Bitter Pill: Why Medical Bills Are Killing Us | TIME.com – 1. Routine Care, Unforgettable Bills
When Sean Recchi, a 42-year-old from Lancaster, Ohio, was told last March that he had non-Hodgkin’s lymphoma, his wife Stephanie knew she had to get him to MD Anderson Cancer Center in Houston. Stephanie’s father had been treated there 10 years earlier, and she and her family credited the doctors and nurses at MD Anderson with extending his life by at least eight years.Because Stephanie and her husband had recently started their own small technology business, they were unable to buy comprehensive health insurance. For $469 a month, or about 20% of their income, they had been able to get only a policy that covered just $2,000 per day of any hospital costs. “We don’t take that kind of discount insurance,” said the woman at MD Anderson when Stephanie called to make an appointment for Sean.
GOP Has Trouble Settling on Candidates Who Can Win – One of the interesting things about recent elections is that Republicans have tended to do better the farther you go down the ballot.They’ve lost the presidency twice in a row, and in four of the last six contests. They’ve failed to win a majority in the U.S. Senate, something they accomplished in five election cycles between 1994 and 2006.But they have won control of the House of Representatives in the last two elections, and in eight of the last 10 cycles.And they’ve been doing better in elections to state legislatures than at any time since the 1920s.
One reason for this is that, as I have written, Democratic voters are clustered in large metropolitan areas, which helps them in the Electoral College but hurts in legislatures with equal-population districts.
But there’s another reason, which has been particularly glaring in races for the U.S. Senate: candidate quality.
The future of free-market healthcare – Over nearly a century, progressives have pressed for a national, single-payer healthcare system. When it comes to health reform, what have conservatives stood for?For far too long, conservatives have failed to coalesce around a long-term vision of what a free-market healthcare system should look like. Republican attention to healthcare, in turn, has only arisen sporadically, in response to Democratic initiatives.Obamacare is the logical byproduct of this conservative policy neglect. President Barack Obama’s re-election was a strategic victory for his signature healthcare law. Once the bulk of the program begins to be implemented in 2014 — especially its trillions of dollars in new health-insurance subsidies — it will become politically impossible to repeal. And as the baby boomers retire and Obamacare is fully operational, government health spending will reach unsustainable levels.The great irony of Obama’s triumph, however, is that it can pave the way for Republicans to adopt a comprehensive, market-oriented healthcare agenda. The market-oriented prescription drug program in Medicare has controlled the growth of government health spending. Similarly, conservatives can use Obamacare’s important concession to the private sector — its establishment of subsidized insurance marketplaces — as a vehicle for broader entitlement reforms.
The Pro-Growth Sequester – The Obama administration is whipping up hysteria over the sequester budget cuts and their impact on the economy, the military, first providers, and so forth and so on. Armageddon. But if you climb into the Congressional Budget Office numbers for 2013, you see a much lighter and easier picture than all the worst-case scenarios being conjured up by the administration.For example, the $85 billion so-called spending cut is actually budget authority, not budget outlays. According to the CBO, budget outlays will come down by $44 billion, or one quarter of 1 percent of gross domestic product (GDP is $15.8 trillion). What’s more, that $44 billion outlay reduction is only 1.25 percent of the $3.6 trillion government budget.
Ted Cruz knocks Obama on immigration – Sen. Ted Cruz (R-Texas) says President Barack Obama wants to “scuttle” immigration reform by injecting a path to citizenship into the debate so Democrats can keep the issue alive for political gain.“The president has been focusing on amnesty — a path to citizenship that skips ahead of the line,” the freshman tea party senator said Wednesday at a speech in Dallas, according to The Dallas Morning News. “That, he knows, is a position not supported by a great many Americans and not a position that will achieve bipartisan cooperation. It’s designed to scuttle the bill.”
Foreign Buyers Hop on Rental Trend – US Masters, a real-estate investment trust that has raised $276 million, primarily from Australian retirees, is one of a handful of foreign firms that are betting on the U.S. housing recovery by buying houses at discount prices.The business of buying-and-renting houses, long dominated by local mom-and-pop investors, has morphed over the past two years into one of the hottest investments on Wall Street. Dozens of pension investors and private-equity firms, such as Blackstone Group LP BX -2.19% and Colony Capital LLC, are clamoring to buy homes in beaten-up markets, sometimes using money from foreign co-investors.
Majority of U.S. citizens say illegal immigrants should be deported – More than half of U.S. citizens believe that most or all of the country’s 11 million illegal immigrants should be deported, according to a Reuters/Ipsos poll released on Wednesday that highlights the difficulties facing lawmakers trying to reform the U.S. immigration system.The online survey shows resistance to easing immigration laws despite the biggest push for reform in Congress since 2007.
