Organizations Endorsing NACDEP’s Work


American Geriatrics Society

American Medical Association


Jefferson Parish Medical Society

Louisiana Geriatrics Society

Louisiana Medical Association

Louisiana Medical Directors Association

Louisiana Psychiatric Medical Association

Louisiana State Medical Society

Louisiana State House of Representatives

Louisiana State Senate

New Orleans Branch NAACP

New Orleans City Council

New Orleans Council on Aging

New Orleans Health Department

New Orleans Medical Association

Orleans Parish Medical Society

Rev. Dr. Rudolph Garrison, Sr., Dec., Greater First Pilgrim Baptist Church

Rev. Oliver Duvernay, Dec., Central & Greater St. John Missionary Baptist Churches

St. Bernard Parish Medical Society

“Turning healthcare disparity into healthcare equality while saving healthcare dollars”
NACDEP, the National Coalition for Dually Eligible People,

Dually Eligible People with Medicare and Medicaid — At the Center of the Next Debate:

Because of their medical frailty, their social and racial demographics, their great expense, and their expanding growth rate, dually eligible people — “the elderly and disabled poor” — will occupy a central position in the upcoming debates over national healthcare financing and disparities in health care in the 21st century.

Sheldon M Hersh, MD
Louisiana Geriatrics Society Annual Meeting
New Orleans, Louisiana, 2003

Excerpts from the Paper

A poverty penalty poor people pay …
“A poverty penalty is the additional money poor people pay to purchase goods or services that wealthier people can purchase without a penalty.”

People of color are disproportionately poorer than white people …
“People of color are disproportionately dually eligible people because they are disproportionately poorer than white people and depend more on Medicaid.”

Access to physician services decreased …
“In Michigan, for example, after crossover payments for dually eligible Medicare patients decreased, access to physician services decreased about 5%, and access to mental health services decreased more than 21%.”

Their medical cost is multiplied by the social cost of being poor.
“Their expense is high because the medical cost of being old or disabled is multiplied by the social cost of being poor.”