Category Archives: Health Care

NYS Gov Cuomo Devises Healthcare Model to Counter TrumpCare (Hint: Pre-Existing Conditions, Contraception, Abortion Would be Covered)

Governor Andrew Cuomo has come up with a list of items that any health insurance company that wants to sell in New York State would have to include. Among them: rehabilitative and habilitative services and devices, such as durable medical equipment, medical supplies, prosthetic devices, hearing aids, chiropractic care, physical therapy, occupational therapy, speech therapy, and home health care © Karen Rubin/news-photos-features.com

 

By Karen Rubin, News & Photo Features

As the fate of Americans’ health care falls in the hands of 13 Republican Senators conferring in secret without input from Democrats let alone health care experts or patients, deciding how much of the “harsh” House plan they incorporate into their own bill, it may well fall to states to take matters into their own hands. Indeed, New York State may provide the model for health care, just as California has dictated pollution standards to the auto manufacturing industry, exceeding federal standards.

New York State Governor Andrew M. Cuomo has directed the New York State Department of Financial Services to promulgate new emergency regulations mandating health insurance providers do not discriminate against New Yorkers with preexisting conditions or based on age or gender, in addition to safeguarding the 10 categories of protections guaranteed by the Affordable Care Act. The new first-in-the-nation measures will ensure that essential health services are protected and covered for all New Yorkers regardless of efforts at the federal level to strip millions of Americans of their healthcare.

At the Governor’s direction, the Department of Health will ban all insurers who withdraw from offering Qualified Health Plans on the State Health Marketplace from future participation in any program that interacts with the marketplace, including Medicaid, Child Health Plus, and the Essential Plan. New York is home to one of the most robust health marketplaces in the country, and insurers who do not comply will lose access to such profitable programs. The Governor will also direct state agencies and authorities to ban insurers who withdraw from the State Health Marketplace from contracting with the state and to consider all available actions to protect New Yorker’s access to quality healthcare.

Furthermore, the administration finalized regulations that will ensure that contraceptive drugs and devices are covered by commercial health insurance policies without co-pays, coinsurance, or deductibles no matter federal action. The regulations also ensure all medically necessary abortion services are covered by commercial health insurance policies without co-pays, coinsurance, or deductibles.

“We will not stand idly by as ultra-conservatives in Washington try to roll back the progress we have made to expand access quality, affordable health care, putting our most vulnerable New Yorkers at risk,” Governor Cuomo said. “As long as I am Governor, New Yorkers will not be subject to price discrimination based on age, gender, or pre-existing conditions, and essential health benefits will continue to be the rule, not the exception. These aggressive actions will make certain that no matter what happens in Congress, the people of New York will not have to worry about losing access to the quality medical care they need and deserve.”

Under the new regulations, DFS will require that individual and small group accident and health insurance policies, which provide hospital, surgical, or medical expense coverage, as well as student accident and health insurance policies cover the same categories of essential health benefits and be subject to the same benchmark plan rules that currently apply through the Affordable Care Act. Insurers must comply with the new regulations as a requirement of their license in New York.

  1. Ambulatory patient services, such as office visits, ambulatory surgical services, dialysis, radiology services, chemotherapy, infertility treatment, abortion services, hospice care, and diabetic equipment, supplies and self-management education;
  2. Emergency services, such as emergency room, urgent care services, and ambulance services;
  3. Hospitalization, such as preadmission testing, inpatient physician and surgical services, hospital care, skilled nursing facility care, and hospice care;
  4. Maternity and newborn care, such as delivery, prenatal and postnatal care, and breastfeeding education and equipment;
  5. Mental health and substance use disorder services, including behavioral health treatment, such as inpatient and outpatient services for the diagnosis and treatment of mental, nervous and emotional disorders, screening, diagnosis and treatment for autism spectrum disorder, and inpatient and outpatient services for the diagnosis and treatment of substance use disorder;
  6. Prescription drugs, such as coverage for generic, brand name and specialty drugs, enteral formulas, contraceptive drugs and devices, abortifacient drugs, and orally administered anti-cancer medication;
  7. Rehabilitative and habilitative services and devices, such as durable medical equipment, medical supplies, prosthetic devices, hearing aids, chiropractic care, physical therapy, occupational therapy, speech therapy, and home health care;
  8. Laboratory services, such as diagnostic testing;
  9. Preventive and wellness services and chronic disease management, such as well child visits, immunizations, mammography, gynecological exams including cervical cytology screening, bone density measurements or testing, and prostate cancer screening; and
  10. Pediatric services, including oral and vision care, such as preventive and routine vision and dental care, and prescription lenses and frames.

