Business owners face health care dilemma

NEW YORK Rose Wang looks at her staff of 70 employees and wonders if shell have to lay off some of them to comply with the health care law.

The owner of Binary Group Inc., an information technology firm based in Alexandria, Va., is one of many small business owners who will be required to provide health insurance for her staffers under a provision of the law that goes into effect on Jan. 1, 2014. Wang already provides insurance, but she has struggled with premiums that have soared as much as 60 percent annually, so she requires employees to contribute to their coverage. Shes worried because she doesnt know how much shell have to pay under the Affordable Care Act.

Wangs worry is a gut-wrenching dilemma that many small business owners are concerned that they may face. Now that President Barack Obama has won re-election, the health care overhaul, which presidential candidate Mitt Romney promised to dismantle, is marching forward. Companies must decide before the start of 2014 what theyll do to comply with the law. Right now, no one knows how much the insurance will cost, and owners arent sure if theyd be better off not buying it and paying a government a penalty of $2,000 per worker. Some owners are even threatening to defy the law. The big challenge for most small businesses is that they just dont have enough information to make concrete plans.

If Wang cant afford it the insurance, she says that some of her staffers may have to go.

I would have to say, look, guys, youre family to me in many respects, but this family also depends on having the kind of cash flow available to keep the lights on and keep employing most of you, Wang says. It would have to come down to that.

Not providing insurance and paying the penalty is another alternative. Thats what were going to decide by 2014, if the math is so obvious its cheaper for us to do the $2,000 per head, she says.

The health care law generally requires that companies with 50 or more full-time workers provide health insurance for their staffers. If they dont provide any insurance, theyll have to pay the $2,000 penalty for each worker on their payroll. If they buy insurance, but it doesnt meet the governments tests for affordable coverage, theyll have to pay $3,000 for each worker whose coverage isnt deemed affordable. If that seems confusing, thats just the beginning. Theres a labyrinth of other details that include plans that can be grandfathered in and a maze of other fine points that small business owners are trying to decipher.

In some industries, owners are considering cutting employees hours to under 30 a week, which would take those workers out of the jurisdiction of the law. Restaurant owners are looking at that option after Darden Restaurants Inc. said in October it was going to try changing the mix of full-time and part-time workers at its restaurants including Red Lobster and Olive Garden. When full-timers leave, Darden will considering replacing them with part-timers, spokesman Rich Jeffers says.

Hurricane Grill & Wings, a restaurant franchise with five company-owned restaurants, is also thinking of lowering the number of hours that its servers and other hourly employees work. That would exempt them from having to be covered under the law. President Martin ODowd says the company would have to monitor the quality of its service and food to be sure theres no impact on customers if workers are unhappy with their shorter work-week. But hes not anticipating any problems.

Hurricane CEO John Metz recently said the company was considering adding a 5 percent surcharge to customers bills starting in 2014 to cover the costs of health care for full-time workers. But since the plan was reported in the news media and generated negative comments on some websites ODowd now says that it was hypothetical.

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Business owners face health care dilemma

Franciscan Sr Elena Profession of Perpetual Vows – Video


Franciscan Sr Elena Profession of Perpetual Vows
The Profession of Perpetual Vows by Sr. Elena Gonzales, OSF, a Franciscan Sister of Christian Charity. Taken at Holy Family Convent Motherhouse August 2012. The Franciscan Sisters serve in dioceses across the United States in Catholic Health Care, Education and Parishes. Discerning about serving as a Franciscan Sister? Visit us at http://www.fscc-calledtobe.orgFrom:calledtobeFranciscanViews:2 0ratingsTime:07:27More inNonprofits Activism

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Presentation at Integration for Impact Conference, Sept. 13, 2012 (Panel 126, Oral 1


Presentation at Integration for Impact Conference, Sept. 13, 2012 (Panel 126, Oral 1 2)
No 126 Emerging evidence for integrating screening for violence against women and children into HIV and primary health care services in East Africa Abstract 1: Screening for intimate partner violence at Kenyatta National Hospital: An assessment of acceptability,Chi Chi Undie, Catherine Maternowska, Margaret Mak #39;anyengo, Ian Askew Abstract 2: Integrating routine intimate partner violence screening and supported referrals into antenatal care: Lessons from a pilot study in a rural Kenyan clinic, Abigail M Hatcher, Merab Odero, Emily Mangone, Maricianahnono, Elizabeth A Bukusi, Patrizia Romito, Janet M. TuranFrom:integrationforimpactViews:2 0ratingsTime:20:20More inNonprofits Activism

