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MedicaidNorth Carolina doctors pulled no punches in their review of the Medicaid “reform” (i.e. privatization) plan adopted by the state Senate today. This is the official statement from the NC Medical Society:

“Today the Senate had a clear choice between the health of our state’s most vulnerable citizens and the health of Wall Street corporations, and they chose the corporations. Despite strong alternative proposals from the North Carolina House, Governor McCrory and the health care community on the best way to improve patient care and quality and provide budget predictability, Senators voted against this consensus. These outside managed care companies have a dismal history of success (see the examples below). The Medical Society would like to recognize and appreciates the bipartisan support for the consensus plan of the health care community, the House and the Governor today on the Senate floor. It appears that the 28 senators who voted for managed care are not aware or don’t care about the negative history of managed care and are welcoming them to North Carolina.”

For instance,

• Kentucky moved 550,000 of its Medicaid patients to three national managed care corporations in 2011. Since then, a 2012 evaluation by the Urban Institute found that patients faced delays in getting care, and there was an adversarial relationship between the managed care plans and the medical community. State legislators continue to be flooded with complaints and passed a bill to set up an appeals process at the Department of Insurance to mediate disputes between the medical community and the plans. One of the managed care plans pulled out of the state last year, suing the state saying it lost money and forcing 125,000 patients into the other two plans.
• In Illinois, a federal judge awarded over $334 million in a fraud lawsuit against the Medicaid HMO Amerigroup Illinois and its parent company, Amerigroup Corporation, for systematic and extensive fraud for discriminating against pregnant women and those with expensive medical conditions.
• In Georgia, their Medicaid program was fined $3.7 million for consistently refusing to pay for authorized care.

 

Winston Churchill famously stated that “Democracy is the worst form of government, except for all the others.” One is increasingly tempted to offer the same assessment of Obamacare.

Is it flawed and messy? Absolutely. Could we call envision a scenario in which each of us — acting as philosopher kings — could craft a better system? Sure.

But when it gets down to the nitty-gritty of making something work in a huge, complex and wildly diverse nation, the following AP story tells you what you need to know about Obamacare on July 24, 2014:

A new study estimates that more than 10 million adults gained health insurance by midyear as the coverage expansion under President Barack Obama’s law took hold in much of the country.

The study published Wednesday in the New England Journal of Medicine found that the share of Americans ages 18 to 64 without insurance dropped by a little more than 5 percentage points.

States that embraced the law’s Medicaid expansion saw significant coverage gains among low-income uninsured people. About half the states have expanded.

The law offers subsidized private insurance for middle-class people who don’t have access through their jobs and expanded Medicaid for low-income adults.

The latest study results are in line with findings by Gallup and with estimates from the Congressional Budget Office.

Read the AP article by clicking here.

 

From the good people at NARAL-Pro Choice NC:

NARAL Pro-Choice North Carolina member activists will deliver broken cookies to the Governor’s Mansion this morning at 11:00 am to mark the one-year anniversary of Governor McCrory’s broken promise not to support restrictions on access to abortion care. Last July, Governor McCrory signed into law Senate Bill 353, a series of restrictions on reproductive health care. The next day, the governor delivered cookies to NARAL Pro-Choice NC and other reproductive rights advocates protesting his broken promise outside the Governor’s Mansion.

Governor McCrory’s signing of Senate Bill 353 (also known as the “Motorcycle Abortion” bill) came less than one year after promising North Carolina voters in a televised debate that he would not sign any restrictions on abortion access if voters elected him governor.

“Governor McCrory broke his promise to North Carolina voters when he signed Senate Bill 353 into law last year, and today we are delivering broken cookies to remind him of his broken promise,” said NARAL Pro-Choice NC executive director Suzanne Buckley. “With the stroke of a pen, Governor McCrory banned insurance companies from offering for abortion care coverage through the exchanges and stripped away comprehensive reproductive health care coverage from over 367,000 city and county employees.This law is filled with restrictions on access abortion care that McCrory promised he wouldn’t sign,” she said.

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Here are two morning editorials that ought to be a “must reads” for North Carolina’s conservative political leaders:

The first comes from the Fayetteville Observer and it’s entitled “Yes, Republicans can expand Medicaid too.” As it notes:

Last month, hundreds of representatives from North Carolina hospitals and other health-care institutions brought a united message to Raleigh: Cuts in the Medicaid program are causing them serious economic harm. Further cuts could be disastrous.

That doesn’t begin to consider the financial drain that comes from treating the thousands of North Carolinians who have no health insurance at all – those who are ineligible for Medicaid but too poor to afford conventional health insurance. By law, hospitals must treat them if they show up in the emergency room, even though there is no chance that they can pay their bill….

That’s one reason why officials in Republican-led Indiana changed their minds about Medicaid participation in May, developing a hybrid state-federal system that will bring coverage to more low-income residents there.

Indiana Gov. Mike Pence, a Republican, is using the supplementary Medicaid money to fund a state health-insurance plan for low-income residents. But it will have the same net effect in bringing coverage to those who don’t have it.

That’s a lesson in that for our GOP leaders, who have resisted participation in Obamacare. Don’t resist. Take the money and build a program that works.

The second comes from the Wilmington Star News. It’s entitled: “Instead of bullying children fleeing violence, put blame where it belongs.”

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From our NC Justice Center colleagues:

Join us in Raleigh and Durham for FREE screenings of “Inequality for All”

The North Carolina Moral Movies Film Series draws to a close this month with screenings of the acclaimed documentary Inequality for All. The film features Robert Reich – professor, best-selling author, and Clinton cabinet member – as he demonstrates how the widening income gap has a devastating impact on the American economy.

The NC Justice Center is proud to join with Working Films, the NC NAACP and other sponsors to bring screenings of Inequality for All to nine cities across the state beginning on July 22nd. These interactive events will spotlight the threat of income inequality on the viability of the workforce in North Carolina and will involve audiences in dialogue and action to address economic inequality.

RALEIGH

Join us in Raleigh on Tuesday, July 29 at 7:00 p.m. at Community UCC, 814 Dixie Trail.
RSVP for Raleigh using this link.

DURHAM

Join us in Durham on Thursday, July 31, 6:30 p.m. at the Durham County Public Library Auditorium, 300 N Roxboro St. RSVP for Durham using this link.

Hope to see you on there!