Warm Southern Breeze

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Posts Tagged ‘Medicaid’

“No, Dr. Bentley, we are in no way prepared for Ebola.”

Posted by Warm Southern Breeze on Friday, October 10, 2014

Pippa Abston, MD, PhD, is considered by many, to be the preeminent, board-certified general pediatric physician in the Tennessee Valley, and is author of the following commentary, written in response to a news item entitled “Ebola hasn’t surfaced in Alabama but state ready, Gov. Bentley says,” published October 08, 2014 at 9:03 AM, updated October 08, 2014 at 12:59 PM at http://www.al.com/news/index.ssf/2014/10/gov_robert_bentley_on_ebola_vi.html.

In his press conference, Governor Bentley said, “In the event that Ebola spreads to Alabama, we are ready and we are prepared to respond.”

Thursday, 9October2014, 6:18am

By Pippa Abston, MD, PhD

Governor of Alabama, Dr. Robert Bentley, MD makes a Press Conference Wednesday, 08October2014 to assert Alabama state readiness for Ebola virus.

Alabama Governor, Dr. Robert Bentley, MD (a retired dermatologist) holds a Press Conference Wednesday, 08 October 2014 purporting to assert state readiness for the Ebola virus.

No, Dr. Bentley, we are in no way prepared.

First and most seriously, people lack insurance or have high co-pays/ deductibles, so they will delay going to the doctor or ER and expose others in the meantime.

Second, our public health infrastructure is underfunded and understaffed.

A couple of years ago I let the local HD (Health Department) know about a new viral syndrome I was seeing, which needed Read the rest of this entry »

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Why did Parker Griffith vote AGAINST the Lilly Ledbetter Fair Pay Act?

Posted by Warm Southern Breeze on Friday, June 6, 2014

English: , member of the United States House o...

Official portrait, Parker Griffith, MD as freshman member of the United States House of Representatives, Alabama 5th Congressional District.

53rd Alabama Governor Robert Bentley, Jr., MD - campaign photograph

Campaign photograph – 53rd Alabama Governor Robert Bentley, Jr., MD

As a politician, Parker Griffith has been described as “maverick.”

To describe it diplomatically, he has been “somewhat unpredictable.”

To be blunt, he’s a loose cannon.

His most recent political aspiration includes 2014 candidacy for Alabama governor under the Democratic ticket, challenging first term Republican Robert Bentley (described as “wildly popular”), whom is similarly a retired physician, and former Alabama State House Representative from Tuscaloosa, whom has publicly announced his opinion that he will be re-elected during a tour of Julia Tutwiler Prison for Women, where sexual assaults, and abuses of innumerable kind have become so rampantly commonplace that Alabama’s prison system is verging upon federal takeover.

It was during his tour of that prison that “Our kindly country doctor governor toured Tutwiler in early March and quietly said, “we are probably going to have to build some new prisons in my second term.””

Griffith’s greatest obstacle is his past. More specifically, the greatest mountain he must conquer is his decision to switch parties (from Democrat to Republican) while in his first term in Congress, which abruptly ended his political aspirations.

The nightmare of his actions still haunts Alabama voters, many whom have not forgotten – including those in his hometown, Huntsville & Madison County. Like the ghastly spectre in Charles Dickens’ classic fiction “A Christmas Carol,” Parker Griffith must come face-to-face with the Ghost of Election Past, and Bentley with the Ghost of Alabama Yet to Come.

And in this real-life play, Bob Cratchit is played by the people, while 18.1% of the state’s population (the state poverty rate) are cast as the sickly child, Tiny Tim. They and others are the ones whom are denied by the Scrooge, played by Governor Bentley and Republican-dominated state legislature.

In reality, Griffith and Bentley play dual roles in this real-life political /social /medical /economic drama.

Charles Dickens circa 1850: he ‘kept on going by taking on too much’. Photograph: Herbert Watkins

Is there salvation for Griffith?

Will Bentley expand Medicaid?

