Tag Archives: ObamaCare

"I have a dream" by Martin Luther King, Jr.

King, Obama, and Healthcare

 

Dr. Martin Luther King, Jr. Day 

The  United States observes the third Monday of January as a federal holiday in honor and memory of the birthday of the late Rev. Martin Luther King, Jr. (January 15, 1929)

The Reverend Dr. King led the Civil Rights Movement in the United States from the mid-1950s until his death by assassination in 1968.

First African-American President- Barack Obama

In 2008 Democratic candidate Barack Obama ran for President of the United States and won, becoming the 44th President  and the first African-American to win the office.

Former President Obama running with his dog

President Obama kept fit exercising with his dog- photo compliments Pixabay 

 

Candidate Obama  pledged to enact universal health care coverage for the country, a promise President Obama fulfilled with the support of a Democratic Congress. The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act (ACA) or nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010.

 

 

First Universal Healthcare Coverage -“Obamacare”

The term “Obamacare” was first used by opponents, then embraced by supporters, and eventually used by President Obama himself. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system‘s most significant overhaul and expansion of coverage since  Medicare and Medicaid in 1965. (source Wikipedia) 

 

Is ObamaCare doomed?

Donald Trump’s presidential campaign platform included health care reform, a plan he labeled “repeal and replace” for Obamacare. Thus far, as of January 2018 , President Trump has not convinced Congress to abandon Obamacare, but it will change under the recently passed tax law which has abolished the individual mandate  requiring all persons to either buy health insurance or pay a penalty. Premiums are predicted to increase significantly, making it more difficult for people to afford coverage.

 

 African-American Health- Progress Made, More Needed

 

The death rate for African Americans dropped 25% from 1999-2015, but they are still more likely to die at a young age than white Americans.

African Americans in their 20s, 30s, and 40s are more likely to live with or die from conditions that typically occur at older ages in whites, including

  • heart disease,
  • stroke, and
  • diabetes.

African Americans ages 35-64 are 50 percent more likely to have high blood pressure as whites.

African Americans ages 18 to 49 years are 2 times as likely to die from heart disease as whites.

Social and economic conditions, such as poverty, contribute to the gap in health differences between African Americans and whites.

 

Public health agencies and community organizations should work with other community resources , including

  • education,
  • business,
  • transportation, and
  • housing,

to create social and economic conditions that promote health at early ages.

Consumers can prevent disease and early death by

 

Dr. Ben Carson- “Gifted Hands”

Ben Carson, M.D., renowned neurosurgeon, also ran for President in 2016 , leaving the campaign during the Republican primary.

 

President Trump appointed him to his Cabinet where he serves as the 17th Secretary of the U.S. Department of Housing and Urban Development.

 

 

 

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This blog receives support from your use of the affiliate links in this post , other affiliates, and  visiting the advertisers. Profits will also support various health and relief related  organizations.

I invite you to  follow Watercress Words for more information and inspiration to help you explore the HEART of HEALTH.

Thanks for your time and interest.  Dr. Aletha 

 

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Declaration of Independence and the American flag

Let’s celebrate Life, Liberty and the Pursuit of Health Care

Every year on July 4th we celebrate Independence Day- the day the original 13 American colonies established an independent country.

They subsequently established a government, military, educational system, highway system, public works, and a healthcare system.

We Americans may pride ourselves on not having “socialized” medicine or “national healthcare”, but we do have  a health care system that is a combination of public and private funding and administration. And even private healthcare must comply with a myriad of local, state, and federal laws and regulations.

 

I believe we have one of the best healthcare systems in the world  because of the people who work in healthcare- the people who devote years to education and training and who work tirelessly 365 days a year, 24 hours a day to make and keep us well.  Their commitment, compassion, dedication and competence benefits all of us and deserves our gratitude.

 

 

 

Statue of Liberty

Lady Liberty lifting her torch in New York harbor

 

According to recent statistics, the United States government accounts for-

40% of healthcare  spending

$1.3 trillion /year

Covering 100 million individuals

Through 4 federal agencies

Department of Health and Human Services 

Department of Defense

Veterans Administration

Department  of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

 

 

The  United States Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens.  President Trump vowed to “repeal and replace” this law and currently Congress is grappling with that task.

