Category Archives: medical news

medical news

CBO numbers are in: not good for AHCA

Donald Trump promised that no one would lose their health insurance under a re-crafted plan to replace the Affordable Care Act.

The Congressional Budget Office’s verdict? Wrong, Mr. President!

There goes a major campaign promise.

As predicted, the Trump administration dismisses the CBO report, which is supposed to be the gold standard in determining the fiscal viability of sweeping, landmark public policies.

The CBO projects that 24 million more Americans will lose their health insurance by 2026 under the American Health Care Act. Not good, right?

Health and Human Services Secretary Dr. Tom Price — a leading critic of the Affordable Care Act — says the CBO report is incomplete and inaccurate. Well, of course he would say that.

As the New York Times has reported: “The much-anticipated judgment by Capitol Hill’s official scorekeeper did not back up President Trump’s promise of providing health care for everyone and was likely to fuel the concerns of moderate Republicans. Next year, it said, the number of uninsured Americans would be 14 million higher than expected under current law.”

The president has said “no one” would lose their health insurance. If it were anyone else, I would stand and applaud such a declaration. The problem, though, with this president is that I cannot trust that his word is true, that he’s actually speaking from his heart.

I just do not know any longer when or whether he’s telling the truth.

Therefore, I shall rely on the analyses of others, such as the CBO.

***

One more point …

The White House doesn’t want the AHCA to be nicknamed Trumpcare, much the way the ACA was given the name of President Barack Obama, who signed the ACA into law in 2010 and has become identified as the former president’s signature piece of domestic legislation.

Well, too bad. Trumpcare it is!

The Republican leadership in Congress has crafted it. The president has signed on to it.

Let’s hang the president’s name on it.

medical news

Politics, the art of the payback

The game of politics can be called the game of payback.

Consider the process that has produced something called the American Health Care Act, the Republican-sponsored overhaul of the Affordable Care Act, which the GOP faithful says it wants to repeal.

In 2009, Republicans griped themselves hoarse over the way congressional Democrats “shoved the ACA down our throats.” They bitched that Democrats crafted the ACA in the “dead of night” and then, using their then-congressional majority, got it approved without a single Republican vote.

Fast-forward to 2017. Republicans now are in charge. They control Congress and one of their own occupies the White House. What do they do? They produce the AHCA also in the “dead of night” and then they try to cram it down Democrats’ throats without knowing how much it’s going to cost.

You see, the Congressional Budget Office — the non-partisan agency — hasn’t “scored” the AHCA. We don’t know how much impact it will have on the annual federal budget deficit.

Was it wrong for Democrats to flummox Republicans with a health care overhaul? Sure. Is it wrong now for Republicans do essentially the same thing to their “friends” on the other side of the aisle? Absolutely.

This is yet another demonstration of how much of a contact sport politics can become.

As for the CBO “scoring” of the AHCA, how about waiting to see how much it would cost Americans before putting it to a vote?

medical news

Politics can be so very brutal among conservatives

Politics is fickle, unfaithful and cruel.

Donald J. Trump scored big election victories in some of the nation’s most conservative congressional districts. And yet … many of those members of Congress representing those districts might be about to turn their guns on the president over his endorsement of what they call a “light” version of the Affordable Care Act.

The American Health Care Act has been put forward. The president is on board with the plan that offers tax credits for people seeking health insurance; it contains many of the features popular with the Affordable Care Act, which the AHCA is designed to replace.

Congress’s more conservative members, though, dislike it. They’re digging in. They’re fighting among themselves, not to mention with the president.

What to do? That’s the problem facing the master negotiator Donald John Trump as he tries to persuade the hard-core among his Republican brethren that the AHCA is worth approving and sending to his desk.

This is a tough sale to make with those among the GOP who just don’t want anything on the books that resembles — even in the slightest sense — something that was enacted at the behest of the former president, Barack Hussein Obama.

We’re likely now to see if the negotiator in chief is as good at this political game as he bragged about incessantly on his way to the White House.

medical news

AHCA may be DOA in U.S. Senate

Hey! Wait a second!