Can anyone really help the citizens of Alabama?

Tune in next time! when we hear _?_ say…

Griffith’s last foray into politics – as Representative for Alabama’s 5th Congressional District – did not bode well, for after the first full year of a two-year term, he announced he was changing political party affiliation, for which he was resoundingly criticized at home by his constituency, in the press for his actions, and then subsequently resoundingly defeated by GOP challenger “Mo” Brooks in the 2010 Republican primary.

When he represented Alabama’s 5th Congressional District in the United States House of Representatives, Parker Griffith voted against Read the rest of this entry »

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Alabama Medicaid Incompetency: State must repay Federal Childrens Health Insurance Program $88,197,498

Posted by Warm Southern Breeze on Friday, December 20, 2013

Did you know? (No, you probably didn’t.)

In a report dated August 2013, the Department of Health and Human Services Office of Inspector General (HHS OIG) conducted a criminal and administrative investigation and found that Alabama claimed, and was paid millions in unallowable performance bonus payments under the Children’s Health Insurance Program Reauthorization Act (CHIRPA).

This FRAUD was because of INCOMPETENCY in Alabama governance.

The HHS OIG found that the Alabama state agency overstated its FYs 2009 and 2010 current enrollment in its requests for bonus payments. The State agency overstated its current enrollments because, rather than Read the rest of this entry »

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GOP Governors Deny Healthcare to their Poor Citizens

Posted by Warm Southern Breeze on Friday, December 28, 2012

GOP Governors Deny The Poor Health Care In Opposing Obamacare‘s Medicaid Expansion

December 28, 2012

Posted: 12/28/2012 8:44 am EST | Updated: 12/28/2012 12:18 pm EST

Gop Obamacare

Texas Gov. Rick Perry, right, and Louisiana Gov. Bobby Jindal in De Witt, Iowa, Tuesday, Dec. 20, 2011. Both Republican governors — along with those in Oklahoma, Alabama, Mississippi, Georgia, South Carolina, South Dakota and Maine — have rejected an expansion of Medicaid in their states. (AP Photo/Chris Carlson)

RUSTON, La. — With no health insurance and not enough money for a doctor, Laura Johnson is long accustomed to treating her ailments with a self-written prescription: home remedies, prayer and denial.

Over decades, she made her living assisting elderly people in nursing homes in jobs that paid just above minimum wage and included no health benefits. So even as her feet swelled to such an extent that she could no longer stuff them into her shoes, and even as nausea, headaches and dizziness plagued her, she reached for the aspirin bottle or made do with a teaspoon of vinegar. She propped her feet up on pillows and hoped for relief.

“Before I got sick,” she said, “I hadn’t been to the doctor in 20 years.”

After she collapsed last year and landed in in a local emergency room, doctors diagnosed her with congestive heart failure, high blood pressure and hypothyroid. They ordered her not to work. She arranged a Social Security disability benefit, and she enrolled in Medicaid, the government-furnished insurance program for the poor. She used her Medicaid card to secure needed prescription medications. Her ailments stabilized.

But this year, the state determined that the $819 a month she draws in disability payments exceed the allowable limit. By the federal government’s reckoning, her $9,800 annual income made her officially poor. But under the standards set by Louisiana, she was too well off to receive Medicaid.

This is how Johnson, 57, finds herself back amid the roughly 49 million Americans who lack health insurance. This is why she must again reach into her pocket to secure her prescription drugs, a supply that runs about $200 a month. That sum is beyond her, so she has gone more than four months without taking her pills on a regular basis. Once again, her feet are swelling and her chest is filling with fluid. Once again, she is confronted with the realization that a lifetime of labor does not entitle her to see a doctor any more than it enables her to gain crucial medications.

“It just doesn’t seem right to me,” she said. “It just doesn’t seem fair.”

Johnson is precisely the sort of person who is supposed to Read the rest of this entry »

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Huntsville Hospital Kills Child: Permanently Disabled 1y/o Child Later Died

Posted by Warm Southern Breeze on Tuesday, December 4, 2012

Welcome to Alabama, where the legal concept of respondeat superior apparently does NOT apply.

