Author: Crystal Fontaine

As Herbert Hoover once said, “Children are our most valuable natural resource.” We look to oil, trees, land, and so forth as the natural resources that we need to protect in order to survive and thrive. However, in order for future generations to enjoy those lush resources, we must take care of ourselves and our families, especially the wellbeing of our children.

Unfortunately, too many people go without going to see the doctor because they do not have health insurance coverage. According to the Center on Budget and Policy Priorities, 45.7 million Americans or 15 percent of the population, were uninsured for the year of 2007. Although these figures represent an improvement from the previous year, the statistics show a fall since the year 2001, which showed six million fewer people were without health insurance compared to the year 2007. The report continues to state the main reason for the lack of insurance is due to the decline of employer-sponsored health insurance programs over the past several years.

President Obama has emphasized the importance of health care, especially health care coverage for our children. Not even a month into his presidency, President Obama has already signed into law the Children’s Health Insurance Program Reauthorization Act of 2009. The legislation, sponsored by Frank Jr. Pallone, will become effective on April 1 of this year. The bill establishes the Child Enrollment Contingency Fund for payments to a state to abolish its shortfall and instructs the Secretary of Health and Human Services to make performance bonus payments to states to counterbalance additional Medicaid and CHIP child enrollment costs.

Subtitle B of Title 1 of the bill focuses on low income children and pregnant women, giving states an option to cover targeted low-income pregnant women under CHIP through a state plan amendment. It also provides for a phase-out of CHIP coverage for non-pregnant childless adults; however, there will still be an option to apply for a Medicaid waiver in order to continue coverage. Under Title II, the SSA Title XXI is amended so that the Secretary may award grants during the fiscal years 2009-2013 for outreach and enrollment efforts to boost enrollment for eligible children. Subtitle C of Title VI continues this outreach effort by creating a task force to carry out a national campaign of education and outreach for small business concerns concerning the accessibility of coverage for children through Medicaid and CHIP.

In this bill, the Senate acknowledges that there is a necessity to improve the affordability and access to health insurance for all Americans, the value of building upon the existing private health insurance market, and verifies its intent to pass legislation  that expands access to significant and reasonable health insurance coverage for employees of small businesses and individuals. 

Author: Crystal Fontaine

Recently, the United Health Foundation, in conjunction with the American Public Health Association, released a study rating the healthiest and least healthy states in America. The study ranked the fifty U.S states on per capita percentages of obesity, cardiovascular disease, child poverty, smoking, and so forth. Each state was ranked accordingly with the national average. The report focuses on four key areas that include personal behaviors, public and health policy, clinical care, and community and environment.

One must head north, apparently, to find some of the healthiest states in America, including Washington and Massachusetts. Leading the charts of the healthiest state in the nation is Vermont. The state has the fewest children living in poverty as well as growth in the specialty of prenatal care, climbing the rankings from twenty-nine to number two in the nation. Although Vermont’s obesity has doubled since the 1990’s, it still falls below the national average. On the other end of the spectrum, Mississippi is considered the unhealthiest states with the highest rate of children living in poverty with the overall highest levels of obesity, cardiovascular disease, and smoking rates.

Unfortunately for Americans, the United States as whole is failing when it comes to health. Compared to the international community, the United States average life expectancy is sixty-nine years, falling behind twenty-seven other developed nations. Leading at an average life expectancy of seventy-five years, Japan seems to be doing something right in the health department. Key factors contributing to the United States decline in health include the rising of obesity as well as a growing number of people who are uninsured.

Addressing this issue, Obama’s plan calls for an overhaul of the nation’s health care system with high hopes not to repeat the same line of costly mistakes of the Clinton Administration some 15 years ago, leading us into the negative health trends we are facing today. The Early Strategy Plan starts with giving the public a chance in voicing any concerns and experiences, which confronts a major criticism that former President Clinton’s plan had been too enigmatic. Other lessons include the need to move fast and to not let go until the job is done. According to Tom Daschle, Obama’s recently announced Secretary of Health and Human Services, “Details kill…if we get too far into the weeds…we’re going to get hung up on all the details and we’re never going to get to the principles”.

As wonderful as re-configuring the health care system sounds, the immense costs for restructuring the system are daunting. During his campaign, President-elect Obama planned to pay by increasing taxes on the wealthy and requiring larger businesses to either offer health coverage or supply some of their payroll to a new public insurance plan. However, this might prove to be difficult with the current economic situation and the United State’s seemingly insurmountable debt.

Author: Sara Hilbert

After reading through page one of the HeLP America Act, I could not be anything less than an advocate for health care reform.  I have heard the same empty promises for change and reform as you. To be honest, I began the project a little biased, thinking it was going to be another cheap proposal where we still end up short changed. As I read this detailed 173-page proposal I became more and more surprised – it is more than a campaign speech to get votes, it is more than a demonstration chanting about some cause, it is more than a committee to study the problem. Gather round everyone for the long awaited solution.

The Health of the Nation

H.R.2633, the “Healthy Lifestyles and Prevention America Act” seeks to improve the health of Americans and reduce health care costs by reorienting the nation’s health care system toward prevention, wellness, and self-care. It acknowledges the fact that the per capita health spending in the United States is 56 percent higher than the median country that is a member of the Organization for Economic Cooperation. By 2014, America will be spending an estimated cost of $3,600,000,000,000 a year on health care. It is evident these representatives have done their homework. They bring the most recent data and cost compelling facts, explaining that an astonishing 75% of health care costs go directly to chronic diseases like cardio vascular disease, stroke, obesity, cancer, and diabetes. In addition, 65% adults are overweight or obese in America. Everyday there are 4,000 new users of tobacco products, all under the age of 18.  About 25% of adults and 40% college students smoke. For those whom need mental health treatment, only 1 in every 2 people receive it.

As I already said, there is no need to make tee shirts with these facts; the deficient, unsuccessful health care system affects us directly. So where is this new approach to health in America? 

Details of the bill:

Children and schools

This bill begins to tackle childhood problems. First, this bill would generate a task force to decrease childhood obesity with strategy, inter-agency coordination and evaluation. School programs will revise the definition of “food minimal nutritional value” that was set back in 1966 with the Child Nutrition Act. Then enforcing this new definition and a fresh fruits and vegetable program in all school meal programs, any food sold on school campus at anything during the school day, excluding infrequent fundraisers. There will an increase in funds of the Richard B Russell National School Lunch Act and grants for select schools. Initiatives made to push hospitals and programs to be baby friendly and support breastfeeding excellence. By awarding hospitals certified with increased “un-restricted breastfeeding” education with a onetime award of $20,000. This strategy will include a strong partnership with organization or group to focus on families to increase communication, wellness, play, support, and other assistance. Grants issued to support schools that work with families to implement school-wide prevention strategies, based on mental health research, which will support early and intensive interventions. Other grants include promotions of university community partnerships to reduce youth problem behaviors in our communities and early head start programs.

Communities and the workplace

In an attempt to support healthier communities and workplaces this bill will include tax credits to employers with wellness programs, and campaigns to help employees. These wellness programs motivate employers to implement awareness, education, screening, and employee engagement. The whole idea supports prevention and behavioral change assistance for a long list of issues: tobacco use, obesity, stress management, physical fitness, and more. A national worksite health policy, facilitated by the director of the Centers for Disease Control and Prevention, would e created to improve existing employer-based health programs or implement new ones.

Other:

By working through administration, this bill shapes public policy and awareness. It also requires the Secretary to establish a National Advisory Committee on Community Sports Programs for Individuals with Disabilities. Another part provides incentives for states to ensure the safety and convenience of all users of a transportation system, including pedestrians and bicyclists. The most important use of this proposal lies within the details of the research and development to help prepare and improve the future.

Conclusion:

Health is far more important than the absence of disease. When you take this plan and look at ways to prevent and cure diseases, you are creating and maintaining optimal health. Our current system waits for illness, and then spends huge amounts of money to solve the problem, sometimes ignoring the underlying lifestyle related to the problem. This is like waiting for a leaky roof to destroy the infrastructure of the house, then going in to repair the damage without fixing the leak. There will not be a change unless we can convince all involved that this “rescue” medicine is killing us and strive to work from a true picture of the status quo.

This bill takes the initiative to convince doctors and professionals, government, organizations, research and other companies through education and structural reforms for a widespread adoption and smooth transition to a healthier America. Most of all, this new mindset empowers patients to take responsibility for their own health. When you move the power out of hands of those profiting from our illness and rescue medicine society, you are giving America a stronger future and a healthier life. 

AUTHOR: Crystal Fontaine

Eat Healthy. Get up and Exercise. Live Healthy. These are things that we attempt to accomplish and that other’s strive to help us achieve every day. Perhaps we are not always the healthiest person on the bloc; however, we strive to not get sick so we won’t have to go visit that doctor who never seems to diagnose us right. Furthermore, it costs money. Despite all of this, Missouri legislation attempts to create a working health system that at least pleases most of us.

The act SB1283 establishes the Missouri Health Cabinet. The purpose of the Cabinet is to ensure that public policy within the state relating to health is developed so health services are designed, distributed, and administered in a holistic and incorporated manner in order to improve Missourian health. The Cabinet will consist of various state members such as the Governor, the director of the departments of Health and Senior Services, etc. Also, a Health Policy Council will be created to assist the cabinet and will replace the State boards of Health and Senior Services.

The bill also launches the Insure Missouri program, which is to offer health care coverage to low-income working citizens. The maximum participation point depends on funds appropriated and each eligible individual may have an established care account if they can provide payments for their participation. As the saying goes, zilch is free.  Effective as of January 1, 2009, there will be modifications within the eligibility restrictions and quality obligations for the Missouri Health Insurance Pool. Under these modifications, the lifetime benefit cap is increased to $2 million while the Pool must offer one plan that meets the criteria for Medicare and Medicaid for uninsurable persons qualified under the Insure program.

But wait, there’s more! SB1283 requires that hospitals report whenever someone (or more specifically, a physician) makes a big mistake, such as accidentally leaving a scalpel in a patient or death due to medication error. Is that a lawsuit, I smell? These big mistakes are to be reported to the patient safety organization, which will publish an annual report providing details to the public such as the number and rate per patient. For some reason, the thought of a surgeon leaving his scalpel in my body makes me a little queasy. Perhaps hospitals should screen perspective doctors for forgetfulness. In addition, the act creates the Missouri Free Clinics Fund, which is to be used by Missouri Free clinics (we have free clinics?) to enhance infrastructure and strengthen their sustainability so they may assist a larger quantity of people more efficiently.

SB1283 highlights many topics relating to health care. Excluding the issues mentioned above, the bill addresses various other things such as Small Employer Health Insurance Availability Act and Cafeteria Plans. It is necessary to address health care because it is a vastly important topic within Missouri and the nation, especially during a time with the need for change.