Monday, December 16, 2013

Palliative Care Doctor Helps Iowa Couple With Tough Choices

More From Shots - Health News HealthFDA Asks For Proof That Antibacterial Soaps Protect HealthHealthNovice Neurosurgeons Train On Brains Printed In 3-D HealthPalliative Care Doctor Helps Iowa Couple With Tough ChoicesHealthAs Far As Mom's Concerned, You'll Always Be The Little One

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Friday, December 13, 2013

Promises To Fix Mental Health System Still Unfulfilled

More From Shots - Health News HealthFDA Warns Against Test Touted As Mammogram AlternativeHealthIf You Drank Like James Bond, You'd Be Shaken, TooHealthA Nasty Fever Called Chikungunya Hits Close To HomeHealthPromises To Fix Mental Health System Still Unfulfilled

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Promises To Fix Mental Health System Still Unfulfilled

More From Shots - Health News HealthFDA Warns Against Test Touted As Mammogram AlternativeHealthIf You Drank Like James Bond, You'd Be Shaken, TooHealthA Nasty Fever Called Chikungunya Hits Close To HomeHealthPromises To Fix Mental Health System Still Unfulfilled

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Wednesday, December 11, 2013

Single Payer Is Getting a Second Life as Obamacare Frustration Peaks

From the Daily Beast –

Could anger at the Obamacare rollout make Americans more receptive to a kind of Medicare-for-all system? That�s what activists are hoping�and they�re plotting a state-by-state fight.

As the rollout of Obamacare clunks forward, activists who opposed the law from the beginning say it is time to seize the moment, to tear down the current health-care edifice and start anew, especially now as frustration with the law�s implementation is reaching a peak.

These are not Tea Party activists but advocates for a single-payer health-care system who say some of the problems with the launch of the Affordable Care Act�in addition to built-in problems with the law itself�have made the American public more receptive than ever to a Medicare-for-all kind of coverage system.

On Monday, Sen. Bernie Sanders (I-VT) introduced the American Health Security Act, which would require each state to set up a single-payer health-care system and would undo the exchanges that have plagued Obamacare. Meanwhile, various state-led efforts are under way that advocates hope will sweep the country statehouse by statehouse, as soon as lawmakers see the advantage of a single-payer system. In Vermont, for example, lawmakers have set aside the financing and are already preparing to adopt a single-payer system when the federal government permits it, which according to provisions of the Affordable Care Act will be in 2015. In Massachusetts, Don Berwick, a former top Obama administration health official, is basing his campaign for governor on bringing a single-payer system to the commonwealth. And advocates in New York, Maryland, Oregon, and around the country say they see new energy around their cause.

�As the president fully understands, the rollout has been a disaster, the website has been a disaster,� said Sanders in an interview moments after his bill was introduced in the Senate. �But the truth is, even if all of those problems were corrected tomorrow and if the Affordable Care Act did all that it was supposed to do, it would be only a modest step forward to dealing with the dysfunction of the American health-care system. When you have a lot of complications, it is an opportunity for insurance companies and drug companies and medical equipment suppliers to make billions and billions of profits rather than to see our money go into health care and making people well.�

Democrats conceded that Republican efforts to sabotage Obamacare with endless lawsuits and by declining to set up state-run exchanges have damaged the law�s popularity, but they say the confusion will lead the public inevitably to conclude that a simple single-payer system, one that avoids malfunctioning websites and complicated gold/silver/bronze options, is preferable. Advocates pointed enthusiastically to a tweet last month from John Podesta, the former Clinton White House chief of staff who is joining President Obama to help with health care��Just applied online for Medicare. Took 5 minutes. Single payer anyone?��calling it proof that wild-eyed radicals are not the only ones supporting single payer. The notion is gradually becoming more mainstream among the Democratic establishment, advocates said.

�I think the thing that is most interesting about government is that populism gets its biggest support not from Democrats but from what Republicans do,� said former Pennsylvania governor Ed Rendell, who stressed that he did not count himself among the populist members of the Democratic Party. �They torpedo the Affordable Care Act, and I believe we will now have single payer in this country within the next 15 years.�

Opponents to single payer certainly have reasons to believe the momentum is on their side. Further meddling with the American health-care system, after not just the botched rollout of the Affordable Care Act but also the grueling five-year fight to get there, seems unlikely. But proponents of single payer pointed to polls that show a majority of Americans want some version of Medicare for all. It is up to Democratic pols to show leadership on the issue and risk defying the powerful health-care industry, advocates said.

�It is not possible to put together a good program unless you antagonize the powers that be,� said Dr. David Himmelstein, one of the leaders of Physicians for a National Health Program. The White House, he added, �largely played an inside-the-Beltway game in passing Obamacare. They refused to rally the American people for something truly radical which every poll shows that the American people really want.�

Sanders joked that he expected to have his bill passed by chambers of Congress and ready for President Obama�s signature by the time he returns from Nelson Mandela�s funeral in South Africa, but few proponents see much hope of gaining traction for single-payer health care in a Congress that has struggled to pass a routine budget.

Instead they are turning to a legislature-by-legislature fight in statehouses across the country. Advocates in New York and California said they were counting on labor unions� opposition to the Affordable Care Act�some labor leaders have feared that their members may pay higher premiums under the law and have pushed for exemptions. In Vermont, a single-payer bill passed in 2011, and Dr. Deb Richter, the president of Vermont Health Care for All, said that if anything, the passage of Obamcare slowed the group�s work there.

