Posts Tagged ‘Medicaid’
Posted by Warm Southern Breeze on Monday, October 31, 2016
Some have accurately, and justifiably observed that the Affordable Care Act, also colloquially known as “ObamaCare,” is a big fat, sloppy wet kiss to the Big Insurance industry and their for-profit, Wall $treet corporate masters, because their profits have continued to soar since it’s inception. Note that UnitedHealth Group reported a profit of $11 billion (on revenues of more than $157 billion) in 2015, up from $10.3 billion (on revenues of $131 billion) in 2014. Consider also how Anthem’s business changed in just one recent year. At the end of 2014, the majority of Anthem’s revenues still came from its Commercial Health Insurance customers. During 2015, however, revenues from their commercial operations actually declined 4.2%, to $37.6 billion, while revenues from their government operations skyrocketed 21%, to $40.1 billion. A significant reason why, is because of the big investments Insurance Companies continue to make in House and Senate campaigns. As a result, the Insurance Industry’s tentacles will likely only get deeper into both the Medicare and Medicaid programs.
Medical equipment is pictured on the wall of an examination room inside a Kaiser Permanente health clinic located inside a Target retail department store in San Diego, California November 17, 2014. Four clinics are scheduled to open to provide pediatric and adolescent care, well-woman care, family planning, and management of chronic conditions like diabetes and high blood pressure for Kaiser members and non-members. REUTERS/Mike Blake (UNITED STATES – Tags: HEALTH BUSINESS SOCIETY) Fair Use
It’s that time of year again. Insurance companies that participate in the Affordable Care Act’s state health exchanges are signaling that prices will rise dramatically this fall.
And if insurance costs aren’t enough of a crisis, researchers are highlighting deficiencies in health care quality, such as unnecessary tests and procedures that cause patient harm, medical errors bred by disjointed or fragmented care and disparities in service distribution.
While critics emphasize the ACA’s shortcomings, cost and quality issues have long plagued the U.S. health care system. As my research demonstrates, we have these problems because insurance companies are at the center of the system, where they both finance and manage medical care.
If this system is so flawed, how did we get stuck with it in the first place?
Answer: Organized physicians.
As I explain in my book, “Ensuring America’s Health: The Public Creation of the Corporate Health Care System,” from the 1930s through the 1960s, the American Medical Association, the foremost professional organization for physicians, played a leading role in implementing the insurance company model.
What existed before health insurance companies?
Between the 1900s and the 1940s, patients flocked to what were called “prepaid physician groups,” or “prepaid doctor groups.”
Prepaid groups offered inexpensive health care because Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ACA, Affordable Care Act, Agency for Healthcare Research and Quality, business, campaign, Campaign finance, Congress, cost, exchanges, Harry Truman, health, Health Business Society, healthcare, House, insurance, law, LBJ, Lyndon B. Johnson, Medicaid, medical care, Medicare, medicine, money, Obamacare, Patient Protection and Affordable Care Act, PPACA, senate, single payer, Truman, universal healthcare | Leave a Comment »
Posted by Warm Southern Breeze on Monday, September 19, 2016
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?
10.) North Carolina
12.) South Carolina
13.) South Dakota
Lack Of Medicaid Expansion Hurts Rural Hospitals More Than Urban Facilities
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 Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: ACA, Affordable Care Act, Disparities, health insurance, healthcare, hospitals, law, Medicaid, Medicaid Expansion, money, Obamacare, PPACA, profitability, research, Revenue, rural, States, study | Leave a Comment »
Posted by Warm Southern Breeze on Tuesday, November 10, 2015
Having made no bones about it, I remain searingly and scathingly critical of Alabama Governor Robert Julian Bentley, a retired physician-turned-Republican legislator from Tuscaloosa, who is twice elected governor – in 2010, and in 2014.
