This article suggests indirectly how the 2023 Medicaid recertification process parallels our access to OUD care model and correlates with DC’s dramatic decrease in MOUD treatment especially since so many of our patients are continuously homeless or in distressed housing. Unfortunately the CME 2023 year end report with record deaths among the homeless (undomiciled + unknown) confirms that the combination of Medicaid  decertification and increased homelessness in DC in 2023 helped kill a lot of patients who were previously on MOUD.

This is the end result of our failed system of Milton Friedman (“free market” or “survival of the fittest”) vs. John Maynard Keynes (“Keynesian” or European/National) health care economics!