�We had all the momentum going on the single-payer side, and it was really slowed by the Affordable Care Act,� she said. A state measure similar to Obamacare faltered, she added, because it lacked the appropriate enforcement mechanisms. Now, with the law set to take effect in 2015, advocates are working to calm fears among Vermonters who have been scared off by talk of �socialized medicine.�

�We have all of the right ingredients, but there is a lot of room for mischief. You can confuse people, freak them about rationing and all of that stuff,� said Richter. She said she thought Obamacare�s failure to deal with the spiraling cost of health care would lead more and more people to see the logic of single payer.

�I think that eventually most states will recognize this,� she said. �We keep talking about how the health-care system is unsustainable. We haven�t reached that point yet, but when health care starts eating up 25 percent of GDP and you have hospitals failing, they will look for guaranteed financing, and the only way you get there is through a single-payer system. It is not a matter of if but of when.�

Tuesday, December 10, 2013

To Curb Costs, New California Health Plans Trim Care Choices

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To Fight Meningitis Outbreak, Princeton Tries European Vaccine

More From Shots - Health News HealthPopular Antacids Increase The Risk Of B-12 DeficiencyHealthTo Fight Meningitis Outbreak, Princeton Tries European VaccineHealthDespite Big Market In Florida, Obamacare Is A Hard SellHealthDon't Count On Insurance To Pay For Genetic Tests

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To Fight Meningitis Outbreak, Princeton Tries European Vaccine

More From Shots - Health News HealthPopular Antacids Increase The Risk Of B-12 DeficiencyHealthTo Fight Meningitis Outbreak, Princeton Tries European VaccineHealthDespite Big Market In Florida, Obamacare Is A Hard SellHealthDon't Count On Insurance To Pay For Genetic Tests

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Monday, December 9, 2013

Will Obamacare Play Big In 2014? Keep An Eye On N.H. Senate Race

Listen to the Story 5 min 9 sec Playlist Download Transcript   Enlarge image i

Sen. Jeanne Shaheen, D-N.H., on Capitol Hill earlier this year.

J. Scott Applewhite/AP

Sen. Jeanne Shaheen, D-N.H., on Capitol Hill earlier this year.

J. Scott Applewhite/AP

With a new White House push to promote the Affordable Care Act well underway, the question is whether an improved HealthCare.gov site and onslaught of positive talking points will be enough to bolster Senate Democrats facing tough races in 2014.

One re-election fight to watch is Democratic Sen. Jeanne Shaheen's in New Hampshire, where she's been taking heat for supporting the new health care law.

Step inside a small diner called Chez Vachon in a working-class section of Manchester, N.H., and you'd never guess the White House is actually regaining its footing on the health care rollout. The president is reporting promising enrollment numbers and a faster website, but John Hill couldn't care less. He says the price of his insurance has skyrocketed.

"We asked why the price of the insurance was so high," says Hill. "They said, 'Well, the new Obamacare law. That's the reason why.' "

That law had some pretty severe repercussions in New Hampshire. A strong Tea Party faction in the state legislature voted down a state health insurance exchange, so everyone in the state applying for insurance under the Affordable Care Act has to sign up on the federal government website.

But that federal exchange has drawn only one insurance provider for New Hampshire: Anthem Blue Cross and Blue Shield. And Anthem shut out 10 of the state's 26 hospitals from its health plans on the exchange, which means traveling in a car for an hour or more for many people in northern New Hampshire who need to see a doctor.

Hill says he's absolutely not voting for Shaheen next year.

"She voted for this. She knew what she was getting into," says Hill. "Now she realizes, 'Oh, this is a big mistake.' "

Shaheen was one of most vocal Democrats to criticize the launch of HealthCare.gov. She's demanded an extension of the enrollment period, and asked President Obama to appoint someone to oversee website fixes into next year.

Theresa Avard says Shaheen's just trying to have it both ways by distancing herself from a law that so many people in New Hampshire hate.

"You can't be a yo-yo," says Avard. "I'm sorry, you know. That's what I call my grandchildren when they don't do right. They yo-yo, up and down."

But Shaheen rejects the suggestion that she's just protecting herself for the next election cycle.

"This should not be about politics. This should be about good policy," says Shaheen. "I've been working on health care issues since I first was elected to the state senate from the seacoast of New Hampshire over 20 years ago."

On this day, she's touring the National Visa Center in Portsmouth to draw attention to a program granting visas for Iraqis and Afghans who risked their lives working for the U.S. Since the rollout of the new health care law, Shaheen hasn't hosted any town hall meetings. But she says her office has been inundated with angry complaints from people upset about the launch.

Still, Shaheen says: "It's a long time from now to [November of] 2014. And I think we're going to get the problems fixed with the health care law.

"I think there will probably be other things that come up, just as there are when we're making that significant of policy change," says Shaheen. "But the way to deal with it [is] to find those fixes."

Toppling Shaheen in 2014 is going to take a formidable force. She was a popular three-term governor who's still enjoying pretty solid poll numbers.

"For Shaheen, right now, Obamacare is the only cloud in the sky in New Hampshire," says Dante Scala, a political scientist at the University of New Hampshire. "So what she needs to do is just keep guard and not become complacent with what is clearly a winning position at this point."

Former Sen. Scott Brown of Massachusetts keeps flirting with the idea of running against her, and he has the star power, but he still won't commit.

