Category: Health Care

President Obama Remembers Ryan White: Ends HIV Entry Ban

Posted on by TL

Do you remember Ryan White? Do you remember this young man who died, publicly, of HIV-AIDS?

I think of him from time to time, this brilliant young man who was "done too soon," who endured years of hatred, years of insults — because he got sick.

I remember, years ago, picking my son up from school on a spring afternoon. I was listening to WLS in Chicago (never a good idea these days), and I heard a caller condemn Ryan White to the depths of Hell. The caller was convinced, and argued, that this young man got what he deserved, that if he himself hadn’t sinned in his lifetime, then God must have killed him because one of his ancestors must have sinned horribly.

Yes, that was the argument.

Today, President Obama remembered Ryan White in a big way.

From White House blog:

Today, President Obama signed the Ryan White HIV/AIDS Treatment Extension Act of 2009. It represents our ongoing commitment to ensuring access to needed HIV/AIDS care and treatment. The White House and the Department of Health and Human Services (HHS) worked very closely with Congress on this bipartisan legislation, and the consensus document developed by the HIV/AIDS advocacy community was an important part of the process. We were so pleased that Jeanne White-Ginder, Ryan White’s mother, was here at the bill signing.

The Ryan White Program is the largest federal program specifically dedicated to providing HIV care and treatment. It funds heavily impacted metropolitan areas, states, and local community-based organizations to provide life-saving medical care, medications, and support services to more than half a million people each year: the uninsured and underinsured, racial and ethnic minorities, people of all ages.

The President also announced today the elimination of the HIV entry ban. Since 1987, HIV-positive travelers and immigrants have been banned from entering or traveling through the United States without a special waiver. In July 2008, Congress removed all legislative barriers to repealing the ban and paved the way for HHS to repeal the ban. A final rule will be published in the Federal Register on Monday, November 2nd and will take effect in early January 2010. That means that people who have HIV and are not U.S. citizens will be able to enter the U.S. starting in January next year. This is a major step in ending the stigma associated with HIV.

And the sad thing is, would Ryan White have died in 1990 — theoretically — if the Reagan Administration had given medical science the funding to find the cause of and fight AIDS instead of segregating it as a gay disease? Would an anonymous thug have come along and kicked over Ryan’s headstone if Reagan had been slightly more enlightened?

Yes, we still have to ask those questions. It could all happen again. We still have plenty of people in our society who are seemingly at war with science.

I’m starting to like this Obama as President of the United States.

However, this isn’t about President Obama.

This is about a young man who was gone too soon.

Peace, Ryan. We remember you still.

Ryan White

Pelosi Outlines 14 Health Care Provisions to Take Place Immediately

Posted on by TL

Speaker of the House Nancy Pelosi Thursday outlined fourteen health care reform provisions that would take place immediately, upon passage of the health insurance reform legislation currently making its way through Congress:

  1. BEGINS TO CLOSE THE MEDICARE PART D DONUT HOLE — Reduces the donut hole by $500 and institutes a 50% discount on brand-name drugs, effective January 1, 2010.
  2. IMMEDIATE HELP FOR THE UNINSURED UNTIL EXCHANGE IS AVAILABLE (INTERIM HIGH-RISK POOL) — Creates a temporary insurance program until the Exchange is available for individuals who have been uninsured for several months or have been denied a policy because of pre-existing conditions.
  3. BANS LIFETIME LIMITS ON COVERAGE—Prohibits health insurance companies from placing lifetime caps on coverage.
  4. ENDS RESCISSIONS—Prohibits insurers from nullifying or rescinding a patient’s policy when they file a claim for benefits, except in the case of fraud.
  5. EXTENDS COVERAGE FOR YOUNG PEOPLE UP TO 27TH BIRTHDAY THROUGH PARENTS’ INSURANCE— Requires health plans to allow young people through age 26 to remain on their parents’ insurance policy, at the parents’ choice.
  6. ELIMINATES COST-SHARING FOR PREVENTIVE SERVICES IN MEDICARE—Eliminates co-payments for preventive services and exempts preventive services from deductibles under the Medicare program.
  7. IMPROVES HELP FOR LOW-INCOME MEDICARE BENEFICIARIES—Improves the low-income protection programs in Medicare to assure more individuals are able to access this vital help.
  8. PROVIDES NEW CONSUMER PROTECTIONS IN MEDICARE ADVANTAGE— Prohibits Medicare Advantage plans from charging enrollees higher cost-sharing for services in their private plan than what is charged in traditional Medicare.
  9. IMMEDIATE SUNSHINE ON PRICE GOUGING—Discourages excessive price increases by insurance companies through review and disclosure of insurance rate increases.
  10. CONTINUITY FOR DISPLACED WORKERS—Allows Americans to keep their COBRA coverage until the Exchange is in place and they can access affordable coverage.
  11. CREATES NEW, VOLUNTARY, PUBLIC LONG-TERM CARE INSURANCE PROGRAM—Creates a long-term care insurance program to be financed by voluntary payroll deductions to provide benefits to adults who become functionally disabled.
  12. HELP FOR EARLY RETIREES—Creates a $10 billon fund to finance a temporary reinsurance program to help offset the costs of expensive health claims for employers that provide health benefits for retirees age 55-64.
  13. COMMUNITY HEALTH CENTERS—Increases funding for Community Health Centers to allow for a doubling of the number of patients seen by the centers over the next 5 years.
  14. INCREASING NUMBER OF PRIMARY CARE DOCTORS — Provides new investment in training programs to increase the number of primary care doctors, nurses, and public health professionals.

