Documents show Clinton health care strategy

Washington Former President Bill Clintons aides were concerned early in his presidency about the health care overhaul effort, led by his wife, that never passed and a need to soften the image of Hillary Rodham Clinton, according to documents released Friday. Mrs. Clinton now is a potential 2016 presidential contender.

The National Archives released about 4,000 pages of previously confidential documents involving the former presidents administration, providing a glimpse into the struggles of his health care task force, led by the first lady, and other priorities such as the U.S. economy and the North American Free Trade Agreement.

Hillary Clintons potential White House campaign has increased interest in Clinton Presidential Library documents from her husbands administration during the 1990s and her own decades in public service. A former New York senator and secretary of state, Mrs. Clinton is the leading Democratic contender to succeed President Barack Obama, though she has not said whether she will run.

Fridays documents release included memos related to the former presidents ill-fated health care reform proposal in 1993 and 1994, a plan that failed to win support in Congress and turned into a rallying cry for Republicans in the 1994 midterm elections. As first lady, Hillary Clinton chaired her husbands health care task force, largely meeting in secret to develop a plan to provide universal health insurance coverage.

White House aides expressed initial optimism about her ability to help craft and enact a major overhaul of U.S. health care.

The first ladys months of meetings with the Congress has produced a significant amount of trust and confidence by the members in her ability to help produce a viable health reform legislative product with the president, said an undated and unsigned document, which was cataloged with others from April 1993. The document urged quick action, warning that enthusiasm for health reform will fade over time.

But the documents also showed the growing concerns among Clintons fellow Democrats in Congress. Lawmakers, it said, going to their home districts for the August break are petrified about having difficult health care reform issues/questions thrown at them.

By September 1993, Mrs. Clinton acknowledged the obstacles in a Capitol Hill meeting with House and Senate Democratic leaders and committee chairs. I think that, unfortunately, in the glare of the public political process, we may not have as much time as we need for that kind of thoughtful reflection and research, the first lady said, citing this period of challenge.

The documents also include detailed media strategy memos written as aides tried to soften Mrs. Clintons image.

Her press secretary, Lisa Caputo, encouraged the Clintons to capitalize on their 20th wedding anniversary as a wonderful opportunity for Hillary and also suggested she spend more time doing White House events celebrating first ladies of the past.

Original post:

Documents show Clinton health care strategy

Medicine for Medicaid: Will Maine reform health care for low-income residents?

Over the last several decades, most states across the country have shifted how they manage the health care of their low-income residents. Instead of coordinating directly with providers and paying for each medical procedure, states have, more and more, handed over that administrative responsibility to outside entities. The trend has not hit Maine until now.

Art by George Danby

A compromise bill proposed this week by Maine Republican Sens. Roger Katz of Augusta and Tom Saviello of Wilton would expand Medicaid coverage to 70,000 residents under the Affordable Care Act and start Maine on a years-long path of converting to a managed care system where the states Medicaid program, MaineCare, would be contracted out to private companies or nonprofits.

By all accounts, it would be the largest change to hit MaineCare in years, possibly decades. The goal, Katz and Saviello said, is to ensure all Maine residents have access to quality health care within a system that is ready for them and able to deliver medical care in a cost-effective way.

The status quo in MaineCare, even if we dont expand, is unacceptable, Katz said.

Whether you have ever held a MaineCare card or not, switching to a managed care model would affect you. You might work in the health care or social assistance industry now, or you might in the future; employment in the field grew by 22.6 percent between 2000 and 2012. You might have an elderly parent facing a need for long-term care. Or perhaps you are a taxpayer; MaineCare will comprise about 23 percent of the state general fund in fiscal year 2014.

Even if youre not familiar with the general term managed care, you probably already know what it is.

The beginnings of managed care can be traced back to 1929, when a physician in Oklahoma established a health cooperative for farmers lacking a nearby hospital or medical specialists, according to the federal governments National Council on Disability. The physician, Michael Shadid, sold shares to create a hospital and then developed an annual fee schedule to pay for the cost of care. By 1934, he had 600 family memberships.

This kind of prepaid health plan is what we would now call a health maintenance organization, or HMO: People regularly pay a fixed fee regardless of whether they require medical care, and a wide variety of medical services are available if they need them. They also have a primary care provider who can refer them to specialists. Procedures are covered if they see providers within a certain network.

If you have an HMO or a preferred provider organization, a PPO, you have a managed care plan.

The rest is here:

Medicine for Medicaid: Will Maine reform health care for low-income residents?

