UNC Chapel Hill Research: Medicaid Expansion Helps Rural Hospitals

As of the date of this posting – Monday, 19 September 2016 – there are 19 states which have NOT Expanded Medicaid, and Alabama is one of those 19.

In alphabetical order, they are:

Current Condition of Medicaid Expansion
Has YOUR state expanded Medicaid?
Orange=NO

1.) Alabama
2.) Florida
3.) Georgia
4.) Idaho
5.) Kansas
6.) Maine
7.) Mississippi
8.) Missouri
9.) Nebraska
10.) North Carolina
11.) Oklahoma
12.) South Carolina
13.) South Dakota
14.) Tennessee
15.) Texas
16.) Utah
17.) Virginia
18.) Wisconsin
19.) Wyoming

 

 

 

 

 

Lack Of Medicaid Expansion Hurts Rural Hospitals More Than Urban Facilities

By Shefali Luthra September 7, 2016

It isn’t news that in rural parts of the country, people have a harder time accessing good health care. But new evidence suggests opposition to a key part of the 2010 health overhaul could be adding to the gap.

The finding comes from a study published Wednesday in the journal Health Affairs, which analyzes how the states’ decisions on implementing the federal health law’s expansion of Medicaid, a federal-state insurance program for low-income people, may be influencing rural hospitals’ financial stability. Nineteen states opted not to join the expansion.

Rural hospitals have long argued they were hurt by the lack of Medicaid expansion, which leaves many of their patients without insurance coverage and strains the hospitals’ ability to better serve the public. The study suggests they have a point.

Specifically, the researchers, from the University of North Carolina Chapel Hill, found that

Your Tax Dollars At Work: Taxpayers Subsidize CEO Pay, Here’s How #BonusLoophole

Executive Excess 2016: The Wall Street CEO Bonus Loophole

This 23rd annual report reveals how taxpayers are subsidizing financial crisis windfalls.

By Sarah Anderson and Sam Pizzigati, August 31, 2016

This report is the first to calculate how much taxpayers have been subsidizing executive bonuses at the nation’s largest banks.

The study focuses on a 1993 Clinton administration reform that was intended to rein in runaway CEO pay by capping the tax deductibility of executive compensation at $1 million. But the new rule included a huge loophole for stock options and other “performance” pay. As a result, the more corporations hand out in executive bonuses, the lower their tax bill. This perverse incentive for excessive compensation has been a major factor in the explosion of CEO pay.

The financial bailout program closed this loophole for recipients, but only until

A Better Argument For Alabama #ALpolitics To Legalize, Regulate & Tax Marijuana

Recently, on February 23, 2016, AL.com published an OpEd entitled “Would legalizing cannabis solve Alabama’s budget problems?” written by Reggie C. Pulliam, whom was identified as “a resident of Gulf Shores who has worked on public policy and criminal justice reform in Washington, D.C.”

I found his Op-Ed unconvincing because it’s poorly written.

The Colorado Department of Revenue reported that for December 2015 (State of Colorado Marijuana Taxes, Licenses, and Fees Transfers and Distribution December 2015 Sales Reported in January 2016), Total All Marijuana Taxes, Licenses, and Fees was $13,247,434.

The year-to-date increase was $4,689,293.

Based upon the December figure, on an annualized basis, that’s $158,969,208… which is not exactly chump change.
(See “Alabama Senate Approves Shifting $100 Million Away From Schools” published September 15, 2015.)

Linked here is the Colorado Department of Revenue’s Colorado Marijuana Tax Data.

Figuring into the state cost : benefit analysis & calculations also is a decrease in costs associated with

Medical, Scientific, and Economically Valid Reasons To Legalize #Marijuana In Sweet Home Alabama #ALpolitics

It’s no joke, Colorado is ROLLING (pun intended) in revenue from the taxes and licensing fees associated with legal cannabis sales.

From the Colorado Department of Revenue:
Colorado Marijuana Tax Data
“Total marijuana tax revenue includes the 2.9% retail and medical marijuana sales tax, 10% retail marijuana special sales tax, 15% marijuana excise tax, and retail/medical marijuana application and license fees.”