Source: Committee on Education and Labor

Take Dick Durbin’s Poll to Support the Public Option

Posted on by TL

Senator Dick Durbin wants a public option for health care in the United States. Support the public option by taking this poll:

From Senator Durbin:

The tide is shifting our way.

Thanks to the tireless efforts of activists like you we’ve seen a tremendous shift in the health care reform debate. On Monday, Majority Leader Harry Reid introduced the merged Senate health care bill — a bill that includes a public option.

The question is no longer if we will have some sort of public option in the final health care reform bill, but instead what form it will take.

There are several interpretations of what a public option should look like, and I’d like to share the preferences of the American people with my colleagues in the Senate.But I must do so before the final health care reform bill comes to a vote on the Senate floor in the coming weeks.

Please rank your preferences for what form the public option should take in the final bill at:

http://www.DickDurbin.com/PublicOptionPoll

I believe that a robust public option must give more Americans more choice on day one. But some of my colleagues would be content with a public plan that only kicked in if insurance companies continued to raise premiums at an unreasonable rate — the so-called "trigger." Others would prefer a more limited public option, requiring state governments to "opt-in" to participate in the program.

I am "whip counting" the votes in favor of all of these in the Senate, and we’re very, very close to reaching the 60 votes we need to pass a robust form of the public option — one that provides more coverage to more people by requiring states to "opt out" if they don’t want to participate. That’s exactly how Medicare and Medicaid work, and all 50 states participate in those popular programs.

Ultimately my colleagues need to know what their constituents think a robust "public option" really means — and what it doesn’t.

Read up on the various interpretations of a public option now under consideration, and tell me — and my colleagues — where you stand.

http://www.DickDurbin.com/PublicOptionPoll

Virtually every poll now shows most people support a robust public option to expand health insurance choice and offer coverage to more Americans. And the American people will not settle for a "public option" in name only.

Neither will I.

Let’s tell Congress what precisely we want and expect to see in the final health care reform bill that President Obama signs into law.

Thank you for taking my poll.

Sincerely,
Dick Durbin
Dick Durbin
U.S. Senator

Isaac Hayes (GOP) Doesn’t Want You to Have Health Insurance (Unless You Can Help Fund His Campaign)

Posted on by TL

Congressman Jesse Jackson, Jr.’s challenger in Illinois’ 2nd District doesn’t want you to have health insurance if you can’t afford it. Rev. Isaac C. Hayes (is he really a CHRISTIAN reverend???) rejects the so-called public option.

From ENEWSPF:

Isaac C. Hayes, the GOP nominee for Congress in Illinois’ Second Congressional District, released a statement Tuesday condemning health care reform that includes a public option. Hayes called the proposed "public option" in health care reform legislation moving through the Congress is a "Nightmare on Elm Street." which will lead to soaring deficits, and declining medical care for Americans. The program will also scare the daylights out of bondholders of the U.S. and that’s deadly for America’s economic future.