The Superintendent of the Department of Financial Services may issue model contract language identifying the coverage requirements for all individual and small group accident and health insurance policies that provide hospital, surgical, or medical expense coverage and all student accident and health insurance policies delivered or issued for delivery in New York State.

DFS will also mandate under existing New York law that health insurers:

  • Provide coverage for all contraceptive drugs and devices and cover at least one form of contraception in each of the FDA-approved contraceptive delivery methods without co-pays, coinsurance, or deductibles, regardless of the future of the Affordable Care Act.
  • Provide coverage for the dispensing of an initial three-month supply of a contraceptive to an insured person. For subsequent dispensing of the same contraceptive covered under the same policy or renewal, an insurer must allow coverage for the dispensing of the entire prescribed contraceptive supply, up to 12 months, at the same time.
  • Provide coverage for abortion services that are medically necessary without co-pays, coinsurance, or deductibles (unless the plan is a high deductible plan).
  • Provide full and accurate information about coverage, enforced in a letter available here.

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© 2017 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go to www.news-photos-features.com, email editor@news-photos-features.com. Blogging atwww.dailykos.com/blogs/NewsPhotosFeatures.  ‘Like’ us on facebook.com/NewsPhotoFeatures, Tweet @KarenBRubin

Cuomo: TrumpCare Will Result in 2.7 Million New Yorkers Losing Coverage; Cost State Budget $6.9 Billion

Under TrumpCare, being a woman would be a “preexisting condition,” prenatal and maternity would be expensive add-ons to bare-bones policies and heaven forbid a baby is born with a medical condition that would quickly hit a lifetime cap. And the Republican “health care plan” punishes New York for its support for women’s reproductive rights by threatening to take away citizens’ access to tax credits that are intended to make health insurance more affordable © 2017 Karen Rubin/news-photos-features.com

By Karen Rubin, News & Photo Features

Under the Republican American Health Care Act, 2.7 million New Yorkers would lose coverage and the state’s budget would take a $6.9 billion hit, including $2.3 billion as a direct result of an amendment that targets New York State specifically. It would be devastating to New Yorkers, and the Congressional Budget Office’s report confirms that. Just how bad? New York State Governor Andrew M. Cuomo issued this statement:

“The Congressional Budget Office’s report confirms what we already knew to be true—ultra-conservatives in Washington have declared war on New York’s health care system. What’s worse is that Republican members of our own Congressional delegation have aided and abetted in Washington’s war against New York, cutting taxes for millionaires while jeopardizing care for seniors, women, the middle class and the disabled.
“The radical Republican health plan will devastate New York’s health care system, strip 2.7 million New Yorkers of their health care coverage, and roll back the progress we have made to protect vulnerable Americans. This bill will cost New York State a total of $6.9 billion, including $2.3 billion as a direct result of the disastrous amendment introduced by Congressmen Faso and Collins.

“As radical ideologues race to impose their extremist agenda on Americans, New Yorkers say no. In New York, we will stand up for our progressive principles and protect the right to affordable and quality health care for all. I will continue to work with our Congressional delegation and New York’s health care leaders to defeat this reckless legislation.”

The American Health Care Act will leave 23 million more Americans uninsured and be disastrous for New York:

  • The plan will leave 2.7 million New Yorkers without health care coverage.
  • It will cost New York a total of $6.9 billion.
  • It will put at risk a total of 7 million people who rely on Medicaid services and other programs created under the Affordable Care Act.
  • And it threatens the entire New York State health care system, which serves 19.5 million New Yorkers.

The Collins/Faso amendment, which targets only New York, stops counties from paying a share of Medicaid. It would have a devastating effect on New Yorkers:

  • It will cut $2.3 billion in Medicaid funding to the State.
  • Steep cuts would force New York State to increase taxes, slash coverage to millions of New Yorkers, or devastate health care providers. As a result of the AHCA bill:
    • Hospital payments would be cut by $944 million in total
    • Nursing Home payments would be cut by $819 million in total
    • Home care payments would be cut by $734 million in total

The bill punishes New York for its support for women’s reproductive rights by threatening to take away citizens’ access to tax credits that are intended to make health insurance more affordable:

  • New York requires that all commercial insurance policies cover abortion services. In January, Governor Cuomo took new action to ensure that contraceptive drugs and devices are covered by commercial health insurance policies without co-pays, coinsurance, or deductibles.
  • The Republican health care bill would prohibit the use of tax credits to support the purchase of insurance plans that cover abortion services.
  • As a result, the bill would effectively defund the Essential Plan, forcing 685,000 low-income people, half of whom are women, to lose their insurance and denying them $1.5 billion in tax credits.
  • In addition, roughly 143,000 lower-income New Yorkers whose income is just above the threshold for the Essential Plan, half of whom are women, would be denied $400 million more in tax credits that help them afford insurance.

