The Trump administration has radically changed the Title X funding model. It is going all out to cut funding to any women’s health care clinic that provides any kind of abortion counseling services. Here’s some of the details.
Require that Title X funded activities have full physical and financial separation from abortion-related activities. In addition to separate accounting and electronic and paper health records, providers would need to have separate treatment, consultation, examination and waiting rooms, office entrances and exits, workstations, signs, phone numbers, email addresses, educational services, websites, and staff. This new requirement would essentially disqualify any provider from receiving Title X funds if they also offered abortions.
Link to the PDF of the full report
This is an odd story, but points out the dangers of supporting your enemy. And let’s be clear, when it comes to making healthcare better in this country, the Republicans are the enemy of that goal. They have fought for every opportunity to make things better in favor of religious fundamentalist goals that deny healthcare to women and other low income populations, and they have shown no interest in improving anything but the bottom line of their donors. The SEIU 1199, in supporting a Republican over a Democrat simply because the R was at one time a nurse, is absurd, since this former nurse is working against their interests.
This is modern American medicine. You may recognize this. It’s here, it’s everywhere, and it’s only going to get worse, as we don’t want to focus on training primary care specialists anymore.
Just when we think the American healthcare system can’t get any worse, hospitals and banks figure out a way to take us further into debt. Just what a person who is brought into the ER wants to see, a banker show up. It’s like a sick joke.
Here’s a very telling stat from this article: In 2016, the federal government estimates, consumers spent $352.5 billion out-of-pocket on health care.
We *think* we have it good. We could have paid for universal healthcare with that amount. You are essentially being taxed on that money, but it accrues to the sickest of us and the bulk of that money is spent in the last 6 months of life. To put it in perspective the US spent $584 B on defense, $588B on Medicare and $368B on Medicaid.
Even with the Affordable Care Act, the premium and payment structure of insurance increases the relative income gap between rich and poor.
Universal healthcare anyone?
The posturing over the continued destruction of the ACA continues. Republican WA Congresswoman Jamie Herrera Beutler, after voting to end the mandate on the ACA, now expects Washington State Insurance Commissioner Mike Kreidler to fix the problem she and her colleagues are creating. Her expectation of the State needing to fix this issue, while her constituents lose their health care coverage in Pacific County after her party’s work to destroy the healthcare act, is pathetic. Does she not understand how insurance works? Where was she educated?
There is no free lunch. You voters in Pacific County elected this fraud to Congress. She promised you the end of Obamacare, and has fought to destroy the Affordable Care Act, with dire warnings issued by the insurance companies that without a mandate for care, they cannot guarantee affordable insurance rates, nor even the ability for the middle class constituents that counted on her to help them find affordable care. So now you are going to pay for the outcome of your vote. It is not up to Mr. Kreidler to fix a problem that Congress has been hell bent on creating. If Representative Beutler wants to see a fix for the problem, perhaps she can support a universal health care option that can give all of her constituents a chance to see a doctor, or other healthcare provider, as every other developed country in the world has already done. America is currently 27th in the world in it’s indices of health, not number one. Representative Beutler is helping us not only stay that way, but fall even further behind the rest of the world.
She wants to blame it on the State, but she is complicit in the problem’s creation. You can’t have it both ways.
This is an ugly story from both sides of the issue. The big Pharma companies are looking to claw back some of their profits, and some hospital districts, such as Jefferson County Healthcare, may be using the system in a way it was not intended, meaning that it is unclear that the patients who were intended to benefit from this, actually are seeing benefits. JHC has a relationship to somehow share these discounts with Safeway, where they send patients for filling the discounted drug. Is the patient actually seeing a discounted price or is the hospital somehow using this to generate more profits? I am under the impression that Kitsap County is using the program more as it was originally intended, meaning that the monies are passed directly to the consumer who benefits from the discount. Is that not true here? It appears not to be.
The program, known as 340B, requires pharmaceutical companies to give steep discounts to hospitals and clinics that serve high volumes of low-income patients.
Under 340B, named after the section of the Public Health Service Act that authorizes it, eligible hospitals buy drugs at a discount from the pharmaceutical companies and then are reimbursed for those purchases from Medicare. The drugs are purchased under the Part B program, which covers expensive chemotherapy and other treatments in a hospital, doctor’s office and clinics.
Heated And Deep-Pocketed Battle Erupts Over 340B Drug Discount Program