What We Don’t Know About COVID-19 CAN Hurt Us… And Probably Will

If you think healthcare is expensive now, wait until ALL those with COVID-19 start getting sick as they age, after the Banana Republicans trash the “preexisting condition” healthcare provision in the PPACA, and insurance companies return to “cherry picking” and denials.

Won’t that be more fun than a barrelful of monkeys?!

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COVID-19’s Long-Term Harms: What We Don’t Know Yet Could Hurt Us

Infectious diseases have afflicted humans for hundreds of thousands of years, shaping communities and cultures. The ways pathogens affect human health have been studied extensively for decades. We have learned that any given microorganism can be protean, or capable of changing, in its manifestations — from patients who experience no symptoms at all, to those who become acutely ill yet recover fully, to those who suffer chronic infection and live with the ever-present threat of deteriorating health.

In stark contrast, we have coexisted only one year with severe acute respiratory syndrome coronavirus 2, the virus that causes coronavirus disease 2019 (COVID-19), and are still learning the diverse ways this novel virus affects human health. During the first week of December, the National Institutes of Health convened a two-day workshop involving public health officials, medical researchers, and patients dedicated to discussing the post-acute health consequences of COVID-19. One of the primary goals of the meeting — to provide a definition for the long-term sequelae, or health consequences and symptoms, following acute COVID-19 — proved elusive. Variably termed “chronic COVID,” “long haulers” and “long COVID” by physicians, patients and the media, whatever you call it, the protracted symptom complex following COVID-19, seemingly affecting all organ systems, has emerged as an unanticipated, devastating outcome of the pandemic.

The earliest data out of Europe and the United States painted a concerning picture: The majority of hospitalized patients remained symptomatic weeks or months after their acute illness, the most common symptoms being fatigue and shortness of breath in approximately half of patients studied. Even patients who were never hospitalized had persistent symptoms several weeks later. Over ensuing months, the full gamut of persistent symptoms emerged, ranging from chronic fatigue, sleep disturbance, cognitive impairment, fast heart rates and exercise intolerance. The exact incidence of these symptoms and their time-course

Which is more important – money, or life?

One again, Republicans are demonstrating their lackadaisical reckless attitude toward human life, and thereby proving that they care little, if anything, about Americans of any stripe.

Whether young, old, infant, geriatric, sick, healthy, able, disabled, veteran, civilian, Black, White, Hispanic, Asian, well-educated, poorly-educated, gay, straight, bi, gender non-conforming, or anything of all points in between – it makes no difference. Money is their god. The Almighty Dollar rules.

They and their feckless titular leader are forcing ALL Americans to bow before the altar of Mammon, sacrificing our wise elders, children, even the unborn, to the all-consuming selfish fires of commerce.

The radicalized members of the Party of Trump are your “Death Panels.” They are the very thing Republicans warned America which would happen if the PPACA were to become enacted — which is not even anything even remotely close to Single Payer/Medicare For All.

And yet, even though they’ve continually tried their damndest to kill the Patient Protection and Affordable Care Act (PPACA), aka “ObamaCare,” and every vestige of it since the day it was enacted on March 23, 2010, they’ve still not managed to come up with any alternative whatsoever.

Nada.

Bupkis.

Not only have the GOP’s dire predictions not come true, nor have they even remotely happened, but they’re still showing America what they think is TRULY important – money, money, money… MONEY!

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https://www.politico.com/news/2020/05/13/poll-coronavirus-reopen-trump-republicans-252726

Republican voters have undergone a significant shift on the coronavirus in a few short weeks.

A month ago, half of GOP voters said they were more worried about

The GOP Hopes That You Keep Sleeping

America has become like the proverbial frog in a pot of water, which has slowly, but steadily, increased in temperature to the point that it is boiled alive without realizing it.

As the story goes, if the frog were dumped into boiling water, it would immediately jump out.

But, since the water’s temperature was initially comfortable, even pleasant, and only slowly increased, the frog gradually became acclimated to it, and therefore was, in effect, desensitized to the inevitable, impending danger, and died slowly.

For the past nearly 50 years or so, and more specifically, within the last 38, America has swooned under the siren song led by the GOP, which in part started off with the not-so-oblique condemnation that, “In this present crisis, government is not the solution to our problem; government is the problem.” (As Brian Gurney, a private citizen from California, noted: “You can’t govern if you don’t believe in government.” But set up a straw man, and beat it to a pulp – demonize the Constitutional effigy.) And to sweeten the deal, and help matters along, a little bit of “They’re individuals and families whose taxes support the government and whose voluntary gifts support church, charity, culture, art, and education. Their patriotism is quiet, but deep. Their values sustain our national life,” was thrown in for good measure (“a spoonful of sugar helps the medicine go down,” you know).

In order to facilitate that destruction, first was an appetizer of dessert – across-the-board personal income tax rates were cut 23%, which made the majority of working-class Americans and families very happy.

But then, calling them “job creators,” (veritable sacred cows which should be left alone to wander about in traffic and poop anywhere they desire) another round of personal income tax cuts came around, this time for the elites, and personal income tax rates upon the very wealthiest Americans was dramatically slashed to less than half the former rate – from 70% to 28%.

And then, there came cries and demands for liberty, and freedom from the tyranny of genuine governmental slavery in the form of, “Mr. Gorbachev, tear down this wall!” And truly, who could disagree? But that was quickly transformed into efforts to squelch personal liberty as healthcare decision-making in the most intimate of, and deeply personal matters involving reproduction, by providing opportunity for nosy neighbors (government) to tell others how they ought to run their lives according to the dictates of others’ religious convictions, all under the auspices of government.

Dissatisfied with that aspect of control, they sought to again meddle into the private lives of others – despite the fact that their private liberties were not encroached upon – and the sanction of committed legal relationships in the civil sector were forbidden to select individuals… just like it once was with ethnic minorities. And when in indignation they invited the SCOTUS to step in and rule (hopefully to their advantage, though contrary to their own religious writings), which ruled against their religiously-motivated (no religious test), publicly-sanctioned governmental discrimination (equal protection under law), they loudly cried ‘FOUL!’

And then, when more of their hand-picked, fair-haired children ruled against them, that rights were not absolute (D.C. v Heller), that not just anyone had a right to own, possess, or brandish any firearm, anywhere, at any time, they couldn’t stand it any more, and falsely accused the SCOTUS of partiality and of siding with their opponents whom they continuously maligned, despite the fact that they were ruled against by one of their own most staunch hard-liners.

Feeling emboldened, their most powerful, yet little-known instigator went public and said in part that,

In Praise of Regulation

It’s said that “power corrupts, and absolute power corrupts absolutely.”

Though Lord Acton (John Emerich Edward Dalberg Acton (1834–1902), the first Baron Acton) is often attributed with originating that phrase in an 1887 letter to Bishop Mandell Creighton, the idea itself was not new to him, and was known to have been expressed in 1770 by in a speech to the UK House of Lords by William Pitt the Elder, Earl of Chatham, who was British Prime Minister 1766–1778.