Bob Smith, a former U.S. senator, has announced his candidacy, but he still needs to move back to New Hampshire from Florida, where he failed twice to win a Senate seat. And the other Republican candidates just don't have much name recognition.

As split as New Hampshire is over the health care law, it's a big question whether people are going to be focusing on other things by next fall.

Back at Chez Vachon, Bob Garon says Republicans need to give up on their obsession with the Affordable Care Act.

"I really don't think that we are going to elect a politician because of Obamacare," says Garon. "I think what's going to sink in is it's the law � whether you like it or not. You can bounce it around and play tennis with it all you want, but it's the damn law."

But the New Hampshire state Republican Party says it plans to make Obamacare a central issue next fall.

"There's no question that what voters care about right now is the collapse of Obamacare � the failed rollout, the increased costs, the decreased access to quality health insurance," says Jennifer Horn, chair of the New Hampshire Republican Party. "So absolutely that is something we will be talking about."

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Wednesday, December 4, 2013

An Outsider on the Inside

Though battling terminal illness, Tim Carpenter is still busy moving Congress left.

Tim Carpenter is the national director of Progressive Democrats of America (PDA). Founded in 2004 in the aftermath of Rep. Dennis Kucinich�s (D-Ohio) presidential run, the group works what it calls an �inside-outside� strategy�aimed at translating the activism of outside social movements into progressive legislation in Congress. PDA works closely with progressive advocacy groups and about a dozen activist members of the Congressional Progressive Caucus, aiming to push the 72-member voting block to take more aggressive stances on issues as diverse as the welfare state, healthcare, trade and foreign policy. This year, PDA has lobbied Congress and helped organize rallies against reductions in Social Security and pushed for a so-called Robin Hood tax on financial transactions.

A native of Southern California, Carpenter is a longtime activist with history in the grassroots campaigns against anti-nuclear power, the Catholic Worker movement and Democratic Socialists of America. When he is not on the road organizing, he lives with his family in western Massachusetts.

Do progressives in Congress have anything to learn from the Tea Party?

Progressives can learn a lot from the Tea Party in regards to the inside-outside strategy of holding elected officials accountable. The Congressional Progressive Caucus took a number of missteps and miscues leading up to the Affordable Care Act. We should never have abandoned the fight on single payer. We should have never opted for a public option. We divided our forces much too early. What we can learn from the Tea Baggers is to hold elected officials accountable and not give up�certainly not before we�re deep into a fight.

You have been working with the Progressive Caucus since the founding of PDA in 2004. How effective is the caucus?

The Progressive Caucus has been a landing point for progressive activists who are working inside the Democratic Party. If you�re working an inside-outside strategy, you have to have a base to come home to, and the Progressive Caucus has offered us that. In reality, of those 72 members, only about 10 are what we would call leaders within the Progressive Caucus. Our work as Progressive Democrats of America is to strengthen those who are leading. To have a place where we as progressives can come together and work is important. Over the course of the last year or two under the leadership of Rep. Keith Ellison (D-Minn.) and Rau�l Grijalva (D-Ariz.), we�ve seen the more progressive wing of the caucus hold the line, particularly in regard to making sure that no missiles were tossed into Damascus.

Some critics of the Progressive Caucus suggest that it would be more effective to have a smaller, more aggressive caucus. What do you think?

I agree. I would rather be in a meeting with 10 people who want to make a difference, get out and lead than be in a room with 60 people who call themselves progressives. I would rather surround myself with those who are willing to roll up their sleeves and go out and risk defeat. An aggressive, focused, principled caucus that held the line on single payer would have served our movement much better through this fight over the Affordable Care Act.

Steve Cobble, a co-founder of PDA, makes this analogy of the horseshoe, saying there are issues in Congress where you can link the left of the Progressive Caucus with some Tea Party, libertarian-minded Republicans. Is that an effective strategy?

We have political opportunities in this Congress, whether it�s the horseshoe analogy or in bed with strange bedfellows�whatever you want to term it. There are libertarians and Tea Baggers out there who agree with us that it�s unconscionable to spend the resources we do on the military budget. And we find agreement on not going into Syria. So if you can find the votes and if you can put together a majority to prevent our president from taking us into an unnecessary, illegal war, you�re going to take those votes wherever you can get them.

What kind of small victories are achievable in this political landscape?

I�m a glass-half-full person, so it�s not that difficult for me to find those little victories, beginning with the food stamp program. We began that fight when the Democratic Party leadership was absolutely silent. We had a phone call with Rep. Jim McGovern (D-Mass.) when PDA activists were delivering letters every month to their members of Congress in defense of food stamps. McGovern told us the Democratic Party leadership was silent on this question and that it was important that we simply have a vote of conscience to save the food stamp program. By the time it went on to the floor, we thought we had 133 votes but ended up with 188 votes [out of a possible 218 needed to win]. That was a victory. A vote of conscience in which 188 folks stood up to save food stamps. At the same time as we were garnering those votes, we were doing street actions in front of the offices of the Democratic leadership, Chief Deputy Minority Whip Debbie Wasserman Schultz (Fla.), Minority Whip Rep. Ste- ny Hoyer (Md.) and Minority Leader Nancy Pelosi (Calif.). By the time the Farm Bill came back around again then for a vote, all of those members in the leadership were on the floor voting to kill that bill.

An example of a major victory would be Syria. Again, our Democratic leadership was silent. Our president was willing to risk another war. And again activists around the country, led by Rep. Barbara Lee (D-Calif.), pushed Congress not to use military force but to begin a course of diplomacy.

