Kentucky Rushes to Remake Medicaid as Other States Prepare to Follow

Stephan:  While the rest of the developed world already has universal healthcare, and has seen marked decrease in untreated illnesses, infant mortality, maternal mortality, STD rates, as a very partial list, as well as seeing health costs radically go down, the Republican Party in the United States has something very different in mind. In states where Republicans control state government they are doing everything they can to make healthcare a privilege not a right, and to reduce the social safety network. Their argument bizarrely, in light of the actual countervailing facts, is that these policies will reduce costs. They will not of course. But they will punish poor people and that seems to be important to Republicans, because they equate poverty with laziness. Here is the story from Kentucky where this is happening. Under the previous Democratic governor Kentucky led the country in adopting Obamacare (ACA). Now, under a Republican governor things are radically different. Here's my prediction for Kentucky: Increased costs, increased suffering, more people not getting treatment until late stage illnesses which are enormously more expensive.  

Mark Lee Coleman, right, getting blood work done at the Family Health Centers in Louisville. Mr. Coleman is a diabetic on Medicaid, whose condition can threaten his ability to work.
Credit: Aaron Borto/The New York Times

LOUISVILLE, Ky. — With approval from the Trump administration fresh in hand, Kentucky is rushing to roll out its first-in-the-nation plan to require many Medicaid recipients to work, volunteer or train for a job — even as critics mount a legal challenge to stop it on the grounds that it violates the basic tenets of the program.

At least eight other Republican-led states are hoping to follow — a ninth, Indiana, has already won permission to do so — and some want to go even further by imposing time limits on coverage.

Such restrictions are central to Republican efforts to profoundly change Medicaid, the safety net program that has provided free health insurance to tens of millions of low-income Americans for more […]

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Why a simple, lifesaving rabies shot can cost $10,000 in America

Stephan:  Here is the U.S. Illness Profit System in all its greed. Untreated rabies is a death sentence so, of course, let's raise the price for treatment, people gotta pay.

On November 17, 2016, a bat flew into Ally McNamee’s mouth.

At the time, McNamee was a student at Keene State College in New Hampshire. A bat flew into her house, and she attempted to shoo it away with a broom, assuming the bat would retreat. It did not.

“It flew at my face, and I screamed,” McNamee says. “My mouth was open. I definitely caught a wing.”

When she woke up the next day, she started to worry about rabies. She went to the local urgent care center, which sent her to the emergency room. It was the only facility that stocked the drugs necessary to treat rabies, a situation that is typical across the United States.

A few weeks later, the bill arrived: $6,017. The vast majority of the charge was for a drug to treat rabies exposure called immunoglobulin. The emergency room billed this drug at $3,706.

And it turns out McNamee’s bill was actually at the low end of what hospitals charge for the drug in the United States, which can sometimes […]

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EU will only make trade deals with nations that ratify Paris climate agreement

Stephan:  Almost everyday I see articles recounting the diminishment under the Trump administration of America's stature in the world. Some stories are very prominently featured, others get little attention, but all of them have one feature in common, the growing consensus in the rest of the developed world that America is an obstacle to a successful future not an enabler. I find that very sad.

French Prime Minister Edouard Philippe, flanked by Junior Minister in charge of Disabled People Sophie Cluzel (2R), French Junior Minister for Foreign Affairs Jean-Baptiste Lemoyne (3L) and Foreign Affairs Minister Jean-Yves Le Drian (4L), arrives to visit the new industrial site of the company Poma, specialized in cable transport in Gilly-sur-Isere (Savoie), southern France, on January 19, 2018. / AFP / Jean-Pierre Clatot

The European Union will no longer make trade deals with the United States if President Trump follows through on withdrawing from the Paris climate agreement, according to a French official whose comments were endorsed by the European Commission.

Addressing the French parliament on Thursday, French foreign affairs minister Jean-Baptiste Lemoyne drew a line in the sand.

“One of our main demands is that any country who signs a trade agreement with EU should implement the Paris Agreement on the ground,” said Lemoyne. “No Paris Agreement, no trade agreement. The [United States] knows what to expect.”

EU trade commissioner Cecilia Malmström tweeted support Lemoyne’s comments on Thursday.

“Yes Paris deal reference needed in all […]

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5 charts show why the South is the least healthy region in the US

Stephan:  These are facts: There is a very strong correlation between poor health, having a shorter life span, and a host of other social problems, and fundamentalist christianity and Republican governance. The data validating that is in this report, and the foundational studies upon which it is based.  I could give you a dozen more social outcome measures and they would all make the same point. The mix of fundamentalism and neo-feudalism produces  inferior social wellbeing. Its values are anti-life. Here's the question:  What will it take to get people to stop voting against their own self-interest, against their own good health and the health of their families, their wellbeing in every sense?

Year after year, southern states consistently rank among the worst in the U.S. for health and wellness.

This is not a new trend. The rankings have changed little over the last quarter century. What’s causing residents of Mississippi, Alabama and Louisiana and other southern states to live such short lives, while experiencing higher rates of cancer, diabetes and heart disease?

As a researcher who’s worked on state health promotion in Hawaii and Texas, it’s clear to me that there are a variety of factors behind people’s poor health in southern states – and none will be an easy fix.

Premature deaths

People in southern states die earlier from a variety of chronic conditions than people in the rest of the U.S. Infectious diseases including whooping cough, salmonella and chlamydia are high across the south, particularly in Louisiana and the Carolinas.

According to America’s Health Rankings, an annual report by the nonprofit United Health Foundation, someone living in Kentucky is 55 percent more likely to die from cancer than a person living in Utah. A resident of Mississippi is 85 percent more likely to […]

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200 million Americans live in the 100-mile zone where Border Patrol can ask for papers

Stephan:  Have you ever been concerned about check points as you were driving? I am speaking here about militarized police stopping cars to check for papers. Under the Republican Trump administration we become more fascist day by day. Get out of the car and show me your papers please.

Credit: Getty

Incidents of Customs and Border Protection (CBP) agents asking for the citizenship status of passengers on Amtrak trains and Greyhound buses are terrifying—and not even remotely new. Advocates have condemned reports of immigration agents demanding papers from passengers as far back as the Bush and Obamaadministrations. What advocates note is new, however, is the frequency at which these questionings are now happening, most recently in Florida. But how, you might ask, does Border Patrol have the authority to do this? Because of an “obscure law” passed by Congress decades ago:

Legislation from 1946 gives agents the authority to search any vehicle near an “external boundary” of the United States, and subsequent regulations defined that area as within 100 air miles of a land or sea boundary. While that may sound like just a sliver of the United States, 9 of the country’s 10 most populated cities lie within the so-called 100-mile zone, and about two-thirds of Americans live inside of it, according to the ACLU. Ninety-seven percent […]

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