Our nation’s Founders understood that principle quite well, as evidenced by the systems of oversight, and the establishment of three separate, co-equal branches of government which they established via the Constitution – which was ratified June 21, 1788.

Absolute power, in a market sense, is about money and corrupting influence that almost always accompanies unchecked concentrated power. In this era, we see it commonly as a desire to abolish rules, regulations, and laws designed to protect the people.

That’s but one underlying reason why the GOP wants to abolish “ObamaCare” – so that power (and money) may be concentrated in the hands of the already-powerful.

We the people have the final say-so, because

#ALpolitics could STILL $ave money if they were to #ExpandMedicaid

Alabama, among other states, should have expanded Medicaid when they had the opportunity to do so, and with SIGNIFICANT REWARD! In other words, at the very first. Now, if any state decides to expand Medicaid, there’s little, if any, incentive, except that there will be some savings to the state, and benefit to their citizens, by having access to healthcare.

A sick workforce can’t survive.

The Centers for Disease Control and Prevention (CDC) continually tell America that the sickest, the fattest, the most diabetic, the most smokers, and cancer-ridden, are in the Southeast… which largely voted for Trump, and has been predominately GOP-voting for at least the past 25+/- years. And I write of Alabama in particular.

In a November 2012 brief entitled “An Economic Evaluation of Medicaid Expansion In Alabama under the Affordable Care Act” by Professors Drs. David J.Becker, Ph.D.and Michael A. Morrisey, Ph.D of the University of Alabama at Birmingham School of Public Health, Lister Hill Center for Health Policy, they presented the case for the numerous potential benefits of expanding Medicaid in Alabama, which was not merely an improvement in the overall quality of life for Alabamians, but significant economic benefit to the entire state.

Drs. Morrisey and Becker are Professor and Director, and Assistant Professor, respectively, at the University of Alabama at Birmingham School of Public Health, Lister Hill Center for Health Policy, and have researched and written extensively the subject. The University of Alabama at Birmingham is one of three independent, autonomous universities in the UofA System.

Then-Governor Dr. Robert Bentley, MD, a Republican, was forced to resign in shame in the midst of his second term after pleading guilty to charges of corruption and ethics violations, and refused to expand Medicaid in “Sweet Home.”

The Bureau of Labor Statistics has most recently shown that employment in the Healthcare sector is thriving nationwide. The figures below are from the BLS’ most recent report “THE EMPLOYMENT SITUATION — MARCH 2018,” and is expressed in thousands. The columns in order, are: Not Seasonally Adjusted, March 2017, January, February, March 2018, and Seasonally Adjusted for the same times, respectively. (ESTABLISHMENT DATA Table B-1. Employees on nonfarm payrolls by industry sector and selected industry detail)

Drs. Morrisey and Becker identified that had then-Governor Bentley expanded Medicaid, a Federal/State program that pays healthcare costs for the impoverished, the state could have not merely eked it’s way out of recession, but it would have propelled itself in rocket-like fashion, to a position of economic strength and stamina.

They cited a provision in the Patient Protection and Affordable Care Act (ACA) which provided incentive to states to expand Medicaid by offering a one-time bonus of paying for 100% of all costs in 2014, followed by nominal reductions each year thereafter. And if states chose to expand Medicaid, they would have paid LESS (a smaller percentage) even after all incentives expired. Medicaid is a Federal-State sharing program in which the states bear a certain portion, while the Federal Government picks up the remaining share.

They wrote in part, that “Under the ACA, Alabama would receive a significantly higher Federal Matching Assistance Percentage (FMAP) for the expansion population than the 68.5% it currently receives for the non ‐ expansion population. The ACA provides for a uniform FMAP to all states of 100% in 2014 ‐ 2016, 95% in 2017, 94% in 2018, 93% in 2019 and 90% in all years thereafter.”

Presently, because Alabama has chosen to NOT expand Medicaid under the provisions of the ACA, they are STILL paying MORE for Medicaid than if they would have expanded it… even now, in 2018. That’s because the OLD law, under which the state labors, requires Alabama (and other states that did not expand Medicaid) to pay 31.5%. If Alabama would EXPAND Medicaid even now, in 2018, they would pay only 10%.

Governess Kay Ivey, also a Republican, who as Lt. Gov. assumed office following Bentley’s resignation after pleading guilty to corruption and ethics violation charges, has similarly expressed her reticence to expand Medicaid.

In 2016, Alabama spent $5,461,151,125 for Medicaid.

Noting that their “analysis does not consider potential savings from reduced spending on uncompensated care, mental health care and other services currently provided to the expansion population,” assuming the state expanded Medicaid and would pay “6.2% of program costs through 2020,” Drs. Morrisey and Becker projected three scenarios of a high, moderate, and low “take-up,” meaning enrollment into the program, and wrote that, “we estimate that the state of Alabama would be responsible for $771 million (6.2%) of the estimated $12.5 billion in new Medicaid program costs over the 2014 ‐ 2020 period,” and noted specifically, that “If more previously uninsured or privately insured individuals elect to enroll in Medicaid costs to the state and Federal government would rise. If take ‐ up were lower, the costs to the state and Federal government would fall.”

If Alabama had chosen to expand Medicaid in 2016 – the last year the Federal Government paid 100% of ALL COSTS of expansion – the state would have SAVED $5,461,151,125… the TOTAL cost of Medicaid. If Alabama were to expand Medicaid in 2018 (this year), they would pay only 6.2% of the costs, while the Federal Government would pay 93.8%. Using a high “take-up” scenario for 2018, Drs. Morrisey and Becker projected the state would pay $243,000,000… about 77.5% LESS than what it paid in 2016. A low “take-up” scenario for 2018 would be 46.48% lowered costs to the state.

The state has a peculiar and non-standard practice of having TWO budgets, the Education Trust Fund and General Fund budgets. Medicaid is paid from the General Fund budget, which is the smaller of the two, and receives “Taxes from over 40 sources are deposited into the GF, with the largest sources being the insurance company premium tax, interest on the Alabama Trust Fund and state deposits, oil and gas lease and production tax, cigarette tax, ad valorem tax, and Alabama Alcoholic Beverage Control Board profits,” and pays for and “supports state programs such as child development and protection, criminal justice, conservation efforts, economic development, public health and safety, mental health, Medicaid, legislative activities, and the court system.”

The much larger Education Trust Fund, receives revenue from “Ten tax sources are allocated to the ETF, the largest of which are the individual and corporate income tax, sales tax, utility tax, and use tax.” Revenues from the Education Trust Fund “support, maintenance and development of public education in Alabama, debt service and capital improvements relating to educational facilities, and other functions related to educating the state’s citizens. Programs and agencies supported by the ETF include K-12 education, public library services, performing and fine arts, various scholarship programs, the state’s education regulatory departments, and two- and four-year colleges and universities. Funding from the ETF is also provided to non-state agencies that provide educational services to the people of Alabama, including the arts, disease counseling and education, and youth development.”