For the month of September 2015 (reported October 2015), Colorado had TOTAL (Total All Marijuana Taxes, Licenses) $11,656,736.

On an annualized basis, that’s at least $139,880,832.

The rhetorical question is:
What could Sweet Home do with even half the money like that?

Consider also this: That the legalization of cannabis also largely eliminates

Candidates Differ on Death Penalty: @BernieSanders & @HillaryClinton

Vermont Senator Bernie Sanders has long opposed Capital Punishment in the United States.

Speaking from the floor of the United States Senate Thursday, 29 October 2015, he said in part, “When we talk about criminal justice reform, I believe it is time for the United States of America to join almost every other Western, industrialized country on Earth in saying no to the death penalty.”

His Democratic contender Hillary Rodham Clinton has recently announced that she supports the Death Penalty.

Speaking in Manchester, New Hampshire Wednesday, 28 October 2015, she said in part, “I do not favor abolishing it, however, because I do think there are certain egregious cases that still deserve the consideration of the death penalty, but I’d like to see those be very limited and rare, as opposed to what we’ve seen in most states.”

For years,

#ALpolitics @GovernorBentley: Alabama’s “Counterfeit” Leader – Epilogue

Epilogue: Governor Robert Bentley, Alabama’s “Counterfeit” Leader

By Donald V.Watkins
©Copyrighted and Published (via Facebook) on October 4, 2015
Used with permission

Since our initial September 4, 2015 edition, we published a series of articles titled, “Forbidden Love” and “Executive Betrayal.” Those articles disclosed a flaming love affair between Alabama Governor Robert Bentley and Rebekah Caldwell Mason, his married paramour and Senior Political Adviser. The adulterous love affair was underwritten by taxpayers, donors to the governor’s campaign organization, and contributors to a 501(c)(4) non-profit corporation that Bentley used as a slush fund to sponsor his personal affair with Rebekah.

Alabama Governor Bentley with paramour/ Rebekah Caldwell Mason

Infidelity between two married “Christian” lovers is a moral and religious issue. The use of state and federal funds along with donor money to carry on and conceal the affair is a criminal matter.

Bentley’s case is dripping with evidence of wire and mail fraud, money laundering, conspiracy, misuse of public funds, and

David Byrne: #ALpolitics @GovernorBentley’s Consigliere – Part 3, Executive Betrayal

Executive Betrayal – Robert Bentley’s Fleecing of Taxpayers and Donors – Part 3

David Byrne – Governor Bentley’s Consigliere

By Donald V. Watkins
©Copyrighted and Published (via Facebook) on September 25, 2015
Used with permission

Bobby Lowder was the founder, President, CEO & Chairman of the Board of the failed Colonial Bank. He was widely known as a manipulator and micromanager of Auburn University, where he was a member of the Board of Trustees, and donor. During his tenure there, the university suffered many scandals, including use of Lowder’s private jet for recruiting an Athletic Director & Head Football Coach that violated NCAA rules. His undue influence upon the university extended even to the university president, who was fired after a No Confidence Vote by the Board of Trustees. Governor Bentley named Lowder to reappointment to the Board after Lowder donated $25,000 to Bentley’s gubernatorial election campaign. A civil lawsuit in the Lee County Circuit Court complained that Bentley’s actions violated Alabama’s Open Meetings Act, and under such pressure, Lowder withdrew his name from consideration, and shortly thereafter, the Alabama State Senate voted him off the board.

On August 14, 2009, federal and state regulators took control of Colonial BancGroup, a regional banking powerhouse based in Montgomery. The seizure of Colonial Bank’s 346 branches and $26 billion in assets made it the sixth-biggest bank failure in U.S. history, the worst of 2009, and the third largest during the credit crisis that plunged the financial markets into turmoil in 2008. Colonial’s collapse cost the Federal Deposit Insurance Corporation $2.8 billion. Colonial’s shareholders lost billions of dollars in stock value. Thousands of bank employees lost their jobs.