Some would call this murder.

If a person driving drunk kills someone, nowadays, they’re charged with murder – even though they did not plan, or intend upon killing someone (the element of premeditation, or forethought).

But why isn’t Huntsville Hospital charged with murder? (It’s kinda’ difficult to charge a corporation with murder, but it’s quite possible that the officers can be indicted or charged.)

And why aren’t those directly responsible (those in the Recovery Room who were responsible for Gracie’s care) charged with Murder?

It’s painfully obvious some things MUST change in Alabama regarding healthcare.

Girl disabled, later dies, after tonsillectomy at Huntsville Hospital; Alabama public hospitals‘ liability capped at $100,000

By Challen Stephens | cstephens@al.com on December 03, 2012 at 1:03 PM, updated December 03, 2012 at 4:18 PM

Randy Smith and Deedee Smith talk about raising a child with disabilities while Gracelynn, 5, sits in her wheelchair during an interview in their home Monday, November 19, 2012 in Athens, Ala. (Eric Schultz / eschultz@al.com)

Randy Smith and Deedee Smith talk about raising a child with disabilities while Gracelynn, 5, sits in her wheelchair during an interview in their home Monday, November 19, 2012 in Athens, Ala. (Eric Schultz / eschultz@al.com)

HUNTSVILLE, Alabama — Four years ago, Gracie knew a few dozen words and had just learned to walk backwards. But Gracie had a little trouble breathing at night. Doctors said it would only get worse, so they decided to remove her tonsils.

The surgery lasted less than 15 minutes.

In the recovery room at Huntsville Hospital, Gracie was standing on her bed calling for her mother. “We were told she was having difficulty coming out of anesthesia,” said her father Randy Smith. Nurses said the girl needed to rest to recover. In the recovery room, the family says, she was allowed to stop breathing for more than 10 minutes.

Dan Aldridge, attorney for the Smiths, said Gracie “was not connected to the customary monitoring equipment that sounds an alarm if vital signs reach a dangerous zone.” He said the nurses, three of them, were in the recovery room. At one point, her mother voiced concern. “I was told, ‘Mom, now don’t wake her up, if we get her up, we will never calm her down,” said Dee Dee Smith. “My response was she was not breathing.”

Dee Dee said one of the nurses touched the girl’s foot. It was cold. Aldridge said “code” was called. Medical staff poured into the room. Gracie would spend the next 18 hours in a coma. When Dee Dee finally got to hold her girl again, the girl’s eyes were open but Read the rest of this entry »

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Research: WalMart’s Low Wages Burden Taxpayers

Posted by Warm Southern Breeze on Friday, November 23, 2012

The high cost of low living…

“Walmart’s employees receive $2.66 billion in government help every year, or about $420,000 per store.
They are also the top recipients of Medicaid in numerous states.
Why does this occur?
Walmart fails to provide a livable wage and decent healthcare benefits, costing U.S. taxpayers an annual average of $1.02 billion in healthcare costs.

This direct public subsidy is being given to offset the failures of an international corporate giant who shouldn’t be shifting part of its labor costs onto the American taxpayers.”

You’re the life of the party, everybody’s host
Still you need somewhere you can hide
All your good time friends
And your farewell to has-beens
Lord knows, just along for the ride

You think you’re a survivor
But boy, you better think twice
No one rides for nothin’
So, step up and pay the price

Dedicated to the GOP & other radical TEApublicans who worship the “almighty” dollar, tax cuts for the über wealthy, and their multinational corporate prophets.


Hidden Taxpayer Costs

Disclosures of Employers Whose Workers and Their Dependents are Using State Health Insurance Programs

Updated January 18, 2012

Since the mid-20th Century, most Americans have obtained health insurance through workplace-based coverage. In recent years there has been a decline in such coverage caused by a rise in the number of jobs that do not provide coverage at all and growth in the number of workers who decline coverage because it is too expensive.