During the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic

a Veterans Administration clinic (photo by blogger)

American soldiers serving in Afghanistan

American soldiers serving in Afghanistan

 

 

Two other government healthcare programs- Medicare and Medicaid are over 50 years old. 

Medicaid provides insurance coverage for adults and children who are unemployed or low income.  

Medicare covers disabled children and adults  and persons 65 years and older.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

 

 

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
Senior adults age 65 and older use Medicare.

Senior adults age 65 and older use Medicare.

 

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

 

Several government agencies regulate, monitor,  promote and/or support both public and private healthcare including-

 

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

 

I’ll feature some of these agencies on Facebook as Wednesday Words in July.

I’ll also share posts from their Facebook pages throughout the month so stop by often. 

 

medication capsules

The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

Congress enacted several important laws that  concern health care such as

The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

 

 

 

 

 

Liberty Bell -replica

replica of the Liberty Bell at Disney World, Florida

 

 

In the Declaration of Independence, the founders of the United States created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the pursuit of Happiness” and to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

 

I wonder if they envisioned their new government would spend so much time and money providing and regulating health care –

most of which was not available or even imagined at that time? 

 

 

Let’s celebrate!

woman holding a sprakler

Let’s celebrate ! This photo and featured image from stock photo site- Lightstock.com (affiliate)

 

 

 

Comments welcome and encouraged!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The White House

How your health care may change under the new government

 

The United States voters have elected a new president and a new legislature, both Republican. Analysts expect major changes in policy and law after 8 years of Democratic control.

In a previous post, I outlined then- candidate Donald Trump’s proposals for health care reform, chief of which is repealing the Affordable Care Act (alternately known as the ACA or ObamaCare). Here is a link to that post for your review.

How your vote for president will affect your health care

 

book- TRUMP-THE AMERICA WE DESERVE

THE AMERICA WE DESERVE by Donald Trump 

 

Since his election, President-elect Trump says there are two features of the ACA he would like to see preserved-

  • Prohibition of insurance denial for pre-existing conditions
  • Covering young adults age 18-26 years old on their parents’ insurance plan

He confirmed this in an interview with Leslie Stahl on  November 13, 2016 which you can view here-

60 Minutes Interview : President-elect Donald Trump

 

Since he will need to work with Congress to achieve his proposals,  we should review the Republican party’s platform on health care.

While similar to the President-elect’s plan, it is broader in scope and more specific. Larry Levitt, MPP, reviewed both parties’ platforms in a recent issue of JAMA (September 6, 2016) , basing his review from the parties’ online platforms.

The Republican Platform includes:

  • Repeal of the Affordable Care Act
  • Protect insurance discrimination for preexisting conditions as long as continuous coverage is maintained
  • Allow people to buy insurance across state lines
  • Make individually purchased health insurance tax deductible
  • Limit federal spending on Medicaid, allowing the states more leeway in administering the program through block grants
  • Changes to Medicare- providing people under 55 years with a traditional Medicare option or a premium support system of competing plans; raising the age of eligibility for Medicare.

 red, white and blue Republican elephant

In comparison, the Democratic Party proposes

  • Continue building on the ACA to achieve universal health care
  • Provide a “public option” plan and allow people over age 55 years to buy-in to Medicare
  • Make premiums more affordable and reduce out-of-pocket costs to patients
  • Cap out-of-pocket monthly drug costs
  • Permit importation of lower-priced drugs from other countries
  • Allow Medicare to negotiate drug prices directly with manufacturers
  • Expand funding for community health centers

 

red, white and blue Democratic donkey

 

 

 

 

 

 

 

 

Mr. Levitt is Senior Vice President for Special Initiatives at the Kaiser Family Foundation and Co-Executive Director of the Kaiser Initiative on Health Reform and Private Insurance. He summarizes his review  this way-

“The ACA has increased insurance coverage by 20 million people and is now the status quo in our health care system. Fully repealing it would be very disruptive.

At the same time, the public remains divided on the law, so building on it will also be controversial.”