David B. Byrne, Jr. was admitted to the bar in 1966. He received his B.S. from The University of Alabama and his J.D. from the University of Alabama School of Law. He was
Assistant U.S. Attorney, 1971-1974, Special Assistant Attorney General, State of Alabama, 1998 – Present; United States Army, 1966 – 70, Captain, JAGC
USAFR, 1971 – Present
Military Judge, Colonel USAF Trial Judiciary, 1993 – Present

Although the public focused on the failed leadership of Bobby Lowder, Colonial’s founder and CEO, it was David B. Byrne, Jr., who was

#ALpolitics @GovernorBentley’s Forbidden Love – Part 4

Forbidden Love

Robert Bentley’s Secret Love Affair – Part 4

By Donald V. Watkins
©Copyrighted and Published (via Facebook) on September 13, 2015
Used with permission

State of the Union

The state of Alabama is flat broke.
The Legislature is in the midst of the Second Special Session
that was called to pass a
General Fund budget for 2015-2016,
having failed the task during both the
Regular Session
and the
First Special Session.

Mugshot, Alabama Speaker of the House Mike Hubbard, (R, 79, Lee County-Auburn) is indicted on 23 state Felony Ethics Violation charges, changes to the law which he championed, and with the legislature, helped pass in 2010, though he now claims they’re “unconstitutional,” and “vague.”

Alabama has been named one of the most corrupt states in America by researchers at Harvard University.

Mike Hubbard, Alabama’s speaker of the house, is currently

A Simple Solution to America’s Gun & Mass Shooting Problems

The Ingram MAC-11 (Military Armament Corporation Model 11), a defunct American small arms manufacturer, made this subcompact machine pistol developed during the 1970s. Shown here with 32-round capacity magazine, and suppressor.
Weight: 1.59 kg (3.50 lbs)
Length: 248 mm (9.76 in/20.90 in)
Barrel length: 129 mm
Cartridge: .380 ACP
Caliber: 9mm
Action: Straight Blowback
Rate of fire: 1200 /min
Muzzle velocity: 980 ft/s
Effective firing range: 50 m

There’s little debate of any significance about the problem of firearms in the hands of those who use them to commit heinous acts. This year alone, to date (as of this entry 27 August, the 239th day of 2015) there have been there have been:
248 Mass Shootings, with
313 Dead &
926 Wounded.

One only need type in ‘mass shootings’ in any search engine to find literally thousands upon thousands of news items, complete with details about this uniquely American problem. There is, however, significant and legitimate debate about how to ameliorate and stem the growing problem.

Some say no laws are needed, that LEOs (Law Enforcement Officers) need to enforce current laws. Others say outlaw guns completely. Somewhere, there is a “happy middle ground” of compromise to be found that protects our law-abiding citizens’ 2d Amendment Rights, and protects the innocent from miscreant would-be murderers and assailants.

I have a rather simple solution
to the
gun / mass shooting problem.

Strain A Gnat, Swallow A Camel: How the Church has ignored Christian Principles to their peril

In 9 Sins the Church Is Okay With, Frank Powell asks “Are we changing the Bible to fit our culture or are we changing our culture to fit the Bible?”

“What if the big sins, you know the ones you try hardest to avoid, aren’t the greatest threat to your joy and the church’s mission?

“Maybe it’s the sins lying underneath, the ones considered normal or acceptable, the ones going undetected, that are affecting the church the most.”

His questions are, of course, spot on.

In fact, one could hardly argue with the evidence which consists of vast, tax-free empires built upon the backs of the faithful by the likes of:
Joel Osteen (USA) Net Worth $40 Million;
Robert Tilton (USA) Net Worth $830 Million;
Benny Hinn (USA) Net Worth $42 Million;
Joyce Meyer (USA) Net Worth $8 Million;
Kenneth Copeland (USA) Net Worth UNKNOWN (has claimed he’s a billionaire, no such public records exist documenting his claim);
Creflo Dollar (USA) Net Worth $27 Million;
Eddie Long (USA) Net Worth $5 Million;
Randy & Paula White (USA) Net Worth $2 Million;
Joseph Prince (Singapore) Net Worth $5 Million;
Chris Okotie (Nigeria) Net Worth $10 Million;
Matthew Ashimolowo of Nigeria Net Worth $10 Million;
T.B. Joshua (Nigeria) Net Worth $15 Million;
T. D. Jakes (USA) Net Worth $18 Million;
Paul (late) & Jan Crouch (USA) Net Worth (estimated TBN $1 Billion+);
Chris Oyakhilome (Nigeria) Net Worth $50 Million;
David Oyedepo (Nigeria) Net worth: $150 Million.