"We must not cede to the public option. It will be the worse mistake our country can make. It will forever hand over control of our health care system to Washington, D.C.," says Rev. Hayes. "We’ve seen this B-movie before. Need I say Medicare, Medicaid and Social Security. These budgets continue to increase and not decrease. Nancy Pelosi in charge of my health is like the next sequel of A Nightmare on Elm Street. Please wake me up before it is too late."

Unfortunately, we can’t give Hayes high marks for creativity, considering his overkill on the Nightmare on Elm Street metaphor. Notice he said it twice.

Look, Jesse Jackson, Jr.’s 2nd Congressional has historically been overwhelmingly Democratic. Hayes is way off base so strongly rejecting the public option.

Jackson’s district gets it. It’s time for the for-profit health insurance industry to go, for good.

Hayes is out of touch, and in bed with the for-profit health insurance industry.

I wonder how much money the for-profit health insurance industry has given to Hayes? How many dollars of your insurance premiums have you contributed to a campaign that does not want those who cannot effort health insurance to actually get health insurance?

This is America, the only industrialized democracy in the world without health care for all.

And the other industrialized democracies are all living longer.

Vote for Jesse Jackson, Jr., in the second Congressional district in Illinois.

Sign Harry Reid’s Petition Demanding Health Care for Every American

Posted on by TL

I’m on board with Harry Reid’s attempt to round up 60 United States Senators for health care for all. Reid is finally calling for the public option. It’s time to choose the HEALTH OF EVERY AMERICAN above those in Congress boholden to the for-profit health insurance industry.

Want to eliminate some waste in the medical industry? How much of your premium goes to the re-election campaigns of members of Congress?

Sign Harry Reid’s petition.

From Senator Harry Reid:

When I emailed last night, I told you we were working on ideas for mobilizing support for the bill I sent to the Congressional Budget Office yesterday. Well, we did just that and decided that the best way to build support in the Senate is for me to have as many signatures from as many Americans as possible that support health insurance reform with a public option.

This way, when I ask my colleagues to support a bill with a public option, I can tell them that it’s not just me asking, it’s me AND thousands of Nevadans – AND a majority of our fellow Senators – AND thousands of voters from their home state. To do this, I need you to add your voice to mine right away.

CLICK HERE TO SIGN MY PETITION FOR REFORM WITH A PUBLIC OPTION

If there’s one thing I’ve learned from being the Senate Majority Leader, it’s that we need strong grassroots momentum to win the support required to pass big legislation. Change isn’t easy. And big change is even more difficult. But we have the chance to deliver real health insurance reform this year, we just have to work together to convince every Senator we can that a vote for this bill is a vote on the right side of history.

Please, sign our petition today and tell your friends and family to add their names as well. Thanks so much for your support.

Together, we’ll get this done.

Harry
-Harry

The ‘Public Option,’ Medicare Part ‘E’, Lives On

Posted on by TL

From the Washington Post:

The resurrection of the public option is the latest and one of the most surprising turns in the long battle over legislation to overhaul the nation’s health-care system. Under assault for months, and declared on life support repeatedly in recent weeks, the provision for a public insurance option is unexpectedly alive as House and Senate leaders prepare to send their bills to the floor.

That doesn’t mean it’s a done deal. Whether it survives the final battles, and in what form, are still the unanswerable questions. Multiple versions of a public option are on the table. Liberal and moderate Democrats are still at odds and are drawing lines in the sand in hopes of exercising maximum influence on the outcome.

 Senate Majority Leader Harry M. Reid (D-Nev.) and House Speaker Nancy Pelosi (D-Calif.) are still scratching for the votes to pass bills with a public option included. But by next week, both hope to have bills ready either for unveiling or to send to the Congressional Budget Office for analysis and scoring.

What encourages some of those who have followed this debate closely from the inside is the degree to which Democrats are in sight of a compromise on the public option and other remaining differences — though many may have to accept some disappointment to get a bill to President Obama’s desk.

The public option, Medicare Part E, lives another day.

And that is a good thing.

The president and congress must remember those who have nothing. They are Americans, who have the right to life, liberty, and the pursuit of happiness.

Really, they do.

To Keith Olbermann: Let’s All Take Credit for “Medicare Part E” and Get It Done Already

Posted on by TL

I was listening to Countdown this evening listening to Keith Olbermann pat himself on the back for calling for a "rebranding" of the term "public option." Olbermann suggested calling the alternative to for-profit health insurance "Medicare Part E — ‘E’ for ‘Everyone.’ "

That’s a great idea, but Keith is hardly the first to name the new plan. For that, I credit Thom Hartmann, who wrote on September 9, 2009:

The President this morning admitted on national television that he lost control of the message with health care. It’s time to reboot – and use a very, very, very simple message so all Americans can understand it.

