Michael.Massing + healthcare + economics + politics   29

Will young invincibles buy into the ACA? | OUPblog
Persuading young people to reject coverage may be a difficult sell, however. Polling has found that young people “’value health insurance but cannot afford it.’” In a Kaiser Family Foundation poll, only a quarter of respondents between ages 18 and 30 said they were healthy enough not to need health insurance.
individual  mandate  demographics  Obamacare  ACA  PPACA  Affordable  Care  Act  young  invincibles  healthcare  economics  value  affordability  subsidies  research  social  politics 
october 2013 by Michael.Massing
Medicaid gap to hit local clinics, hospitals | Pensacola News Journal | pnj.com
Pensacola area health care leaders say the state’s action not only will exclude several thousand uninsured local residents from coverage, but it also will cost this community jobs.

A recent study by researchers at the University of Florida concluded the Medicaid expansion would have created an average of 1,619 full-time and part-time jobs in Escambia County annually over the next 10 years.

The decision to opt out of Medicaid expansion will hit Escambia Community Clinics Inc. hardest.

The clinic has a staff of 120 physicians and its $13.8 million annual operating budget is funded by Escambia County, Baptist and Sacred Heart hospitals, and federal Medicare and Medicaid reimbursements.

“The consequence of Florida not doing the expansion is that the some 40,000 uninsured patients we see at the clinic on an annual basis will remain uninsured,” said Don Turner, executive director of the clinic.

“If they were insured through Medicaid expansion, that 40,000 visits would bring about $4 million more a year to this organization,” he said.
Obamacare  ACA  PPACA  Florida  Medicaid  expansion  opt-out  healthcare  economics  politics  resentment  spite 
october 2013 by Michael.Massing
For Medicare, Immigrants Offer Surplus, Study Finds
Immigrants contribute more in Medicare revenue than they receive in benefits.
Medicare  healthcare  economics  migration  economic  research  politics  from twitter
june 2013 by Michael.Massing
CDC Report: Americans Feel Healthy - American Diabetes Association
The report also noted that the percentage of people who failed to obtain medical coverage because of cost increased from 4.5 percent in 1997 to 7 percent in 2010.
healthcare  wellbeing  insurance  economics  risk  via:CDC.gov  politics  mythology  self  perception  from delicious
april 2011 by Michael.Massing
Healthcare: More small businesses are offering health benefits to workers - latimes.com
[The new healthcare law already provides a tax credit] to companies with fewer than 25 employees and moderate-to-low pay scales to help offset the cost of providing benefits.... <br />
[Three-quarters of US] businesses with 10 to 24 workers offer benefits. About half of those with 3 to 9 employees provide health plans[, compared to 99% of firms with more than 200 employees]. <br />
[In the first 6 months under the new law, UnitedHealth Group, the largest US] insurer, added 75,000 new customers who work for companies with fewer than 50 employees...Coventry Health Care[, a Maryland insurer focused on small business, issued new coverage to 115,000 workers in the first 9 months of 2010, an 8% jump. California's Warner Pacific Insurance Services, a major servicer of insurance brokers, saw business grow over] 10% this year... <br />
Blue Cross Blue Shield of Kansas City, the largest insurer in [its area, reports a 58% jump in small business sales since April, the first full month the law was in force.]
healthcare  economics  outbasket  health  insurance  data  labor  small  business  outbox  politics  from delicious
april 2011 by Michael.Massing
Why Health Care Markets Can Never Work | Dissident Voice
Prices will keep going up; unnecessary services will keep proliferating. Individuals, companies, and governments will continue to be bankrupted. Millions will be denied care for lack of funding. And free market advocates will keep saying the market is the answer to our healthcare crisis. <br />
Our society can decide that everyone is entitled to appropriate medical care, or not. But we can’t provide care to any except the very rich under this topsy-turvy anti-system. Costs will continue to spiral if sellers set the prices and make the purchasing decisions. Eventually we will run out of money, and eventually came about twenty years ago in the US. We’ve been paying medical bills on credit ever since. <br />
A sellers’ market can’t control costs. Instead, costs should be controlled, as they are in Europe, with rational, evidence-based decisions on what treatments are effective and affordable, and what they should cost.