 

You can read his full review and  analysis here-

The Partisan Divide on Health Care

 

Follow this blog here and on Facebook for more updates on what will happen to our health care under a new administration. Feel free to share your opinions, ideas, and experiences here- thoughtful, considerate, and helpful comments are always welcome.

The White House

Voting on Life, Liberty and the Pursuit of Health Care

 

Tuesday November 8th, we in the United States will elect a new president. It’s been a contentious , bitter campaign and we are all glad it’s almost over. But we should also be glad that we have the privilege of open discussion and disagreement and settling our differences by voting for our leaders. 

 

I hope you will review my previous post about the presidential candidates’ views and proposals concerning health care.  Here I am repeating a previous post that outlines the U.S. healthcare system.

I believe we have one of the best healthcare systems in the world  because of the people who work in healthcare- the people who devote years to education and training and who work tirelessly 365 days a year, 24 hours a day to make and keep us well.  Their commitment, compassion, dedication and competence benefits all of us and deserves our gratitude.

 

 

 

Statue of Liberty

Lady Liberty lifting her torch in New York harbor

 

Even though the United States does not officially have “socialized” health care, a large proportion of our medical care is funded by the federal government. Even though I know that, I was still surprised by statistics in a recent article, which stated that  the federal government accounts for

40% of healthcare  spending

$1.3 trillion /year

Covering 100 million individuals

Through 4 federal agencies

Department of Health and Human Services 

Department of Defense

Veterans Administration

Department  of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

 

 

The  United States Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens.  People who oppose the ACA ,aka Obama Care, dislike or even fear government involvement in medical care; they consider it interference, control, or even nationalization of the United States healthcare system.

I think many people, even physicians, don’t realize or forget, how involved the government already is in healthcare. As far back as the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic

a Veterans Administration clinic (photo by blogger)

American soldiers serving in Afghanistan

American soldiers serving in Afghanistan

This year marked the 50th anniversary of two other government healthcare programs- Medicare and Medicaid.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.  

Medicare covers disabled children and adults  and persons 65 years and older.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

Disabled children and adults may qualify for Medicare.

Disabled children and adults may qualify for Medicare.

Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
Senior adults age 65 and older use Medicare.

Senior adults age 65 and older use Medicare.

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

 

Several government agencies regulate, monitor,  promote and/or support  both public and private healthcare including-

 

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

 

medication capsules

The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

Congress has enacted several important laws that  concern health care such as

The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

 

 

 

 

 

air ambulance landing at a hospital

EMTALA requires all hospitals to offer emergency treatment to any patient who arrives, regardless of ability to pay for that care

 

 

 

 

 

 

In the Declaration of Independence, the founders of the United States  created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the pursuit of Happiness” as well as  to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

 

I wonder if they envisioned that would eventually include so much effort and money providing and regulating health care, most of which was not available or even imagined at that time? 

 

Comments welcome and encouraged!

 

Before you vote, you may want to review this related post.

 

How your vote may affect your health care next year.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Statue of Liberty

Life, Liberty and the Pursuit of Health Care

 

Even though the United States does not officially have “socialized” health care, a large proportion of our medical care is funded by the federal government. Even though I know that, I was still surprised by statistics in a recent article, which stated that  the federal government accounts for

40% of healthcare  spending

$1.3 trillion /year

Covering 100 million individuals

Through 4 federal agencies

Department of Health and Human Services 

Department of Defense

Veterans Administration

Department  of Homeland Security

(JAMA (Journal of the American Medical Association), June 21, 2016)

The  United States Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens.  People who oppose the ACA ,aka Obama Care, dislike or even fear government involvement in medical care; they consider it interference, control, or even nationalization of the United States healthcare system.

 

a Veterans Administration clinic

a Veterans Administration clinic (photo by Dr. Aletha)

 

I think many people, even physicians, don’t realize or forget, how involved the government already is in healthcare. As far back as the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

 

 

American soldiers serving in Afghanistan

American soldiers serving in Afghanistan

 

2015 marked the 50th anniversary of two other government healthcare programs- Medicare and Medicaid.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.

Medicare covers disabled children and adults  and persons 65 years and older.

 

 

wheelchair-749985_1280

Disabled children and adults may qualify for Medicare.