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Presentation at Integration for Impact Conference, Sept. 13, 2012 (Panel 126, Oral 1

Rick Santelli: What Ails Health Care Trades? – Video


Rick Santelli: What Ails Health Care Trades?
Nov. 28th Jeff Carter, Pointsandfigures.com explains why he thinks health care exchanges won #39;t work, with CNBC #39;s Rick Santelli. This video may contain copyrighted material. Such material is made available for educational purposes only. This constitutes a #39;fair use #39; of any such copyrighted material as provided for in Title 17 USC section 107 of the US Copyright Law.From:selfownership1Views:1 1ratingsTime:03:11More inPeople Blogs

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Rick Santelli: What Ails Health Care Trades? - Video

Austin Family Medicine: Comprehensive Health Care with Dr. David Sneed – Video


Austin Family Medicine: Comprehensive Health Care with Dr. David Sneed
Dr. David Sneed of Austin Family Medicine Associates provides a brief overview of our full-service medical family practice in South Austin. We offer a wide range of preventative and wellness testing and treatments for patients of all ages. We provide an individualized approach to all of our patients with an emphasis on preventive healthcare. Our services include: - On-site laboratory testing - Laboratory blood drawing - Electrocardiograms - Spirometry testing - Allergy testing - Weight loss programs - Nutritional counseling - Vitamin Support - Specialized testing - Hormone replacement Please visit ausfp.com for a more extensive list of our medical services in Austin, or call (512) 443-9355 to schedule an appointment now.From:DrDavidSneedViews:0 0ratingsTime:02:43More inPeople Blogs

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Littleton Pediatric Care Residents Rely On | (303) 972-7337 – Video


Littleton Pediatric Care Residents Rely On | (303) 972-7337
Littleton Pediatric http://www.focusonkidspeds.com | (303) 972-7337 Focus on Kids is a Pediatric Medical Office. We see children from newborn thru age 21 years. Well baby visits, physical exams, sick visits, minor procedures including lacerations and some fractures, ADD visits are just a few of the services we offer our patients. We also offer a free Prenatal visit for new moms and dads to meet the physician and see the office. Finding the Best Littleton Pediatric Care The good news is that finding the best Littleton pediatric care is only a few steps away. Because of this simple fact, discovering the best pediatric care for you and yours comes down to finding a pediatrician that you can develop a good rapport and relationship with over time. This solid relationship will help to foster quality medical care and guidance for your child. Pediatricians are expertly trained in detecting symptoms of potential conditions and diseases and are quick to respond to these symptoms. By having an open dialogue and healthy communication with parents a pediatrician can provide better care to children. In many cases parents can provide vital information to a pediatrician that will help the doctor to determine the overall health of a particular child. When parents and a pediatrician work together as a team children are far more likely to receive quality health care. Parents Often Have Questions about Growth Milestones and Normal Development Parents should feel comfortable consulting their ...From:Jody KarraschViews:0 0ratingsTime:00:58More inNews Politics

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Littleton Pediatric Care Residents Rely On | (303) 972-7337 - Video

Home Business Mom – Testimonial – Video


Home Business Mom - Testimonial
CLICK HERE -- http://www.youtube.com Watch this video and follow the steps to get YOUR FREE DVD (video) that can change your financial future. Here is a little story on how I got involved with this mom and the home business she discovered and led me and countless others to succeeding for the first time in an easy and fun home business. My story begins: It started several months ago when I realized I hate working for someone else:) and what I use to do was always try and justify by getting a new job (maybe i will like this one?) in different areas like health care manager, health club manager, business owner of a company with labor involved (hate hard labor) and that drove me crazy, real estate investor, and countless other businesses that made me money but drove me insane by sucking up all my time. But I drew the last straw while sitting at my desk while working at a health club and said "That #39;s it! No More! Not another minute or day will I let pass by without living the way I want to live" so my anger and desperation pushed me to take action and like a crazed maniac on the financial hunt I began researching on google and youtube and went thru countless videos and blogs and by LUCK found a mom who was having success from her home with a simple and low cost home business. Thank god it was low cost because at this time I was at a low point in my financial life and I did not want to spend tons of money on a start-up package and thank god it wasn #39;t MLM were I would habe to spend ...From:Working From Home AmericaViews:25 0ratingsTime:00:47More inHowto Style