While I wished him well after his initial victory in the governor’s race against his Democratic opponent then-Secretary of Agriculture and Industries, Ron Sparks, he has disappointed the state since Inauguration Day 2011 when he put his foot in his mouth at Dexter Avenue King Memorial Baptist Church, Montgomery, where on Martin Luther King Day, Monday, January 17, 2011 – mere hours after taking the oath of office and inauguration – he said in part, “There may be some people here today who do not have living within them the Holy Spirit. But if you have been adopted in God’s family like I have, and like you have if you’re a Christian and if you’re saved, and the Holy Spirit lives within you just like the Holy Spirit lives within me, then you know what that makes? It makes you and me brothers. And it makes you and me brother and sister. Now I will have to say that, if we don’t have the same daddy, we’re not brothers and sisters. So anybody here today who has not accepted Jesus Christ as their savior, I’m telling you, you’re not my brother and you’re not my sister, and I want to be your brother.”
It was at that point that Rebekah Caldwell Mason became his Communication Director, and later, Senior Political Advisor-cum-paramour.
More to the point, however, I have maintained that among other things, as an elected official, he has been feckless, and clueless.
But, let’s let him speak for himself.
Here’s in part what Governor Bentley said in a speech to a statewide gathering of city officials in Montgomery, May 2013, “You know where I came up with that idea? Ron Sparks. Read the rest of this entry »
Posted in - Did they REALLY say that?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: AL, Alabama, ALpolitics, business, commission, Cuba, Democrat, enterprise, farmers, GOP, governor, Governor Bentley, healthcare, hospitals, income, international trade, Medicaid, money, news, politics, Revenue, Robert Bentley, Ron Sparks, Secretary of Agriculture and Industries, taxes, trade, video | Leave a Comment »
Posted by Warm Southern Breeze on Thursday, August 6, 2015
UPDATE: Tuesday, 11 August 2015
In my first & earlier calculations, I inadvertently overlooked multiplying the Annual Medicaid Spending in Alabama figure (which is a TOTAL of $5,241,269,869) by 70%, which would represent the portion paid for by the Federal government. Alabama’s 30% share of that figure (the share paid for by the state) would be $1,572,380,960.70. It would also be reasonable to expect that Expanding Medicaid in Alabama to 138% of the Federal Poverty Level would increase total economic activity (through Medicaid spending) in the state at least 38%. So to Expand Medicaid, the baseline figure for TOTAL Medicaid spending (combined Federal and State funds) would approximate $7,232,952,419. According to the provisions of the law, Alabama’s sharing portion (if Governor Bentley chose to Expand Medicaid) would still be 2016-100%; 2017-5%; 2018-6%; 2019-7%; 2020 and beyond-10%. The corrections to the figures herein are dollar amounts only (based on the $7,232,952,419 total expanded figure), not the %ages. Data & figures are now also shown in table format.
Folks, it may (or may not) surprise you to know a sampling of the collective thoughts of our wrong-wing friends, and relatives on matters political in Alabama, especially as they pertain to Medicaid.
Here’s a verbatim excerpted sampling of what I came across today.
• No one want increased entitlements. Too much waste and abuse. get a job folks. no to medicaid
• Medicaid is a lifestyle
• scare tactic. nursing homes overcharge. working people of Alabama are tired of taking care of lazy people
• ask any hospital administrator or physician in private practice. Medicaid devalues services. Reject medicaid
I dare say, MOST are clueless about the genuinely tangible economic and public health benefits Medicaid provides to this state, and the revenue and jobs it creates. All they hear are the wails and moans of representatives and/or senators – mostly of whom, if not exclusively, are Republican.
Where does Alabama’s Medicaid money come from?
Where does it go?
Source: Alabama Medicaid Agency Annual Report – FY 2012
Medicaid is a Federal/State matching/sharing program which provides (pays for) healthcare services for the impoverished wherein states pay a minority matching portion, while the Federal Government through CMS (Centers for Medicare and Medicaid Services) pays the majority portion. Within reasonable guidelines, the states have broad discretion and liberty to operate Medicaid according to the way they see fit, and the needs of the residents they serve. There are, however, certain minimums standards to which every state must adhere.
