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Weebot (2)

What The Poor Deserve

"When our donors met the actual people they were helping they often didn’t like them. During our Secret Santa drive, volunteers sometimes refused to drop gifts at houses with TVs inside. They got angry when clients had cell phones or in some other way didn’t match their expectations. Other times, the donations we got were too disgusting to pass along—soup cans that bulged with botulism and diapers so dry rotted they crumbled in our hands. One Thanksgiving, a board member called from the parking lot, requesting help carrying a frozen turkey from her trunk to our office. “Can you find a deserving family?” she asked. I lugged the bird up three flights of stairs. Somewhere near the top, I noticed the expiration date. It was seventeen years old." Anya Groner talks about working for Hudson Outreach in up-state New York and the sobering, chilling effect it had on her idealism.
posted by The Whelk on Jul 7, 2014 - 95 comments

The ‘Mustache of Justice’ has left the building.

Thomas Scully, the Administrator for the Centers for Medicare and Medicaid Services under President George W. Bush, once said, “Fifty percent of the social safety net was created by Henry Waxman when no one was looking.” After 40 years and 17 consecutive terms, Rep. Henry Waxman (D-CA) is retiring from Congress. [more inside]
posted by Room 641-A on Feb 13, 2014 - 35 comments

Texas' Other Death Penalty

A Galveston medical student describes life and death in the so-called safety net. [via]
posted by AceRock on Nov 16, 2013 - 78 comments

the CBO on elderly demographics and long-term care

Rising Demand for Long-Term Services and Supports for Elderly People (pdf, 574 kb) - "By 2050, one-fifth of the total U.S. population will be elderly (that is, 65 or older), up from 12 percent in 2000 and 8 percent in 1950. The number of people age 85 or older will grow the fastest over the next few decades, constituting 4 percent of the population by 2050, or 10 times its share in 1950. That growth in the elderly population will bring a corresponding surge in the number of elderly people with functional and cognitive limitations."
posted by kliuless on Jun 27, 2013 - 18 comments

All men are created equal (but some bits just cost more)

As part of the Affordable Care Act, The Centers for Medicare and Medicaid Services has released data that show significant variation across the country and within communities in what hospitals charge for common inpatient services. (via) [more inside]
posted by dubusadus on May 28, 2013 - 69 comments

The Oregon Health Insurance Experiment

The Oregon Health Insurance Experiment, an outgrowth of Oregon's 2008 lottery to allocate Medicaid slots to eligible residents, has released their second year of results (Previous discussions on the lottery and the experiment). The gist of the results are that they found statisitically significant reductions in catastrophic health care expenditures, improvements in the incidences of depression, and increased use of health care services. They found minimal (and not statistically significant) improvements in the rates of physical health indicators (diabetes and hypertension) they tracked. Because of ethical concerns, there are no other randomized controlled tests on this scale that study the effects of Medicaid and few on the effects of health insurance in general (the only significant one being a RAND study released 30 years ago). Because of the small amount of information available on the topic and the impending Medicaid expansion offered by Affordable Care Act, this study has drawn a lot of attention from political commentators. This will presumably be the last year these results will be published, as the state of Oregon was able to find extra money in 2010 in order cover the rest of its Medicaid-eligible population. [more inside]
posted by Weebot on May 3, 2013 - 20 comments

The Definitive Guide to the Medicare Debate

Jonathan Cohn compares the effects on Medicare from the Affordable Care Act with the proposals being promoted by Mitt Romney and Paul Ryan.
posted by reenum on Aug 23, 2012 - 27 comments

Paul Ryan as Romney's running-mate

Paul Ryan. Seven-term congressman for Wisconsin's 1st District. Chairman of the powerful House Budget Committee. Architect of the controversial Ryan Budget -- a "Path to Prosperity" [PDF - video - CBO] that would slash trillions from the federal budget, sharply curtail taxes on the wealthy, and transform Medicare into a private voucher system. Proponent (vid) -- and renouncer -- of Ayn Rand 's Objectivism. Social Security beneficiary. Hunter. Weinermobile driver. And as of this morning, the 2012 Republican candidate for Vice President of the United States of America. [more inside]
posted by Rhaomi on Aug 11, 2012 - 1550 comments

Chemical restraints

The Boston Globe reports that nursing homes in the United States continue to administer antipsychotic medications to patients who do not fit criteria for these drugs, in many cases to manage behavior considered disruptive by staff. For example, "in 21 percent of US nursing homes in 2010, at least one-quarter of the residents without illnesses recommended for antipsychotic use received the medications." Overuse of antipsychotic medications appears to correlate with nursing homes that have higher staff:patient ratios and to homes that house more people covered by Medicaid/Medicare. [more inside]
posted by catlet on Apr 29, 2012 - 40 comments

"I don’t think most people could bear to pay more."