What do you say to the critics on the Left who would claim that the PDA mission is ultimately hopeless, that the Democratic Party is not going to be reformed, and that if you really want to build progressive political power, it necessarily has to take place outside of that framework?

We live in a two-party system. Until we change the political realities of our two-party system, whether it be until we can get real public financing or until we can get real proportional representation, the playing field will be skewed. Before we have a third party, we need a strong second party. We�re the insurgency inside the Democratic Party fighting to return it to its progressive roots. We are hopeful that, through the work we do, we can begin to engage on the inside with those who are now on the outside and encourage them to do what they can to level the playing field.

A lot of PDA folks were part of Dennis Kucinich�s 2004 campaign for president. How important do you think it is in 2016 to have a progressive presidential candidate?

That�s a big debate. We need to be realistic. We are not going to elect a progressive president in 2016, just as we weren�t going to elect a progressive president in 2004, though Kucinich certainly didn�t want to hear it at the time. But if we�re going to transform the Democratic Party it�s important that we put in place a vision of what the Democratic Party can look like under a progressive presidency. So for that reason alone we need to have a horse in the race in 2016 who will challenge Hillary Clinton, the presumptive nominee. We need to re- mind folks that Hillary was wrong on the war in Iraq and she was wrong on trade. There are a lot of issues that as progressive Democrats we would want to challenge her on.

The Democratic Party, at its roots, is a progressive party. So my hope is that we would have a candidate who will be the standard-bearer for the progressive Democrats. I see the tide turning. It�s imperative that the progressive movement run a strong, articulate progressive candidate and campaign in 2016.

Given that you are waging an uphill battle against cancer, have you been preparing for what�s going to happen with PDA?

You�re definitely putting the elephant in the room in talking about the fact that I�ve got a terminal illness. It�s a question we�re wrestling with. The short answer is we honestly don�t know. We�re not a card-carrying organization; we�re a community of people. We�re going to meet in February as a community and we�ll talk about it. The work�s going to continue and I hope to be as productive, or even more productive, as we move on to the 2014 election season.

Tuesday, December 3, 2013

'This Law Is Working,' Obama Says Of Health Care

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Wednesday, November 27, 2013

These Californians Greeted Canceled Health Plans With Smiles

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3 Ways Obamacare Is Changing How A Hospital Cares For Patients

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Tuesday, November 26, 2013

3 Ways Obamacare Is Changing How A Hospital Cares For Patients

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Monday, November 25, 2013

FDA Tells 23andMe To Stop Selling Popular Genetic Test

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Friday, November 22, 2013

Mix Of Young And Old Signing Up For Health Care In California

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Wednesday, November 20, 2013

Medicaid Enrollment Is Brisk Despite HealthCare.gov Troubles

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Friday, November 15, 2013

House Approves 'Keep Your Health Plan' Legislation

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Wednesday, November 13, 2013

Can Young People Get Obamacare For $50 A Month? Sometimes

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Monday, November 11, 2013

The First Estimate On Insurance Signups Is Pretty Darned Small

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Friday, November 8, 2013

In Massachusetts, Health Care Prices Remain Hard To Get

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Thursday, November 7, 2013

How The Affordable Care Act Pays For Insurance Subsidies

More From Shots - Health News HealthDoctors Slow To Embrace Recommended HPV TestingHealthSurgeons Discover Quirky Knee Ligament All Over AgainHealthWhy Doctors Are Testing An Epilepsy Drug For AlcoholismHealth CareHow The Affordable Care Act Pays For Insurance Subsidies

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Doctors Slow To Embrace Recommended HPV Testing

More From Shots - Health News HealthDoctors Slow To Embrace Recommended HPV TestingHealthSurgeons Discover Quirky Knee Ligament All Over AgainHealthWhy Doctors Are Testing An Epilepsy Drug For AlcoholismHealth CareHow The Affordable Care Act Pays For Insurance Subsidies

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Saturday, November 2, 2013

So You Found An Exchange Plan. But Can You Find A Provider?

More From Shots - Health News Health CareAdding To Insurance Confusion, Outside Groups Try To Cash InHealth CareSo You Found An Exchange Plan. But Can You Find A Provider?HealthFeds To Ease Restrictions On Flexible Spending AccountsHealthSorry, Red Sox, Heavy Stubble Beats Beards For Attractiveness

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Friday, November 1, 2013

Feds To Ease Restrictions On Flexible Spending Accounts

More From Shots - Health News HealthFeds To Ease Restrictions On Flexible Spending AccountsHealthSorry, Red Sox, Heavy Stubble Beats Beards For AttractivenessHealthSeeing In The Pitch-Dark Is All In Your HeadHealth CareWhich Plans Cover Abortion? No Answers On HealthCare.gov

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Feds To Ease Restrictions On Flexible Spending Accounts

More From Shots - Health News HealthFeds To Ease Restrictions On Flexible Spending AccountsHealthSorry, Red Sox, Heavy Stubble Beats Beards For AttractivenessHealthSeeing In The Pitch-Dark Is All In Your HeadHealth CareWhich Plans Cover Abortion? No Answers On HealthCare.gov

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Wednesday, October 30, 2013

The Long List Of Health Apps Features Few Clear Winners

More From Shots - Health News HealthOnline Advice Can Hurt Teens At Risk For Suicide, Self-HarmHealthNotices Canceling Health Insurance Leave Many On EdgeHealthThe Long List Of Health Apps Features Few Clear WinnersHealthWhy Insurers Cancel Policies, And What You Can Do About It