Under the provisions of the OLD law, the states that do NOT Expand Medicaid pay a higher %age rate for their services than they would if they were to Expand Medicaid to provide services to those whom are at 138% of the Federal Poverty guidelines – which is what the PPACA provides. The PPACA is the Patient Protection and Affordable Care Act- though it’s more often called the ACA “Affordable Care Act,” and colloquially referred to as “ObamaCare.”
Under the provisions of the PPACA, states that choose to Expand Medicaid will have 100% of those costs paid-for by the CMS beginning 2014, until 2016. The incentive for expansion is based upon Read the rest of this entry »
Posted in - Did they REALLY say that?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: Alabama, Centers for Medicare and Medicaid Services, children, Children's Health Insurance Program, CHIP, CMS, Expand Medicaid, GOP, government, governor, Governor Bentley, healthcare, kids, legislature, Medicaid, money, politics, poverty, Republican, Robert Bentley, taxes | 2 Comments »
Posted by Warm Southern Breeze on Friday, July 24, 2015
There are numerous reasons, actually.
Here are a few:
He has an excellent political background/pedigree/experience.
• In 1978, aged 26 he was elected to the Ohio State Senate’s 15th Senatorial District, and remains OH’s youngest ever elected state senator
• In 1982, he was elected to the US House of Representatives 12th Ohio District, where he served from ’83-2001 (was re-elected 8 times) by at least 64% each time
• In 2010, he was elected governor, and in 2014 re-elected in a landslide, carrying all but 2 counties (86/88) – including the traditionally Democratic-leaning Hamilton county, where Cincinnati is located
Ohio Governor John Kasich (2010 & 2014)
He has done quite well by Ohio voters.
• His approval rating (always fluctuating for any elected figure) among Ohioans, has been as much as 77%.
• He expanded Medicaid in Ohio (which reduces uncompensated care & increases hospitals’ solvency)
• He saved $3Billion in the Medicaid budget, and slowed growth in the plan from 9%-3%, the lowest rate nationally
• He used cost-saving reforms & turned a $6-8 Billion Ohio budget shortfall into a balanced budget without raising taxes
• During his first term as governor, he grew the “Rainy Day Fund” (surplus) from $890M-1.5B
• In his first budget, he implemented a Personal Income Tax cut
• In his second budget, he implemented a 10% Personal Income Tax cut, and a 50% Small Business Income Tax cut
• During his first term as governor, he created 316,800 new jobs, and the state Unemployment Rate fell from 9.4% to 5.1%
• Education funding is at the highest level it’s ever been
• Because of Criminal Justice reforms, Ohio’s recidivism rate (reoffending) of prisoners is the lowest in the nation
• He has vigorously worked Read the rest of this entry »
Posted in - Even MORE Uncategorized!, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: 2016, accomplishments, armed services, Assault Weapons Ban, Balanced Bugdet Act, budget, candidate, congressman, Corporate Tax Loopholes, DoD, elected, election, Fox, General Election, GOP, governor, House Budget Committee, jobs, John, John Kasich, Kasich, media, Medicaid, military, Missouri, moderate, Ohio, politics, POTUS, president, record, Republican, surplus, track record | 3 Comments »
Posted by Warm Southern Breeze on Sunday, May 17, 2015
Creativity is in short supply in Monkeytown, Alabama.
I refer, of course, to Montgomery.
And to be certain, there is a backstory on the nickname.
Seems the Montgomery Zoo was originally located in Oak Park, and then named Oak Park Zoo. The zoo also had an island of monkeys, which once escaped. Hence, the nick name.
For what it’s worth, the Montgomery City Planetarium, formerly known as Gayle Planetarium, is also located in Oak Park. I encourage you to go there, sometime! I have.