Faced with the unavailability or unaffordability of health coverage on the job, growing numbers of lower-income workers are turning to taxpayer-funded healthcare programs such as Medicaid and the State Children’s Health Insurance Program (SCHIP).

This trend is putting an added burden on programs that are already under stress because of fiscal constraints caused by medical inflation and federal cutbacks. Many states are curtailing benefits and tightening eligibility requirements.

It also raises the issue of whether states are being put in a position of subsidizing the cost-cutting measures of private sector employers.

Across the country, policymakers and others concerned about the healthcare system are pressing for disclosure of information on those employers whose workers (and their dependents) end up in taxpayer-funded programs.

The following is a summary of the employer disclosure that has come to light so far. It includes two cases (Massachusetts and Missouri) in which the information was produced as a result of legislation. The other cases involved requests by legislators or reporters. The latter situations have sometimes resulted in data that are incomplete or imprecise, which suggests that only legislatively mandated, systematic disclosure will tell the whole story.

This compilation was originally produced by Good Jobs First as part of its preparation of testimony given before the Maryland legislature on an employer disclosure bill. A version of that testimony can be found here [1].

Alabama
In April 2005 the Mobile Register published an article citing data from the Alabama Medicaid Agency on companies in the state with employees whose children are participating in Medicaid. The newspaper obtained a list from the agency of 63 companies whose employees had 100 or more children in the program as of mid-March 2005. At the top of the list was Wal-Mart, whose employees had 4,700 children in the program. Following it were McDonald’s (1,931), Hardee’s (884) and Burger King (861). The data were similar to information obtained from the same agency by the Montgomery Advertiser two months earlier.

Sources: Sean Reilly, “Medicaid Providing Health Care for Kids of Working Families,” Mobile Register, April 17, 2005 and John Davis and Jannell McGrew, “Health Plans Not Family Friendly,” Montgomery Advertiser, February 22, 2005, p.B6.

Arizona
In July 2005 the state Department of Economic Security issued data on the largest private employers with workers receiving taxpayer-financed medical insurance through the Arizona Health Care Cost Containment System. At the top of the list was Wal-Mart, with about 2,700 workers–or 9.6 percent of its Arizona workforce–participating in the program. It was followed by Read the rest of this entry »

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Alabama Governor Bentley Refuses to Help State’s Citizens

Posted by Warm Southern Breeze on Friday, November 16, 2012

Not only are you, Governor Bentley, an embarrassment to the state and nation, but as a physician, you discredit the healing arts & profession, and contribute to sickness, disease and ill health of the people of the great state of Alabama.

Feds allow more time on health insurance exchange decision, but Alabama Gov. Robert Bentley says no thanks

By Kim Chandler | kchandler@al.com
on November 16, 2012 at 12:07 PM, updated November 16, 2012 at 5:35 PM

AL Gov Robert Bentley

Alabama Governor Dr. Robert Bentley, MD (R), adamantly refuses to help the state’s citizens by making a list of health insurance carriers, called an “exchange.” – (AP photo)

MONTGOMERY, Alabama — At the request of some GOP governors, the federal government is giving states another month to decide if they want to run a state-based health insurance exchange.

Gov. Robert Bentley is saying no thanks to the extra time, saying his decision stands to not set up a state exchange.

“The extension from HHS did not change the governor’s decision,” Bentley Press Secretary Jennifer Ardis said in an e-mail.

Bentley, as other GOP governors have done, announced Tuesday that he would not set up a state exchange under the Affordable Care Act.

Bentley made the announcement official in a two-sentence letter today to HHS Secretary Kathleen Sebelius.

“This letter serves as official notification that Alabama will not be setting up a state-based health insurance exchange, nor do I intend to pursue a partnership exchange,” Bentley wrote.

Today had been the deadline for states to decide whether they want to set up and run their own state exchange, essentially a marketplace for people and businesses to shop for insurance with some people getting subsidies to offset their costs.

