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Wednesday, November 13, 2024
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health-reformThe repeal of the Affordable Care Act is up for a vote today in the House, and Republicans seem to be dead-set on doing away with the current legislation.  They claim the law would cost the country 650,000 jobs.  This is a shaky claim, especially with the mounting counter-evidence supported by economists.

The Congressional Budget Office says that initially, the law could lead to some employers not hiring as many low-wage workers, but they point out this will also slow the increase in health care costs, leaving those employers with more capital to expand their businesses.  The budget office also claims that 30 million people would gain coverage with the Affordable Care Act, again creating jobs.

White House officials advocate this law has the potential to create over 300,000 jobs by containing costs of employee health benefits, as well.  Importantly, when Massachusetts instated a health insurance mandate, there was an increase in health insurance coverage, as well as an increase in health care utilization, which resulted in the creation of jobs.  It is hoped that this would be a similar trend with the Affordable Care Act.

The Department of Health and Human Services released a report yesterday showing 129 million Americans under age 65 have some pre-existing medical condition that could lead them to be denied health care coverage without protections that would be afforded to them by the new health law.  This is another argument for health care reform and job creation.

What are your thoughts about health care reform and its potential repeal by the House?

The repeal of the Affordable Care Act

Over the past several months I’ve had conversations with young adults in their 20s and under the age of 26 who do not have health insurance – some of them worked but did not get coverage, others were putting themselves through college and said the plans offered to them were expensive and didn’t cover enough to make it worthwhile.  Like all uninsured and under-insured Americans they worry about getting sick and what would happen if it was serious. When I asked if they had a clinic or if they knew a primary care provider they could call on for care they said no.  Not one of them have seen a dentist for a couple of years – can’t afford it.
The Affordable Care Act, the comprehensive health care reform law enacted in March 2010 included a provision that extended young adult coverage on their parents or legal guardian’s plans  –  in other words if your health insurance plan covers children, you can now add or keep your children on your health insurance policy until they turn 26 years old.
When I asked these young adults if they were able to get on their parents plans they all said no. Too expensive to be added, their parents were uninsured or they were not in a position to ask their parents.
Here is a good site with frequently asked questions and answers about this young adult provision. What can we offer these young people? The more we know about prevention and risk they need access to services too.

Over the past several months I've had

Whistleblowing nurses Vicki Galle and Anne Mitchell

Whistleblowing nurses Vicki Galle and Anne Mitchell

Two nurses, Anne Mitchell and Vicki Galle, blew the whistle on physician Rolando Arafiles for a variety of charges that included unprofessional conduct at Winkler County Memorial Hospital in what they thought was a confidential report to the state board for medicine.  Instead of the physician being investigated, the nurses found themselves the target of unprofessional conduct brought by the physician’s friends, Sheriff Robert Roberts and County Attorney Scott Tidwell, and were fired from their jobs by hospital adminstrator Stan Wiley.  The charges were dropped for Galle and Mitchell was acquited by a jury that deliberated for one hour. Now Roberts, Tidwell and Wiley (who resigned from his position at the hospital in October) have been indicted for retaliating against the whistleblowers.

This is very good news for patients. Nurse must be able to report physicians, administrators, or other health care providers (including other nurses) who are unsafe or engaging in illegal activities, then patients will not be safe.  These nurses went through hell after doing what they knew was in the best interests of patients and the hospital would not take action against the physician. It cost them their jobs, crippled them financially, and besmirched their reputations. Nurses I spoke with said that if they didn’t get exonerated and if those involved in the retaliation were not held accountable, it would make them think twice about reporting unsafe practices. Here’s hoping the jury throws the book on these three fellows for their retaliation and potentially jeopardizing the interests of the public.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

 

[caption id="attachment_10559" align="alignleft" width="300"] Whistleblowing nurses Vicki