But back to the creativity thing.
Alabama is in dire straits fiscally. But, then again, that’s nothing new. Governor Bentley has promised (and broken) numerous pledges in his first & second campaigns. The one bothering most folks is the “read my lips… no new taxes” promise he unwisely made while campaigning for a second term.
It may not be the lie the second time around, as much as it is the entire deception thing from the get-go. Because he, the AL GOP, and the entire Legislature knew all about this well in advance. They knew there would come a day when the monies they “borrowed” from the Alabama Trust Fund must be repaid. That day has come… and is now gone. They’re essentially reneging on their promise, which not only makes them liars, but thieves as well, since money is involved.
So, you’re damn skippy the people are hopping mad!
Again, to be certain, Alabama is in a Read the rest of this entry »
Posted in - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ADOC, AL, Alabama, Alabama Medicaid, Alabama-Coosa-Tallapoosa River Basin, Atlanta, backstory, budget, Chattahoochie, Del Marsh, economic infrastructure, Expand Medicaid, GA, gangsters, Georgia, Goat Hill, Goergia, GOP, Governor Bentley, idea, infrastructure, Medicaid, Mike Hubbard, money, Montgomery, path, politicicians, prison system, problems, Republican, river, Robert Bentley, Speaker Hubbard, Tennessee River, TN River, troubles, war, water | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, May 6, 2015
Opining upon the notion of Alabama State Senator Del Marsh’s casino gambling plan to fund Medicaid, someone wrote, “[It’s] The only voluntary tax I know of. If you don’t want to play don’t pay.”
The retort was, “I’m finding myself more open to this lately however; once someone loses their house, job, family etc., don’t come crying for taxpayers to take care of you.”
To which came this reply, “Those people are already finding ways to gamble their lives away. They don’t need a lottery.”
My response follows.
“Those people,” are the Legislators.
In this one thing, I share the Governor’s sentiment – which he ineffectually (no surprise there) communicates:
Lottery will NEVER remedy poor fiscal policy, with which Alabama is replete.
In almost every lottery situation, law demands that the proceeds from lottery are to be used to supplement – not supplant – existing revenue. And in this single instance authored by Senator Del Marsh (R, Anniston) it is being used to supplant – to replace – existing sources of revenue. And that is Read the rest of this entry »
Posted in - Did they REALLY say that?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: AL, Alabama, bill, casino, Del Marsh, gamble, gambline, gambling, GOP, Governor Bentley, health, healthcare, lottery, Medicaid, money, Montgomery, news, policy, poor, poverty, Republican, Revenue, Robert Bentley, Senator, Senator Marsh, sick, taxes | Leave a Comment »
Posted by Warm Southern Breeze on Tuesday, April 7, 2015
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: Read the rest of this entry »
Posted in - Faith, Religion, Goodness - What is the Soul of a man?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ACA, Affordable Care Act, AL, Alabama, Alabama Medicaid, ALpolitics, Bentley, budget, commentary, compensation, Confederate, Democrat, Expand Medicaid, flag, GAO, Government Accountability Office, Governor Bentley, healthcare, history, humor, irony, law, lawsuit, Medicaid, money, Obamacare, opinion, panel, plan, politics, rate, Republican, Robert Bentley, sarcasm, stupidity, task force, taxes, truth | Leave a Comment »
Posted by Warm Southern Breeze on Saturday, November 29, 2014
It was one of the few times I have wept over others’ misfortunes – especially my patients.
I went into a closet to weep very bitter tears.
The thought of others seeing me so heartbroken was unconscionable, one which I simply could not bear.