Medicaid requires states to cover:
• Pregnant women up to at least 138% of the Federal Poverty Level (FPL) ($16,643 for an individual, $33,948 for a family of four in 2017)

• Preschool-age children up to at least 138% of the FPL ($16,643 for an individual, $33,948 for a family of four in 2017)

• School-age children up to at least 100% of the FPL ($12,060 for an individual, $24,600 for a family of four in 2017)

• Elderly and disabled individuals up to at least 75% of the FPL ($9,045 for an individual, $18,450 for a family of four in 2017)

• Working parents up to at least 28% of the FPL ($3,376 for an individual, $6,888 for a family of four in 2017)

Moreover, however, Alabama could have improved its economy by expanding Medicaid. In that same report, Drs. Morrisey and Becker considered three possible scenarios also based upon a high, moderate, and low “take-up” rate which showed that Alabama could have benefited between $2.331 billion and $33.529 billion in additional value added to the state’s economy from 2014-2020 (Low-to-High, inclusively and respectively).

They concluded that, using the intermediate, or moderate “take-up” scenario, “we project that a coverage expansion would reduce the state’s uninsured population by approximately 232,000 individuals while generating $20 billion in new economic activity and a $935 million increase in net state tax revenues.”

Again, that does NOT include the savings from eliminating uncompensated care.

Bottom line?

It would STILL be exceedingly wise for Alabama to expand Medicaid.

#Trump’s Billionaire Care

“We don’t have it; we can’t afford it, and we don’t make enough to be penalized at the end of the year so either which way it goes we don’t have the money to pay for it,” he said. 

Under the Affordable Care Act, millions more Americans now have insurance through online exchanges and Medicaid. But like the Wallaces, many still lack coverage, especially in states like Tennessee where elected leaders declined to expand Medicaid. 

The Wallaces were camped out on a blanket outside Red Bank High School in Chattanooga on a Friday afternoon, the day before the clinic was set to open Saturday morning.

They said they make too much money for Medicaid, and they looked into an Obamacare exchange plan but couldn’t afford the premiums. 

President Trump has promised to replace the ACA with something better. But the Congressional Budget Office estimates a plan passed by the House of Representatives would leave 23 million more Americans uninsured, and Senate Republicans have yet to reveal the details of their plan. 

Money Trumps Life: GOP politicians are the Death Panelists about which Sarah Palin warned.

Calling out EVERY TRUMP VOTER!

Sarah Palin’s “Death Panels” are now Donald Trump & the GOP’s gift to you!

They WILL kill you & your grannies, grandpas, kids, wife, relatives, family, and YOU!

DO NOT BE DECEIVED!

In their world, Money Trumps Life!

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By Yvonne Foster

“I have atrial fibrillation and arthritis, my husband is pre-diabetic and has had heart surgery, our daughter is asthmatic. None of this is through any fault of our own.

“I have shed tears today not only for my family but millions of others like us. What is going to happen to all these people? Healthcare should not be something available only to the rich.

“I have seen evil before, but I’ve never looked this kind of evil in the eye until I looked at Trump and

Can We #RepealAndReplace #ObamaCare?

The Patient Protection and Affordable Care Act (PPACA, aka ACA, or more often as “ObamaCare”) might be analogized to an onion, insofar as:
1.) It has many layers, and;
2.) Peeling back the layers may cause tears.

Enacted in 2010, it has been decried primarily by Republicans, none of whom voted for the bill’s passage, either in the House, which approved it 219-212 with 34 Democrats voting “NO” – or in the Senate, which approved it 60-39 along party lines, with 1 Republican (Jim Bunning, KY) “Not Voting.”

The Patient Protection and Affordable Care Act contains nine titles, each addressing an essential component of reform:
1.) Quality, Affordable Health Care For All Americans
2.) The Role Of Public Programs
3.) Improving The Quality And Efficiency Of Health Care

4.) Prevention Of Chronic Disease And Improving Public Health
5.) Health Care Workforce
6.) Transparency And Program Integrity

7.) Improving Access To Innovative Medical Therapies
8.) Community Living Assistance Services And Supports
9.) Revenue Provisions

Immediate improvements through reform included:
• Eliminate lifetime and unreasonable annual limits on benefits
• Prohibit rescissions of health insurance policies
• Provide assistance for those who are uninsured because of a pre-existing condition

• Require coverage of preventive services and immunizations
• Extend dependent coverage up to age 26
• Develop uniform coverage documents so consumers can make apples to apples comparisons when shopping for health insurance

• Cap insurance company non-medical, administrative expenditures
• Ensure consumers have access to an effective appeals process and provide consumers a place to turn for assistance navigating the appeals process and accessing their coverage
• Create a temporary re-insurance program to support coverage for early retirees

• Establish an Internet portal to assist Americans in identifying coverage options
• Facilitate administrative simplification to lower health system costs

While no law is perfect – and the ACA is not perfect – there are provisions within it which many think worthy of keeping, notable among them, provisions for guaranteed coverage, prohibiting cancellation, extending dependent’s coverage, removing annual & lifetime limits,

End ObamaCare’s Health Insurance Monopoly

Fact is, “ObamaCare” – which is properly known as the Patient Protection and Affordable Care Act, or ACA for short – though it’s monikered with POTUS Obama’s name, was largely a Republican brainchild from the über-conservative Heritage Institution.

The cornerstone of the act is predicated upon two items which are the very heart of the act: 1.) Guaranteed Coverage, and; 2.) Community Rating.

In was, in essence

The @GOP’s Love/Hate Relationship With @realDonaldTrump Is Beginning To Show Hair

November 12, 2016
Day 4: The shit’s starting to hit the fam… er, fan

Donald Trump, the GOP Presidential nominee who appears to have won the 2016 General Election, has reportedly made remarks that he might not, after all, as he proclaimed in his “Contract with the American Voter” that he would “5.) Repeal and Replace Obamacare Act. Fully repeals Obamacare and replaces it with Health Savings Accounts, the ability to purchase health insurance across state lines…”

Strike One:
According to his first post-election interview, which was exclusive to the Wall Street Journal, “President-elect Donald Trump said he would consider leaving in place certain parts of the Affordable Care Act,” and that “Mr. Trump said he favors keeping the prohibition against insurers denying coverage because of patients’ existing conditions, and a provision that allows parents to provide years of additional coverage for children [up to age 26] on their insurance policies.”

Regular readers will recall that yesterday I had made the same observation, that portions of the law are worth keeping.