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Home Business Mom - Testimonial - Video

Uncle Joe’s House – Video


Uncle Joe #39;s House
In the November 30 episode of "The Lines Between Us," Maryland Morning senior producer Lawrence Lanahan tells the story of "Uncle Joe." Isaac Joseph Bacon is an 88-year-old African-American World War II veteran from West Baltimore with major health care and assisted living needs. The bank is foreclosing on his house. He bought it for $6300 in 1950; the two short sale offers he #39;s gotten were $11000 and $20000. Meantime, his great-niece Dominique Moore and her extended family are scrambling to deal with the foreclosure process, the house, and paying for assisted living for Uncle Joe and his wife Roslyn. In this video, we meet Dominique, take a tour of Uncle Joe #39;s house a few blocks from Druid Hill Park, and get to know the neighborhood.From:TheLinesBetweenUsViews:0 0ratingsTime:05:12More inNonprofits Activism

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Lose Fat In Your Face? Here Are 9 Tips You Can Use – Video


Lose Fat In Your Face? Here Are 9 Tips You Can Use
Link Here rarr; tiny.cc RECOMMENDED =) How can you lose fat in your face? Though it #39;s not possible to target only the face, here are 9 tips I hope that you can use for a fat face appearance. It is obvious that the first part of the body others will notice is the face. The face is also the first part of the body to show a change in weight. Most of the rest of the body is covered, and therefore not so "in your face". Does that mean you are destined to have a fat face forever? Let #39;s talk about it: Here are the 9 Tips for helping you with a "fat face": 1. A fat face is often the result of water retention. A bloated appearance of the face can be relieved to some extent by reducing salt intake. Hide the salt shaker and limit high sodium foods such as canned soups, soy sauce, most restaurant foods, ham, and pre-packaged, ready-to-eat meals. 2. Cut back on alcohol consumption. Drinking too much may be the whole cause of the facial bloating. 3. Reduce your intake of refined sugar (found in beverages sweetened with sugar, candy, pastries, and other foods). Read the label. 4. Check with your health care provider to make sure you don #39;t have underlying kidney, liver, or heart disease. While you #39;re there, ask him or her to take a look at your over-the-counter and prescription drugs to determine whether those with side effects of fluid retention could be exchanged or eliminated. 5. If your face is chubbier than you would like, you might take a look at your genes as well. Do you look just ...From:WeightLossTheMessiahViews:3 0ratingsTime:03:16More inHowto Style

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Lose Fat In Your Face? Here Are 9 Tips You Can Use - Video

Herbs 101-Passion Flower – Video


Herbs 101-Passion Flower
Short video on the herb Passion Flower along with my "Peace" blend loose incense recipe. Hope you like it. More on Passion Flowers here... http://www.youtube.com Disclaimer!! I am not a doctor.... Many botanicals, herbs, resins and spices can have powerful effects on the physical, mental, and spiritual bodies. The herb talked about here is intended for ritual use and is not intended to mitigate or treat any health conditions. I recommend consulting a licensed health care practitioner for health issues and before using any product for these purposes.From:SunshineMorningRaeViews:6 0ratingsTime:07:37More inEducation

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Herbs 101-Passion Flower - Video

Deadly 'Superbugs' Invade US Health Care Facilities

Source: University of Virginia Health System. By Frank Pompa, USA TODAY.

Written By:Peter Eisler,USA Today

Charlottesville, VA -- The doctors tried one antibiotic after another, racing to stop the infection as it tore through the man's body, but nothing worked.

In a matter of days after the middle-aged patient arrived at University of Virginia Medical Center, the stubborn bacteria in his blood had fought off even what doctors consider "drugs of last resort."

"It was very alarming; it was the first time we'd seen that kind of resistance," says Amy Mathers, one of the hospital's infectious-disease specialists. "We didn't know what to offer the patient."

