Posted on July 18, 2011 by scjustice
From The Associated Press:
By JOHN SEEWER–7/16/2011
Born with cerebral palsy, Jennifer McPhail relies on a home health aide to help her get dressed for work and ready for bed at night.
Her motorized wheelchair keeps her active, working as an organizer with a disability rights group in Austin, Texas, and volunteering to help people find housing and to staff hurricane shelters. She now fears deep cuts in the state’s Medicaid spending will prevent her from living independently.
“What it says to me is that the state doesn’t value the lives of people with disabilities,” said McPhail, 39. “A lot of people are going to be hurt in a very intimate way.”
It’s a concern facing families across the country as states with gaping budget deficits cut home health services that help keep the elderly and disabled out of nursing homes. States are reducing how much time a nurse can spend making house calls and ending meal deliveries for the homebound. Many also are gutting adult day care programs that give seniors a safe place to spend their days while their relatives are at work. (more…)
Filed under: Health Care Law Implementation, In The Courts, In the news, Medicaid | Tagged: Alzheimer's Association, Anita Bradberry, California, Deval Patrick, Florida, Massachusetts, Medicare Payment Advisory Commission, MetLife Inc., Minnesota, Minnesota HomeCare Association, National Adult Day Services Association, National Association for Home Care and Hospice, Neil Johnson, New Mexico, South Carolina, Texas, Texas Association for Home Care & Hospice Inc., U.S. Department of Health and Human Services | 1 Comment »
Posted on July 13, 2011 by scjustice
By Noam N. Levey–July 12, 2011
Washington— The Obama administration moved Monday to ease some requirements on states to help them set up new insurance exchanges in 2014, a key feature of the healthcare law the president signed last year.The state-based exchanges are intended to make buying health insurance comparable to shopping the Internet for an airline ticket or a hotel room. And by 2019, the exchanges are expected to provide insurance for an estimated 24 million Americans who don’t get their health insurance from their employer, according to the nonpartisan Congressional Budget Office.
Small employers with fewer than 100 workers also will be able to use the exchanges, which will have to offer plans with a minimum level of coverage. No plans will be able to deny coverage to people with pre-existing conditions.
Filed under: Health Care Law Implementation, In The Courts, In the news | Tagged: America's Health Insurance Plans, Barack Obama, Bobby Jindal, California, Centers for Medicare and Medicaid Services, Congressional Budget Office, Connecticut, Department of Health and Human Services, Don Berwick, Illinois, Karen Ignagni, Louisiana, Mary Fallin, Maryland, Massachusetts, National Conference of State Legislatures, Oklahoma, Pat Quinn, Small Business Majority, Terry Gardiner, Utah | Leave a Comment »
Posted on July 8, 2011 by scjustice
From Dollars & Sense:
By Gerald Friedman
America’s broken health-care system suffers from what appear to be two separate problems. From the right, a chorus warns of the dangers of rising costs; we on the left focus on the growing number of people going without health care because they lack adequate insurance. This division of labor allows the right to dismiss attempts to extend coverage while crying crocodile tears for the 40 million uninsured. But the division between the problem of cost and the problem of coverage is misguided. It is founded on the assumption, common among neoclassical economists, that the current market system is efficient. Instead, however, the current system is inherently inefficient; it is the very source of the rising cost pressures. In fact, the only way we can control health-care costs and avoid fiscal and economic catastrophe is to establish a single-payer system with universal coverage.
The rising cost of health care threatens the U.S. economy. For decades, the cost of health insurance has been rising at over twice the general rate of inflation; the share of American income going to pay for health care has more than doubled since 1970 from 7% to 17%. By driving up costs for employees, retirees, the needy, the young, and the old, rising health-care costs have become a major problem for governments at every level. Health costs are squeezing public spending needed for education and infrastructure. Rising costs threaten all Americans by squeezing the income available for other activities. Indeed, if current trends continued, the entire economy would be absorbed by health care by the 2050s.
Conservatives argue that providing universal coverage would bring this fiscal Armageddon on even sooner by increasing the number of people receiving care. Following this logic, their policy has been to restrict access to health care by raising insurance deductibles, copayments, and cost sharing and by reducing access to insurance. Even before the Great Recession, growing numbers of American adults were uninsured or underinsured. Between 2003 and 2007, the share of non-elderly adults without adequate health insurance rose from 35% to 42%, reaching 75 million. This number has grown substantially since then, with the recession reducing employment and with the continued decline in employer-provided health insurance. Content to believe that our current health-care system is efficient, conservatives assume that costs would have risen more had these millions not lost access, and likewise believe that extending health-insurance coverage to tens of millions using a plan like the Affordable Care Act would drive up costs even further. Attacks on employee health insurance and on Medicare and Medicaid come from this same logic—the idea that the only way to control health-care costs is to reduce the number of people with access to health care. If we do not find a way to control costs by increasing access, there will be more proposals like that of Rep. Paul Ryan (R-Wisc.) and the Republicans in the House of Representatives to slash Medicaid and abolish Medicare. (more…)
Filed under: Uncategorized | Tagged: Harvard School of Public Health, health insurance, House of Representatives, Jonathan Gruber, M.I.T., Massachusetts, Medicare, Paul Ryan, Steffie Woolhandler, Vermont, William Hsiao | Leave a Comment »