Tag Archives: health care

ICYMI: Senatorial Islamophobia, Women’s History Month, Prior Authorization, Social Security

The first Muslim nominee for a seat on the federal appeals court: Adeel Mangi’s nomination looks like it is going down, defeated by Republican lies and Democratic cowardice. Republicans promote an Islamophobic smear campaign. Senator Catherine Cortez MaSto (C-NV) cited a separate smear, which was thoroughly debunked by Timothy K. Lewis, a former Third Circuit Court of Appeals Judge who was appointed by George H.W. Bush: 

“Her decision is, respectfully, rooted in the same kinds of baseless lies and smears that the religious claims against Mr. Mangi were based, associating him with terrorists and antisemites and so forth, none of which is true. And the record clearly demonstrates that.

“The same is true here. The organization that we are talking about is a group that reached out to Mr. Mangi to ask for pro bono services on behalf of an inmate who had been murdered in the New York prison system. And this was not even a criminal case. It was a civil lawsuit that he brought.

“He achieved a landmark settlement on behalf of the family that not only helped the prisoner’s family, but also helped the prison and, in doing so, helped prison guards, because the cameras were installed throughout the prison.

“This is honorable work. This is the kind of work that we value, we encourage in our profession.”

Happy women’s history month? Maybe not. Lyz reminds us about when girls lose their dreams. Yes, still. 

“When do we lose those things and passions that make us happy? Research says it starts as early as kindergarten. That’s when young girls begin to think of themselves as less smart and capable than boys. This doesn’t come about by accident. History books are less likely to tell the stories of women. Parents are more likely to think their sons are gifted and talented than their daughters. Google search results from parents reveal they are concerned about their sons’ intelligence and about their daughters’ weight.  …

“Let me just lay it out.

Prior Authorization: I know I’m not alone: hundreds of thousands of people struggle with prior authorization every day. For me, it’s trying to get prescriptions for family members, sometimes over and over again. I know prior authorization is not required every month—but the insurance company professes not to know. 

Others have worse struggles, as detailed in the New York Times

“Should your insurance company be allowed to stop you from getting a treatment — even if your doctor says it’s necessary?

“Doctors are often required to get insurance permission before providing medical care. This process is called prior authorization and it can be used by profit-seeking insurance companies to create intentional barriers between patients and the health care they need.

“At best, it’s just a minor bureaucratic headache. At worst, people have died.

“Prior authorization has been around for decades, but doctors say its use has increased in recent years and now rank it as one of the top issues in health care.” 

An NPR report continues

“More than 90% of doctors say their patients have had to delay their health care because of prior authorization, according to a 2022 survey by the American Medical Association. A third of the doctors in that survey say the delay led to serious problems for their patients, like a life-threatening event, or hospitalization.

“Shah recalled one of her patients, who had a history of endometrial cancer and had been trying to find out the status of the cancer for months. The insurance company denied prior authorization for medical imaging. This patient ended up in intensive care with a life threatening blood clot, and got the medical imaging, which also showed that the cancer had spread.” 

Social Security: BlueSky quote of the week from Robert Reich on Social Security and tax cuts for the rich:

“Trump wants to cut Social Security so he can give another giant tax cut to the rich. Biden wants to save Social Security by having the rich — who have become far richer over the past several decades — pay more Social Security taxes. The contrast couldn’t be more important.”

Remember—in 2024, you pay Social Security taxes of 6.2 percent on the first $168,600 of your income. For someone earning $168,600, that is a total of $10,453.20. For someone earning $168 million in 2024, the total Social Security tax is—$10,453.20. As Reich posts:

“Inequality has jeopardized the future of Social Security. As the rich have gotten richer, more and more of their income has escaped the cap on the Social Security payroll tax. We should be focused on fixing this by scrapping the cap, not cutting benefits. Hello?”

