FREE STATE PROJECT: Libertarian Movement Gaining Steam in NH

FILE: January 10, 2012. A young supporter of Republican presidential candidate and Libertarian Texas Rep. Ron Paul at a rally in Manchester, New Hampshire.Reuters

Libertarians eager to move beyond mere ideological victories are making progress in a long-term effort to migrate to one state to concentrate efforts and reshape communities based on their ideals of less government and individualism.

The grand social experiment can be traced to a 2001 essay by a Yale doctoral student who lamented about Libertarians failure to get candidates elected and argued the best way to make a real impact is for 20,000 activists to move to a relatively small state with low taxes and job opportunities, then making inroads in government, communities and courts.

New Hampshire won in a 2003 online vote. And 10 years later, more than 1,200 activists have already moved there, with roughly 13,000 others pledging to follow after the 20,000 sign up for the so-called Free State Project.

Though their numbers remain relatively small, and achieving full strength appears at least several years away, Libertarians now living in New Hampshire say they have already had several successes, including at least a dozen members winning seats in the 424-member state legislature.

"The first biggest success is were still around," Carla Gericke, the projects president, told FoxNews.com on Friday. People are going forward, and were past the experiment stage. Were now in the getting it done stage.

Members point to their support of a 2002 law that gives jurors the right to challenge the applicability of laws when deciding cases and a 2007 effort to keep New Hampshire from participating in the national identification card program known as REAL ID -- as they continue to push for gun rights, home schooling and medical marijuana.

Among the project members who opposed REAL ID was state Rep. Joel Winters, a Democrat who said he had a growing concern about the Bush administration intruding on the lives of Americans and that the early victory set the stage for future successes.

It really helped persuade New Hampshire to shift the conversation, he told Fox.

The movement got a boost from the 2008 and 2012 presidential campaigns of Libertarian and then-Texas Republican Rep. Ron Paul. Paul praised the project when campaigning in New Hampshire, the first primary state, and helped inspire legions of young Americans excited about a future with less government intrusion.

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FREE STATE PROJECT: Libertarian Movement Gaining Steam in NH

Thousand Islands National Park – A dynamic new name and exciting new possibilities

MALLORYTOWN,ON, May 25, 2013 /CNW/ - Today, on behalf of the Honourable Peter Kent, Canada's Environment Minister and Minister responsible for Parks Canada, Mr. Gord Brown, Member of Parliament for Leeds-Grenville, publicly celebrated the re-naming of St. Lawrence Islands National Park to Thousand Islands National Park, and introduced the park's new visitor accommodation offer.

"The name Thousand Islands National Park resonates in our community and is more closely linked to the park's majestic setting," said Member of Parliament Brown. "Furthermore it will help support and promote the dynamic natural and cultural tourism industry of our world-renowned region. This year's addition of Parks Canada oTENTik tents on site will also promote a relaxing way to experience camping, making it easier for visitors to discover, form connections, and live a Thousand Islands experience."

Thousand Islands National Park is making it easier for visitors to enjoy a Thousand Islands experience by offering oTENTik accommodations at multiple locations within the park. A hybrid between a tent and a rustic cabin, Parks Canada oTENTiks are a unique way to experience camping. Each Parks Canada oTENTik tent is designed and made in Canada and provides a great way to introduce camping to families, as well as to help those who remember the camping experiences of their youth, but no longer own the equipment.

"The recently released Federal Tourism Strategy notes that Canada needs to continue to increase awareness of Canada as a premier tourism destination with natural and historic places to discover," said Minister Kent. "This is the first year that Parks Canada is able to take advantage of an internationally recognized brand to give Thousand Islands National Park a sense of place that speaks to a specific region of Canada."

Parks Canada works to ensure Canada's historic and natural heritage is protected and, through a network of 44 national parks, 167 national historic sites, and four national marine conservation areas, invites Canadians and people from around the world to engage in personal moments of inspiring discovery at our country's treasured natural and historic places.

For additional information, please see the accompanying backgrounder at http://www.parkscanada.gc.ca under Media Room.

BACKGROUNDER

Thousand Islands National Park

Established in 1904, Thousand Islands National Park was Canada's first national park east of the Rockies. The park began with a small piece of waterfront property, and over the years, the park has grown to include over 20 island properties spread out in the St. Lawrence River between Kingston and Brockville, as well as several mainland lots.

The Thousand Islands are considered "stepping stones" along a migration corridor linking Algonquin Provincial Park in Ontario and Adirondack State Park in New York State. As a result, the park resides in a transition zone between boreal and deciduous forests that create a series of microhabitats which help to support one of the highest biodiversities in Canada including a high number of species at risk. The Thousand Islands also present a rich cultural landscape of human activity encompassing many generations of connection to this place, including prehistoric and contemporary Aboriginal use, military and trade routes, early island settlement and farming, and more recently, recreational development.