President-elect Donald Trump leaves a meeting with Senate Majority Leader Mitch McConnell (R-KY), at the U.S. Capitol November 10, 2016 in Washington, DC Zach Gibson/Getty Images

Strike Two:
Senate Majority Leader Mitch McConnell (KY, R) has pointedly said he opposes and will refuse Trump’s first order of business in his Contract with the American Voter which is “Constitutional Amendment for Congressional Term Limits.” The Senator, who has been in office since 1984 (32 years), said, “I would say we have term limits now. They’re called elections. And it will not be on the agenda in the Senate.”

Strike Three:
Furthermore, McConnnell has also said that he’s opposed to

How And Why Insurance Companies Control Your Medical Care

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

by Christy Ford Chapin

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

#Abortion Is A #Religious Matter

Your remark “in God we trust” has validated what I wrote, which is that “Abortion is a religious matter. It is NOT one for the government.”

On a strictly PERSONAL RELIGIOUS level, I oppose abortion. And yet, as a strictly legal, Constitutional matter, I acknowledge that our United States Supreme Court has decided that we the people have the FREEDOM to make deeply personal decisions for ourselves, WITHOUT governmental interference.

Imagine, if you can, if the government told you that you must have a tubal ligation, or that you must have a hysterectomy… or, for a man, that he must have a vasectomy, or an orchidectomy (surgical removal of the testicles) so that they could no longer reproduce. Would you like that? Would you think that would be good? What if your neighbor could

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

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:

More Hobby Lobby Store Hypocrisy: Investigation finds close ties to creepy resigned Southern minister sex molester

This just gets creepier and creepier.

In light of these recent revelations, perhaps the SCOTUS might want to vacate their decision.

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https://www.motherjones.com/politics/2014/07/hobby-lobby-bill-gothard-institute-basic-life-principles/

Hobby Lobby Funded Disgraced Fundamentalist Christian Leader Accused of Harassing Dozens of Women

By David Corn and Molly Redden | Wed Jul. 2, 2014 6:00 AM EDT

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Social Title:

Hobby Lobby funded disgraced fundamentalist Christian leader accused of harassing dozens of women

For a decade or so, Hobby Lobby and its owners, the Green family, have been generous benefactors of a Christian ministry that until recently was run by Bill Gothard, a controversial religious leader who has long promoted a strict and authoritarian version of Christianity. Gothard, a prominent champion of Christian home-schooling, has decried [1] the evils of dating, rock music, and Cabbage Patch dolls [2]; claimed [3] public education teaches children “how to commit suicide” and undermines spirituality; contended [4] that mental illness is merely “varying degrees of irresponsibility”; and urged wives to “submit to the leadership” [5] of their husbands. Critics of Gothard have associated [6] him [7] with Christian Reconstructionism [8], an ultrafundamentalist movement that yearns for a theocracy, and accused [9] him of running a cultlike organization. In March, he was pressured to resign [1] from his ministry, the Institute in Basic Life Principles, after being accused by more than 30 women of sexual harassment and molestation—a charge Gothard denies.

More MoJo coverage of the Supreme Court’s Hobby Lobby decision.

• Hobby Lobby’s Hypocrisy: The Company’s Retirement Plan Invests in Contraception Manufacturers [10]

• The 8 Best Lines From Ginsburg’s Dissent [11]

• Why the Decision Is the New Bush v. Gore [12]

• How Obama Can Make Sure Hobby Lobby’s Female Employees Are Covered [13]

• Hobby Lobby Funded Disgraced Fundamentalist Christian Leader Accused of Harassing Dozens of Women [14]

The Institute traces it origins to 1964, when Gothard designed a college seminar based on biblical principles to help teenagers. The ministry says [15] it was established “for the purpose of introducing people to the Lord Jesus Christ” and to give individuals, families, businesses, and governments “clear instruction and training on how to find success by following God’s principles found in Scripture.” The group, which operates what it calls “training centers” across the United States and abroad, says more than 2.5 million people have attended its paid events, which have brought in tens of millions of dollars in revenue. Gothard and the Institute have drawn support [16]from conservative politicians, including Mike Huckabee, Sarah Palin, and former Georgia Gov. Sonny Perdue. The Duggar family, the stars of the reality show 19 Kids and Counting, have been high-profile advocates [17] of Gothard’s home-schooling curriculum and seminars. (One of Gothard’s alleged victims has called [18] on the Duggars to break with Gothard and the Institute.) Don Venoit, a conservative evangelical who has long been a critic of Gothard, contends [19] that Gothard’s approach to Christian theology emphasizing obedience to authority creates a “culture of fear.” In 1984, Ronald Allen, now a professor of Bible exposition at Dallas Theological Seminary, observed [20] that Gothard’s teachings were “a parody of patriarchalism” and “the basest form of male chauvinism I have ever heard in a Christian context.” He added, “Gothard has lost the biblical balance of the relationship between women and men as equals in relationship. His view is basically anti-woman.”

According to the 79-year-old Gothard, the Greens and Hobby Lobby—which this week won a landmark Supreme Court case [21] with a decision ruling that the firm does not have to

Why Expand Medicaid in Alabama?

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.

A story:

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

It’s all about the money… says Hobby Lobby Store Lawyer Paul D. Clement to SCOTUS.

Here, all along, we’ve been made to believe that Hobby Lobby Stores, Inc. – a privately held firm headquartered in Oklahoma City, Oklahoma, which boasts themselves “as a major private corporation in Forbes and Fortunes list of America‘s largest private companies,” – objects on religious grounds (even though their owners are Protestant) to providing insurance coverage to their employees, which insurance includes coverage for female contraceptives.

Here is their attorney – Paul D. Clement, himself the 43d former Solicitor General of the United States – arguing their case:

Sebelius v. Hobby Lobby Stores, Inc.
Docket Number: 13-354
Date Argued: 03/25/14

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

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

American Entitlement Culture

Recently, I happened across an item which read “When they analyze the demise of western society due to the entitlement epidemic, it’ll trace back to giving kids awards just for showing up.”

Of course, it can sometimes be difficult to discern sarcasm when reading, and I rather suspect there is at least a smidgen of sarcasm in that brief remark.

Sarcasm, of course, can, and is often used to convey a truth, or truths about numerous subjects, and is a teaching tool, as well.

Because I often use dictionaries to aid my understanding, I chose to look up the definition of the word “entitlement.” Here’s what I found:
As a verb, to “entitle” is to give someone a legal right, or a just claim to receive or do something.

For example, in the United States, the First Amendment is an entitlement to

Remarks by President Barack Obama at Chattanooga, Tennessee’s Amazon Distribution Center on Jobs for the Middle Class, 07/30/13

The White House

Office of the Press Secretary

For Immediate Release

July 30, 2013

Remarks by the President on Jobs for the Middle Class, 07/30/13

Amazon Chattanooga Fulfillment Center
Chattanooga, Tennessee

2:00 P.M. EDT

THE PRESIDENT:  Hello, Chattanooga!  (Applause.)  It is good to be back in Tennessee.  (Applause.)  It’s great to be here at Amazon.  (Applause.)