Didn’t the Republican majority in Congress promise to “repeal and replace” the Affordable Care Act? Didn’t they assure us they would produce a plan that would provide health insurance for Americans at a cost they can afford?

Wasn’t that their solemn pledge? Didn’t they all but guarantee it once they won the presidency and retained control of both chambers of Congress?

Hah! Guess again. It seems that the American Health Care Act that the GOP rolled out this week doesn’t go far enough, according to the TEA Party wing of the Republican Party. They might launch a big intraparty fight to derail the AHCA.

These right-wingers are making GOP moderates look better all the time.

House Speaker Paul Ryan assures us that he’ll get 218 votes to approve the AHCA. The problem appears to be in the Senate, which has a very small margin for error among GOP senators. Only three of them need to bolt to drive the whole health care overhaul into the ditch.

There appears to be a rebellion building.

As I look at the proposed legislation, it seems to resemble the Affordable Care Act at some level. It does do away with the “mandate” provision that would penalize Americans who fail to have health insurance. It emphasizes tax credits for Americans seeking to buy insurance.

Some Senate GOP moderates don’t like it, either. There also are the conservatives who want the ACA to be repealed fully and that the AHCA doesn’t wipe the ACA off the face of the planet.

I am one who won’t be disappointed if this GOP overhaul doesn’t work. While I understand that the ACA needs tinkering, some fine-tuning, I would say only that we should simply tinker and fine-tune what we have on the books.

Oh, man … the great Winston Churchill had it right when he declared that democracy was the “worst form of government” ever devised — but was better than anything else.

If only he were around today to watch the U.S. Congress tie itself in knots over this health care insurance matter.

medical news

AHCA to replace ACA … at what cost?

Finally, the Republicans who run the legislative branch of government have produced a replacement plan for the Affordable Care Act.

I will need some time to digest all of it. It’s a complicated issue, one that requires a lot more brain wattage that I can generate at the moment.

It’s called the American Health Care Act. It’s supposed to be better than the ACA — and no, I won’t refer to the ACA by its colloquial name that attaches it to the name of the 44th president of the United States.

Complications abound with AHCA.

It removes the government mandates that require citizens to have health insurance; it relies heavily on tax credits to enable Americans to purchase insurance; it doesn’t monkey around with pre-existing conditions; it allows young people to stay on their parents’ health insurance plans.

The big question? Its cost.

How will Congress pay for this new program? We haven’t yet heard that explanation.

President Obama has said he’d welcome changes to the ACA that improve it. Yes, we now have a replacement idea on the table. It took Republicans eight years to come up with this alternative. They yapped and yammered during the two terms of the president’s tenure about how “terrible” the ACA was for health care, while pledging to repeal it once they got one of their own into the White House.

Here we are.

The debate will go forward now on whether the AHCA is better than the ACA.

The bottom line — for me, at least — is whether the 20 million or so Americans who now have insurance will be able to keep it at a cost they can afford.

medical news, State news

Planned Parenthood … crossing many lines

You’ve got to connect a lot of dots with this item, but once you do you might find the symmetry fascinating in the extreme.

It involves Planned Parenthood, the bogeyman of those on the political right and, yes, the far right.

A U.S. District judge has just ruled that Texas cannot ban Planned Parenthood health services from being covered by Medicaid assistance.

Now we hear that Barbara Pierce Bush, one of former President George W. Bush’s two daughters, is going to be the keynote speaker next week at Planned Parenthood’s annual luncheon in Fort Worth. President Bush was an avid foe of abortion while serving as Texas governor and then as president.

His daughter, though, is a supporter of Planned Parenthood, which has been targeted by right-wingers because of the referrals it gives to women seeking to terminate their pregnancy.

But as the Texas Tribune reports, Barbara’s mother, Laura, doesn’t share the former president’s disdain for Planned Parenthood. Neither does Barbara’s grandmother, another former first lady.

The Tribune reported: “The younger Bush, the CEO and co-founder of Global Health Corps, called Planned Parenthood an ‘exceptional organization’ in a June New York Times interview, and attended a fundraiser for Democratic presidential candidate Hillary Clinton in Paris in October.”