Sebelius sent a letter Thursday to Gov. Bobby Jindal of Louisiana and Gov. Bob McDonnell of Virginia saying that deadline has been extended until Dec. 14.

The governors, on behalf of the Republican Governors Association, had requested more time to make a decision, according to the letter from Sebelius. Both Jindal and McDonnell have said they don’t plan to set up an exchange.

“We are confident Governors will have enough time to Read the rest of this entry »

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Alabama Governor Robert Bentley Defies Federal Law, Refuses to Establish Healthcare Insurance Exchange for Citizens

Posted by Warm Southern Breeze on Tuesday, November 13, 2012

Governor Bentley is pulling a George Wallace stand-in-the-schoolhouse-door redux.

What an ignorant ass he is!

It’s exceedingly sad that he – as a physician – ordered Alabama’s 67 Counties Departments of Public Health to STOP giving Tuberculosis tests, thereby jeopardizing the public health of everyone who eats at a public restaurant, works in healthcare, and more – and was done as super-virulent, drug-resistant strains of tuberculosis are emerging. Gee, thanks, Governor Dr. Bentley. NOT!

Thanks for nothing, you jack-legged nincompoop!

By your defiant actions, Governor Bentley, you will FORCE the Federal Government to do something TOTALLY against your opinion – and that is, to establish a Health Insurance Exchange in Alabama.

You, Governor Bentley, are a lazy, sorry, idiotic jerk, in addition to being a liar, thief, incompetent boob, and contemptuous good-for-nothing.

Pejoratives aside, more than anything, this places the solitary onus of responsibility upon the governor and legislature to 1.) Increase education,; 2.) Increase employment; 3.) Increase Corporate Income Tax rates; and 4.) Increase Personal Income Tax rates on the wealthiest Alabamians who already pay a well-documented rate that is significantly lower than the impoverished.

By increasing educational attainment in Alabama, the governor will be demonstrating a high-quality, high-yield investment in the state’s most precious resource – people.

But the governor – bless him – is ignorant, and it is quite painfully obvious that he just doesn’t understand such simple concepts. He should understand them, however, because he has said previously, that he used the G.I. Bill to complete his medical training after his enlistment ended.

In stark contrast, Tennessee’s Republican governor, Bill Haslam said, “I’ve always said from the very beginning that anything we [Tennessee] can run instead of the federal government, we are going to run it better and cheaper,” The simpler thing to do is to say, ‘Here, it’s your idea, you run it,’ but I’m not convinced yet that that’s what’s best for our citizens. There’s going to be an exchange and ultimately, our citizens — through their insurance companies — are going to pay for the costs of running that exchange. So who do we think can run it cheaper: us or the federal government? I’ll bet on us every time. But we have to be convinced that the flexibility they will give us is worth taking the risk of running it ourselves.”

For the benefit of the reader who may be unaware of what an Insurance Exchange is, the exchange is designed to allow uninsured people to compare and buy health insurance plans through a single Internet portal. Those who earn up to four times the federally designated poverty level will receive subsidies to pay for the coverage.

Essentially, it’s an Internet-based non-business (nobody is making any money), that creates a database of health insurance carriers that all adhere to certain guidelines for efficiency and coverage. The law allows states to join together to run multi-state exchanges – essentially, insurance across state lines – or to exclude themselves.

In essence, make a list of companies that sell health insurance in the state, make a comparison of their plans and prices, and provide a link to the company for folks to buy insurance from whatever company they want.

Not too difficult to figure out, eh?

Here’s a link to an informative flyer from the Henry J. Kaiser Family Foundation about what Health Insurance Exchanges are, and what they do.

You may also be interested in reading the informative site http://healthreform.kff.org.

 

Gov. Bentley says Alabama won’t set up exchange, expand Medicaid

By Kim Chandler | kchandler@al.com
on November 13, 2012 at 1:38 PM, updated November 13, 2012 at 5:19 PM

Bentley, in a show of continued resistance to the Affordable Care Act,  said this afternoon that he will not set up a state health care exchange and he will not expand Medicaid under the federal healthcare overhaul.