healthcare  economics  David  Spero  single-payer  cost  benefit  politics  from delicious
march 2011 by Michael.Massing
Gay Marriage, Abortion Aren’t Problems. Child Homelessness, Poverty Are. | The New Civil Rights Movement
There’s a group of people in America [whose] life’s mission is to: <br />
* Cut taxes <br />
* Cut government spending on healthcare, education. the arts, news and information services <br />
* Stop the government from regulating pollution-causing industries, food, toys, business in general <br />
* Stop the government from reacting to climate change <br />
* Teach creationism and abstinence-only sex education <br />
* End abortion and teenagers’ access to contraception <br />
* Stop same-sex couples from marrying and adopting.... <br />
What will we get from all this?... <br />
[U]nwanted children, who will not be immunized...not receive proper health care...not be properly fed...not be properly educated, who will end up having more sick, uneducated, and unwanted children of their own, all of whom will not be cared for at all because the state won’t pay for them because Republicans want to cut taxes. <br />
And yet, we have loving, willing, desperately-wanting same-sex couples ready and able to raise children, create families, and get married.
Republicans  social  issues  theocracy  religion  pandering  fearmongering  gay  queer  marriage  adoption  children  welfare  wellbeing  child  family  law  legislation  crime  outbasket  outbox  healthcare  politics  economics  from delicious
march 2011 by Michael.Massing
Everything You Need To Know About American Politics | The New Republic
One side of American politics considers the modern welfare state—a private-enterprise economy...in which society’s winners are taxed to pay for a social safety net—morally superior to the capitalism red in tooth and claw we had before the New Deal[: it’s only right] for the affluent to help the less fortunate. <br />
The other side believes that people have a right to keep what they earn[:] taxing them to support others, no matter how needy, amounts to theft. That’s what lies behind the modern right’s fondness for violent rhetoric: many activists...really do see taxes and regulation as tyrannical impositions on their liberty. <br />
There’s no middle ground...One side saw health reform, with its subsidized extension of coverage to the uninsured, as fulfilling a moral imperative: wealthy nations...have an obligation to provide all their citizens with essential care. The other side saw the same reform as a moral outrage, an assault on the right of Americans to spend their money as they choose.
politics  morality  class  resentment  mythology  individualism  US  American  healthcare  taxation  welfare  state  safety  net  earnest  economics  from delicious
january 2011 by Michael.Massing
More Small Businesses Offering Health Care To Employees Thanks To Obamacare - Rick Ungar - The Policy Page - Forbes
The primary, most enduring complaint of the opponents of the ACA has been that the law is deathly bad for small business. Apparently, small businesses, and their employees, do not agree. <br />
The next argument has been that the PPACA is a job killer. If these small businesses found the new law to be so onerous, why have so many of them voluntarily taken advantage of the [law's incentives]? [To the extent that the coming mandate] might figure into their thinking, would [they not wait until the 2014 deadline to act]?.... <br />
Private market insurance companies are experiencing significant growth because of a tax break provided by the PPACA. I may have missed the day this was discussed in economics class, but I’m pretty sure this is not a socialistic result of federal legislation. <br />
When data like this appears, we have the opportunity to really find out who is talking smack for political benefit and who actually cares about getting affordable and available health care to America’s workers.
propaganda  lies  healthcare  class  warfare  outbasket  outbox  politics  economics  from delicious
january 2011 by Michael.Massing
John Mackey: The Whole Foods Alternative to ObamaCare - WSJ.com
Many promoters of health-care reform believe that people have an intrinsic ethical right to health care—to equal access to doctors, medicines and hospitals. While all of us empathize with those who are sick, how can we say that all people have more of an intrinsic right to health care than they have to food or shelter?