The man died three months later, but the bacteria wasn't done. In the months that followed, it struck again and again in the same hospital, in various forms, as doctors raced to decipher the secret to its spread.

The superbug that hit UVA four years ago -- and remains a threat -- belongs to a once-obscure family of drug-resistant bacteria that has stalked U.S. hospitals and nursing homes for over a decade. Now, it's attacking in hundreds of those institutions, a USA TODAY examination shows, and it's a fight the medical community is not well positioned to win.

The bacteria, known as Carbapenem-Resistant Enterobacteriaceae, or CRE, are named for their ability to fight off carbapenem antibiotics -- the last line of defense in the medical toolbox. And so far, they've emerged almost exclusively in health care facilities, picking off the weakest of patients.

The bacteria made headlines this summer after a CRE strain of Klebsiella pneumoniae battered the National Institutes of Health Clinical Center outside Washington, D.C. Seven died, including a 16-year-old boy. (Hospitals don't reveal victims' names in keeping with medical privacy rules.) But that case was neither the first nor the worst of the CRE attacks.

USA TODAY's research shows there have been thousands of CRE cases throughout the country in recent years -- they show up as everything from pneumonia to intestinal and urinary tract infections. Yet even larger outbreaks like the UVA episode, in which seven patients also died, have received little or no national attention until now.

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Deadly 'Superbugs' Invade US Health Care Facilities

Mo. Gov. Nixon backs expanded Medicaid; GOPs don't

JEFFERSON CITY, Mo. (AP) Breaking months of silence on the subject, Democratic Gov. Jay Nixon on Thursday embraced a broad expansion of Medicaid health care coverage for working adults, but his support was met with immediate criticism by Republican legislative leaders.

Nixon had remained noncommittal during his recent re-election campaign about the multi-billion-dollar Medicaid expansion called for under President Barack Obama's health care law. But Nixon said Thursday that he had analyzed the plan since the Nov. 6 election and concluded that expanding Medicaid to an estimated 300,000 additional people was both "the smart thing" and "the right thing to do."

Top Republicans reacted with resounding disapproval.

House Speaker Tim Jones said Nixon's proposal is probably dead on arrival in his chamber. Sen. Tom Dempsey, who is in line to become Senate president pro tem, said it's "very unlikely" that Republican lawmakers would approve a plan that encourages "an ever-expansive federal government."

Under a Supreme Court ruling earlier this year, each state can decide whether to expand Medicaid to adults earning up to 138 percent of the federal poverty level, as allowed under the federal law. The federal government would pay the full cost starting in 2014, but states would have to begin paying a 5 percent share in 2017 that would gradually increase to 10 percent by 2020.

Nixon vowed to "work tirelessly" to persuade lawmakers that the Medicaid expansion makes sense financially and would improve the health of thousands of their constituents.

"If we take a pass on billions of health care dollars dollars that come out of Missourians' paychecks that money will go to some other state. They'll get the benefit, and we'll get the bill," Nixon said in a conference call with Capitol reporters. "That's not smart, and that's not right."

Cost estimates for the proposed Medicaid expansion have varied greatly.

Nixon's administration said Thursday that it was still working on those numbers. A report released Wednesday by the Missouri Hospital Association and the Missouri Foundation for Health estimates a Missouri Medicaid expansion would cost the federal government $8.2 billion and the state $333 million between 2014 and 2020. A report released earlier this week by the Kaiser Family Foundation and Urban Institute projected the federal government's cost at $17.8 billion and the state's share at $1.6 billion from 2013 to 2022.

Republicans said that's more than either the deficit-plagued federal government or the budget-crunched state government should be spending.

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Mo. Gov. Nixon backs expanded Medicaid; GOPs don't

Changing health care requires asking difficult questions, like: Does Nashua only need one hospital?

NASHUA – Everybody wants to lower the cost of health care, but doing so will require answering a lot of very difficult questions. Like this one: Does Nashua really need two hospitals? “I like to see them figure out how to work together; to look at which has the best resources, which is the best use of each facility,” said Dr. James Weinstein, a spinal surgeon who as head of Dartmouth-Hitchcock ...