Why? Read the rest of this entry »
Posted in - Faith, Religion, Goodness - What is the Soul of a man?, - Do you feel like we do, Dr. Who?, - Business... None of yours | Tagged: AL, Alabama, boys, cancer, Cervarix, cervical cancer, Christianity, Colonoscopy, disease, doctor, education, Expand Medicaid, faith, Gardasil, girls, governor, Governor Bentley, health, HPV, MD, Medicaid, men, Nurse, Oral cancer, ostomy, Physical examination, physician, poverty, religion, RN, Robert Bentley, sex, sexual health, sexuality, sick, surgeon, surgery, teens, throat cancer, Total Pelvic Exenteration, TPE, urostomy, vaccination, women | 1 Comment »
Posted by Warm Southern Breeze on Sunday, October 12, 2014
Open Letter to Governor Bentley
October 10, 2014 at 12:45pm
I need to go to the doctor. But I can’t. For some reason I still can’t understand you turned down Federal money set aside for people like me.
On June 24, 2014, on my way to see a doctor to determine disability benefits, I had a car accident. My car was totaled and my lip busted. I had hit the steering wheel with my face.
I still almost refused the ambulance ride because I was afraid of the bill. It took a street full of people to convince me to go. I had my lip sewn up, some scans done. I was sent home with a neck brace.
I have $12,000 in bills now, and my disability was denied. I am more disabled now than before the accident. I am waiting on an appeal with no medical care and no income. That hospital bill will never get paid. I wonder how many other people in this state are in the same situation. Sometimes I think Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: AL, Alabama, Alabama Medical Marijuana Coalition, cannabis, children, Christian, compassion, Expand Medicaid, faith, GOP, Governor Bentley, health, healthcare, low income, marijuana, Medicaid, medical, medicine, mother, pain, poor, poverty, religion, Republicans, women, work | Leave a Comment »
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
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 »
Posted in - Did they REALLY say that?, - Lost In Space: TOTALLY Discombobulated, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ADPH, adults, AL, Alabama, Bentley, children, disease, doctor, ebola, epidemic, GOP, Governor Bentley, health, healthcare, hospital, insurance, kids, Medicaid, patients, public health, Q&A, Republican, sick, Texas, TX | Leave a Comment »
Posted by Warm Southern Breeze on Friday, June 6, 2014
Official portrait, Parker Griffith, MD as freshman member of the United States House of Representatives, Alabama 5th Congressional District.
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 »
Posted in - Did they REALLY say that?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: 2014, A Christmas Carol, ACA, AL, Alabama, Alabama 5th Congressional District, Bentley, Bob Cratchit, challenger, Charles Dickens, Democrat, Democratic Party, doctor, GOP, governor, Griffith, health, healthcare, history, Lilly Ledbette, Lilly Ledbetter Fair Pay Act of 2009, Medicaid, news, Parker, Parker Griffith, physician, politician, politics, reelection, Republican, Scrooge, second term, switch, United States House of Representative, United States House of Representatives, vote | Leave a Comment »
Posted by Warm Southern Breeze on Friday, May 9, 2014
If Alabamians can’t work because they’re sick, and can’t get care because they’re poor, they can’t be productive citizens.
Should we just throw ’em to the wolves?
What will become of Alabama’s present, much less it’s future?
Alabama medical students argue for expansion of Medicaid
on May 07, 2014 at 9:39 AM, updated May 07, 2014 at 9:51 AM
By Swaroop Vitta and Davis Bradford
In medical school, our professors often show us maps of the U.S. illustrating where diseases strike hardest and where patient outcomes are the worst. Most of the time, Alabama is red, really red. Red is bad. So bad that over 600,000 Alabamians are uninsured and have limited to no access to health care.
Alabama is our home and this state’s spirit of compassion made us who we are. Every Sunday a small group of us with other medical students and volunteer physicians heads to a homeless shelter across from Regions Field that houses our free clinic. As we open our doors to many men and women that could not otherwise see a physician, we see first-hand what life without health insurance in Alabama is like.