Obviously, their “prosperity gospel” message is working quite well for them.

For others, no so much.

And that’d probably cover Avarice, Hubris, and Boasting – or, if you prefer, Greed, Extravagance, and Pride.

But there again, our nation’s laws actually encourage greed through religion by not taxing churches. In fact, John Oliver recently pointed out that “U.S. tax law allows television preachers to get away with

Alpha Phi Recruiting Video In Alabama Sets Off Firestorm Of Criticism

The Alpha Phi Sorority at the University of Alabama in Tuscaloosa has come under intense scrutiny recently after a 4 minute “recruiting” video was released on YouTube and promoted through other Social Media (SoMe) venues and sites.

Controversy erupted following publication of an OpEd entitled “‘Bama sorority video worse for women than Donald Trump,” on the AL dot com website by A.L. Bailey.

News of the wretched video quickly went “viral,” and made national and international news in numerous news outlets, from television, to radio, and the Internet.

A.L. Bailey was recently interviewed by representatives from the Alabama Media Group division of Advance Publications and a condensed version of the hour-long interview was published on their website AL dot com.

The video, which was quickly removed after having been posted (though once posted on the Internet, nothing really ever “disappears”), according to some sources, had at least 500,000 views in the day or two in which it was first available.

Following is commentary of a D.C.-based attorney friend and native Southerner whom viewed it, along with the video following the commentary.

—

This is at once an impressive and an appalling intro to one of those ugly interracial porn videos. At first you think it might actually be a genuine recruiting video for the University of Alabama chapter of the Alpha Phi sorority. There is a clever use of

Study: Cannabis Legalization Does Not Increase Underage Use

Consumption Of Marijuana With Respect To The Passage Of Respective State Medical Marijuana Laws

The Lancet Psychiatry – Jul 20, 2015

    The Passage Of Medical Marijuana Laws Could Improvise Medical Usage Of Marijuana, With Due Investigation

 

Background

 Adolescent use of marijuana is associated with adverse later effects, so the identification of factors underlying adolescent use is of substantial public health importance. The relationship between US state laws that permit marijuana for medical purposes and adolescent marijuana use has been controversial. Such laws could convey a message about marijuana acceptability that increases its use soon after passage, even if implementation is delayed or the law narrowly restricts its use. We used 24 years of national data from the USA to examine the relationship between state medical marijuana laws and adolescent use of marijuana.

Methods

Using a multistage, random-sampling design with

Sodomy: A prime example of what’s wrong with #ALpolitics

A dear friend who is a long-time retiree, aged 78 years, entire subsistence is from a meager pension (earned from a lifetime of work in a unionized organization), supplemented with a paltry Social Security check.

She’s lived through breast cancer surgery (mastectomy) & reconstruction, other major surgeries (knee replacements) and procedures, and lives in a trailer which she owns, situated upon a lot which she rents. She has resided there many, many years.

To save money, she recently

Here’s Why People Should Be Like Dogs

My puppy loves me.

I love my puppy.

I don’t want to marry my puppy.

My puppy is spayed.

My puppy could probably care less about mating.

I feed my puppy quite well.

My puppy loves me.

My puppy walks alongside me off lead.

I don’t want to marry my puppy.

No one in Alabama has EVER been forced to marry anyone.

Anyone who says otherwise is

Alabama State Senator Larry Stutts sued for malpractice… again

Alabama State Senator Larry Stutts has once again been named in another malpractice lawsuit in which a patient of his retained placental tissue, and suffered excessive bleeding following delivery of her baby.

The new case is oddly reminiscent of an older case in which Stutts was named defendant, in which his patient retained placental tissue and suffered excessive bleeding, and later died. The new case’s Plaintiff, Greta C. Cooper, did not die.