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Thousand Islands National Park - A dynamic new name and exciting new possibilities

Diving Into Health Care Is Dangerous to My Health

If you are anything like me, you have spent the last 10 days listening to President Barack Obama and his Republican challengers accuse each other of being the meanest miser when it comes to denying health care to seniors. Unless you are an actuary or have a fondness for, and facility with, budget math, you were probably left wondering what and whom to believe.

Thats the good news. The bad news is, nothing that has been enacted (the Patient Protection and Affordable Care Act of 2010) or proposed (Republican Representative Paul Ryans Path to Prosperity) addresses the fundamental problem plaguing the U.S. health-care system: It is designed to manage disease rather than promote wellness.

Where do Middle East potentates go when they get sick? The U.S., of course. This country has the highest success rates when it comes to treating disease.

Americas life-expectancy rates, on the other hand, pale in comparison with other developed and developing nations, even though the U.S. outspends them by a huge margin (see below). Imagine what the U.S. could do if it harnessed its resources and talent and focused on disease prevention.

Some communities have already taken the initiative, creating accountable care organizations (ACOs) that use an integrated model for patient care. Cheshire Medical Center/Dartmouth-Hitchcock Keene, for example, introduced Vision 2020 in 2006 with the goal of making Cheshire County, New Hampshire, the U.S.s healthiest community. Cheshire is one of 32 pioneer ACOs selected to test new models of health-care delivery and payment -- paying for results, not volume -- as provided in the Affordable Care Act. Medicare will eventually pay ACOs a lump sum per patient, allowing providers to share in any cost savings compared with traditional fee-for-service plans.

The challenge of saving Medicare from insolvency in 2024 would be easier if seniors had lived healthier lives. It would be a lot easier if the system corrected the perverse economic incentives that reward doctors for unnecessary procedures.

Nothing changes until the people giving the care change the care, says Don Berwick, administrator of the Centers for Medicare and Medicaid Services from 2010 to 2011. That requires redesigning the way care is given into an integrated system, with primary care as the base.

That point is hammered home in an independent film, Escape Fire: The Fight to Rescue American Healthcare, directed by Matthew Heineman and Susan Froemke, an official selection at the 2012 Sundance Film Festival. The documentary combines facts and figures with personal stories from doctors and patients, and innovative ideas from leaders trying to transform the industry.

The film title is a story in itself. It comes from a 1999 speech that Berwick gave at the Institute for Healthcare Improvement, a nonprofit organization in Cambridge, Massachusetts, where he was president. In it, he compares saving the U.S. health-care system to what has become standard practice for fighting forest fires: intentionally setting fire to an area to divert an oncoming blaze. This is known as an escape fire.

The analogy to health care? An out-of-control menace for which there are simple, not easy, solutions.

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Diving Into Health Care Is Dangerous to My Health

Health care consolidation

Nurse practitioner Julie Dance closed her midwife practice and joined Women's Health Specialists in April. With the move, Dance will continue to offer midwifery care as well as obstetrics and gynecology.

After owning and operating his own practice since March 2010, Dr. Robert Barnett is also joining Women's Health Specialists, located at 2911 S. 8th Ave., in June. He, too, is returning to full scope obstetrical and gynecological care.

Dance and Barnett are part of a trend that has doctors closing their small, independent practices and consolidating offices with other health-care practitioners.

They aren't alone. In 2000, 57 percent of America's physicians were independent. By 2013, just 33 percent are, according to the American Enterprise Institute.

In addition, the number of independent physicians will decline by 5 percent a year starting in 2013, reports Accenture Health, a consulting firm.

Why is this happening?

Many say the Patient Protection and Affordable Care Act (PPACA), commonly called Obamacare, is driving the trend.

It's all about the PPACA, or Obamacare. It has so many complexities, said Wendy Steward, Women's Health Specialists administrator.

The law includes changes in privacy, coding and billing requirements. New regulations even require new terminology.

It's one of the most complex things I've ever heard of. It's changing the payment mechanism, it's changing everything we know about health care, Stewart explained.

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Health care consolidation

Manatee indigent health care trust fund: wisely spent or squandered?

Ed note: First in an occasional series of reports leading up to the special election June 18.

By SARA KENNEDY

skennedy@bradenton.com

MANATEE -- The year was 1983 and the chief of the medical staff at Manatee Memorial Hospital was applying for staff privileges at a competing hospital.

His doctors were fleeing Manatee Memorial, which was running low on patients. They preferred what is now called Blake Medical Center, a newer hospital.

Bradenton's publicly owned hospital needed renovation, and the county didn't have the money, so officials began looking for a buyer.

They found a suitor in nonprofit Baptist Hospitals and Health Systems, of Phoenix, which in 1984 paid $44,264,075 for the venerable hospital located at U.S. Highway 301 and Manatee Avenue.

The money from the sale went into a health care trust fund.

Up to 75 percent of the interest earned on proceeds from the sale, or $3,576,789 in the first year, went toward health care for indigent patients.

The remaining interest was to be put back into the fund used for other health-related programs. By 2002, the fund balance had risen to a high of $61 million, according to a county spreadsheet charting the health care trust fund's entire 29-year history.

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Manatee indigent health care trust fund: wisely spent or squandered?

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