Medicaid Buy-in option already helping my family

Daisy Lira
This appeared in the Las Cruces Sun News on September 24, 2019.

I am a successful businesswoman, operating three child learning centers, and a Sunland Park City Councilor. I’m happily married, a devout Catholic and a mother of four. But until my husband started working for the City of El Paso a few weeks ago, I never had private health insurance. 

As a young, single mom, I had Medicaid. After I opened the centers and started making a small profit, they kicked us off. I thought that since I was finally making money I’d be OK. I was wrong. 

When it was absolutely necessary, I paid for doctor’s appointments out of pocket. Most of the time, I’d go to Juárez where a doctor’s visit was more affordable. Regular checkups for my kids were not an option. 

But there’s another option: Medicaid Buy-in. My fellow Sunland Park city councilors and I unanimously passed a resolution in support of it last year. The Legislature and Gov. Michelle Lujan Grisham have been working to put it in place. It would allow families like mine to pay monthly premiums to buy-in to the trusted, affordable care that Medicaid has provided for more than 50 years. 

When I met my husband, we started looking for insurance. We wanted to have more children. Obamacare wasn’t affordable. I tried to offer healthcare to my employees and myself through my business. I told them how much the center could pay and how much they would have to pay for private group insurance, but no one could afford to be covered. We all went without. 

My husband and I were thrilled to have a son. We made too much to qualify for Medicaid and still couldn’t afford private insurance. I paid out-of-pocket for my son’s urgent care visits for recurring ear infections. It was horrible to see him in pain and to scrape together the money to help him. 

When I got pregnant again, I couldn’t find a gynecologist who would accept someone without insurance. I finally went for a checkup with a doctor in El Paso. I had no idea that within a week I would miscarry. I didn’t know what was happening. I went to an urgent care that sent me to another urgent care. They told me that my body would get rid of the pregnancy. I lost that pregnancy in pain, crying with my husband. 

When I got pregnant again a year later, I was determined to get the care I needed. To pay for prenatal care, I leveraged a piece of land we bought to build a house on. Thankfully, I had a healthy pregnancy and a healthy baby.

Now that my family has health insurance, I’ve been making all kinds of appointments for my kids. My daughter hasn’t been eating well and I take her to see a nutritionist. My son has two cysts in his stomach and I’m finally able to pay for his surgery. I even made a dentist appointment for myself. 

I’ve started speaking out about healthcare access. At 5 p.m. Wednesday, Sept.25, please join me for a screening of the film “The Providers” at the Doña Ana Community College Espina Campus, 3400 Espina St, Las Cruces, Rooms DASH 75 & 77. After the movie, there will be a discussion about healthcare in our communities. 

I’ve been waiting five years to build a home for my family on the land we bought, but doctor bills have kept that dream from happening. Maybe now that dream will come true. Maybe now, with the promise of Medicaid Buy-in families like mine won’t have to go without the care they need and deserve.

Daisy Lira is a Sunland Park city councilor.