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Obama Vows HealthCare.gov Problems Will Be Fixed 'ASAP'

More From The Two-Way TechnologyDell: 'Manufacturing Process' Made Laptops Smell Like Cat UrinePoliticsU.S. Budget Deficit Falls Under $1 Trillion; Lowest Since 2008Health CareObama Vows HealthCare.gov Problems Will Be Fixed 'ASAP'SportsGame 6 Of The World Series: What You Need to Know

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Monday, October 28, 2013

Some Health Screenings May Harm More Than Help

More From Shots - Health News HealthUnlikely Multiple Sclerosis Pill On Track To Become BlockbusterHealth CareMore Technical Issues For Obamacare, But Good News For MedicareResearch NewsEeek, Snake! Your Brain Has A Special Corner Just For ThemHealthSome Health Screenings May Harm More Than Help

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Saturday, October 26, 2013

PR Experts: Obamacare Message (Not Just The Site) Needs Fix

More From It's All Politics Health CarePR Experts: Obamacare Message (Not Just The Site) Needs FixPolitics'Ready For Hillary' SuperPAC Gains Backing From SorosPoliticsFriday Morning Political Mix: Monkeys, Donkeys and the NSAPoliticsTeen Drinking Party Leaves Md. Attorney General With Headache

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PR Experts: Obamacare Message (Not Just The Site) Needs Fix

More From It's All Politics Health CarePR Experts: Obamacare Message (Not Just The Site) Needs FixPolitics'Ready For Hillary' SuperPAC Gains Backing From SorosPoliticsFriday Morning Political Mix: Monkeys, Donkeys and the NSAPoliticsTeen Drinking Party Leaves Md. Attorney General With Headache

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PR Experts: Obamacare Message (Not Just The Site) Needs Fix

More From It's All Politics Health CarePR Experts: Obamacare Message (Not Just The Site) Needs FixPolitics'Ready For Hillary' SuperPAC Gains Backing From SorosPoliticsFriday Morning Political Mix: Monkeys, Donkeys and the NSAPoliticsTeen Drinking Party Leaves Md. Attorney General With Headache

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Tuesday, October 22, 2013

Enrollments For Health Care Exchanges Trickle In, Slowly

More From Shots - Health News HealthWant Your Daughter To Be A Science Whiz? Soccer Might HelpHealth CareDoctors Enlist Therapists To Deliver Better, Cheaper CareHealthOnline Insurance Brokers Stymied Selling Obamacare PoliciesHealthHow Health Law Affects Fertility Treatment, Health Savings Accounts

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The HealthCare.gov 'Tech Surge' Is Racing Against The Clock

More From All Tech Considered Digital LifeOnline Dating Is On The Rise (But There Are Still Haters)TechnologyThe HealthCare.gov 'Tech Surge' Is Racing Against The ClockScienceWhat's Creepy, Crawly And A Champion Of Neuroscience?BusinessCredit Cards Under Pressure To Police Online Expression

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Monday, October 21, 2013

Enrollments For Health Care Exchanges Trickle In, Slowly

More From Shots - Health News Health CareHow Long Do They Really Have To Fix That Obamacare Website?HealthScientists Grow New Hair In A Lab, But Don't Rush To Buy A CombHealthFirst Polio Cases Since 1999 Suspected In SyriaHealthBreast Milk Bought Online Has High Levels Of Bacteria

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Friday, October 18, 2013

Why Scientists Are Trying Viruses To Beat Back Bacteria

More From Shots - Health News HealthWhy Scientists Are Trying Viruses To Beat Back BacteriaHealthTo Prevent HIV Infection, Couples Try Testing Together HealthPainkiller Overdose Deaths Strike New York City's Middle ClassHealthHow The GOP's Shutdown Over Obamacare Fell Short

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Why Scientists Are Trying Viruses To Beat Back Bacteria

More From Shots - Health News HealthWhy Scientists Are Trying Viruses To Beat Back BacteriaHealthTo Prevent HIV Infection, Couples Try Testing Together HealthPainkiller Overdose Deaths Strike New York City's Middle ClassHealthHow The GOP's Shutdown Over Obamacare Fell Short

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Friday, October 11, 2013

Single-Payer Prescription for What Ails Obamacare

�We apologize for the inconvenience. The Marketplace is currently undergoing regularly scheduled maintenance and will be back up Monday 10/7/3013.� You read it right, 3013. That was the message on the homepage of the New York state health insurance exchange website this past weekend.

Yes, the Affordable Care Act (ACA), popularly known as Obamacare, is going through difficult birth pains, as the marketplace websites went live only to crash. The government is not giving out numbers, but informed observers speculate that very few people have succeeded in signing up for any of the plans so far.

The ACA rollout occurred as Republicans shut down the government in their attempt to defund Obamacare. But their strategy backfired. Had there been no shutdown, all of the attention would have been on the disastrous rollout. The fundamental issue, at the core of the health-care dispute, is typically ignored and goes unreported: The for-profit health-insurance industry in the United States is profoundly inefficient and costly, and a sane and sustainable alternative exists�single-payer, otherwise known as expanded and improved Medicare for all. Just change the age of eligibility from 65 to zero.