Health care is a service that we all need, but just like food and shelter it is best provided through voluntary and mutually beneficial market exchanges. A careful reading of both the Declaration of Independence and the Constitution will not reveal any intrinsic right to health care, food or shelter. That's because there isn't any. This "right" has never existed in America
ruling  class  Calvinism  healthcare  debate  fallacy  resentment  politics  condescension  economics 
august 2010 by Michael.Massing
America’s Pervasive Pattern of Race-Based Medical Disparities - Onleilove Alston - God's Politics Blog
Today, African-Americans have higher rates of heart disease, diabetes, and high blood-pressure; new research is showing that the high levels of these diseases in the African-American community may be due to the stress of living in a racist society. Environmental racism has led to a great amount of inner-city African-American youth being plagued with asthma. The life expectancy for African-Americans is much lower than that of whites (Mortality of White Americans, African Americans, and Canadians: The Causes and Consequences for Health of Welfare State Institutions and Policies, by Kunitz SJ and Pesis-Katz I.). Although all American citizens are harmed by our current health-care system, African-Americans are harmed at alarming rates, shown by the fact that “for many health conditions, non-Hispanic blacks bear a disproportionate burden of disease, injury, death, and disability.” (CDC-MMRW Weekly)
healthcare  racism  inequality  health  disparities  diabetes  socioeconomics  socioeconomic  status  Black  African-American  race  ethnicity  politics  economics 
august 2010 by Michael.Massing
The menace of the public option
Of all the current assaults on our noble republic, perhaps none is more dangerous than the public option[—]the public library option....While companies like Amazon and Barnes & Noble struggle valiantly each day to sell books, these communistic cabals known as libraries undercut the hard work of good corporate citizens....People can spend hours and hours in these dens of socialism without having to buy so much as a cappuccino. [N]ot only can anyone read books for free in the library, they can take them home [with only] a simple card that can be used at any library in town. No checking on the previous condition of books they've read. No literacy test....Yet, do these libertines of literature let you choose any book you want...? No. Have you ever tried to get the latest best-seller at a public library? They put you on a waiting list for that[. And if you] ask these government apparatchiks a question...they start talking your ear off, and pretty soon they're telling you what to read.
economics  healthcare  library  humor  satire  parody  Socialism  public  books  capitalism  outbasket  outbox  politics 
october 2009 by Michael.Massing
"So in a year or so of this, you will not just be uninsurable, you will also be unemployable." | Daily Kos: State of the Nation [via Jessica Ferris]
'"Isn’t it illegal to fire someone for their health history? Suppose I’m all well and working?" She looks at you with more pity, says...of course they will have to find "cause" to fire you, which any employer can always do. "But I am a very, very good employee!" you protest."Yes...but they can always find some cause." The real problem...is that you will find a new job, that company’s insurer will slap them with the [million-dollar] surcharge, they will [fire you in turn], until you’ve been through 6 or 7 jobs in a year, fired "for cause" from all of them, which of course looks very, very bad to a prospective employer. "So in a year or so of this, you will not just be uninsurable, you will also be unemployable"....[S]ooner or later the insurance companies would force you onto Medicaid—either by...making you unemployable and broke, or by [your] being uninsured and going through any and all assets you have paying medical bills until you are broke and sick enough that you can’t work...'
healthcare  insurance  economics  business  capitalism  outbasket  cancer  law  crime  atrocity  scandal  outbox  politics 
september 2009 by Michael.Massing
Support our new ad!
Iowa farmer, retired career military, longtime Republican voter calls out Senator Chuck Grassley: Whose side are you on?
PLAY  video  healthcare  corruption  economics  governance  populism  outbasket  outbox  politics 
august 2009 by Michael.Massing
It's Republicans, not Democrats, who are trying to kill the elderly. - By Jacob Weisberg - Slate Magazine
'Social Security has driven life expectancy up and death rates down since it was instituted. It has an especially pronounced impact on suicide rates for the elderly, which have declined 56% since 1930....Why are Republicans trying to kill America's old people? After all, senior citizens are more likely to vote for the GOP than for Democrats. They were the only substantial demographic segment John McCain won in 2008....The problem is that because of the Democratic programs Social Security and Medicare, the aged are expensive for government to keep around. Some years ago...Jodie T. Allen suggested a reason for what she called the GOP's "pro-death" policies: Faced with an unpalatable choice between cutting benefits and raising taxes to pay for the growing costs of entitlement programs, Republicans gravitated toward a third alternative—restraining growth in life expectancy. If you want lower taxes and aren't willing to risk cutting spending, you need fewer beneficiaries.