Questions for Anne Alexander at Saturday U in Gillette- Affordable Care Act – Video


Questions for Anne Alexander at Saturday U in Gillette- Affordable Care Act
Questions for Anne Alexander at Saturday U in Gillette- Affordable Care Act ( 00:01 - 2:30 ) Introduction by Shannon Smith, Wyoming Humanities Council direct...

By: wyomingvideos

Go here to read the rest:

Questions for Anne Alexander at Saturday U in Gillette- Affordable Care Act - Video

IRS Warns: Obtain "Qualifying" Health Insurance Or Pay Obamacare Tax – Our Masters? -Stuart Varney – Video


IRS Warns: Obtain "Qualifying" Health Insurance Or Pay Obamacare Tax - Our Masters? -Stuart Varney
IRS Releases Series Of Obamacare "Health Care Tax Tips" - Stuart Varney IRS Warns: Obtain "Qualifying" Health Insurance Or Pay Obamacare Tax - Our Masters? -...

By: Mass Tea Party

More:

IRS Warns: Obtain "Qualifying" Health Insurance Or Pay Obamacare Tax - Our Masters? -Stuart Varney - Video

Assemblymember Ting Backs Bill to Make Sure Health Care Doesn’t Get Lost in Translation – Video


Assemblymember Ting Backs Bill to Make Sure Health Care Doesn #39;t Get Lost in Translation
(San Francisco) -- Assemblymember Phil Ting (D-San Francisco) joined Assembly Speaker John A. Prez (D-Los Angeles) and San Francisco Mayor Ed Lee for a news...

By: AssemblyAccess

Read more:

Assemblymember Ting Backs Bill to Make Sure Health Care Doesn't Get Lost in Translation - Video

In Santa Cruz, affordable health care elusive for some: High premiums, aided by high subsidies

SANTA CRUZ -- The price of health care under the Affordable Care Act varies widely depending on where you live, and in Santa Cruz County that means some of the highest premiums in the country.

According to a 50-state analysis by the Sentinel and other newspapers, the Central Coast pays a high price health coverage compared to other regions in California and across the country.

One silver lining is that the costs can be heavily offset by tax subsidies for many middle- and lower-income families. But families that don't qualify for a tax break will see health care affordability promised under the new law fall off a cliff.

"The ones on the edges, it's really a dangerous spot to sit on. Subsidy versus no subsidy is so dramatic, and it's a worry," said Sharon Martin, a Santa Cruz-based broker at Dettle Insurance Agency. "You make a few dollars more and it makes a huge difference."

The Sentinel analyzed premium and subsidy data for the federal health care exchange and each of the 16 states operating their own exchanges, including Covered California. Within each state, rates are further broken down into rating areas, with 501 in total across the nation.

It makes a difference where you live. Santa Cruz and the Central Coast have among the highest premiums in the country, ranking 26th out of 501, and fourth-highest in California.

San Mateo County leads the state in premium costs, and, for a 50-year-old nonsmoker shopping for a so-called "silver" plan, costs nearly $200 a month more than if the same person lived in the eastern part of the Los Angeles basin.

Experts say the different prices are due to the availability of doctor, hospital and clinic networks, whether health care giant Kaiser-Permanente is a local operator and if there is robust regional competition, with sparsely served rural areas often facing higher rates.

"Some of those same characteristics are true (on the Central Coast)," said Marian Mulkey, director of health reform and public programs at the California HealthCare Foundation. "There are only a couple of hospitals, and there are some providers with some pretty significant negotiating clout."

Another factor is whether there are large numbers of uninsured who suddenly became buyers under the law. While the number of people with insurance on the Central Coast has been relatively high, competition for buyers appears to be pushing down prices in some areas.

Excerpt from:

In Santa Cruz, affordable health care elusive for some: High premiums, aided by high subsidies

Health district gears up for road ahead

The Mark Twain Health Care District Board took the path most traveled this week by joining a lengthy group of supporters for a trail route through San Andreas.

We have a lot of wonderful segments, but theyre like isolated islands, said Jim Kavanagh, San Andreas Recreation and Park District board director. We hope to create pedestrian and bicycle opportunities to unify these elements.

The result is the Walk & Bike San Andreas Project. The proposed early phases would start at Calaveras High School, continue through Nielson Park and include San Andreas Elemen-tary School on to Turner Park. Later phases would connect Treat Avenue with the services and centers along Mountain Ranch Road, including the Alex Quinones Community Park.

We want to create feeder routes to the major trails, Kavanagh said, referencing the mile-long loop now being cleared at the ballpark. With two hospitals, the senior center, the government center, the library, the park how many people are in these facilities every day?