�When Medicare was rolled out in 1966, it was rolled out in six months using index cards,� Dr. Steffie Woolhandler told me Monday. �So if you have a simple system, you do not have to have all this expense and all this complexity and work.� Woolhandler is professor of public health at CUNY-Hunter College and a primary-care physician. She is a visiting professor at Harvard Medical School and the co-founder of Physicians for a National Health Program, or PNHP. PNHP is an organization with 17,000 physicians as members, advocating for a single-payer health-care system in the U.S.

What is single-payer? Critics denounce it as �socialized medicine,� while ignoring that single-payer is already immensely popular in the U.S., as Medicare. A 2011 Harris poll found that Medicare enjoyed 88 percent support from American adults, followed closely by Social Security. Woolhandler explained that with a Medicare-for-all system, �you would get a card the day you�re born, and you�d keep it your entire life. It would entitle you to medical care, all needed medical care, without co-payments, without deductibles. And because it�s such a simple system, like Social Security, there would be very low administrative expenses. We would save about $400 billion [per year].� Dr. Woolhandler went on, rather than �thousands of different plans, tons of different co-payments, deductibles and restrictions�one single-payer plan, which is what we need for all Americans to give the Americans really the choice they want … not the choice between insurance company A or insurance company B. They want the choice of any doctor or hospital, like you get with traditional Medicare.�

Monthly premiums in most cases are expected to decrease with Obamacare�s health-exchange systems, which will enhance the transparency and ease of comparison for people shopping for a health-insurance policy. If and when the technical problems are eliminated from the online health insurance exchanges, and people can easily shop, there will likely be a huge number of people buying policies for the first time. The ACA offers important advances, which even single-payer advocates acknowledge: subsidies for low-income applicants will make insurance affordable for the first time. Medicaid expansion also will bring many poor people into the umbrella of coverage. Young people can stay on their parents� insurance until the age of 26. People with so-called pre-existing conditions can no longer be denied insurance.

While the ACA was deemed constitutional by the Supreme Court, the opinion gave states the option to opt out of the Medicaid expansion, which 26 states with Republican governors have done. A New York Times analysis of census data showed that up to 8 million poor people, mostly African-Americans and single mothers, and mostly in the Deep South, will be stranded without insurance, too poor to qualify for ACA subsidies, but stuck in a state that rejected Medicaid expansion.

So, while partisan bickering (between members of Congress who have among the best health and benefits packages in the U.S.) has shut down the government, the populace of the United States is still straitjacketed into a system of expensive, for-profit health insurance. We pay twice as much per capita as other industrialized countries, and have poorer health and lower life expectancy. The economic logic of single-payer is inescapable. Whether Obamacare is a pathway to get there is uncertain. As Dr. Woolhandler summed up, �It�s only a road to single-payer if we fight for single-payer.�

Thursday, October 10, 2013

Employers Trim Health Costs By Cutting Coverage For Spouses

More From Shots - Health News HealthWhy Scientists Held Back Details On A Unique Botulinum Toxin HealthEven Mild Strokes Take A Toll On Quality Of LifeHealthActivists Sue U.N. Over Cholera That Killed Thousands In HaitiHealthNobel Goes To Scientists Who Took Chemistry Into Cyberspace

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Wednesday, October 9, 2013

Is Obamacare Enough?

Without Single-Payer, Patchwork U.S. Healthcare Leaves Millions Uninsured

From Democracy Now –

Despite helping expanding affordable insurance, “Obamacare” maintains the patchwork U.S. healthcare system that will still mean high costs, weak plans and, in many cases, no insurance for millions of Americans. We host a debate on whether the Affordable Care Act goes far enough to address the nation�s health crisis with two guests: Dr. Steffie Woolhandler, a primary care physician and co-founder of Physicians for a National Health Program; and John McDonough, a professor at the Harvard School of Public Health and former senior adviser on national health reform to the U.S. Senate Committee on Health, Education, Labor, and Pensions. Between 2003 and 2008, McDonough served as executive director of Health Care for All in Massachusetts, playing a key role in the passage of the 2006 Massachusetts health reform law, known as “Romneycare,” regarded by many as the model for the current federal healthcare law.

Tuesday, October 8, 2013

'Navigator' Helps ER Patients Who Don't Need Emergency Care

Listen to the Story 6 min 49 sec Playlist Download Transcript   Enlarge image i

New York City's Montefiore Medical Center, located in the Bronx, has one of the busiest emergency rooms in the nation.

Robert Benson

New York City's Montefiore Medical Center, located in the Bronx, has one of the busiest emergency rooms in the nation.

Robert Benson Enlarge image i

Nurse Wendy Shindler helps people who show up at the Montefiore Medical Center emergency room. The vast majority of the patients have Medicare or Medicaid coverage.

Courtesy of Wendy Shindler

Nurse Wendy Shindler helps people who show up at the Montefiore Medical Center emergency room. The vast majority of the patients have Medicare or Medicaid coverage.

