"The Trump and Ryan repeal plan would have hurt millions and the concept was indeed a most unjust and inhumane health care proposal. It was thirty-nine pages of one cut after another that was good only for those who are already well off and was very harmful to working and low-income people. It would have created havoc in healthcare. Living with the Affordable Care Act for the "forseeable future" is a good thing for most Americans." SLeeMD

Learn how the Affordable Care Act and Medicaid impacts Family Health Care by clicking here.

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Click here for a Channel 41 interview with Dr. Lee about Trump "Care"

Health reform bill is withdrawn- Channel 4

Q: What will happen if ACA "ObamaCare" is dismantled? A: People will die. Here are the stats-

 

"The refusal of the Kansas and Missouri governments to implement Medicaid expansion is short-sighted and mostly ignorant (ie-

lacking knowledge). Worse, although it has been clear for years how the decision would affect low-income people in both our states, the legislators and governors have refused to even prepare for the changing situation they have set in motion. The safety net of clinics and the emergency rooms (especially those hospitals that were subsidized through the Disproportionate Share Hospital payments to provide care for the uninsured) are certain to be stretched thinner and people in our States will suffer due to this colossal governmental feat of willful inaction."  - Sharon Lee, MD 

Study shows poverty reduces life expectancy by years...

Click here to link to the full Commonwealth Fund article on Economic Disparities

Kansas is one of 19 states that have not expanded eligibility for Medicaid, according to the Kaiser Family Foundation. The rejection of expansion has so far cost the state more than $1.3 billion, according to the KHA. - See more by clicking here

Click here to learn more about Medicaid Expansion in Kansas

 

 

Ayn Rand's Selfish Rule- Individual Self-Interest Above All Else

 

Many of those who espouse Ayn Rand's philosophy have missed that the world is very different from what she experienced that formed her views. She came to the US from Russia on a Visitor Visa in 1926. As a non-observant Russian Jew, she felt more at home- safer in the US and never returned to Russia. She overstayed her tourist visa but evaded deportation and in 1929 she married an American with subsequent granting of a permanent visa. She became a US citizen in 1931.

Ayn Rand had a number of controversial political stances-  She supported abortion rights, the rights of colonialists "civilized men" to take land and control political decisions for others, and opposed the draft and war.

Ayn Rand's philosophy has been summarized as "rational self-interest as an overarching moral principle". It is antithetical to the beliefs of most of the worlds religions that the overarching moral goal is to "do unto others as you would have them do unto you" - the golden rule.

"Don’t try to be your brother’s keeper or to force him to be yours."

Yet the "happiest" people in the world live in Norway where they have completely socialized their educational, health care and other societal supports. No one worries about when they will eat, where they will live, how their children will get by in school or how they will pay for their families medical catastrophes. Relieved of these concerns through high individual taxes (without a lot of loopholes), they are freer and happier to pursue their lives. There is a level below which none will descend and all have the opportunity to rise.

 

 

Paul Ryan has said:

Atlas Shrugged (Ayn Rand fiction) is one of three books he re-reads, gives as gifts and requires as reading for his interns. 

 

 The division of the world into "makers" and "takers" summarizes Ayn Rand's philosophy and these very words are used often by Paul Ryan.


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Family Health Care is a Safe Place- Learn more by clicking here.

The American Health Care Act of 2017 (HR 1628) was a relatively brief 122 page document listing cut after cut* for many middle and low-income workers, older people and disabled people. It failed for several reasons- thank goodness! Below are some of the reasons we hoped it would fail. Now we should all be alert and work towards fixing what is still a flawed system.
 
The Affordable Care Act was a good start, but was gutted by some of the forced changes (ie Supreme Court tinkering) after passage and had some unaddressed issues. The result is some irrational gaps in coverage.
 
For example - people with incomes below the federal poverty level (FPL) cannot receive any federal support for health care in those states that failed to expand Medicaid. The Act provides subsidies for those at 101% of FPL, but anticipated Medicaid would cover those under. Since the supremes cut out the requirement for Medicaid expansion and some states stubornly went with misguided ideology, those people at 99% have no subsidies and thus no coverage.  [Ex. --- KS is estimated to have LOST $1.9 Billion by not expanding Medicaid which has resulted in community hospital closings, not to mention the human costs of those who died or were otherwise harmed.]
 
 
 

 

 

 
*Cuts listed in the most recent Ryan drafted (HR 1628) bill. (Paul Ryan is the Speaker of the House who has said his guiding principles flow from the "philosopher" Ayn Rand who championed "selfishness as a virtue"):
 

1- Pg 6. "...certain federal funds may not be made available to states for payments to certain family planning providers." (e.g., Defund Planned Parenthood Federation of America).- resulting in inumerable men and women not having access to preventive health care.

 

2- Pg 8. The bill would eliminate: (1) the enhanced federal matching rate for new enrollees made eligible for Medicaid by PPACA, and (2) the state option to extend Medicaid coverage to such enrollees. (e.g. Cuts medicaid across the board- harming the most vulnerable and least able in our society.)