Then there’s Cecile Richards, daughter of the late former Gov. Ann Richards, who now runs the national Planned Parenthood operation. George W. Bush defeated Ann Richards in 1994, although abortion wasn’t an issue in that contentious campaign.

This story is circuitous, indeed. But there’s another interesting catch to it.

Young Barbara’s grandfather, former President George H.W. Bush, was a noted supporter of organizations just like Planned Parenthood when he served in Congress in the 1960s. Then he agreed to toss aside his pro-choice views when he agreed to join the Republican presidential ticket led in 1980 by Ronald W. Reagan.

I guess you could say that this entire issue of reproductive rights, the pro-life movement, the pro-choice movement and all that they entail crosses many lines … even in the midst of the most high profile of political families.

As one who opposes laws that would criminalize abortion, I am glad to see that a well-known former first daughter is standing tall, speaking her own mind.

business news, medical news

Polls get in the GOP’s way regarding the ACA

Darn those pesky public opinion polls anyway.

The Pew Research Center, one of the more reliable polling organizations out there, has delivered another gut punch to congressional Republicans who are getting a snoot full already from constituents about the Affordable Care Act.

The ACA — which I now will no longer refer to as “Obamacare” — is more popular than ever with Americans.

Pew says 54 percent of Americans approve of the ACA, with 43 percent opposing it.

Republicans — and that includes the president of the United States — keep saying they’ll have a replacement plan ready to go once they repeal the ACA.

Really? Who’s seen it? I haven’t. Have you?

The GOP has eight years to craft their own version of affordable health care for Americans. Instead, they have come up empty, preferring to target the author of the ACA, former President Barack H. Obama. They detest him so much they cannot bring themselves even to refer to the ACA by its legal name, instead using the president’s last name to talk disparagingly about the plan.

Twenty million Americans have health care today who didn’t have it before the ACA was enacted in 2010. Is it perfect? Of course not. The federal government is incapable of crafting perfect legislation and then creating a perfect law.

It might need some tinkering around the edges.

Indeed, former U.S. House Speaker John Boehner — who sued the president over repeal of the ACA — this week has predicted that repeal of the act won’t happen. Congress will work to refine it, make it better, make it more “affordable” for Americans.

Oh wait! Didn’t Congress do something like this before, such as when it enacted Medicare and Social Security?

My advice to Congress is simple: Pay attention to what Americans are telling  you.

medical news

Planned Parenthood scores needed court victory

Planned Parenthood is back in the Medicaid game in Texas, thanks to a ruling by a U.S. district judge.

This is good news for low-income patients who need state help in obtaining care such as cancer screenings or birth-control consultations.

Of course, the ruling by Judge Sam Sparks reignites the debate over whether Planned Parenthood operates with a callous disregard for human life by peddling “fetal tissue.”

Judge Sparks, who was appointed to the federal bench by fervently pro-life President George H.W. Bush in 1991, said his decision restores Planned Parenthood ability to participate in the state’s Medicaid program which offers health care at heavily reduced prices for those who request it.

At issue — as always — are those heavily edited video recordings of Planned Parenthood staffers discussing what to do with the remains of fetuses. No one has been charged with any illegal activity, I should add. Yet the state attorney general’s office has maintained that the video reveals callous and cavalier attitudes from Planned Parenthood staffers toward the rights of unborn children.

“After reviewing the evidence currently in the record, the Court finds the Inspector General, and thus [the Texas Health and Human Services Commission], likely acted to disenroll qualified health care providers from Medicaid without cause,” Sparks’ ruling read. “Such action would deprive Medicaid patients of their statutory right to obtain health care from their chosen qualified provider.”

“No taxpayer in Texas should have to subsidize this repugnant and illegal conduct,” Texas Attorney General Ken Paxton said. “We should never lose sight of the fact that, as long as abortion is legal in the United States, the potential for these types of horrors will continue.”

Illegal conduct? No one has determined definitively that anything “illegal” has occurred, Mr. Attorney General.

The state keeps playing politics with the health care needs of Texans. Judge Sparks’ ruling no doubt will be appealed, as Paxton has promised. Fine. Take it all the way.

My own view is that Planned Parenthood performs valuable and wide-ranging health-related services to those who need it, but who cannot afford it without state assistance.