"We’re not going to say, 'Give it to me and let my grandchildren suffer.' I think they underestimate seniors when they think that way." But 71-year-old Barbara Sullivan cannot imagine asking people to pay higher taxes. And as she considered making do with less, she started to cry." (slnyt) [more inside]
posted by Snarl Furillo on Feb 12, 2012 - 131 comments

What happens when you give poor people health insurance?

The Oregon Health Insurance Experiment: Evidence from the First Year (or, What Happens When You Give Poor People Health Insurance?) "We find that in this first year, the treatment group had substantively and statistically significantly higher health care utilization (including primary and preventive care as well as hospitalizations), lower out-of-pocket medical expenditures and medical debt (including fewer bills sent to collection), and better self-reported physical and mental health than the control group." [more inside]
posted by OmieWise on Jul 11, 2011 - 65 comments

"This System Is Bankrupting Our State"

Texas conservative lawmakers, now in the majority, are considering eliminating the entire Medicaid program lin their state, ostensibly to save money.
posted by Leta on Nov 7, 2010 - 191 comments

Where do you get your health insurance from?

A simple question shows how complex the issue is. Chris at "Cynical C" asks his fellow citizens where they get thier health care (insurance) from and the incredible diversity of the current options and situations is immediately apparent. Quite spontaneously (but surely not unexpectedly), the question of "How much does it cost you?" becomes an essential part of the answers. Outsiders opine and tell stories and commiserate. [more inside]
posted by sid abotu on Aug 4, 2009 - 117 comments

Medicaid cuts shut only public outpatient oncology ward in NV.

"We're a demonstration project, if you would, of all the things that can go wrong at once." "You know Yolanda, I think most people watching this interview think to themselves that if they get cancer and they don't have health insurance that somebody’s going to take care of them," Pelley remarked. "No, no, there's nobody to take care of you," she said. [more inside]
posted by availablelight on Apr 6, 2009 - 85 comments

The Winning Numbers are 14, 46, 23, 49, and 22.

The state of Oregon is holding a health insurance lottery where 91,000 hopeful enrollees will be competing for a couple thousand spots under the Oregon Health Plan, the state's Medicaid program. OHP was created to cover those who made too much to enroll in traditional Medicaid but too little to afford market healthcare, and this development comes as a result of budget cuts and a subsequent enrollment closure in July of 2004. It's a far cry from the universal health care coverage that the plan was suppose to lead to, and marks a dramatic turn for the state's once-ambitious health care reforms.

(Previously in dystopic health care developments)
posted by Weebot on Mar 30, 2008 - 64 comments

If you fall on the slippery slope, will Medicaid pay for your broken bone?

I promise to try not to smoke, or drink too much, or eat too much, or be lazy. If I fail, you can cut my benefits. Sign here please. West Virginia recently approved a controversial change to its Medicaid program: a Member Agreement [NB: links to .pdf] that adds several "personal responsibilities" including attempting to avoid smoking, (illegal) drugs, heavy drinking and sloth (not sloths). It also includes clauses on compliance with doctors recommendations, keeping appointments, reading the written materials that doctors provide, and minimizing emergency department visits. Patients who don't uphold their end of the bargain will have some benefits reduced or eliminated (that'll learn them). Lube up the slippery slope arguments. Will it work? Is it fair? Want to hear more? And more (from NPR)?.
(Article .pdfs archived here and here. Interview .mp3 archived here if you can't access them through above links).
posted by scblackman on Aug 25, 2006 - 87 comments

Is the U.S. Bankrupt?

Is the U.S. Bankrupt? [332Kb PDF] Laurence Kotlikoff, writing in this month's Federal Reserve Bank of St. Louis Review, says "yes" - to the tune of $66 trillion! [more inside]
posted by ikkyu2 on Jul 16, 2006 - 67 comments

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