I want to thank Lydia for the introduction and sharing her story.  Give Lydia a big round of applause.  (Applause.)  So this is something here.  I just finished getting a tour of just one little corner of this massive facility — size of 28 football fields.  Last year, during the busiest day of the Christmas rush, customers around the world ordered more than 300 items from Amazon every second, and a lot of those traveled through this building.  So this is kind of like the North Pole of the south right here.  (Applause.)  Got a bunch of good-looking elves here.

Before we start, I want to recognize your general manager, Mike Thomas.  (Applause.)  My tour guide and your vice president, Dave Clark.  (Applause.)  You’ve got the Mayor of Chattanooga, Andy Berke.  (Applause.)  And you’ve got one of the finest gentlemen I know, your Congressman, Jim Cooper.  (Applause.)  So thank you all for being here.

So I’ve come here today to talk a little more about something I was discussing last week, and that’s what we need to do as a country to secure a better bargain for the middle class -– a national strategy to make sure that every single person who’s willing to work hard in this country has a chance to succeed in the 21st century economy.  (Applause.)

Now, you heard from Lydia, so you know — because many of you went through it — over the past four and a half years, we’ve been fighting our way back from the worst recession since the Great Depression, and it cost millions of Americans their jobs and their homes and their savings.  And part of what it did is it laid bare the long-term erosion that’s been happening when it comes to middle-class security.

But because the American people are resilient, we bounced back.  Together, we’ve righted the ship.  We took on a broken health care system.  We invested in new American technologies to reverse our addiction to foreign oil.  Changed a tax code that had become tilted too much in favor of the wealthy at the expense of working families.  Saved the auto industry, and thanks to GM and the UAW working together, we’re bringing jobs back here to America, including 1,800 autoworkers in Spring Hill.  (Applause.)  1,800 workers in Spring Hill are on the job today where a plant was once closed.

Today, our businesses have created 7.2 million new jobs over the last 40 months.  This year, we’re off to our best private-sector jobs growth since 1999.  We now sell more products made in America to the rest of the world than ever before.  (Applause.)  We produce more renewable energy than ever.  We produce more natural gas than anybody else in the world.  (Applause.)  Health care costs are growing at the slowest rate in 50 years.  Our deficits are falling at the fastest rate in 60 years.  (Applause.)

So thanks to hardworking folks like you, thanks to the grit and resilience of the American people, we’ve been able to clear away some of the rubble from the financial crisis.  We’ve started to lay a new foundation for a stronger, more durable America — the kind of economic growth that’s broad-based, the foundation required to make this century another American century.

But as I said last week, and as any middle-class family will tell you, we’re not there yet.  Even before the financial crisis hit, we were going through a decade where a few at the top were doing better and better, but most families were working harder and harder just to get by.  And reversing that trend should be Washington’s highest priority.  (Applause.)  It’s my highest priority.

But so far, for most of this year, we’ve seen

How Honest is Your Doctor?

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?

Why?

What if your doctor prescribed the more expensive medication for you based on the fact that

Radical Republicans, TEApublicans and other Governmental Deconstructionists

“Audits, liens, garnishments: the Internal Revenue Service (IRS) goes to amazing lengths to ensure you comply with your taxes but what happens when they turn that energy to making sure you also comply with their political agenda? As recent scandals have shown, that’s exactly what they are doing! Our response: its time we abolished the IRS.

“The IRS has admitted to unfairly targeting conservatives, hassling adoptive parents, throwing lavish conferences, attempting to censor pro-life groups and has leaked confidential tax information for political ends — and this is the agency we are going to trust with enforcing Obamacare?”

Tear it down.

Break it up.

Destroy it.

Kill it.

We hate it.

That’s the message of the modern Republican party.

We hate you.

We love BIG BUSINESS.

We think you ought to believe the way we do, think the way we do, act the way we do.

Be different!

Join the crowd!

Yes, the irony is abundant.

The message quoted above is a direct e-mail message from

Wash Your Nasty Hands!

“It’s essential to wash your hands, because 50% of all food borne illness has been tied back to unclean hands, or unwashed hands, or improperly washed hands.”

–Carl Borchgrevink, Associate Professor in The School of Hospitality Business, Michigan State University

Forget washing, just take a giant spoon into the toilet, grab up a heaping helping of that stinky brown goodness & eat it.

Yeah.

Folks wouldn’t imagine doing that, but they won’t wash their hands, either.

What’s the difference?

http://www.medicalnewstoday.com/articles/261875.php

The CDC (Centers for Disease Control and Prevention) says that the one thing people can do to lower the spread of infectious diseases is to

GOP Governors Deny Healthcare to their Poor Citizens

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

Corporate Citizens Discover Bad-Mouthing Policy is Bad for Business

Papa John’s, Applebee’s And Others Pay Huge Price For Anti-Obamacare Politicking

Op/Ed

12/04/2012 @ 5:18PM

by Rick Ungar, Contributor

Writing from the left on politics and policy.

LAS VEGAS, NV – APRIL 01: Papa Johns Pizza Founder John Schnatter arrives at the 47th Annual Academy Of Country Music Awards held at the MGM Grand Garden Arena on April 1, 2012 in Las Vegas, Nevada. (Photo by Jason Merritt/Getty Images)

It turns out that being a good corporate citizen is as important to selling pizzas as the thinness of the crust or the quality of the cheese.

If you don’t believe it, just ask Papa John CEO, John Schnatter.

As covered—and criticized—in this column in great detail, Mr. Schnatter decided to mix his politics with his pepperoni when suggesting that he would be cutting the work hours for Papa John employees in order to bring them below the 30 hour per week threshold that would require Schnatter to provide his employees with healthcare benefits.

It turns out, the pizza eating public did not approve.

Indeed, so serious was the reaction that Schnatter was forced to publish an op-ed piece where he sought to convince us that he never really intended to cut back worker hours but had simply been speculating on what he might do in response to the legislation.

According to YouGov BrandIndex,  a leading marketing survey that measures brand perception in the marketplace (called “Buzz”), Papa John’s had good reason for concern as the pizza chain’s brand identity has plummeted from a high of 32 on election day, to a remarkably low score of 4 among adults who have eaten at causal dining restaurants during the past month.

Ouch.

Papa John is not alone in his anti-Obamacare misery.

Fast food server, Applebee’s, possessed a healthy Buzz score of 35 before Zane Terkel, CEO of one of the company’s largest franchisees, appeared on television to

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

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 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

Insurance companies increase profits after ObamaCare passed

Brer Fox leapt out of the bushes and strolled over to Brer Rabbit. “Well, well, what have we here?” he asked, grinning an evil grin.