Courtesy of Wendy Shindler “ This job is so amazing because I'm advocating for the patients. I'm like a GPS system, where I go north, south, east, west, and I figure out a plan for the patients.- Patient Navigator Wendy Shindler Each week, Weekend Edition Sunday host Rachel Martin brings listeners an unexpected side of the news by talking with someone personally affected by the stories making headlines. Wendy Shindler, a nurse, works in the waiting room of New York City's Montefiore Medical Center's emergency department, where she identifies patients waiting for services who don't actually need emergency room-level care. The program is an intervention aimed at improving care at the busy Bronx hospital while reducing costs. "The ER was admitting everybody, and they weren't getting paid � Medicare wasn't paying them for everything," Shindler tells NPR's Rachel Martin. "And they said, we have to figure out a way to help the community so they can stay out of the hospital." So, Shindler, who had ER and case management experience, became the hospital's patient navigator. Not everyone was on board with the change at first. "The doctors in the emergency room, they were concerned because they thought they needed to admit everybody," says Shindler. Obviously, there's a liability concern when a patient with chest pains is referred to a cardiologist the next day, instead of being admitted. "What I did was, I gave them feedback from the cardiologist the next day," says Shindler, "and said, 'Listen, the patients did go and they're getting good care and they're doing OK in the community.'" And, she points out, the patients were happier, too. After about a year and a half, the doctors came around. "I still remember when they said to me, 'Wendy, you're part of the team. You made it. We see what you can do for us.'" Join Our Sunday Conversation Should emergency rooms be able to turn more people away? Tell us on Weekend Edition's Facebook page, or in the comments section below.

Share Facebook Twitter Google+ Email Comment More From The Sunday Conversation WorldWife Works To Free Pastor From Iranian PrisonHealth Care'Navigator' Helps ER Patients Who Don't Need Emergency CareAuthor InterviewsNFL Veteran Recounts The Bruises And Breaks Of Life In The League.Around the NationCompensation Funds For Victims Of Tragedy A 'Small Solace'

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Part-Time Workers Search New Exchanges For Health Insurance

More From Shots - Health News HealthShifting Resources To Front Lines Could Protect Polio WorkersHealthMany Teens Admit To Coercing Others Into SexHealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthVeterinarians Say Health Law's Device Tax Is Unfair To Pets

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Lessons For The Obamacare Rollout, Courtesy Of Massachusetts

More From Shots - Health News HealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates Say

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Monday, October 7, 2013

From Therapy Dogs To New Patients, Federal Shutdown Hits NIH

More From Shots - Health News HealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates Say

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Insurance Brokers Look For Relevance As Health Exchanges Grow

More From Shots - Health News HealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates Say

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'Navigator' Helps ER Patients Who Don't Need Emergency Care

Listen to the Story 6 min 49 sec Playlist Download Transcript   Enlarge image i

New York City's Montefiore Medical Center, located in the Bronx, has one of the busiest emergency rooms in the nation.

Robert Benson

New York City's Montefiore Medical Center, located in the Bronx, has one of the busiest emergency rooms in the nation.

Robert Benson Enlarge image i

Nurse Wendy Shindler helps people who show up at the Montefiore Medical Center emergency room. The vast majority of the patients have Medicare or Medicaid coverage.

Courtesy of Wendy Shindler

Nurse Wendy Shindler helps people who show up at the Montefiore Medical Center emergency room. The vast majority of the patients have Medicare or Medicaid coverage.

Courtesy of Wendy Shindler “ This job is so amazing because I'm advocating for the patients. I'm like a GPS system, where I go north, south, east, west, and I figure out a plan for the patients.- Patient Navigator Wendy Shindler Each week, Weekend Edition Sunday host Rachel Martin brings listeners an unexpected side of the news by talking with someone personally affected by the stories making headlines. Wendy Shindler, a nurse, works in the waiting room of New York City's Montefiore Medical Center's emergency department, where she identifies patients waiting for services who don't actually need emergency room-level care. The program is an intervention aimed at improving care at the busy Bronx hospital while reducing costs. "The ER was admitting everybody, and they weren't getting paid � Medicare wasn't paying them for everything," Shindler tells NPR's Rachel Martin. "And they said, we have to figure out a way to help the community so they can stay out of the hospital." So, Shindler, who had ER and case management experience, became the hospital's patient navigator. Not everyone was on board with the change at first. "The doctors in the emergency room, they were concerned because they thought they needed to admit everybody," says Shindler. Obviously, there's a liability concern when a patient with chest pains is referred to a cardiologist the next day, instead of being admitted. "What I did was, I gave them feedback from the cardiologist the next day," says Shindler, "and said, 'Listen, the patients did go and they're getting good care and they're doing OK in the community.'" And, she points out, the patients were happier, too. After about a year and a half, the doctors came around. "I still remember when they said to me, 'Wendy, you're part of the team. You made it. We see what you can do for us.'" Join Our Sunday Conversation Should emergency rooms be able to turn more people away? Tell us on Weekend Edition's Facebook page, or in the comments section below.

Share Facebook Twitter Google+ Email Comment More From The Sunday Conversation WorldWife Works To Free Pastor From Iranian PrisonHealth Care'Navigator' Helps ER Patients Who Don't Need Emergency CareAuthor InterviewsNFL Veteran Recounts The Bruises And Breaks Of Life In The League.Around the NationCompensation Funds For Victims Of Tragedy A 'Small Solace'

More From The Sunday Conversation

Comments

Part-Time Workers Search New Exchanges For Health Insurance

More From Shots - Health News HealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates Say

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In Florida, Insurer And Nonprofits Work On Enrollment

More From Shots - Health News HealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates SayHealthThe Last Word On Hormone Therapy From the Women's Health Initiative

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Exchange Shopping Starts Now, But No Need To Rush

More From Shots - Health News HealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates SayHealthThe Last Word On Hormone Therapy From the Women's Health Initiative

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Questions Rise As Health Care Exchange Draws Near

Enrollment in the Affordable Care Act health exchanges is set to begin Oct. 1. But many eligible Americans still have questions.