Ms. C, a hardworking Alabamian, came into clinic with a terrible headache. It turned out that it was due to emergently high blood pressure. Ordinarily, this is easily treatable, but because Ms. C had gone without care for so long, she was now in danger of a stroke. Only the emergency room could provide relief. But for Ms. C, like so many others in Alabama, that relief was accompanied by a bill she could never pay with the risk of unsurmountable debt. Ms. C has since become our regular patient. While her health has improved, there is only so much a group of well-intentioned medical students can do.
Had Ms. C received medical care during the years before we saw her, her high blood pressure could have been controlled before it left her with permanent injuries. Despite treatment, the chronic issues from those years without care now leave her unable to work. And at 58 years of age, her options are running low.
Even when work was an option, Ms. C’s income was Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man?, - Lost In Space: TOTALLY Discombobulated, - My Hometown is the sweetest place I know | Tagged: ACA, Affordable Care Act, Alabama, economy, governor, Governor Bentley, health, healthcare, heatlh insurance, hypocrisy, industry, insurance, jobs, law, Medicaid, medical, news, Obamacare, Patient Protection and Affordable Care Act, poor, poverty, PPACA, Robert Bentley, school, students, UAB, University of Alabama at Birmingham | Leave a Comment »
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 »
Posted in - Business... None of yours, - My Hometown is the sweetest place I know, - Read 'em and weep: The Daily News | Tagged: abuse, ACA, Alabama, Alabama Legislature, Associated Press, Barack Obama, Bentley, budget, Centers for Medicare and Medicaid Services, children, CHIP, CHIRPA, CMS, Crimson Tide, defraud, federal, Federal government of the United States, fraud, GOP, government, governor, health, HHS, incompetence, incompetency, insurance, Medicaid, Mississippi, money, Montgomery Alabama, news, Obamacare, OIG, Patient Protection and Affordable Care Act, politics, PPACA, quiet, Republican, Robert Bentley, Robert J. Bentley, State Children's Health Insurance Program, United States, waste | 2 Comments »
Posted by Warm Southern Breeze on Thursday, June 27, 2013
If you had an option, would you rather pay $10/month, or $80/month for a prescription medication that accomplished/did the exact same thing?
Research shows that the results of the 2 differently priced medicines have never been shown to be any better in any way.
Which would you choose?
What if your doctor prescribed the more expensive medication for you based on the fact that Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: $62 billion, abuse, ACA, Affordable Care Act, Archives of Internal Medicine, avarice, Big Pharma, biotech, blood pressure, cardiology, cheat, crime, DO, doctor, drug, elderly, ethics, Forest Laboratories, fraud, GPO, greed, group purchasing organizations, health, healthcare, honesty, kickback, law, lie, manufacturers, MD, Medicaid, Medical device, Medicare, medication, medicine, money, Obamacare, patient, pharmaceutical, physician, PPACA, ProPublica, steal, taxes, taxpayer, teaching hospital, Thomas Aquinas, waste | Leave a Comment »
Posted by Warm Southern Breeze on Friday, February 22, 2013
Realistically, what does that mean for you, your loved ones or friends if – God forbid – they’re hospitalized at Huntsville Hospital?
It means that when you, your loved ones’ or friends’ are a patient in the hospital, you or they could get an infection, or some other serious bug or problem while being treated for something else entirely different. And by so doing, it could make your stay more unpleasant, and in fact, could increase the risk of complications of your treatment – up to, and including your death – was well as increase the length of your stay, among other factors.
What does that mean for the Hospital?
Because insurance companies and Medicare/Medicaid have STOPPED paying for the treatment of preventable problems that are a direct result of hospitalization, it means that Huntsville Hospital will be stuck with the bill (the costs of treating their own mistakes upon you while you’re there)… and will try to pass the cost along to you to recoup the cost of the loss, which is a DIRECT result of their own sloppiness.
Huntsville Hospital has essentially become a monopolistic monstrosity of an enterprise, gobbling up numerous hospitals in the North Alabama region, including BOTH hospitals in Decatur, the only hospital in Athens, the only hospital in Red Bay, Helen Keller Hospital in Tuscumbia area of the Shoals, and the only hospital in Lawrence county.