Brer Rabbit gulped. He was stuck fast. He did some fast thinking while Brer Fox rolled about on the road, laughing himself sick over Brer Rabbit’s dilemma.

“I’ve got you this time, Brer Rabbit,” said Brer Fox, jumping up and shaking off the dust. “You’ve sassed me for the very last time. Now I wonder what I should do with you?”

Brer Rabbit’s eyes got very large. “Oh please Brer Fox, whatever you do, please don’t throw me into the briar patch.”

“Maybe I should roast you over a fire and eat you,” mused Brer Fox. “No, that’s too much trouble. Maybe I’ll hang you instead.”

“Roast me! Hang me! Do whatever you please,” said Brer Rabbit. “Only please, Brer Fox, please don’t throw me into the briar patch.”

“If I’m going to hang you, I’ll need some string,” said Brer Fox. “And I don’t have any string handy. But the stream’s not far away, so maybe I’ll drown you instead.”

“Drown me! Roast me! Hang me! Do whatever you please,” said Brer Rabbit. “Only please, Brer Fox, please don’t throw me into the briar patch.”

“The briar patch, eh?” said Brer Fox. “What a wonderful idea! You’ll be torn into little pieces!”

Grabbing up the tar-covered rabbit, Brer Fox swung him around and around and then flung him head over heels into the briar patch. Brer Rabbit let out such a scream as he fell that all of Brer Fox’s fur stood straight up. Brer Rabbit fell into the briar bushes with a crash and a mighty thump. Then there was silence.

Brer Fox cocked one ear toward the briar patch, listening for whimpers of pain. But he heard nothing. Brer Fox cocked the other ear toward the briar patch, listening for Brer Rabbit’s death rattle. He heard nothing.

Then Brer Fox heard someone calling his name. He turned around and looked up the hill. Brer Rabbit was sitting on a log combing the tar out of his fur with a wood chip and looking smug.

“I was bred and born in the briar patch, Brer Fox,” he called. “Born and bred in the briar patch.”

And Brer Rabbit skipped away as merry as a cricket while Brer Fox ground his teeth in rage and went home.

—

Insurers Profit From Health Law They Fought Against

By Sarah Frier – Jan 5, 2012

Insurance companies spent millions of dollars trying to defeat the U.S. health-care overhaul, saying it would raise costs and disrupt coverage. Instead, profit margins at the companies widened to levels not seen since before the recession, a Bloomberg Government study shows.

Insurers led by WellPoint Inc. (WLP), the biggest by membership, recorded their highest combined quarterly net income of the past decade after the law was signed in 2010, said Peter Gosselin, the study author and senior health-care analyst for Bloomberg Government. The Standard & Poor’s 500 Managed Health-Care Index rose 36 percent in the period, four times more than the S&P 500.

“The industry that was the loudest, most persistent critic of this law, the industry whose analysts and executives predicted it would suffer immensely because of the law, has thrived,” Gosselin said. “There is a shift to government work under way that is going to represent a fundamental change in their business model.”

Health insurers contributed $86.2 million to the U.S. Chamber of Commerce to oppose the law after Obama administration officials criticized the plans for enriching themselves by raising customer premiums.

“We remain very concerned that

The Theory of Everything

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

As I delved further into it, I found that

Research: Health Insurance Costs Grew Less in 2012 since 1997

At the time of publication of this report – September 2011 – the complete data was not in. However, initial results indicated that cost containment was well under way.

The news is good!

ObamaCare is WORKING!

However, much additional work remains to be done.

—

Latest survey finds health benefit cost growth for 2012 likely to be the lowest in 15 years

United States , New York
Publication date: 21 September 2011

Early responses from a Mercer survey still in the field suggest that the average growth in health benefit cost will slow to 5.4% in 2012, the smallest increase since 1997. Still, cost growth remains well above both general inflation and growth in workers’ earnings (see Fig. 1).

 While this increase reflects cost-cutting changes employers will make to their current health benefit programs, such as raising deductibles or moving employees into lower-cost health plans, the preliminary survey findings released today by Mercer suggest that the underlying trend has slowed as well. Asked how much cost would rise if they made no changes to their current plans, employers reported an average increase of 7.1%. Over the past five years, this underlying health benefit cost trend has been running at about 9%.

The slower trend is good news for workers, because an employer’s first line of defense against a high initial renewal rate typically is to change plan provisions so that employees pay more out of pocket for health care. If the underlying trend is lower to begin with, employers will be likely to shift less cost. For the past several years, employers have reduced their initial renewal rate by about 3 percentage points on average; in 2012, they are planning to reduce it by about 2 points (Fig. 2).

These results are based on

Former Tennessee Senator & Cardiothoracic Surgeon Bill Frist, MD enters healthcare dialogue

Face it. Sooner or later, you’re going to die. Death is a part of life. Making a decision about whether or not you want to be connected to belts, tubes, hoses & pumps to circulate your blood, food & oxygen when your body would have naturally expired is essentially what the discussion is about.

—

The Bill Frist ℞

By: Brett Norman
September 16, 2012 11:06 PM EDT

Meet former Sen. Bill Frist, a renegade “Obamacare”-loving Republican who is in the mood for some real bipartisanship.

Yes, the same Frist who as Senate majority leader led an army into the culture wars over Terri Schiavo and whose efforts in 2004 to unseat his then-rival, Minority Leader Tom Daschle, led to a nasty — and personal — Washington battle royal.

Now, Frist is pushing for a national conversation on end-of-life care and dismissing “caricatured”talk of death panels. He’s committing Republican heresy in endorsing elements of the loathed Affordable Care Act. He’s standing shoulder to shoulder with Daschle in search of a bipartisan way to tackle one of the thorniest problems around: how to get control of health care costs before they sink the economy.

Frist is pushing for a national conversation on end-of-life care. | AP Photo

The Frist-Daschle reconciliation, in particular, is a source of amazement to some longtime Washington observers.

“I didn’t think they would ever talk again,” said Bill Hoagland, a budget expert and former aide to Frist who has joined the duo on a health cost control initiative at the Bipartisan Policy Center. “I was surprised, pleasantly, that they would work together.”

Daschle told POLITICO, “He’s been a very important partner and I would say has become a friend in spite of the fact that we’ve had a difficult history.”

“That is past and we now find much more in common than not,” he added. “We both know that we need to find a consensus way forward.”

Frist, a heart and lung transplant surgeon who is now focused on research and policy, is working on

Wall Street Journal on @MittRomney policy plan & R’ObamaCare Mitt-Flop

Do tell.

—

WSJ chides Romney for too few policy details

By MAGGIE HABERMAN|

9/10/12 10:11 PM EDT

The WSJ editorial page weighs in on Mitt Romney‘s Obamacare response on Meet the Press, and the subsequent clean-up:

When Mitt Romney ventures into health care, political trouble usually follows. So it went this weekend, as the GOP standard-bearer made his own policy sound worse than it is.

