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Transgender people face discrimination in health care

Many transgender men face discrimination in U.S. health care settings, according to a new study.

About 42 percent of female-to-male transgender adults reported verbal harassment, physical assault or denial of equal treatment in a doctor's office or hospital, the researchers report.

"Over a third of participants in the study were blatantly mistreated when they tried to get healthcare," said Deirdre Shires of Wayne State University in Detroit.

She and co-author Kim Jaffee write in the journal Health and Social Work that past research found transgender people often face discrimination or harassment in various areas of life, including health care.

The little research that does exists tends to focus on male-to-female transgender people, they write. For this study, they focused instead on female-to-male people.

Their data came from a 2008-2009 survey of 1,711 female-to-male transgender people from the U.S. and its territories. Most were ages 25 to 44.

Over three quarters lived full-time as their nonbirth gender. A similar proportion reported some type of medical gender transition.

Asked about experiences in doctors' offices or hospitals, 28 percent said they'd been denied equal treatment, about 32 percent reported verbal harassment, and about 1 percent reported physical assaults.

Shires emphasized that it's not clear who discriminated against the participants. Additionally, she said, the results may not apply to the entire transgender community.

One researcher not involved with the study told Reuters Health by email that she wasn't surprised by the findings.

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Transgender people face discrimination in health care

Sierra Leone Health Care Workers Being Tested For Ebola In New Zealand, UK

A health care worker, who had recently returned from Australia's Ebola Treatment Centre inSierra Leone, was put in isolation Saturday in New Zealand's Christchurch Hospital as officials await confirmation on whether she has contracted the disease.

Blood samples have been taken for the diagnostic testing and are being sent to Melbourne today. Test results to rule out Ebola are expected sometime on Sunday,New Zealands Health Minister JonathanColeman said, according tothe Wall Street Journal.

She is, however, considered to be in a stable condition, media reports said, citing officials.

Australian Foreign Minister Julie Bishop reportedly said that the treatment center had "strict infection prevention protocols in place" to prevent the virus from spreading. The center, to which Australia gave $25 million, was opened in mid-December and has since discharged 118 patients, including 36, who have recovered from Ebola.

"Based on the patient's symptoms, the Ebola virus needs to be ruled out," Coleman said,accordingto Stuff.co.nz,adding: "I am advised that it is quite possible they are suffering from gastroenteritis or some other illness such as malaria."

The patient's partner is under self-monitoring while officials have provided assistance to the family, Coleman said.

On Friday, another health care worker was evacuated from Australia's Ebola Treatment Centre after a clinical incidentand was taken to a hospital in the U.K. to complete a 21-day observation period for Ebola. The person has not yet shown any symptoms of the disease,accordingto the Sydney Morning Herald.The health worker was reportedly exposed to the virus through a needle-stick breach of the protective equipment that is worn by staff while treating patients.

Five other health care workers have been brought back to the U.K. in recent days fromSierra Leone, while three of them have been discharged. One female health care worker had tested positive for the disease and is currently being treated in a high-level isolation unit at London's Royal Free hospital, the Guardian reported, adding that another person is still being tested.

The three discharged individuals will reside in appropriate private accommodation and will be monitored for any symptoms for the remainder of their incubation period, in line with standard protocols, Public HealthEngland said,accordingto the Guardian.

Ebola virus has infected at least 24,350 people in Guinea, Sierra Leone and Liberia since itsoutbreakin December 2013. Of those, about 10,000 people have died due to the virus,the Journalreported, citing The World Health Organization.

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Sierra Leone Health Care Workers Being Tested For Ebola In New Zealand, UK

Health care in State to take a smart turn

Health-care services for all at the swipe of a smart health card in enlisted public or private hospitals is what Sampoorna Arogya Keralam, the historic universal health-care scheme proposed by Finance Minister K.M. Mani in the State Budget, promises.

The Minister enhanced the allocation for the health sector marginally from Rs.629.40 crore in 2014-15 to Rs.665.37 crore in the current year

Sampoorna Arogya Keralam, floated as the flagship programme of the health sector, will bring together various schemes offering financial cover for accessing health care under a single umbrella so that the schemes are better coordinated and patients do not have to go knocking at various doors for accessing health cover.

Health card

The smart health card will operate on a state-of-the-art ICT platform.

At present, seven major schemes RSBY-CHIS, CHIS Plus, Arogyakiranam, Thalolam, Cancer Protection Scheme, Chief Ministers Distress Relief Fund, and Karunya Benevolent Fund run by various departments are offering financial assistance to people for accessing medical care.

Mr. Mani seems to have taken on board a recommendation by the State Planning Boards Expert Committee on Health that an integration of these schemes will ensure a continuum of care for patients, without having to incur out-of-pocket expenditure.

The Finance Minister said a Sampoorna Arogya Keralam Trust would be set up under the Chief Minister, with the Ministers concerned as trustees. The estimated funds required for the scheme was Rs.500 crore and the scheme would be funded by channelising resources from various other schemes.