Meanwhile, Huntsville hospital has fought tooth-and-nail to keep other hospitals OUT of competition in the Huntsville market, and spent untold millions of dollars in a protracted legal battle against Crestwood Hospital – and continues to spend millions to prevent Crestwood Hospital from offering services that would benefit the entire city and county.
Such anti-competitive practice has all been accomplished by and through the state of Alabama‘s Certificate Of Need Board.
The commentary of Mr. Burr Ingram – Huntsville Hospital’s official mouthpiece – which is contained in this article is entirely and wholly unwarranted, and weasel-like.
Not only that, but Huntsville Hospital is NOT a Nursing Magnet Hospital.
There are many things Huntsville Hospital is not.
And sadly, quality is one of them.
Watchdog Report: Consumer Reports gives both hospitals in Huntsville low safety ratings
Published: Thursday, July 12, 2012, 9:06 AM Updated: Thursday, July 12, 2012, 9:30 AM
HUNTSVILLE, Alabama — Consumer Reports magazine ranked the two hospitals in Huntsville as the least safe in Alabama. But the magazine’s list of hospitals is far from complete.
“We were kind of perplexed at some of what it reported,” said Burr Ingram, spokesman at Huntsville Hospital. “When you think about it, it’s fashionable for everyone to rate hospitals. And Consumer Reports is the latest to use public data that is available.
“But at times, it’s difficult to know how these ratings come about.”
Huntsville Hospital, The Huntsville Times
The magazine’s August edition lists scores in four safety categories. Both Huntsville Hospital and Crestwood Medical Center received low marks for poor communication with patients and for high rates of infection. Both received mediocre marks for high rates of re-admission and unnecessary scans.
Yet the report ranked Read the rest of this entry »
Posted in - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: AL, Alabama, battle, Burr Ingram, CEO, Certificate of Need, CMS, CON, Consumer Reports, court, Crestwood, Crestwood Medical Center, David Spillers, disease, doctor, fight, greed, health, Health Reimbursement Account, healthcare, hospital, Huntsville, Huntsville Hospital, Huntsville Hospital System, Huntsville Times, infection, insurance, law, legal, liars, MD, Medicaid, Medicare, money, monopoly, news, Nurse, patient, physician, publicity, reimbursement, RN, sick, sickness, sicko, spokesman, state, United States, wellness | Leave a Comment »
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
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 »
Posted in - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: Bobby Jindal, health insurance, Laura Johnson, Louisiana, Medicaid, Obamacare, Patient Protection and Affordable Care Act, Republican Governors Association, South Carolina, United States | Leave a Comment »
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 | email@example.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 / firstname.lastname@example.org)
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 »
Posted in - Lost In Space: TOTALLY Discombobulated, - My Hometown is the sweetest place I know, End Of The Road | Tagged: Alabama, Athens, Birmingham, Bureau of Labor Statistics, child, Christmas, dead, Dee, died, disabled, fraud, funeral, girl, Gracie, harm, hospital, Huntsville, Huntsville Hospital, Huntsville Hospital System, hurt, immunity, incompetent, liability, limited, Medicaid, PACU, pediatric, peds, Post Anesthesia Care Unit, public, respondeat superior, Santa Claus, Smith, Smiths, surgery, tonsillectomy, twin, unequal | 7 Comments »
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.
By Kim Chandler | email@example.com
on November 16, 2012 at 12:07 PM, updated November 16, 2012 at 5:35 PM
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 »
Posted in - Lost In Space: TOTALLY Discombobulated, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: Alabama, Bentley, Bob McDonnell, Bobby Jindal, exchange, GOP, governor, health, Health Insurance Exchange, healthcare, insurance, insurance exchange, Kathleen Sebelius, Medicaid, news, politics, Republican, Republican Governors Association, Robert Bentley | Leave a Comment »