On NBC’s “Meet the Press,” the Republican was asked what he would do about people with pre-existing medical conditions who would supposedly “no longer be guaranteed health care” if he repeals the Affordable Care Act. “I say we’re going to replace ObamaCare,” Mr. Romney replied. “And I’m replacing it with my own plan,” without defining the substance of his own agenda.

When pressed, Mr. Romney said that “I’m not getting rid of all of health-care reform. (That would be the liberal euphemism for ObamaCare.) Of course, there are a number of things that I like in health-care reform

Paul Ryan is a lying hypocrite who requested ObamaCare money for his district.

Well, well, well…

Can you smell the hypocrisy cooking?

This is the kind of garbage commonly found in the GOP these days.

—

Exclusive: Paul Ryan Quietly Requested Obamacare Cash

Lee Fang, September 5, 2012 – 1:35 PM ET

Investigating the intersection of politics, lobbying and public policy.

Republican vice-presidential candidate Paul Ryan is barnstorming the country, promising to repeal every provision of the Affordable Care Act if the Romney-Ryan ticket is elected. But a letter he wrote to the Obama administration may undermine this message.

On December 10, 2010, Ryan penned a letter to the Department of Health and Human Services to recommend a grant application for the Kenosha Community Health Center, Inc to develop a new facility in Racine, Wisconsin, an area within Ryan’s district. Ryan wrote, “The proposed new facility, the Belle City Neighborhood Health Center, will serve both the preventative and comprehensive primary healthcare needs of thousands of new patients of all ages who are currently without healthcare.”

Paul Ryan’s request for Obamacare funds

The grant Ryan requested was funded directly by the Affordable Care Act, better known simply as healthcare reform or Obamacare.

The letter, among several obtained by The Nation and The Investigative Fund through a Freedom of Information Act request, is a stark reminder that even the most ardent opponents of Obamacare privately acknowledge many of the law’s benefits.

Federally funded health clinics have long provided a broad range of vital medical, dental and mental health services to underprivileged communities across the country, regardless of a persons’ ability to pay. To meet the goal of expanding coverage, the Affordable Care Act provides for a sweeping expansion of such clinics, including $9.5 billion for operating costs to existing community health centers and $1.5 billion for new construction.

In public, Ryan has cultivated a profile as

Is Obamacare a Government Takeover of Medicine?

The truth speaks for itself.—

Carolyn McClanahan, Contributor

Physician/Financial Planner. I discuss all things money and medicine.

8/28/2012 @ 10:32PM

The purpose of this blog is to educate non-policy wonks on the content of the Affordable Care Act, discuss the practical logistics of how the law will be implemented, and share my perspective on potential “good” and “bad” of the law. The law is far from perfect, but it is the most significant attempt our country has ever made at reforming our costly and inefficient health care system. In case you are a reader who thinks the entire law is “bad,” I implore you to learn about the ten sections of the law in this previous post.

In addition to speaking gigs, I also do “talk radio” about once a month. The questions I’m asked give some indication of where education on the ACA is lacking. One refrain I’ve heard over and over is that Obamacare is a “government takeover” of medicine. This post explores that concept.

“Government takeover” fears seem to take on several different variations.

• Medicine will be a government run entity – doctors will be employed by the government and care will be paid for by the government.

• All of the doctors will be employed by the government, but insurance companies will still exist.

• The government will dictate what doctors can and cannot do.

• The government will make it so onerous to practice medicine that everyone will quit.

• If the government has one iota of involvement in any form, it is a government takeover.

So what really happens with the Affordable Care Act?

Paul Ryan Will Save Social Security & Medicare

NOT!

The original title of this entry was “Paul Ryan Contradicts Himself & Pimps his Mother.”

For behold, it’s a case of “The pot calls the kettle ‘black.'”

First, he is a career politician damning “this board of bureaucrats,” of which he is a founding, card-carrying member.

Paul Ryan has never held an honest, private sector job a day in his life (if you count driving the Oscar Meyer Weinermobile during summer in college), and has ONLY had political jobs since he first started working.

He has completely IGNORED the findings of the Congressional Budget Office, the Office of Management and Budget and the Governmental Accountability Office, all who have independently found that the Patient Protection and Affordable Care Act decrease the budget and has NOT taken ANY money from Medicare, Medicaid or the Social Security Trust Fund (SSTF).

You know the saying:

Today Mitt Romney spoke out of the _?_ side of his mouth, and said:

“And you know what he did with it? He’s used it to pay for Obamacare, a risky, unproven, federal takeover of health care.” –Mitt Romney

Government estimates say that more than 6,000 jobs statewide and 20 percent of Iowa‘s electricity needs come from wind power, and the state’s senior GOP leaders all support renewing an extension of a wind tax credit that Romney opposes.

Romney’s campaign did not respond to repeated quests for his position on the other portions of the bill, which includes items such as a tax break for developers of NASCAR facilities and purchasers of electric motorcycles.

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http://www.businessweek.com/ap/2012-08-14/gop-ticket-faces-growing-pains-as-dems-attack
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FACT: The Congressional Budget Office (CBO) has determined that the Patient Protection and Affordable Care Act is fully paid for,

Republican Father of ObamaCare’s Individual Mandate Denies He Ever Created It

Liar.

Weasel.

Republican.

Can you smell the hypocrisy cooking?

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Column: Don’t blame Heritage for ObamaCare mandate

By Stuart Butler

Updated 2/6/2012 10:40 AM

Is the individual mandate at the heart of “ObamaCare” a conservative idea? Is it constitutional? And was it invented at The Heritage Foundation? In a word, no. {ed. note: That’s utter bullshit, which you’ll understand why as you read on.}

Stuart Butler, By Kate Patterson, USA TODAY (The liar looks happy as a lark, doesn’t he? Apparently, there’s no joy in Mudville.)

The U.S. Supreme Court will put the middle issue to rest. The answers to the first and last can come from me. After all, I headed Heritage’s health work for 30 years. And make no mistake: Heritage and I actively oppose the individual mandate, including in an amicus brief filed in the 11th Circuit Court of Appeals to the Supreme Court.

Nevertheless, the myth persists. ObamaCare “adopts the ‘individual mandate’ concept from the conservative Heritage Foundation,” Jonathan Alter wrote recently in The Washington Post. MSNBC’s Chris Matthews makes the same claim, asserting that Republican support of a mandate “has its roots in a proposal by the conservative Heritage Foundation.” Former House speaker Nancy Pelosi and others have made similar claims.

The confusion arises from the fact that 20 years ago, I held the view that

“Will that be cash, or charge?”: Many hospitals & doctors offer cash discount for care

Regular readers will recall the entry entitled “Q: Why do hospitals charge $75 for aspirin? A: Because they can.,” which was posted Wednesday, May 2, 2012.