healthcare  Republicans  mortality  wellbeing  economics  governance  taxation  politics 
august 2009 by Michael.Massing
The GOP's Misplaced Rage - Bruce Bartlett - The Daily Beast
'Another dimension to Bush’s failures [is what he didn’t do, including] health-care overhaul. Budget experts have known for years that Medicare was on an unsustainable financial path....In 2003, the Bush administration repeatedly lied about the cost of the drug benefit to get it passed, and Bush himself heavily pressured reluctant conservatives to vote for the program...Bush could have used the opportunity to develop a comprehensive health-reform plan...[H]e left his party with nothing to offer as an alternative to the Obama plan....[C]onservative activists, who seem to believe that the louder they shout the more correct their beliefs must be, are less angry about Obama’s policies than they are about having lost the White House...Republican Party hacks [are] trying to overturn the election[, not representing] a true grassroots revolt against liberal policies.'--Bruce Bartlett [helped] draft the Kemp-Roth tax bill in the 1970s [and in the 1980s-90s] was a leading Republican economist.
economics  blame  responsibility  Bush  Obama  Reagan  healthcare  politics 
august 2009 by Michael.Massing
Congress to Transfer Hundreds of Billions in Tax Dollars to the Insurance Industry | t r u t h o u t
'Not only did [the AMA] oppose single payer - something supported by 60% of doctors, according to a survey of the AMA data base - but it even opposed the weak public insurance option. The AMA spokesperson said they would only support market approaches. No wonder the AMA is shrinking rapidly. While not long ago it represented 70% of American doctors; it is now down to only 30%....
[Testifying before a House subcommittee,] Dr. Walter Tsou...responded to the claim that single payer was too radical, saying, "Our most famous radical document begins with the words, 'We the People.' Not 'We the Insurers...It is time for our own generation's revolution"....If you don't want to see another massive transfer of wealth to the insurance industry while Americans continue to lack health care, you need to take action. Tell your representatives that you want a national health plan funded by a single-payer system. The insurers are working hard; the American people have to work harder.'
governance  healthcare  economics  crime  outbasket  outbox  politics 
june 2009 by Michael.Massing
Discrimination and Diabetes :: Maskarinec, G et al. Ethnicity and Disease 2009 :: via David Spero, Diabetes Self-Management
'[Diabetes is at least twice a prevalent] in some ethnic groups as it is in whites...even among people with similar body mass index (BMI) numbers....[I]n the journal Ethnicity and Disease...Gertraud Maskarinec, MD, PhD, [reports:] “the effects of body weight and diet appear to differ depending on an individual’s ethnic background. Moreover, differences in prevalence among different ethnic groups persisted in normal-weight and underweight participants"...In other words, there’s a lot more to Type 2 diabetes than weight.
The study reported on data from surveys of nearly 187,000 people in Hawaii and California. Of the total, 11.6% reported having diabetes. However, age-adjusted diabetes prevalence was 16.1% in Native Hawaiians, 15.8% in Latinos, 15% in African-Americans, 10.2% in Japanese-Hawaiians, and 6.3% in whites.
Of course (of course!), the researchers blame the differences on genes. If it's not fat that causes diabetes, what else could it be?'....
The reason ethnic minorities, low-income people, and unemployed people have so much diabetes is NOT mainly due to health behaviors. [A[ll behaviors combined explain less than 40% of the difference between the healthiest and the least healthy groups. The rest of it is due to the higher stress levels of, say, being an immigrant, being isolated, having economic difficulties, or being discriminated against.'
economics  healthcare  class  health  disparities  diabetes  weight  body  fat  David  Spero  Asian  Hispanic  Latino  Black  African-American  Native  Hawaiian  genetics  causation  stress  socioeconomic  status  bad  science  reporting  unsupported  conclusions  risk  etiology  culture  research  medical  biological  theory  ethnicity  demographics  race  poverty  epidemiology  racism  socioeconomics  criticism  racial  type  2  peer-reviewed  T2D  correlation  politics  disparity  mortality  morbidity  factor 
march 2009 by Michael.Massing
Minority Health-Care Clinics Separate But Unequal } Varkey, A. Archives of Internal Medicine 2009-02-09 | dLife.com
Clinics with more minority patients tend to have worse work environments....Limited medical supplies, referral specialists, and examination rooms, coupled with a more complex patient mix, compromise providing good primary care....Among 27 clinics (41.8% of physicians) with at least 30% minority patients and 69 clinics (45.9% of physicians) with less than 30% minority patients, higher-minority clinics were four times more likely to have a chaotic work environment; their physicians were half as likely to report job satisfaction,and more likely to report higher stress and intention to leave....Patients in higher-minority clinics were more frequently depressed (22.8% vs. 12.1%), more often on Medicaid (30.2% vs. 11.4%), and had lower health literacy (3.7 vs. 4.4, on a 5-point scale)...More of these patients spoke little to no English (27.1% vs. 3. 4%), and had more chronic pain (24.1% vs. 12.9 %), substance abuse problems (15.1% vs. 10.1%), and complex medical cases.