This bill also includes an amendment that will enable insurers to charge more for people with preexisting conditions in some states, rolling back a key achievement of the Affordable Care Act:

  • In New York, 8.4 million people under the age of 65 have preexisting conditions.
  • The MacArthur amendment would allow states to opt out of provisions that restrict providers from raising prices on people with preexisting conditions.
  • Removing protections for people with pre-existing conditions will result in the sick paying high premiums and would force those who cannot afford it to lose coverage.
  • The health plan would also permit states to charge older people more, which would also force people who cannot afford it to lose coverage.

But here’s the thing: even though the Senate Republicans have said they are drafting its own health care law, they are still not bothering to confer with health care providers, health care insurers, patients or state and local officials. It is likely that even if the impacts are softened, any proposal which is designed to cater to healthy, young Americans (by allowing them to not buy insurance), and empower insurance companies to charge whatever they like to cover separate items like maternity, mental illness, addiction, pre-existing conditions (life is a pre-existing condition), to charge penalties for lapses in coverage and to charge older Americans up to five times what younger people pay, and no longer pay for wellness or preventive services, will result in tens of millions of Americans being unable to afford health insurance, being underinsured (making the policies useless), will bankrupt families of their ability to save for college or retirement or home ownership. Americans will find themselves trapped in horrible jobs or abusive marriages because they can’t afford to lose health insurance. It isn’t just the 20% of Americans who must purchase on the individual market: lifting the mandates will mean that employers will be free to stop offering health benefits altogether, or will require hefty pay-ins, or will offer bare-bones policies that leave people without protection and care. Children who are born with health issues will be faced with lifetime caps. A family will again face the insecurity of being just one medical emergency away from bankruptcy. Hospitals, especially in rural communities, will shut down.  Tens of thousands of people a year will die prematurely and needlessly for lack of access to health care, and tens of thousands more will suffer for lack of care. Society will suffer lost productivity while paying more money to cover those who are forced to use emergency rooms for medical care, leaving the rest of us to pick up the tab.

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© 2017 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go to www.news-photos-features.com, email editor@news-photos-features.com. Blogging atwww.dailykos.com/blogs/NewsPhotosFeatures.  ‘Like’ us onfacebook.com/NewsPhotoFeatures, Tweet @KarenBRubin

Trump Declaring Women’s Health Week States ‘Ensuring Affordable, Accessible, Quality Healthcare is Critical to Improving Women’s Health’

Mother’s Day apparently begins Women’s Health Week, Donald Trump has proclaimed. But the Republican healthcare plan, TrumpCare, would make being a woman a pre-existing condition, make pre-natal and maternity costly add-ons, take Medicaid away from millions of women and children, and shut down access to Planned Parenthood clinics © Karen Rubin/news-photos-features.com

Who knew that Mother’s Day kicks off Women’s Health Week? In honor of the occasion, Donald Trump issued a statement that, like so many in TrumpWorld – like Orwell’s 1984 – bears little connection to reality:

Statement from President Donald J. Trump on Women’s Health Week

As we celebrate Women’s Health Week, beginning with Mother’s Day, we recognize the importance of providing women access to the best, evidence-based health information and care, and growing our medical knowledge through basic and applied research support.

Today, women are living longer, healthier lives than their mothers.  The number of women dying from heart disease and cancer – the top two killers of women in America – has been decreasing for decades.  Thanks to new breast cancer treatments, our health care professionals have saved lives and improved the quality of life for millions of women.  We must continue to foster an environment that rewards these needed advances in research.

Ensuring affordable, accessible, and quality healthcare is critical to improving women’s health and ensuring that it fits their priorities at any stage of life.  In particular, women should have access to quality prenatal, maternal, and newborn care.  Under the current healthcare system, however, the lack of choice in health insurance and in healthcare providers, along with skyrocketing premium and out-of-pocket costs, are failing our citizens, our families, and, in particular, our women.  Studies show that women are often the primary healthcare decision-maker for their family and they deserve better options.

I am committed to working with Congress to help mothers—and fathers—have paid family leave so that childcare is accessible and affordable, and to invest in the comprehensive care that women receive at community health centers.  Through these reforms, and my 2018 Presidential Budget, we will enable access to the critical healthcare services women need.