In another venue, I had posted the following remark in response to the exorbitant healthcare costs, “It’s a simple concept, really. Anytime anyone gets in between you & who you’re buying from, it costs more. Insurance does that.”

And it’s true.

It’s not trite.

Let’s consider this example: You’re at the grocery store in the check-out line, about to pay for your groceries which have already been bagged and placed in your shopping cart. When the clerk announces the total, you have some strange feeling because the total is about ten times as much as you imagined.

When you double check the price of milk you find the sticker says $2.50/gallon, but your clerk rang up $25. You double check the price of frozen spinach. The sticker price says $1.37, but the clerk rang up $13.70. The chocolate was $4.50, but the clerk rang up $45.00. And the lean ground beef, instead of the posted $2.60/lb, the 5lb chub was… $130.00.

Talk about sticker shock!

You are aghast at the price, and in frustrated terms exclaim that “there is obviously some gross mistake!” – to which the clerk replies, “Let me check with your Food Insurance Agent,” picks up a phone beside the register, presses one button, and whispers into the receiver. 

Suddenly, out of a door leading to an inside office,

Healthcare Insurance policy holders to get rebate in FL

Thanks to “ObamaCare,” which requires health insurance companies to spend 80% of health insurance premiums on actual healthcare, instead of CEO compensation, stockholder payout, advertising, overhead, and other non-healthcare delivery, Floridians will be receiving a rebate from the money they were overcharged.

Thanks, President Obama!

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Florida health insurers to rebate estimated $113 M

Consumers with individual policies may get $143 to $949 each

April 13, 2012|By Bob LaMendola, Sun Sentinel

Floridians who buy health insurance without the help of an employer can expect estimated rebates of $143 to $949 in August because of the federal health care overhaul.

About 157,000 individuals and families qualify. In addition, an estimated $65 million in health insurance rebates are in line to be split among workers covered at 352,000 small businesses, the Sun Sentinel found by analyzing reports filed this month by 15 of the largest insurers in Florida.

Don’t expect cash back if you get health coverage from an employer of more than 50 workers. Few of their insurers will owe rebates, and many companies are self-insured and not affected by the health law, insurance experts said.

“This is important for consumers,” said Richard Polangin, health care policy coordinator with the advocacy organization Florida Public Interest Research Group. “They already pay extremely high prices for health insurance.”

Individuals don’t need to do a thing to obtain their money. Insurers must notify them by Aug. 1 if they are due a refund and pay that month.

The rebates

SCOTUS, PPACA & American Healthcare: Links from Days 1 & 2

Naysayers, conservative political pundits and Obama “haters” of all stripe – Radical Republicans, TEA Partiers, White Supremacists, Neo Nazis, et al – have vilified and unified against already-enacted federal legislation that foremost, regulates practices by the Health Insurance industry, such as denial of coverage for children born with certain health conditions, denial of coverage for women with breast cancer, cancelling coverage in the midst of medical treatment, exorbitantly raising premium rates without actuarial justification, denying payment for covered services deemed medically necessary and rendered by qualified physicians or others, and more.

Such practices have been rightly demonized and justly described as onerous by almost everyone, even by the most staunch conservatives. So it remains a great mystery why so many are seemingly straining against what they denigrate as “ObamaCare.”

At least two elements of the law – the so-called

Day 2: SCOTUS hears PPACA argument

As I’m writing, the Supreme Court of the United States (SCOTUS) has concluded Day 2 of oral argument in the unprecedented three days of arguments on the Patient Protection and Affordable Care Act (PPACA).

Hear the oral argument

Newt Gingrich supported Obamacare before he didn’t support Obamacare

Colloquially, of course, such behavior could be described as either ‘schizophrenic,’ ‘conflicted,’ ‘incompatible,’ or ‘contradictory’.

None of those terms are positive or encouraging. And certainly, none are like the sound of

Ending Obamacare

Among conservatives, there’s little argument that Obamacare should be abolished. ‘It’s time to get government out of our lives,’ they say.

They make many very valid points. Those same folks have expressed concerns that instead,

Alabama Governor Robert Bentley supports “ObamaCare”

UPDATED August 7, 2015 to include screenshot & URL.
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I can smell the hypocrisy cooking.

On one hand, the good governor and his legislature decries anything remotely resembling Democratic policies, but they sure don’t waste any time jumping on the bandwagon for those federal tax dollars to be doled out.

Goddamn hypocrites.

Read their crowing press release below.

December 30, 2011State of Alabama Press Release: MedicaidAlabama Medicaid receives $19 million performance bonus for efforts to enroll uninsured children in Medicaid

Governor Robert Bentley announced the Alabama Medicaid Agency will receive a $19 million federal performance bonus for the effectiveness of its innovative and user-friendly methods to enroll more low-income children in Medicaid during the 2011 Fiscal Year. Alabama is

Friendship, Love, Passion, Politics, Sarcasm and Shoes

Friendship, Love, Passion, Politics, Sarcasm and Shoes

Recently, I enjoyed a virtual chat with a dear, long-time friend of mine. We began our friendship, interestingly enough, over a pair of shoes. I needed one, and he had one – pair of shoes, that is – so I bought them from him. He is a skilled tradesman and business owner/entrepreneur, and educated me on what makes a good pair of shoes and boots.

His demeanor impressed me, and we found that we had several common interests – perhaps chief among them music – and a love of

House Republicans move to repeal Obama health insurance reforms

The alternate title to this entry is rather lengthy.

“I’ll take ‘How to re-elect the President for $1000, Alex.'”

“Answer: House Republicans move to repeal Obama healthcare.”

But before we continue, enjoy a little-known presidential history fact:

Renown presidential historian Michael Beschloss appeared on an episode of The Comedy Channel’s “The Daily Show” with Jon Stewart,  shortly after the November 2010 General Election.

There were many Republicans seats gained in the House of Representatives, leading some pundits to question President Obama’s effectiveness after such a loss.

Mr. Beschloss remarked that “The three presidents in recent times who have had midterm loss like this have been Truman, Eisenhower, Bill Clinton. Every single one of them got reelected.”

Let’s examine elements of so-called “ObamaCare” they want to repeal.

Insurance costs and health-care reform: Are health insurers making huge profits?

Are health insurers making huge profits?

Mar 5th 2010, 14:15 by M.S.

YESTERDAY Barack Obama dropped in on Kathleen Sibelius‘s meeting with executives of America’s top five health insurers and read a letter from a constituent. Natoma Canfield, a self-employed house cleaner, had carcinoma 16 years ago; it has been in remission for 11 years. Last year Anthem Blue Cross, who provide her with a high-deductible ($2,500) individual plan, raised her premiums 25%, to $6,075. This year they’re raising them another 40%, to $8,500. Ms Canfield  closes her letter, “Please stay focused in your reform attempts as I and many others are in desperate need of your help.”

There’s no doubt that the Obama health-care reform bill would