Kavanagh said of the large number of people who work in San Andreas, he estimates 80 percent commute and 20 percent live in town.

(San Andreas is) hands-down the largest employer, he said. Could we change that dynamic to make this a more attractive place to live? It is our goal and hope to create a network of trails, paths, walkways, contiguous sidewalks and crosswalks that can help make walking and bicycling in our community much more inviting.

Kavanagh said the recreation district is also working with Caltrans for more crosswalks across Highway 49. He said the plan also includes crosswalks along Mountain Ranch Road, which, along with the highway, are formidable barriers for bicyclists and pedestrians of any age, he said.

Encouraging activity meets the mission of both the project along with the health care district, Kavanagh said.

The key component of this is to have a healthier community, so we can just use our feet and legs to get us where we want to go, he said. Im a resident here and I love it, but you just about have to get in your car to go anywhere.

Health care district board President Lin Reed said this project has been a long time coming.

More here:

Health district gears up for road ahead

Samaritan COO outlines health care changes, opportunities

Although health care reform is confusing, it is also an exciting time in our history to improve the health of individuals in our communities, Kim Whitley told members of the Albany Area Chamber of Commerce Wednesday during that groups monthly lunch forum.

Whitley is the chief operating officer for Samaritan Health Plan Operations, which serves nearly 62,000 members. She has degrees in biology and psychology from Gonzaga University and a masters degree in public administration with an emphasis in health care from the University of Idaho.

Whitley used a YouTube video to summarize the Patient Protection and Affordable Care Act (often referred to as Obamacare).

It noted that companies with more than 50 employees will be required to provide health care insurance or pay a penalty. Companies with fewer employees will be given tax incentives to help offset premium costs for their employees.

The act will not create much change for older Americans on Medicare, but Medicaid will expand considerably, offering coverage to millions of low-income people who are currently not covered.

Each individual state has the option of opting in or out of the Medicaid program expansion.

The act creates a health insurance marketplace, which was compared to an insurance megamall.

Individuals will be able to pick the amount and type of coverage they want or need, and in turn, balance their premiums.

There will be tax credits for low-income people, but the goal is to cover all Americans in some fashion either through their employer, the government or individual payments.

To support the changes financially, there will be new taxes, especially by wealthier individuals.

Link:

Samaritan COO outlines health care changes, opportunities

Whiplash Car Accident Injury Prevention Tips from Denver Aurora Lakewoond Chiropractor – Video


Whiplash Car Accident Injury Prevention Tips from Denver Aurora Lakewoond Chiropractor
Simple tip on reducing whiplash neck pain injuries. Fast and convenient way to prevent serious injury from a car accident. Call us now for a FREE Free Spinal...

By: Aim High Chiropractic

Go here to read the rest:

Whiplash Car Accident Injury Prevention Tips from Denver Aurora Lakewoond Chiropractor - Video

Holding Polluters Accountable: A Community-Nurse Collaboration Success Story – Video


Holding Polluters Accountable: A Community-Nurse Collaboration Success Story
Join ANHE for this special conversation with Erin Heaney and Dr. Jessica Castner. They were part of the community efforts that led to the Tonawananda Coke Co...

By: Alliance of Nurses for Healthy Environments

See more here:

Holding Polluters Accountable: A Community-Nurse Collaboration Success Story - Video

STROKE HOME CITE PROBLEM LINGKOD BAYAN MEDIA CBS DWAD 1098KHZ NEWS AM ZOE LIGHT TV33 – Video


STROKE HOME CITE PROBLEM LINGKOD BAYAN MEDIA CBS DWAD 1098KHZ NEWS AM ZOE LIGHT TV33
YUJ GUANG DO GERONTOLOGIST MENTAL MARTIAL ART MEDICAL HEALTH CARE HEALING MISSIONARY CALL 544 66 41 AND 0916 436 88 75 AMEN FACEBOOK JESUS OGAYRE.

By: jesus ogayre

See more here:

STROKE HOME CITE PROBLEM LINGKOD BAYAN MEDIA CBS DWAD 1098KHZ NEWS AM ZOE LIGHT TV33 - Video

Lobbying? "Big Companies Run This Country [UK] Not Politicians" Eileen Chubb – Video


Lobbying? "Big Companies Run This Country [UK] Not Politicians" Eileen Chubb
Privatisation does not work in health care. You can not have profit in health care. inquiringminds.cc/lobbying-big-companies-run-this-country-uk-not-politici...

By: inquiringmindscc

Follow this link:

Lobbying? "Big Companies Run This Country [UK] Not Politicians" Eileen Chubb - Video