Let’s use Medicare, which nearly every American understands. Just create “Medicare Part E” where the “E” represents “everybody.” Just let any citizen in the US buy into Medicare.

It would be so easy. No need to reinvent the wheel with this so-called “public option” that’s a whole new program from the ground up. Medicare already exists. It works. Some people will like it, others won’t – just like the Post Office versus FedEx analogy the President is so comfortable with.

Just pass a simple bill – it could probably be just a few lines, like when Medicare was expanded to include disabled people – that says that any American citizen can buy into the program at a rate to be set by the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) which reflects the actual cost for us to buy into it.

Thus, Medicare Part E would be revenue neutral!

To make it available to people of low income, Congress could raise the rates slightly for all currently non-eligible people (like me – under 65) to cover the cost of below-200%-of-poverty people. Revenue neutral again.

This blows up all the rumors about death panels and grandma and everything else: everybody knows what Medicare is. Those who scorn it can go with United Healthcare and it’s $100 million/year CEO. Those who like Medicare can buy into Part E. Simplicity itself.

And there’s more. Hartmann’s analysis also appeared in CommonDreams.org.

I don’t want to detract from Mr. Olbermann. House Majority Whip James E. Clyburn thanked Keith publicly this evening on Countdown, saying he heard the term first from Mr. Olbermann, and at least one Blue Dog Democrat has thrown his support behind Medicare Part E. Medicare Part E would not be single payer. Since everyone is taking credit, I’ll pat myself on the back also for writing this on August 7, 2009. However, I only wrote that after I heard the term "Medicare Part E" first on Thom Hartmann’s radio program, at least a month before he wrote his analysis. And, to be honest, my call was for a single-payer system. “Medicare Part E” would be an opt-in insurance program, entirely optional. Do you like your for-profit health insurance company? Well, you’ll be allowed to keep it.

Olbermann’s commentary is from his special commentary on October 7, nearly a month after Thom Hartmann:

Once you said "Medicare For Everybody," there would be just as much to explain. If you were under 65 you’d be paying for it. You wouldn’t have to buy it. You wouldn’t have to change from whatever you have now. There are just as many caveats.

Still, the intent of all this would be clearer. Much of the criticism of health care reform is coming from those who have or are about to get Medicare and, in confusion, in fear, in the kind of indescribable realization that we are far closer to the end than to the beginning, they are suddenly mortally afraid that health care reform will take it away from them. "Medicare For Everybody," might not be literally true, but instead of terrifying, it would be reassuring. And the explanations and the caveats would be listened to, and not shouted down, as anger and fear — fear, remember, of death – swell up inside.

Thom Hartmann has been on Countdown before. Keith, invite him back and give him credit as well. After all, the best ideas always happen when no one cares who gets the credit.

I’m cautiously optimistic that this will actually happen.

Keith deserves credit for his incredible commentary. Thom Hartmann deserves credit as well. Let’s all take credit for the concept, the name, and make "Medicare Part E for Everyone" finally happen.

Olbermann: Insurer Ends Health Program, Calls High-Cost Patients “Dogs”

Posted on by TL

Visit msnbc.com for Breaking News, World News, and News about the Economy

Here’s the beginning of the story from the Washington Times:

Ian Pearl has fought for his life every day of his 37 years. Confined to a wheelchair and hooked to a breathing tube, the muscular dystrophy victim refuses to give up.

But his insurance company already has.

Legally barred from discriminating against individuals who submit large claims, the New York-based insurer simply canceled lines of coverage altogether in entire states to avoid paying high-cost claims like Mr. Pearl’s.

In an e-mail, one Guardian Life Insurance Co. executive called high-cost patients such as Mr. Pearl "dogs" that the company could "get rid of."

A federal court quickly ruled that the company’s actions were legal, so on Dec. 1, barring an order by the federal Department of Health and Human Services, Mr. Pearl will lose his benefits.

His medical treatment costs $1 million a year.

Most of that is for ’round the clock, in-home nursing care – for operation of his ventilator, hourly breathing treatments and continuous intravenous medication.