Alabama Governor Bentley speaks at luncheon

Alabama Governor Robert Bentley speaks at the Birmingham Business Alliance 2012 Governor’s Luncheon in Birmingham, Ala., Tuesday, Nov. 13, 2012. (Tamika Moore | tmoore@al.com) / Tuesday, November 13, 2012 1:17 PM

“I will not set up a state exchange in Alabama,” Bentley said during a speech to the Birmingham Business Alliance.

States have a Friday deadline to inform the  U.S. Department of Health and Human Services  if they plan to set up a state-run exchange, essentially a marketplace for people and businesses to shop for insurance. If states don’t set up their own exchange, either alone or in federal partnership, then the federal government will step in and design it.

Bentley said he has been in communication with other governors  — including peers in Texas, Florida and Louisiana — about the exchange decision.  He expected multiple governors to show a united front of resistance to the Affordable Care Act.

“If we stand together, I do believe Congress is going to have to look at this again,”Bentley said.

Bentley said he expected other governors to announce similar decisions.

“That will Read the rest of this entry »

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The Theory of Everything

Posted by Warm Southern Breeze on Sunday, October 7, 2012

I’m elated to learn that there is a “Theory of Everything.”

As I delved further into it, I found that Read the rest of this entry »

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Alabama’s Quandary: Nur$ing Homes, or Home Care?

Posted by Warm Southern Breeze on Friday, October 5, 2012

It’s almost like trying to patch a roof while it’s leaking.

October 04, 2012

This Week in Alabama Politics

By Steve Flowers
It is basic public policy that you either have to raise taxes or reduce government services. It has become a cardinal sin in Republican politics to even say the word tax much less enact any increase in revenue. Our legislature is now overwhelmingly Republican and they are real Republicans. They take their no new tax pledge seriously as does our Republican governor. Therefore, when the dicing and crafting of the 2013 budget was being processed, new revenue enhancement measures were not on the table. It is doubtful that you will see any tax increase proposals anytime soon in the Heart of Dixie.

The state’s new budget year begins this week. It will be horrendous. There are draconian cuts to basic state services. Alabama has a constitutional amendment that mandates a balanced budget. We are in dire straits but at least we are not deficit spending like other states. California is teetering on bankruptcy.

This past year’s budget was bad. Teachers and state employees pay was cut this time last year. However, if you think that last year was bad, you ain’t seen nothing yet. This is the year that the chickens have finally come home to roost. The federal stimulus manna from Heaven has provided a lifeline salvation for several years but those dollars are gone. This fiscal year may well be the worst dilemma since the Great Depression.

My contention is that it is worse than the Depression years. During that era the state Read the rest of this entry »

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Pharmaceutical Firms Lie, Cheat & Steal from America’s Elderly, Orphans, Poor and Helpless

Posted by Warm Southern Breeze on Saturday, September 8, 2012

A few points for the reader to consider:
This fraud was national in scope, involving a $3 BILLION settlement, of which the North Carolina Attorney General was able to recoup $31.8M. Pfizer, Abbott, Johnson & Johnson, Forest Labs, Eli Lilly, Astrazeneca have also all plead guilty to deceptive and fraudulent marketing. It’s very likely a drop in the bucket in comparison with the greater scope.

The four most expensive Pharmacy frauds in the United States history have occurred since George W. Bush oversaw the rewriting of the Medicare Part D drug benefit in 2003. In order of their value, they are:
GlaxoSmithKline – $3 Billion, 2012
Pfizer – $2.3 Billion, 2009
Abbott Laboratories – $1.5 Billion, 2012
Eli Lilly – $1.4 Billion, 2009

The so-called “doughnut hole” in the Medicare prescription Part D drug plan was closed by President Obama. That “doughnut hole” was created under the George W. Bush administration, who caved in to lobbyists from BIG PHARMA, and allowed them to write much of that aspect of the 2003 revision of the Medicare Part D law (also known as the Medicare Prescription Drug, Improvement, and Modernization Act (MMA), and refused to allow Medicaid the opportunity to bargain for prices with pharmaceutical firms.