 

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

 

 

hospital-79605_1280

Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.

 

 

Senior adults age 65 and older use Medicare.

Senior adults age 65 and older use Medicare.

 

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

Several government agencies regulate, monitor,  promote and/or support  both public and private healthcare including-

Food and Drug Administration- FDA

Centers for Disease Control and Prevention- CDC

National Institutes of Health- NIH

Occupational Safety and Health administration-OSHA

Drug Enforcement Agency-DEA

medication capsules

The FDA regulates the development and sale of medications and medical devices and the DEA regulates dangerous and controlled drugs.

Congress has enacted several important laws that  concern health care such as

 The Affordable Care Act- ACA

Health Insurance Portability and Accountability Act-HIPPA

Emergency Medical Treatment and Labor Act- EMTALA

Health Information Technology  for Economic and Clinical Health- HITECH

Americans with Disabilities Act-ADA

Family Medical Leave Act-FMLA

air ambulance landing at a hospital

EMTALA requires all hospitals to offer emergency treatment to any patient who arrives, regardless of ability to pay for that care

In the Declaration of Independence, the founders of the United States  created a nation based on the “self-evident truths”  of  “Life ,Liberty, and the pursuit of Happiness” as well as  to promote “Safety and Happiness” . 

In the Constitution they vowed to “promote the general Welfare” .

I wonder if they envisioned that would eventually include so much effort and money providing and regulating health care, most of which was not  even imagined at that time? 

 

Statue of Liberty

Life, Liberty and the Pursuit of Health Care

 

You may continue reading here, or follow this link to an updated version of this post.

 

The Patient Protection and Affordable Care Act (ACA) was enacted by the United States Congress in 2010 to guarantee basic health insurance to all citizens.  People who object to the ACA ,aka Obama Care, dislike or even fear government involvement in medical care; they consider it interference, control, or even nationalization of the United States healthcare system.

I think many people, even physicians, don’t realize or forget, how involved the government already is in healthcare. As far back as the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system has evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.

a Veterans Administration clinic

a Veterans Administration clinic (photo by Dr. Aletha )

American soldiers serving in Afghanistan

American soldiers serving in Afghanistan

 

The year 2015 marked the 50th anniversary of two other government healthcare programs- Medicare and Medicaid. The Journal of the American Medical Association, (JAMA), devoted an  entire issue  to them,the ACA and the implications for the future of healthcare in the United States.

Medicaid provides insurance coverage for adults and children who are unemployed or low income.

Medicare covers disabled children and adults  and persons 65 years and older.

The numbers are rather staggering.

  • Together these programs cover at least 30% of Americans.
  • Together they comprise 25% of all federal spending.
  • Together they pay 40% of total U.S. health care spending.

An infographic from the Kaiser Family Foundation and JAMA explains this further.

Disabled children and adults may qualify for Medicare.

Disabled children and adults may qualify for Medicare.

Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

Children may be eligible for Medicaid if their families cannot obtain health insurance for them.

 

You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.

  • Anyone can become disabled from a serious illness or freak accident.
  • You or your spouse may lose your job and your employer sponsored health insurance.
  • Your child may have a disability that will prevent them from working when they grow up.
  • We may all live long enough to qualify for Medicare on the basis of age alone.  Your parents or grandparents are near or already at Medicare age.
Senior adults age 65 and older use Medicare.

Senior adults age 65 and older use Medicare.

 

It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here. 

photos courtesy of volunteer photographers at Pixabay

How medical practice changed for me and every other physician in the United States

“Since the late 1970s, I have witnessed remarkable technological revolutions in medicine, from CT scans to robot-assisted surgery. But I have also watched as medicine slowly evolved into the domain of technicians, bookkeepers, and clerks.”

Like Dr. Jeffrey Singer, general surgeon in Phoenix Arizona, so have I. Unlike him, I don’t think the medical profession is dead, but it certainly is under attack, and if we all, both physicians and patients, don’t respond, medical care as we have known it, will disappear.

In future blog posts, I will address some of the points that he makes in this article, and explain how it changed my career. For now, I invite you to read and comment on his well written article.

via How Government Killed the Medical Profession | Cato Institute.