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Changing health care requires asking difficult questions, like: Does Nashua only need one hospital?

Deadly 'superbugs' invade health care facilities

CHARLOTTESVILLE, Va. (USA TODAY) -- The doctors tried one antibiotic after another, racing to stop the infection as it tore through the man's body, but nothing worked.

In a matter of days after the middle-aged patient arrived at University of Virginia Medical Center, the stubborn bacteria in his blood had fought off even what doctors consider "drugs of last resort."

"It was very alarming; it was the first time we'd seen that kind of resistance," says Amy Mathers, one of the hospital's infectious-disease specialists. "We didn't know what to offer the patient."

The man died three months later, but the bacteria wasn't done. In the months that followed, it struck again and again in the same hospital, in various forms, as doctors raced to decipher the secret to its spread.

The superbug that hit UVA four years ago -- and remains a threat -- belongs to a once-obscure family of drug-resistant bacteria that has stalked U.S. hospitals and nursing homes for over a decade. Now, it's attacking in hundreds of those institutions, a USA TODAY examination shows, and it's a fight the medical community is not well positioned to win.

The bacteria, known as Carbapenem-Resistant Enterobacteriaceae, or CRE, are named for their ability to fight off carbapenem antibiotics -- the last line of defense in the medical toolbox. And so far, they've emerged almost exclusively in health care facilities, picking off the weakest of patients.

The bacteria made headlines this summer after a CRE strain of Klebsiella pneumoniae battered the National Institutes of Health Clinical Center outside Washington, D.C. Seven died, including a 16-year-old boy. (Hospitals don't reveal victims' names in keeping with medical privacy rules.) But that case was neither the first nor the worst of the CRE attacks.

USA TODAY's research shows there have been thousands of CRE cases throughout the country in recent years -- they show up as everything from pneumonia to intestinal and urinary tract infections. Yet even larger outbreaks like the UVA episode, in which seven patients also died, have received little or no national attention until now.

The bacteria's ability to defeat even the most potent antibiotics has conjured fears of illnesses that can't be stopped. Death rates among patients with CRE infections can be about 40%, far worse than other, better-known health care infections such as MRSA or C-Diff, which have plagued hospitals and nursing homes for decades. And there are growing concerns that CRE could make its way beyond health facilities and into the general community.

"From the perspective of drug-resistant organisms, (CRE) is the most serious threat, the most serious challenge we face to patient safety," says Arjun Srinivasan, associate director for prevention of health care-associated infections at the Centers for Disease Control and Prevention.

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Deadly 'superbugs' invade health care facilities

How to become an interpreter – Video


How to become an interpreter
American Interpreting Tutoring Services offers a program to prepare bilinguals to become certified court interpreters for the state of California. The state of California certification process requires that you pass two exams; a written and an oral before you receive your license. State court certified Interpreters make about $68000.00 per year. According to the US Department of Labor Statistics "Interpreters and translators can expect much faster than average employment growth and employment of interpreters and translators is projected to increase 22 percent over the 2008 -18 decade, which is much faster than the average for all occupations. Job prospects for interpreters and translators vary by specialty and language. For example, interpreters and translators of Spanish should have good job opportunities because of the expected increases in the Hispanic population in the United States. Demand is expected to be strong for interpreters specializing in health care and law".From:InterpretingchannelViews:6 0ratingsTime:01:00More inEducation

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How to become an interpreter - Video

What’s on the oral exam – Video


What #39;s on the oral exam
American Interpreting Tutoring Services offers a program to prepare bilinguals to become certified court interpreters for the state of California. The state of California certification process requires that you pass two exams; a written and an oral before you receive your license. State court certified Interpreters make about $68000.00 per year. According to the US Department of Labor Statistics "Interpreters and translators can expect much faster than average employment growth and employment of interpreters and translators is projected to increase 22 percent over the 2008 -18 decade, which is much faster than the average for all occupations. Job prospects for interpreters and translators vary by specialty and language. For example, interpreters and translators of Spanish should have good job opportunities because of the expected increases in the Hispanic population in the United States. Demand is expected to be strong for interpreters specializing in health care and law".From:InterpretingchannelViews:1 0ratingsTime:01:20More inEducation

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What's on the oral exam - Video