He said the government was quite proud of the investments it had made in the health sector and that by the end of the year, 11 districts would have medical colleges. The proposed Ernakulam Cancer Institute and Research Centre would be built on the annuity mode at an outlay of Rs.450 crore.

A sum of Rs.1 crore had been earmarked for the e-Health scheme being implemented in the State with Central assistance. Emergency medical care facilities would be strengthened, for which Rs.2.5 crore had been set aside.

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Health care in State to take a smart turn

Obama acknowledges weakness in veterans' health care

PHOENIX --

Obama said that while VA Secretary Robert McDonald is "chipping away" at the problem, it was clear there was still more work to do.

"It's important that veterans know that somebody's got their backs, and that if there are problems that we're not being defensive about it, not hiding it," Obama said.

In his first trip to the Phoenix VA hospital whose practices sparked the scandal, Obama announced the creation of an advisory committee to recommend further steps the VA could take to improve veterans' access to health care.

Obama met with veterans, VA employees and elected officials, including Sens. John McCain and Jeff Flake, Arizona's two Republican senators. He said lawmakers specifically raised questions about the slow pace of implementing a new law meant to increase health care choices for veterans. Mental health and suicide prevention are also areas of concern, he said.

"Trust is something you can lose real quick," Obama said, promoting the need to restore trust and confidence in the VA system. But, he added, "Every veteran I talked to today said that the actual care they received once in the system was outstanding."

Obama's visit came amid questions from lawmakers who say veterans are still not benefiting from changes in the law that were meant to improve their access to care. A month ago, Obama drew criticism for traveling to Phoenix without stopping at the VA hospital.

McCain, chairman of the Senate Armed Services Committee, blasted the president's visit as a "photo op." He said the foot-dragging in implementing VA reforms showed that Obama's administration had given up on reform before it even started.

"The American people - and veterans in particular - should be as unimpressed by the president's high-profile but empty gesture today as I am," said McCain, who held a news conference outside the VA to respond on-camera to the president's visit.

As Obama flew to Phoenix, the White House defended the VA's actions to correct problems.

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Obama acknowledges weakness in veterans' health care

In Controversial Health Care Bills, Some Agreement On Transparency

Jean Rexford likes to point out that when she buys a car, she knows the cost, the quality and what to do if something goes wrong.

"There's nothing in health care, where I'm spending a lot more money, that I can do that," said Rexford, executive director of the Connecticut Center for Patient Safety.

In fact, Connecticut earned grades of "F" on two recent national scorecards that ranked states by the availability of information on health care price and quality for consumers.

This year, some top legislators have their sights set on addressing what they see as troubling changes in the state's health care landscape.

Senate President Pro Tem Martin M. Looney and Minority Leader Len Fasano teamed up to develop a series of proposals focused on the growth of large hospital systems, hospitals' acquisitions of physician practices and what the two lawmakers warn are the increased costs that result from both.

The proposals have been criticized by hospital officials and some others in health care, and are likely to undergo changes before a final version emerges.

But there's a less controversial thread in some of their proposals, one that has backing, at least in concept, from health care industry groups that don't always agree: increasing transparency about health care costs.

As Rexford noted, the basic tools most people are used to having when shopping are still largely unavailable or underused in health care. It can be difficult for patients to find out in advance what medical care will cost, or to compare price and quality options when picking a doctor or a facility to have a test done.

And yet, many people have insurance plans that increasingly require them to pay a larger share of their medical expenses.

"We cannot vest consumers with these responsibilities without being fully committed to providing them with all the information they need," the Connecticut Association of Health Plans said in written testimony on the proposals.

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In Controversial Health Care Bills, Some Agreement On Transparency

$9 million boost for Indigenous health care in Mackay

INDIGENOUS health care in Mackay has received a $9 million boost.

The Liberal National Government announced funding into primary and preventable health care as part of its ongoing commitment to closing the gap.

Federal Member for Dawson George Christensen said the Aboriginal and Torres Strait Islander Community Health Service Mackay Ltd (ATSICHS Mackay) would have its funding extended for another three years to ensure it could deliver important health care and treatment in local communities.

"Although there has been improvement, we all know there is much work to be done with indigenous health outcomes," Mr Christensen said.

"This funding reaffirms the Abbott Government's commitment to closing the gap and to meeting the Government's priorities of assisting indigenous Australians in the areas of work, education and health.

"Overall this Government is investing $3.1billion over the next four financial years on indigenous health, an increase of over $500million when compared with the previous four years."

Mr Christensen said ATSI Community Health Service Mackay Ltd was one of 112 Aboriginal Community Controlled Organisations across Australia that would share in $1.4billion.

"The Aboriginal Community Controlled Health Organisations play a vital role in our efforts to close the gap in health outcomes through working with communities to improve access for indigenous families to primary or preventative health care," Mr Christensen said.

The funding will be delivered over three years - from 2015-16 to 2017-18 - to ACCHOs to continue delivering essential primary health care to Indigenous communities.

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$9 million boost for Indigenous health care in Mackay