Tell Me More reached out to listeners via Facebook and Twitter in an attempt to help answer their questions about the law. Host Michel Martin spoke with Mary Agnes Carey, a senior correspondent at Kaiser Health News � a news service not affiliated with Kaiser Permanente.

On searching for other affordable care options

Listener Caitlin Stevenson: "When the Affordable Care Act goes into effect, if I'm already covered by an employer's health plan, am I still eligible to shop for more affordable care? The plan that my job offers costs more than $350 a month for my husband and me � that's more than a car payment! Will we � healthy adults, 26 and 31— be able to find a plan that costs less than this?"

Carey answers: "Anyone can shop on the exchange. The question here is whether or not they can qualify for a subsidy of purchased coverage. ... In order to qualify for a subsidy, two things have to happen. No. 1: The ... health insurance offered by her husband's employer has to cost more than 9.5 percent of their household income or the plan, if it covers at least 60 percent of the covered medical expenses. [What] I mean is that if it pays for 60 percent of the medical expenses, they could not get into the exchange. So it either costs more than 9.5 percent of the income or it doesn't pay for 60 percent of the covered services. If one of those things happen, they might be able to qualify for a subsidy."

On options for graduating students

Graduate student Lorrie Guess: "I obviously don't know yet if I'm going to have a job that offers me coverage and I don't want to pay a fine if I don't buy the coverage in case I get a job that offers me health insurance. On the other hand, I don't want to buy coverage only to get a job that ends up covering me and then find out that I'm paying for no reason."

Carey answers: "Well here's a couple of ideas. No. 1, is there any way to extend her student health insurance for a period of time after graduation as she decides where she's going to go and what job she has and whether or not she has coverage? That's one thing. Secondly, while the enrollment period for the first year of the Affordable Care Act ends at the end of March, there are things called qualifying life events � you lose your insurance at work, you get married, you have a child. I think graduating from college would be one of these. ... [And she] could get coverage on her parents' health insurance plan for a period of time. As we know, the Affordable Care Act allows that up to age 26."

On mental health options

Carey says, "As part of the Affordable Care Act ... there will be more coverage of mental health services. ... And also there has to be parity between what a plan offers on health services and what they offer on mental health services. But this is an area where I would urge caution, for people to look at and see how parity is defined, how it's implemented in a particular policy. Because this has been a concern � the mental health parity law passed a few years ago, [and while] some of the regulations have come through with it others have not. But it's definitely an area worth watching for people that are enrolling in the exchange coverage."

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Saturday, September 21, 2013

How Many Die From Medical Mistakes In U.S. Hospitals?

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Friday, September 20, 2013

Conservative Group To Young People: 'Opt Out' Of Obamacare

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Wednesday, September 18, 2013

Stephen Hawking Backs Assisted Suicide For The Terminally Ill

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Monday, September 16, 2013

Getting Personal With Your Health Insurance Exchange Questions

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Sunday, September 15, 2013

Shumlin Payroll Tax to Fund Single Payer Unpalatable to Business

If Gov. Peter Shumlin pursues a payroll tax to fund a publicly financed health care system, he will meet heavy resistance from one of the state�s most influential business groups.

Betsy Bishop, president of the Vermont Chamber of Commerce, says her organization and its members would not look favorably on a payroll tax.

�When you take away the decision-making process, but leave the payment still in place, it disconnects the employer from the payment,� she said. �What we�re interested in is continuing a system where employers, if they are paying for health care, have some level of control over what they are paying for.�

Last week, Shumlin told Times Argus Editor Steve Pappas that a payroll tax would be one of the vehicles for funding a single-payer, universal health care system in Vermont. Shumlin has been touting single payer for years, but he has provided little detail to date about how the state would pay for the system.

�Clearly, the payroll tax is going to have to play a major role,� he told Pappas.

Shumlin�s Office of Health Care Reform is working on a financing plan to raise an estimated $1.61 billion for the system, and the governor says he will hand the plan to the Legislature in January 2015. The state would not be eligible for a waiver from the Affordable Care Act to implement a single payer plan until 2017.

�Opponents are going to say this will be the biggest tax increase in Vermont history � fair enough,� Shumlin told Pappas. �But it�s going to be the biggest health care premium reduction in American history. We�re just going to swap a health care premium for a publicly financed health care premium.�

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Saturday, September 14, 2013

Connecticut Takes Obamacare To The People

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Friday, September 13, 2013

Why Painting Tumors Could Make Brain Surgeons Better

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Proposed Alaska Road Pits Villagers Against Environmentalists

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Thursday, September 5, 2013

Bill Clinton Steps Up To Dispel The Confusion Over Obamacare

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Tuesday, September 3, 2013

With Health Exchanges Opening Soon, Consumers Start To Focus

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Monday, August 26, 2013

Kids With Costly Medical Issues Get Help, But Not Enough

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Friday, August 23, 2013

Say What? Jargon Busters Tackle Health Insurance

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Saturday, August 17, 2013

N.J. Governor Gives Provisional OK to Medical Pot For Kids

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N.J. Governor Gives Provisional OK to Medical Pot For Kids

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Friday, August 16, 2013

Getting People Out Of Nursing Homes Turns Out To Be Complicated

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Thursday, August 15, 2013

Gingrich: Most GOP Lawmakers Have 'Zero' Ideas On Health Care

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Gingrich: Most GOP Lawmakers Have 'Zero' Ideas On Health Care

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Wednesday, August 14, 2013

Medical Discount Plan In Nevada Skips Insurers

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