Read the PDF file of the 2015 Lawsuit against state Sen Larry Stutts

The suit alleges, among other things, that Stutts failed to order powerful antibiotics to be administered EXCLUSIVELY by Licensed Professional Nurses, and that two RNs with Gentiva Home Health Services in Russellville, Alabama, then taught the Plaintiff’s husband how to administer the medication, and that as a result of his failure to properly order, blood levels of the medication were also not taken which resulted in overdose toxicity.

Dr. Larry Stutts, DVM, MD (R), who was first a veterinarian, then became an Obstetrician/Gynecologist (OBGYN), upset 32-year veteran Alabama Senate District 6 State Senator Roger Bedford (D) by 67 votes in the 2014 November General Election. Stutts is also president of Colbert Obstetrics and Gynecology, PC (his private medical practice), located at 1120 S Jackson Hwy #104, Sheffield, AL 35660, (256) 386-0855.

Alabama District 6 State Senator Dr. Larry Stutts, DVM, MD

Alabama State Senate District 6 encompasses all of Franklin County, and portions of Colbert, Marion, Lauderdale and Lawrence Counties in NW Alabama.

Interestingly, Sutts wasn’t the GOP’s original candidate for the Senate District 6 race. Jerry Mays was the original GOP candidate, but dropped out of the primary. In response to Mays’ decision, on March 20, 2014, State Republican Party Chairman Bill Armistead announced that the Alabama Republican Party Candidate Committee had met and named Larry Stutts, who resides in Tuscumbia, to replace Mays candidacy. Stutts had never been in any elected political office.

Stutts is the same physician who was years earlier named in another lawsuit in which his patient Rose Church – a newlywed, and healthy 36-year-old Registered Nurse – died, which in turn,

Science Versus Science Fiction In Alabama Education

I find it strangely fascinating that so many are so fearful… particularly in the South, and in Alabama especially.

Two days ago many celebrated Cinco de Mayo – the 5th of May – by eating out at Mexican-themed restaurants, quaffing a few margaritas, or by making Mexican-styled eats at home. It’s a way, in part, to acknowledge solidarity with our Mexican brothers and sisters and commemorating Mexico’s 1862 victory over France at the Battle of Puebla during the Franco-Mexican War. A turning point in Mexican struggle for independence, the firefight pitted 2000 ragtag, poorly equipped Mexicans against 6000 well equipped, battle-tested French soldiers. By the time the French retreated from the all-day battle, 500 French, and 100 Mexican lives were lost.

Alabama State House
11 South Union Street, Montgomery, AL

But May 5 also marks another significant event, largely unknown – and certainly unrecognized – by many, if not most.

On May 5, 1925 John T. Scopes was arrested in Tennessee for teaching Darwin’s Theory of Evolution.

It certainly seems Southerners have had it out for Science for quite some time.

Now, like hogs wallowing in mud, Alabama politicians want to meddle even more in the stinking pot of their own making by… well, here’s the news item:

How Much Could Alabama Save By Not Paying Legislators?

UPDATE: Sunday, 14 June 2015 – Found following main body
—
Today (Thursday, 30 April 2015) the Alabama State Senate knocked off at 11:30, and reconvened 1PM. It’s also the final day of the Legislative Session for the week – they only work three days each week – Tuesday, Wednesday, and Thursday.

An hour and a half – that’s a nice, long lunch break for a wealthy man, a powerful man – not a working man. It’s pretty cushy for someone who works three days a week, only 30 days a year. Reckon how your boss would respond if you asked for a three-day work week and a 30-day work year?

How long do you get for lunch?

Most folks get 30 minutes.

The Alabama Senate gets THREE times longer than most working folks.

But then, excesses in Alabama state politics is nothing new.

Recall that – by law – the Alabama Legislature is limited to work <30 days/year (in a 105 day period) & for that privilege, citizens & taxpayers fork over $50K+/yr in pay & compensation to them – 35 in the Senate, and 105 in the House.
TOTAL=140 men (mostly) & women.