Advertising is expensive. Advertising for medications on television, radio, Internet, magazines, billboards, buses, and any other place where advertising is sold, is illegal in some nations. It was once illegal in the United States, until the 1980’s when the FDA OK’d it under pressure from the Reagan administration.

IMS Health, a medical data firm, calculates that drug companies’ business in the United States alone earns more than $300 billion a year.

Last year, GSK had $20 Billion gross profits on $27 Billion in revenue. So don’t let anyone EVER fool you into believing that drug companies don’t make enough money, don’t have enough profits, or enough profit margin.

Pharmaceutical companies spent Read the rest of this entry »

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Govenor Bentley begs, borrows or steals. -OR- What’s it like living in Alabama? Ever been continuously anally gang-raped?

Posted by Warm Southern Breeze on Wednesday, August 29, 2012

Not only does Governor Bentley send another man out to do his work, but he steadfastly refuses to do the right thing.

And the Huntsville Times REFUSES to cover Dr. Don Williamson’s stumping-for-the-governor’s “Let me borrow-nearly-a-half-BILLION-dollars-without-a-repayment-plan” appearance at City Hall.

Remember: Whatever you do,

• DO NOT increase tax rates on the wealthiest Alabamians, who already pay a lower rate than the impoverished – who also pay the 3d highest tax rate in the USA (why, even former Republican Governor Bob Riley called for tax change saying, “It is immoral to charge somebody making $5,000 an income tax.”);

• DO NOT increase property tax rates on corporate timber landowners who pay a lower rate than homeowners – who already pay 66% less than the national average;

• DO NOT increase severance tax rates on big oil & gas companies who are extracting those natural resources from under Alabama soil; and for goodness sake, whatever you do,

• DO NOT stop earmarking 9 out of every $10 of state tax revenue. God – and Governing Magazine – knows that our 50th place rank among our nation’s 50 states for fiscal management is as best as the whole state of retards can do.

Face it, folks. Alabama continues to be anally gang-raped by dogdamn retards, who call themselves “politicians.”

And, sadly enough, we apparently like it.

Medicaid crisis if Sept. 18 vote fails, state’s chief medical officer says

Written by Bob Johnson, Associated Press
3:11 AM, Aug. 27, 2012

Dr. Don Williamson AL State Health Officer

Dr. Don Williamson, State Health Officer with the Alabama Department of Public Health, announces an emergency ruling that two dangerous chemicals marketed as ‘bath salts’ are being added to the Alabama Controlled Substances List during a press conference in Montgomery, Ala., on Tuesday, Feb. 22, 2011. (Montgomery Advertiser, Lloyd Gallman) / Advertiser file

Alabama’s chief public health official said Medicaid will be in deep trouble if voters do not approve a Sept. 18 referendum to take more than $437 million from a state trust fund and use it to prevent huge cuts in spending on state programs for three years.

The constitutional amendment, if approved by voters, would take $145.8 million a year for three years out of the Alabama Trust Fund to help balance the budget during a time when tax collections are expected to see little growth.

Some critics say the Alabama Trust Fund was initially set up more than 30 years ago to prevent state officials from raiding oil and gas revenue every time the state has a funding crisis.

State Health Officer Don Williamson, who is temporarily overseeing funding for Alabama’s health care program for the poor, said without receiving money from the trust fund the Medicaid program would be $100 million in the red.

He said this could jeopardize programs that provide medicine for poor patients, reduce payments for doctors who treat Medicaid patients, send more poor patients to emergency rooms and eliminate optional Medicaid programs such as providing life-saving dialysis treatment.

“These are life-threatening choices,” Williamson said.

Williamson told The Associated Press that Read the rest of this entry »

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