As for abortions, it remains legal in this country for a woman to terminate a pregnancy — no matter how fervently many Americans believe the law should be changed.

I also should add that Congress long ago prohibited the use of federal money to pay for an abortion. Therefore, this highly charged issue has become a giant distraction in the overall issue of the health care needs that Planned Parenthood fulfills.

medical news, national news, political news

Obamacare repeal effort losing steam?

Some chatter is beginning to develop that suggests efforts to repeal the Affordable Care Act might be subsiding among congressional Republicans.

A New York Times story lays out what appears to be an interesting scenario. It is that with President Barack Obama now out of power, the repeal-and-replace effort is being replaced by suggestions of tinkering around the edges of the ACA.

What gives?

It appears to me that the issue among House and Senate Republicans might have had more to do with the man who crafted the legislation than the legislation itself.

It’s not an unreasonable view.

ACA also is known as Obamacare, which has been a whipping boy for Republicans and other critics of the former president’s signature domestic policy initiative. Donald J. Trump has called for repeal and replacement of the ACA, calling the insurance plan a “disaster” for the country.

But … is it?

Twenty million Americans now have health insurance who didn’t have it before. Why? They couldn’t afford it prior to enactment of the ACA.

Then we’ve had those town hall meetings across the country. Citizens have been flooding meeting halls and shouting down members of Congress with demands to keep their hands off the ACA out of fear they would lose health insurance coverage.

There might be signs of lawmakers getting spooked by the anger they’re hearing out here among their constituents. Lawmakers also are finding out that crafting a replacement law is far more complicated than simply scrapping the old one. Go figure.

As the Times notes, Obama’s absence from the public stage now has turned attention to potential solutions. According to the Times: “But with President Barack Obama out of office, the debate over ‘Obamacare’ is becoming less about “Obama” and more about ‘care’ — greatly complicating the issue for Republican lawmakers.”

Republicans have had nearly eight years to come up with a replacement plan. However, for virtually the entire length of the Obama presidency, they’ve been hung up on repealing legislation that has the name of the man they detest.

Now they’re learning about the difficulty of replacing it.

local news, medical news, national news

Now, those are ‘town hall meetings’

Town hall meetings usually are love fests, at least that’s what transpires when state legislators convene them in the Texas Panhandle.

State Sen. Kel Seliger, R-Amarillo, quite often stages these sessions in communities throughout his sprawling West Texas district. As near as I can tell, they are civil, usually friendly and constituents spend a good bit of energy telling Seliger how much they appreciate his service.

Well, town hall meetings in many congressional districts have turned into something quite different in recent days. They have produced shouting matches between members of Congress and their constituents.

At issue? The Affordable Care Act.

Constituents are showing up in droves to tell their congresspeople to leave the ACA alone. Or, if they’re going to repeal it, they’d damn well better have something to replace it … as in immediately, if not sooner!

U.S. Rep. Gus Billirakis, R-Fla., got a snootful from his constituents, who told him they’d better not mess with “Obamacare.” He’s not alone. Someone uttered the term “death panel” during a town hall event and promptly got booed and shouted down.

I haven’t heard about any such encounters in my congressional district, which would be the 13th, covering the Texas Panhandle. Our member of Congress is a fellow named Mac Thornberry, a Clarendon Republican, chairman of the House Armed Services Committee, a rancher and a self-proclaimed “recovering lawyer.” He has served in the House for 22 years, making him one of the big dogs of Capitol Hill.

Thornberry hasn’t said much in public — above a whisper — about how he would replace the ACA.

Town hall meetings, as I have long understood them, were meant for constituents to speak their minds freely, telling their elected representatives what they think about issues of the day and how their representatives are handling them. The bad comes with the good. Town hall meetings aren’t usually intended to be amen choruses.

Thus, the real deal has broken out in congressional districts across the land.

It’s beginning to sound as though Congress has just discovered a so-called new “third rail.” It used to be that you didn’t mess with Social Security. These days, with 20 million Americans insured through a new government-sponsored insurance program, the third rail might have switched.

Now it’s the Affordable Care Act … maybe.