As we grapple with the unsettling portrait of John Smith presented in “Chiefsaholic,” it is clear that being a superfan is not always a harmless pastime. It is a reminder to prioritize mental health and maintain a balanced perspective, even in the face of our most cherished passions.
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Chiefsaholic documentary, superfan documentary, Kansas City Chiefs fan, sports documentary, sports fan culture, Chiefs fan film, sports obsession, Chiefsaholic review, Kansas Reflector documentary.
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