In stark contrast, New Mexico’s State Legislators are a Volunteer Legislature (they’re elected, yes, but unpaid), and during Session, by State Law receive a Daily Federal Per Diem, and Two-Way Mileage once during a session EXCLUSIVELY.

Legislative pay in Alabama has been a hot-button issue, particularly in recent years – and, it’s unnecessarily complicated. By State Constitutional Law, their “official” pay is

How Much Has HB56 Co$t Tax Payer$ & Burdened The Alabama Board Of Nursing?

Alabama State Senator Paul Bussman, DMD, is sponsoring SB234 in the 2015 Legislative Session, which would increase members of the Alabama Board of Nursing from 13, to 15.

Alabama State Senator Paul Bussman, DMD, a Republican from Cullman, is sponsoring SB234 which, among other things, would increase size of the Alabama Board of Nursing (ABN) from 13, to 15 members.

NOTE: Recent news suggests that the Substitute Bill would leave the ABN Board size unchanged at 13.

The ABN oversees 90,660 licensees, including Advanced Practice Nurses such as CRNAs (Certified Registered Nurse Anesthetists) and Family Nurse Practitioners (FNPs), Registered Nurses (RNs), Licensed Practical Nurses (LPNs, sometimes also called Licensed Vocational Nurses, LVNs), and Nurse Aides/Assistants.

In stark comparison, the Board of Registered Nursing in the State of California manages 390,000 Registered Nurses exclusively.

California is also a “Walk-Through” state, which means that

Alabama Democrats Vote to Save Jobs: ABC Privatization Bill Dies in Senate Committee

A bill by State Senator Arthur Orr (R-Decatur) to privatize the Alcoholic Beverage Control Board has died in the Senate Finance and Taxation General Fund Committee by a 7-6 vote along party lines, with one Republican voting ‘NO.’ The vote received applause from attendees.

A substitution bill presented by Orr would’ve changed the suspension penalty for Selling to Minors from one year to one week, and increased taxes, was also adopted along party line vote.
Orr said earlier that, “Part of our job is to downsize government,” and demanded a committee vote be taken on his bill today.

Alcoholic Beverage Control Board Administrator Mac Gipson testified that employees are paid from mark-ups from sales in the state’s 176 ABC stores. He also noted that by comparison, there are 587 private package stores in the state.

In Alabama, liquor is marked up at

Alabama Governor Bentley signs Executive Order No.4 Creating Alabama Health Care Improvement Task Force

Yesterday, Monday, April 6, 2015, Alabama Governor Robert J. Bentley, MD signed Executive Order No.4 creating a 38-member “Alabama Health Care Improvement Task Force.”

Though the unspoken ostensible purpose of the task force is to likely make recommendations to the Governor for the expansion of Medicaid in Alabama, it’s being couched to the less-than-observant (or less-than-smart, take your pick), as a home-grown alternative to the big bad wolf of D.C. known as “ObamaCare.”

Again, for the benefit of the uneducated, in addition to decreasing fraud, waste and abuse, increasing efficiency, eliminating discrimination against women, children & people with “pre-existing” conditions, mandating numerous improvements to the quality of the delivery of healthcare from all states in order to receive payment (performance-based payment), the Patient Protection and Affordable Care Act (sometimes abbreviated as ACA, though popularly known as “ObamaCare”), contains a provision encouraging (but not requiring – that decision was made the U.S. Supreme Court) the state’s governors to expand Medicaid for their impoverished residents. The law provides for 100% payment for so doing, then gradually declines to 90%.

Governors in Kentucky and Arkansas have decided to Expand Medicaid in their states, and are already enjoying savings.

Currently, Alabama’s matching portion (the %age it pays to purchase Medicaid) is 32.4%; so to expand Medicaid, and have it ALL paid for, and then to pay a LOWER rate than is presently being paid is one of the smartest fiscal decisions the state could make.

Already, the Governors of Kentucky and Arkansas – both well-known Republican strongholds, with opposition to the ACA – have expanded Medicaid in their states, and are already reaping the rewards.

Here’s a chart showing the compensation plan to the states: