Articles Posted in Health Care Reform

trumphealtheo-300x205President Trump has made good on his promise to try to blow up the Affordable Care Act, aka Obamacare. His latest, twin executive actions seek to gut the national health insurance program that Republicans have reviled but could not unwind with seven years of congressional action.

If the American health care system was rocky before, and if it breaks, Trump and the GOP now own it, analysts insist. That’s because the president, effectively, has officially given the nation Trumpcare, though it, too, has an uncertain path ahead.

Although partisans had vowed that their ACA repeal and replacement would result in better, more affordable, and more accessible health coverage for Americans, Trumpcare goes nowhere close to any of those goals, experts say.

lindsey-300x200
As the 40th President of the United States used to mutter, well, there they go again.

The Republicans in the 115th Congress apparently will make another go at repealing and replacing the Affordable Care Act, what may be their 70-something such try. It may come in the form of legislation advanced by GOP Senators Lindsay Graham of South Carolina, Bill Cassidy of Louisiana, Dean Heller of Nevada, and Ron Johnson of Wisconsin.

The so-called Graham-Cassidy bill, which analysts say would slash tens of millions of Americans from health coverage, cut tens of billions of dollars in federal aid for health care, and convert the ACA into state-controlled block grant funding, must overcome major obstacles to advance.

hookworms-300x201It can be too easy to forget the unfortunate, inequitable legacy of the Old South, especially how racist Dixie created stark racial health disparities. But sometimes a foreigner’s jab in the ribs can remind us how making America great again could mean tending much better to our collective p’s and q’s in public health, especially so poor, rural people of color don’t get tropical parasite infections and they do get reasonable access to critical maternal care.

The Guardian, a British news outlet, has pointed out that new, published research shows a disgusting resurgence in Americans, notably in Alabama, testing positive for hookworms, a debilitating “gastrointestinal parasite that was thought to have been eradicated from the U.S. decades ago.”

As the Guardian reports:

aarpAmerican workers have gotten back a little breathing room from corporations’ intrusive push to try to get them to surrender more of their personal, private health information as part of workplace wellness programs linked to company-provided health insurance plans.

This is due to a federal judge’s rejecting a rule by the federal Equal Employment Opportunity Commission that allows companies to describe the wellness programs as “voluntary,” even though workers may pay thousands of dollars if they decline to participate in them.

Such “coercive” company conduct is discriminatory, runs roughshod over workers’ health privacy rights, and is unfair, the AARP had asserted when it sued the EEOC to overturn its workplace wellness rule.

heart-300x190Hospitals and heart doctors may need to rethink their common test to determine if their patients have suffered a heart attack, and whether a newer alternative open-heart procedure carries with it more risks than benefits.

Health News Review, a health information watchdog site, has raised interesting questions as to why mainstream media outlets haven’t paid much attention to the recommendation by the High Value Practice Academic Alliance (HVPAA), a blue-chip group of medical scientists and institutions (including Johns Hopkins), for the phase out of the creatine kinase-myocardial band. CK-MB is the “go-to blood test doctors used to determine if a patient’s heart muscle had been damaged by a heart attack (or myocardial infarction).”

To the tune of $400 million or so annually, doctors turn to CK-MB tests millions of times each year to distinguish, along with patient symptoms and EKGs, if the person before them has suffered a heart attack, HVPAA members write in the medical journal JAMA Internal Medicine.

kingMembers of Congress and lobbyists are taking public and premature bows for debasing the nation’s democracy and potentially harming Americans’ health and well-being.

The Washington Post has given readers a disturbing glimpse into what’s going on in the halls of the U.S. House these days, detailing how Republican representatives jammed through a bill that would strip Americans of rights in seeking redress when they suffer harms while seeking medical services.

The GOP’s so-called “reforms” of the nation’s medical malpractice laws, which independent and expert analysts have said are unnecessary and won’t produce the magical cost-savings or medical care efficiencies that advocates suggest, were concocted by a coterie of special interests—a handful of doctors and insurance industry lobbyists, the Post reports.

records-300x200Although patients can protect their own health by getting copies of their medical records, few consumers get them, and fewer still take advantage of the federal government’s push to make records easily  available electronically, one of Uncle Sam’s big public protection agencies reports.

The U.S. Government Accountability Office also warns that tumult in the nation’s health care system, notably in Congress’ roller-coaster deliberations to repeal and replace the Affordable Care Act, aka Obamacare, may disrupt patients’ relationships with caregivers. That makes it even more vital for consumers to have their health records.

The Association of Health Care Journalists deserves a tip of the cap for pointing to the GAO blog, where experts note that the ACA had supported a national push to get doctors and hospitals to adopt electronic health records with the aim of providing patients and caregivers more access and transparency about these crucial materials.

obama-240x300As the late, sultry diva Peggy Lee used to croon: Is that all there is?

The Republicans in Washington, after seven years of trying and dozens of faux earlier votes, have failed to repeal and replace the Affordable Care Act. Obamacare, the signature legislation of the previous Democratic administration, persists as the law of the land.

Not hearing champagne corks flying after the end for now of the desperate legislative floundering of Republicans in the House, Senate, and White House?

ExpiredDrug-300x225Americans each year needlessly toss hundreds of millions of dollars in costly, valuable, and still potent drugs, a wasteful practice driven by a “myth,” the mistaken belief in and scrupulous adherence to already debunked product expiration dates.

Drug discards, including of medications that may be in short supply nationwide, occur all along the distribution chain, from corner druggists up to giant health system pharmacies.

The practice flies in the face of known evidence, much of it developed, verified, and shared by the same force that presses for expired meds to get tossed: Uncle Sam.

PE-Color-240x300The Republicans haven’t waved a white flag—yet. They may never formally surrender. But the GOP’s seven-year, take-no-prisoners campaign to repeal and replace the Affordable Care Act, aka Obamacare, has foundered. For good?

Political prediction is a knucklehead’s sport. It’s never safe to predict what’s going to happen, especially when unpredictable tragedies rear up like  Sen. John McCain’s brain cancer diagnosis.

No matter. We now know painful truths about the politicians who have sway over our health care—and will continue to do so in vast ways, Trumpcare or no.

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
Washingtonian Top Lawyer 2011
Avvo Rating 10.0 Superb Top Attorney Best Lawyers Firm
Contact Information