(Corrected paragraph:) A Guardian spokesman said policies such as Mr. Pearl’s – which offered unlimited home nursing – had simply become too expensive for new small-business customers to buy, and that even Medicaid and Medicare do not cover 24-hour home nursing. His parents, Warren and Susan Pearl of Fort Lauderdale, Fla., said their health insurance premiums had risen over the years to $3,700 a month.

You can contact Guardian Life Insurance Company here.

And now for your moment of Zen…

President & CEO Dennis J. Manning touts Guardian Life’s financial strength on the company’s Web site:

Two Rating Upgrades 
Guardian earned upgrades from two major credit rating organizations in 2008, a distinction that no other major life insurer can claim. We were one of only five life insurers upgraded by Standard & Poor’s, which raised our rating to AA+ (Very Strong). Additionally, noting Guardian’s “superior capitalization,” “successful execution of key strategic initiatives,” and our “comprehensive risk management strategy,” A.M. Best Company awarded us its highest rating, A++ (Superior). Only six other life insurers received ratings upgrades from A.M. Best last year.

Operating on Firm Financial Footing 
Guardian generated good financial results last year, in spite of challenging economic conditions. Pre-tax statutory income – the primary way we build capital and surplus – was $267 million. Capital, which serves to cushion potential adverse events and functions as a source of continuing future income, was $4.3 billion at year end. And our capitalization ratio, a standard industry measure of capital strength, was 14.7%. We believe this ratio is among the highest in the life insurance industry.

Record Dividend Payout
Guardian’s solid financial results, supported by a prudent investment strategy, allowed us to avoid many of the losses suffered by so many other companies and put us in a strong competitive position, which we leveraged to benefit policyholders. We declared the largest ever dividend payout in our 149-year history, paying a record $723 million dividend to policyholders in 2009, $60 million more than we did in 2008.

Good for them.

Remember 37-year-old Ian Pearl on December 1, 2009,

Senator Roland Burris Definitively Favors Government Health Plan

Posted on by TL

Washington, D.C.– United States Senator Roland Burris (D-IL) wants health care reform with a government health insurance plan and he’s willing to fight for it, says the Wall Street Journal.

From the Chicago Sun-Times:

The Wall Street Journal named him as one of six senators to watch in the coming days as the Senate’s no-public-option bill is merged with the House’s public-option bill.

The other five senators are Republicans and conservative Democrats averse to a public option. Burris, the Journal says, is the one senator out of 100 most insistent that the final bill have a public option:

"The Wild Card: Illinois Democratic Sen. Roland Burris. Mr. Burris has announced his intention to oppose any bill without a public option. . . . Because he isn’t standing for re-election, Mr. Burris has little to lose," the article states.

And from the Wall Street Journal:

The Wild Card: Illinois Democratic Sen. Roland Burris. Mr. Burris has announced his intention to oppose any bill without a public option, and Sens. Bernie Sanders (I., Vt.) and John Rockefeller (D., W.Va.), among others, have also voiced a strong desire for a public option. The message: Democrats at their peril shift to the right to court centrists and Republicans. Because he isn’t standing for re-election, Mr. Burris has little to lose. Democrats hope liberals will support a health overhaul in the end, but they have scant margin for error.

GOP’s Olympia Snowe On Board for Democratic Health Care Reform Bill

Posted on by TL

Already referenced here, t his one deserves its own headline.

From WTAE Pittsburgh:

Washington– Republican Sen. Olympia Snowe broke with her party Tuesday and said she will vote for a Democratic health care bill, handing President Barack Obama a much-sought boost in his quest to expand access to medical coverage to all Americans.

Approval of the legislation by the Senate Finance Committee was a foregone conclusion going into Tuesday’s vote, since Democrats outnumber Republicans 13-10 on the panel. But Snowe’s decision gave the vote a significance that transcends partisan divisions. For months, congressional Republicans have been virtually unanimous in denouncing the Democratic bills as an unwarranted expansion of government influence.

The Maine senator kept virtually all of Washington guessing about how she would vote until she announced it late in the Senate Finance Committee debate Tuesday. She told her colleagues she has misgivings about the bill, but "when history calls, history calls."

Perhaps the ice is thawing between Democrats and Republicans. It would be nice to have Senator John McCain on board too. That would be good for the country.

Read more.