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

Perspective – By the Numbers: How has Job Loss under Governor Bentley & the GOP affected Alabama?

It’s easy to talk about “the jobs situation” in Alabama. It’s especially easier to talk about it when it doesn’t affect you… directly. It’s like armchair quarterbacking.

There’s probably much truth to the statement that Alabama’s legislators aren’t directly affected by job loss in the state. They have jobs. As musician Steve Miller sang in his song “Take the Money and Run,” they make their “living off other people’s taxes.” That goes for Republicans AND Democrats. Such an observation, of course, is not to demean those who do “make their living off other people’s taxes,” because our military, public safety and others vital to our local, state and national well-being are among them. It is however, an acknowledgment of, and call to responsibility – not merely accountability – because accountability is the only remnant once responsibility has departed. And that is how the “Blame Game” is played.

In the previous entry entitled “Analysis – Examining the Record: Is Alabama Governor Bentley a “Jobs Creator” or a Drag on the State Economy?,” we looked at facts & figures about job loss & job creation during Governor Bentley’s administration.

In this entry, we examine some details on the extent of the damage done to families & individuals under his administration.

And so, let’s again refer to some previously-mentioned facts & figures, and introduce some new ones so that we can better understand the nature, scope and and extent of the situation, and corresponding problems

Georgia Wine Exportation Increases

While this story is about the nation known as Georgia, given the numerous convoluted and antiquated laws governing beverage alcohol in the Southern United States, it could very well be Georgia… Tennessee, Alabama, Mississippi, Florida, Louisiana, or Arkansas.

—

Something Old, Something New: Georgian Wines Adapt To Changing Market

April 17, 2013

by Glenn Kates

KISISKHEVI, Georgia — Seven years ago, Burkhard Schuchmann, a retired German railroad executive, arrived for the first time in this lush region, where the snow-capped Caucasian mountains cast a long shadow over the grapevines that line the low-lying fields.It was 2006 and Russia had recently imposed a crippling embargo on Georgian wine.Schuchmann decided to open a winery nevertheless.

“To see it from today’s point of view, Georgians can be lucky that the embargo came,” Schuchmann says. “Because then they were forced to [focus on] quality and to think about marketing. There was no need before.”

After mostly “satisfactory” inspections by Russia’s consumer-rights agency in February and March, Georgian wines will soon be sold in Russia again. But Russians, perhaps expecting the sweet, syrupy taste of years past, may be surprised by the changing nature of Georgian vintage.

Burkhard Schuchmann opened a winery in Georgia because he thought he could compete outside of Russia by modernizing the industry.

In 2005, Georgia exported 80 percent of its wine to

Is there a Doctor (of Nursing) in the house?

I recollect one day, several years ago, at a then-small, rural community/junior college where I began my higher education, while walking across a parking lot, that I greeted an administrator whom I saw.

“Hello, Dr. Gudger!,” I cheerily greeted him.

“Good morning!,” came his reply.

Just then, another student, unknown to me or Dr. Gudger, called out, “Doctor! Oh, doctor! I have a question about my mama’s ...”

“I’m sorry I can’t help you. I’m not that kind of doctor,” replied Dr. Gudger, as he turned and looked the student in the eye.

At the time, I thought it rather odd, then quickly considered that the fellow – likely from a very rural and poor background – was there to obtain an education. And so in part, he was schooled that day.

However, interesting stories aside, as healthcare goes, our nation is experiencing a significantly decreasing interest in rural healthcare practice, as well as family practice, followed by internal medicine.

Now, I realize that some would pooh-pooh lawyers and blame law suits (everybody hates lawyers… until they need one), claiming that sue-happy folk are to blame for the problems. However, while law suits may have a role – albeit an insignificant one – insurance companies are probably more to blame for increased costs of healthcare and rationing the delivery of health related services.

It’s really rather easy to understand: Anytime anyone gets in between you and the checkout stand, you’re gonna’ pay more. From a fiscal perspective, that’s essentially what happens.

Now, while I could drone on and on about the hows and whys that the insurance industry is (in my opinion) corrupt (the federal government has also bailed them out, along with banks – which, along with stock brokerage houses enjoy an incestuous fiscal orgy), and has corrupted whatever thing their hand touches, I shall confine my remarks toward the more germane and problematic topic at hand, which is the shortage of healthcare delivery to rural areas, and among the poor.