Missile Defense Tests Successful, but Future of Program in Doubt – The unanswered question is whether the Missile Defense Agency will be permitted to advance this space-based missile defense capability—whether through the STSS program or the PTSS program—to a deployed constellation at all. There should be little doubt that arms control advocates, both inside the Administration and out, are livid that this test took place at all, let alone that it was successful. This is because a space-based missile defense capability is incompatible with the Administration’s arms control agenda.
Gov. Scott agrees to expand Florida Medicaid program – Gov. Rick Scott announced plans Wednesday to expand Medicaid coverage to roughly 900,000 more people under the federal health overhaul, a surprise decision from the vocal critic of President Barack Obama’s plan.Scott said he will ask the Legislature to expand the program under a bill that would expire in three years, after which it would require renewed legislative support. He’s the seventh Republican governor so far to propose expanding the taxpayer-funded health insurance program.
How former Rep. Jesse Jackson, Jr. Spent His Campaign Funds – Former Rep. Jesse Jackson Jr. (D) pleaded guilty today “to a conspiracy to siphon about $750,000 in federal campaign funds for their personal use,” the Chicago Tribune reports.”About 3,100 personal purchases were made on campaign credit cards, totaling $582,772.58… Prosecutors said $60,000 was spent on restaurants, nightclubs and lounges; $31,700 on personal airfare; $16,000 on sports clubs and lounges; $17,000 on tobacco shops; $5,800 on alcohol; $14,500 on dry cleaning; $8,000 on grocery stores and $6,000 at drug stores.””In one of the more exotic purchases, Jackson used campaign funds in the spring of 2011 to pay a taxidermist in Montana $7,058 for two mounted elk heads to be shipped to his office in Washington. This was the beginning of an FBI sting, according to court documents.”
The sequester blame game – Much depends on the timing of any economic turndown. If it occurs this year, but is followed by improvement in 2014, the political consequences are not likely to be significant. If the economy is in trouble in mid-2014, then all bets are off. For this reason, among others, Republicans should reject out of hand the president’s efforts to postpone the sequester for a year. In any event, the sequester would make the Republicans a full partner with Obama when it comes to the state of the economy.In the end, though, Republicans are committed, as they should be, to cutting government spending. This is never a politically risk-free proposition. But it’s better to get a head start now, when blame might well be shared, than to save all the work for when (if) Republicans gain control of the government and will absorb all of the blame.JOHN adds: My own view is that Republicans should happily take credit for the spending cuts represented by the sequester. They aren’t anywhere near enough, but they are the most substantial spending cuts, I believe, in my lifetime. I think 75% of the population will be pleasantly surprised to learn that Congress is actually capable of cutting spending.
The GOP’s astonishingly bad message on sequester cuts – None of which addresses the Republican problem on the sequester. If the problem is one of substance — that is, if GOP leaders truly believe the cuts threaten national security but are nevertheless supporting them — then Republicans have put themselves into an untenable situation. If, as is more likely, the problem is one of message — that is, if Republicans believe the cuts are not only manageable without threatening national security but are also desirable as a first step toward controlling spending — then the Boehner article is sending all the wrong signals.
The health blogosphere is awash with the new study that says overweight people may indeed live longer.
The counterintuitive findings that people who are overweight live longer, published today in the Journal of the American Medical Association, couldn’t have been more perfectly timed, coming as it has right when people are resolving to be healthier — which involves, for many, losing weight.
But that being overweight is associated with increased lifespan isn’t new. It’s called the “obesity paradox,” and studies documenting it have lead to widespread speculation about the potential “protective benefits” of excess body fat.
For some health advocates, the implication is downright offensive. Walter Willett of the Harvard School of Public Health, for example, lost his cool this morning on NPR, declaring, “This study is really a pile of rubbish and no one should waste their time reading it.”
But the study’s author, Katherine Flegal of the Centers for Disease Control and Prevention, mounted a solid defense: “It’s statistically significant.” Those three words carry weight — if an association has been found to be significant, it tells us that if nothing else, we need to acknowledge that the results are in some way legitimate and warrant our attention.
The findings are without doubt interesting, which on its own makes the study worth reading. The problem is that despite the grandness of the meta-analysis — it takes into account over 3 million people! — it still has an extremely limited scope. It looks at BMI, and only BMI, in relation to death, regardless of cause. It’s impossible to report on its baseline conclusion without taking into account substantial caveats.
Just remember your weight is only one metric to your overall health.
It is very important, and do not think you can slack because of this study. But, do keep the context in mind.
Comments Off on The Obesity Paradox: Weigh More and Live Longer
The prevalence of smoking in the U.S. is currently tied for the all-time low in Gallup trends dating from 1944, after a long, slow decline in smoking rates since the 1970s. Currently, 20% of adults say they smoked a cigarette “in the past week,” down from 22% last year but matching the 2009 level.