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The Anti-Health Care Act and that tax cut for the rich

money bags

Photo by 401kcalculator.org, published under Creative Commons license

Both the House and Senate Republican Anti-Health Care proposals give big tax cuts to wealthy Americans and slash even bigger amounts of money from health care for lower and middle-income Americans. Continue reading

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The Anti-Health Care Act: Pay more, get less

Health insurance green board

Photo by ccPix.com, used under Creative Commons license

Jessica Valenti had a premature baby. She says the Republican plan to let insurance companies bring back lifetime caps on coverage would be a disaster:

“In September 2010, a new provision of the Affordable Care Act banned health insurance plans from applying lifetime limits on essential care. Layla was born in August. And so it was just sheer luck that our health insurance at the time did not have a lifetime cap. If it had, Layla would have blown through that ceiling in the first weeks of her life—we would have gone bankrupt trying to save her.

“Care for a premature baby can cost literally millions of dollars, and before the ACA, it wasn’t uncommon for families with preemies to end up financially devastated. In the new bill, the text of which was just released today, that lifetime cap comes back. I’ve always wondered how it is that Republicans who call themselves pro-life could support financial ruin for parents who simply want to keep their babies alive.”

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The Anti-Health Care Act and Medicaid

So Republicans want to cut Medicaid? Who cares?

Lots of people, as it turns out. Those hurt by proposed Medicaid cuts include people with disabilities, babies, nursing home residents, women getting primary care through Planned Parenthood clinics, schools, and state governments. Continue reading

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The Anti-Health Care Act and essential benefits

Both the Senate and House Anti-Health Care Acts allow sates to waive the essential benefits provisions of the Affordable Care Act. Vox’s Sarah Kiff explains: “This means that plans in the individual market could once again decide not to cover maternity care — like 88 percent of plans did before the Affordable Care Act passed.” Continue reading

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50 ways to kill your health care

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Photo by Images Money, published under Creative Commons license. 

Republicans are singing a new song since failing to repeal the Affordable Care Act in March. The flurry of verses includes ending basic benefits, charging sick people higher premiums, and destroying the current system through uncertainty. With apologies to Paul Simon, their song sounds something like this:

The problem is all inside your head, he said to me,
but there’s no coverage for your therapy.
The answer is easy if you post a GoFundMe,
There must be fifty ways to kill your health care.

Raise that deductible, Jill, and premiums, too, Lou,
No more Medicaid, babe, just listen to me.
So I repeat myself, at the risk of being cruel
There must be fifty ways to kill your healthcare.

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Health care coverage – still under attack

health care piggy bank

Photo by 401Kcalculator.org, published under Creative Commons license

Maybe you thought that the defeat of the Republican health care act meant safety for a while? And that we could turn our attention to other battles? Not so fast. The Affordable Care Act — Obamacare — is still under attack, at both the federal and state level. Continue reading

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Take-away from McCollum Town Hall: Keep those phone calls coming

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Photo by takao goto, published under Creative Commons license.

“It’s a good morning for Americans,” Congresswoman Betty McCollum told the Town Hall meeting on Saturday morning. She had flown back to St. Paul for the March 25 meeting after the defeat yesterday of the latest Republican attempt to kill Obamacare. And she was clear about how that happened: “The credit for the victory belongs to you — to the citizens, the millions and millions of citizens, because their engagement, their mobilization and their determination created an avalanche of opposition to President Trump’s health care bill.”

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That will be $39.35 to hold your baby

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When Lisa and Ryan Grassley brought baby Samuel home from the hospital, they laughed at one part of the bill: $39.35 for “skin to skin after C-Sec,” the charge for the privilege of holding their baby after delivery. The charge exemplifies the convoluted system of charges and record-keeping made necessary by the insurance industry system of payment for U.S. health care. In contrast, the BBC reports, “The average cost for a normal delivery or planned Caesarean section in the NHS in England in 2016 is £1755 [$2168], rising to £2582 [$3199] if there are complications.” Both charges are far below the cost of hospital delivery in the United States. And both represent the total cost — without need for a complicated breakdown of charges for everything from aspirin to diapers to holding the baby. Continue reading

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Healing Health Care: A plan for Minnesota

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Senator John Marty has a single-payer plan for Minnesota health care. (Photo by Senate Media Services)

John Marty wants to make Minnesota a leader in real single payer health care. In a new book, Healing Health Care (free, available on-line), he outlines many of the problems with our current, insurance-controlled health care system and proposes an alternative, the Minnesota Health Plan. Continue reading

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