healthcare  economics  race  demographics  epidemiology  health  disparities  Black  Hispanic  Latino  African-American  racism  geography  ethnicity  politics 
march 2009 by Michael.Massing
Aging nation cuts cost of 100th birthday gifts | Oddly Enough | Reuters
Japan now has so many people over 100 that it is cutting costs by reducing the size of silver cups it presents to those who reach that age.
Last year 19,769 people reached triple figures in the world's most rapidly aging country, compared with only 153 in 1963, the year when the cups were first presented...[A]n official at the Health Ministry said[: "We] had to think about how to continue to do this for an increasing number of people on a limited budget."
The cups are presented on September 15, a holiday designated Respect for the Aged Day, to people who have turned 100 in the past year. The cost varies with the price of silver, but the Yomiuri newspaper said it was about 7,000-8,000 yen ($72-82) apiece, including a wooden presentation box.
The Japanese are the world's longest-lived people, a phenomenon experts have attributed to a range of factors, including diet and widely available health care. There are 36,436 people aged over 100 in a population of 127.8 million.
healthcare  diet  survival  aging  longevity  economics  outbasket  outbox  politics 
march 2009 by Michael.Massing
Study Reveals Large Gaps In Diabetes Care
More than 90% of [New York's diabetics] have elevated blood pressure, cholesterol or blood sugar--placing them at increased risk of heart attacks, strokes and other complications....Some 500,000 New York City adults have been diagnosed with diabetes; 200,000 more have the condition but don’t know it...1.4 million non-diabetic New Yorkers [may be "pre-diabetic"....A]dults making less than $20,000 a year were almost twice as likely as higher-income adults to have diabetes (15.7% vs. 8.9%). Black New Yorkers were at higher rates than whites (14.5% vs. 10.7%). And Asian New Yorkers had the highest rates of both diabetes (16.1%) and pre-diabetes (32.4%)....[Half of diagnosed diabetics] had elevated blood pressure and nearly two thirds had high cholesterol. Many had not been prescribed medications for either condition, and only 12% were on insulin – compared with 23% nationally...New York City’s medical institutions are failing to meet nationally recognized standards for managing diabetes.
healthcare  economics  risk  health  disparities  diabetes  socioeconomics  socioeconomic  status  income  race  ethnicity  ethnic  racial  minorities  Asian  public  comorbidities  New  York  Black  African-American  cardiovascular  demographics  geography  poverty  politics  disparity  mortality  morbidity 
january 2009 by Michael.Massing
Diabetes More Prevalent In Rural Population
Rural residents are more likely to suffer from diabetes by 16% than their city-dwelling counterparts, according to a first-of-its-kind study by researchers at the University of Illinois College of Medicine at Rockford. Dr. Carlos Aguero, family medicine specialist at the college of medicine’s Rockton clinic, said the college took on the project because of its strong emphasis on rural health...“We looked for local studies and studies that had been done for the entire U.S. population and, really, there was zero data on differences between the two.”....Aguero also said that, based on the five standards of appropriate care established by the American Diabetes Association, rural residents were also 20.5% more likely than urban dwellers not to be receiving such care....[The] report looking into disparities in diabetes care [was presented at the] North American Primary Care Research Group annual meeting in Puerto Rico, Nov. 2008.
economics  healthcare  health  disparities  diabetes  politics 
january 2009 by Michael.Massing
Cosmetic castration banned | Oddly Enough | Reuters
Thailand's health chiefs barred [castration of] would-be "ladyboys" amid growing concern about the operation being seen as a cheap and quick alternative to...formal sex-change therapy—which requires rigorous physical and mental evaluation of the patient
sex  transgender  gender  law  crime  economics  healthcare  youth  politics 
april 2008 by Michael.Massing

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