 

3- Pg 11. Essential health benefits would be revoked (insurance companies may go back to not covering mammograms and other currently required health services.)

 

4- Pg 14. Inexplicably this bill had more than 3 pages devoted to removing anyone who wins a lottery from receiving medicaid.

 

5- Pg 19. The bill would deny retroactive application for medical benefits and limits to the date of application. Currently a person may apply and be covered for three months prior to the date of application. This is so if a person is unable to apply, they may apply for retroactive coverage. Many patients do not know they need help until after-the-fact. (Ex. they are in an accident and as they are in a coma, they cannot apply until they awake. Or- they go in thinking the operation they have contracted for is all they need and discover something more extensive that keeps them hospitalized longer.)

 

6- Pg 27. An outcome mandated in the bill is increased administrative costs as the bill requires the states to evaluate eligibility every six months rather than annually.

 

7- Pg 29. The bill would provide a per capita allotment to the states regardless of the proportion of the state population with need. (No needs testing for the state.) This means a state with a greater proportion of people who are either poor or who have greater medical needs would recieve the same per capita block funds as a state with a healthier or higher income population. (This would cause a higher percentage of the sick and poor to have reduced or eliminated benefits leading to greater morbidity and mortality in many states.

 

8-   :(

 

  More to come later.

 

 

These are the required essential out-patient services: 
 
Abdominal aortic aneurysm 
Alcohol and drug use assessments
Aspirin use to prevent cardiovascular disease
Autism screening for children
Blood pressure screening
Breast cancer genetic test counseling (BRCA)
Breast cancer mammography screenings
Breastfeeding comprehensive support
Cervical dysplasia screening
Chlamydia infection screening
Cholesterol screening for adults of certain ages or at higher risk
Colorectal cancer screening
Depression screening
Developmental screening for children
Diabetes (Type 2) screening for adults with high blood pressure
Diet counseling
Domestic and interpersonal violence screening
Dyslipidemia screening for children
Fluoride chemoprevention supplements for children
Folic acid supplements for women who may become pregnant
Gestational diabetes screening 24 to 28 weeks pregnant
Gonorrhea screening
Hearing screening for all newborns
Height, weight and body mass index (BMI) measurements
Hematocrit or hemoglobin screening
Hemoglobinopathies or sickle cell screening
This link takes you to a website not operated by the federal government. The site may have different privacy and security policies.
Hepatitis B screening
Hepatitis C screening for adults at risk
HIV screening and counseling
Human Papillomavirus (HPV) DNA test every 3 years
Immunization vaccines
Iron supplements for children
Lead screening for children
This link takes you to a website not operated by the federal government. The site may have different privacy and security policies.
Lung cancer screening
Obesity screening and counseling
Oral health risk assessment
Osteoporosis screening
Rh incompatibility screening
Sexually transmitted infections
Syphilis screening
Tobacco use screening and interventions
Tuberculin testing
Urinary tract screening
Vision screening for children
Well-woman visits to get recommended services

 

 

Here are some economic facts about health costs and insurance-

 

Per capita costs-

 

Health care comprises a vast network of doctors and nurses, technicians, medical device manufacturers, pharmaceutical makers, hospitals and in-home services, educational institutions, financial arrangements (insurers), and, above all, patients--along with numerous others. It is a complex, sophisticated, and dynamic set of interactions that consumes more than $3 trillion of the Nation's resources and represents about one-fifth of the economy.

 

$3,000,000,000,000 (trillion) costs/325,000,000 (million) individuals living in the US = $9,230.77

which is the annual costs of health care in the US per capita. (325 million individuals live in the US.)

 

  • If you are paying more than $9,250 each year or more than $771 each month you are helping support someone else; if you are paying less, someone is supporting you. SL  

 

Health insurance companies are not going broke-

 

The Standard noted in 2016:

“In 2008,…the combined annual profits of America's ten largest health insurance companies were $8 billion. Under Obamacare, the ten largest health insurers' annual profits have risen to $15 billion.

 

The Economist reported:

share prices of America's five biggest health insurers—UnitedHealthcare, Aetna, Humana, Cigna and Anthem—have all roughly tripled” over the first five years of the ACA.

(With Annual administrative costs and profits averaging 18% of the revenue per enrollee.)

 

In addition to rising profits for shareholders, the administrative costs continue to soar- the top five insurers each paid their CEO’s $10-15 million (equivalent to covering up to 8,100 individuals). *

 

  • For every dollar an insured enrollee pays for their coverage, an average of 18 cents goes to profit/administrative costs rather than medical care. Compare this to Medicare administrative costs (no profit) at about 2 cents. SL

 

 

*Cigna CEO David Cordani: $17.3 million

Aetna CEO Mark Bertolini: $17.3 million

UnitedHealth CEO Stephen Hemsley: $14.5 million

Anthem CEO Joseph Swedish: $13.6 million

Humana CEO Bruce Broussard: $10.3 million