Gallup recorded the sharpest decline in smoking between the early 1970s and late 1980s, with the rate dropping roughly 15 percentage points during this period. Smoking leveled off at about 25% for much of the 1990s, but has since descended slowly, if unevenly, to 20%. The latest results are from Gallup’s annual Consumption Habits poll, conducted July 9-12, and are in line with the smoking rate the Gallup-Healthways Well-Being Index finds in daily surveys of Americans.
According to an analysis of Gallup trends since 2001 — combining data from Gallup’s Consumption Habits polls into three periods, 2001-2005, 2006-2010, and 2011-2012 — the most recent decline in smoking has not occurred across the board, but is seen mainly among certain groups. Smoking rates have fallen particularly sharply among young adults — those 18 to 29 — as well as among college non-graduates and those living in the East and West.
Great news as I am reminded what my parents told me over fifty years ago.
Smoking is a dirty, nasty habit – don’t ever start because it will be hard to quit.
Face it smoking is “unhealthy” and “addictive” behavior.
In the next decades, let’s hope the numbers of Americans who smoke drop even further.
These are my links for April 25th through April 26th:
Biden: ‘The president has a big stick’ – Referring to President Roosevelt’s foreign policy quote about “speaking softly and carrying a big stick,” Biden told the crowd that Obama followed a similar path while negotiating with Iran.
“I promise you, the president has a big stick. I promise you,” Biden said as the crowd laughed.
Dick Lugar trails by 5, poll says – Indiana Sen. Dick Lugar has fallen behind state Treasurer Richard Mourdock by five points, according to a new poll released Thursday.
The survey, taken Tuesday and Wednesday by Wenzel Strategies on behalf of Citizens United, places Mourdock at 44 percent and Lugar at 39 percent. Nearly 17 percent remain undecided with just 12 days to go until the Indiana Senate primary.
Old Troubles Dog GSA Official Jeff Neely – Jeff Neely, the embattled General Services Administration official at the center of a scandal over a lavish Las Vegas conference, was reprimanded in 2011 for appearing in a campaign ad for Sen. Daniel Inouye (D-Hawaii), documents obtained by Roll Call show.
The U.S. Office of Special Counsel said Neely’s participation in the ad for Inouye’s 2010 re-election campaign violated the Hatch Act, but it did not discipline him beyond a warning.
The footage of Neely used in the ad was from a June 2010 groundbreaking ceremony heralding the $212 million renovation of the Prince Jonah Kuhio Kalanianaole Federal Building and Courthouse in Honolulu.
The lawsuit was filed Wednesday in U.S. District Court for the Eastern District of Michigan by Aaron Scheidies, a 30-year-old athlete. Scheidies says the rule violates the Americans with Disabilities Act of 1990.
Having a legally blind person compete in the running portion of a triathlon with blackout glasses “poses substantial danger to not only the competitor but those around them,” the complaint says.
Surveying the crowd, the globe-trotting secretary of state added: “I was delighted to see our wonderful governor Andrew Cuomo is on the Time 100 list, along with others, like Marco Rubio, and … the two of them and I have ended up on some other lists this past couple of months.”
Clinton had barely finished the sentence before the crowd laughed knowingly. Yet with that coy nod to two other people who are frequently mentioned as 2016 presidential contenders, Clinton fanned the speculation about whether she’s planning to make a second-act presidential run in four years.
Gingrich to end White House bid – Newt Gingrich will officially end his bid for the Republican presidential nomination and formally express his support for Mitt Romney next week, two sources close to Gingrich tell CNN.
While details are still being worked out, Gingrich is likely to hold his final campaign event Tuesday in Washington, DC where he will make the announcement surrounded by his family and supporters.
It is not surprising that Gingrich is suspending his campaign for the White House as he has all but acknowledged it is winding down and Romney is the presumptive GOP nominee.
“When he says he is transitioning, what he means is that he is trying to determine as a citizen how he will pro-actively help Mitt Romney become president and the Republican Party win back the Senate and help (House Speaker) John Boehner keep his majority in the House,” said one of the sources, who spoke on the condition of anonymity.
It appears that Gingrich’s focus will be much broader than the presidential campaign, as the former speaker, who made his name and career in the House, plans to be actively involved in helping the GOP take back control of both sides of Capitol Hill.
My column this week is a follow-up to last week’s piece on ALEC vs. the progressive mob/corporate appeasers. Be sure to read the entire column (plus my e-mail exchanges with several cowardly businesses that caved to the Van Jones crowd), click on all the links, get educated, educate others, and use this information to help fight back. The conservative movement needs all hands on deck.
Related: ALEC now faces a frivolous IRS complaint from longtime nemesis and anti-ALEC mob partner Common Cause.