 

Cuomo: Here’s How GOP Health Care Act Would Harm New Yorkers

Republicans in Congress are trying to push through – force feed – the American Health Care Act without concern for how many millions of Americans would lose access to health care, the impact on premiums or deductibles, or Medicaid. The “fix” that pre-existing conditions would be “covered” is a fraud since there is not sufficient funding for high-risk pools, nor a clear mechanism for how users would access. Instead of less “government” in health care, this would increase government © 2017 Karen Rubin/news-photos-features.com

The Republican contrived American Health Care Act would repeal the Affordable Care Act (Obamacare) which made great strides in making access to health insurance more affordable for millions of Americans and slowing the annual increases in premiums which had been rising at rates 3 to 5 times faster than inflation. Obamacare was designed to work within the for-profit health insurance industry, rather than do what every other industrialized nation does and offer universal health care. Some continued to complain that premiums and deductibles were too high, but rather than solve that problem, Republicans have sought to repeal Obamacare 60 times, going so far as to shut down the government in 2013 rather than accept a budget that provided for the subsidies that make health insurance affordable for tens of millions of Americans.

Trump has made it a defining issue to get repeal, no matter the damage or loss of health insurance which is quite literally a life-and-death issue. But the AHCA is more than just a matter of Trump’s ego, it is also about reducing taxes for the wealthiest – who are assessed a small surcharge to fund ACA – and crucial to Trump’s other massive giveaway to the wealthiest and corporations, his tax “plan.”

It’s remarkable that this act, which would completely rework health care, representing one-sixth of the US economy and impacting every single person, is being pushed through without any hearings, input from medical professionals or even health insurance companies, without scoring from the Congressional Budget Office as to its true cost or how many people would find health insurance unaffordable or inaccessible.

But Governor Andrew Cuomo spells out how AHCA would affect millions of New Yorkers, and specifically attacks an amendment foisted by two New York Republican Congressmen that exclusively targets New York:

“The Republican health care bill is an assault on women and an assault on New York. It would allow insurance companies to discriminate against Americans based on pre-existing conditions, force millions of New Yorkers to lose coverage, and slash Medicaid by hundreds of billions of dollars.

“As a direct result of the amendment introduced by Congressmen Faso and Collins, this provision alone would cut Medicaid funding for New York by $2.3 billion and cripple hospitals, nursing homes, and assisted living facilities across the state.

“Most disturbingly, this bill penalizes New Yorkers because we believe in reproductive rights and ensure by law that medically necessary abortions are covered by insurance carriers. I’m calling on all of New York’s Congressional delegation—Republican and Democrat alike—to stand up for New York values and vote against this terrible bill.”

The American Health Care Act will be disastrous for New York:

  • The plan will leave 2.7 million New Yorkers without health care coverage
  • It will cut $4.7 billion from the state’s Medicaid budget.
  • It will put at risk 7 million people who rely on Medicaid services and other programs created under the Affordable Care Act
  • And it threatens the entire New York State health care system, which serves 19.5 million New Yorkers.

The Collins/Faso amendment, which targets only New York, stops counties from paying a share of Medicaid. It would have a devastating effect on New Yorkers:

  • It will cut $2.3 billion in Medicaid funding to the State. When added to the $4.7 billion cost of the ACHA over the next four years, the total cost to the State would rise to $6.9 billion
  • Steep cuts would force New York State to increase taxes, slash coverage to millions of New Yorkers, or devastate health care providers:
    • Nursing Home payments would be cut by $401 million
    • Home care payments would be cut by $360 million
    • Hospital payments would be cut by $355 million

The bill punishes New York for its support for women’s reproductive rights by threatening to take away citizens’ access to tax credits that are intended to make health insurance more affordable:

  • New York requires that all commercial insurance policies cover abortion services. In January, Governor Cuomo took new action to ensure that contraceptive drugs and devices are covered by commercial health insurance policies without co-pays, coinsurance, or deductibles
  • The Republican health care bill would prohibit the use of tax credits to support the purchase of insurance plans that cover abortion services.
  • As a result, the bill would effectively defund the Essential Plan, forcing 685,000 low-income people, half of whom are women, to lose their insurance and denying them $1.5 billion in tax credits.
  • In addition, roughly 143,000 lower-income New Yorkers whose income is just above the threshold for the Essential Plan, half of whom are women, would be denied $400 million more in tax credits that help them afford insurance.

This bill also includes an amendment that will enable insurers to charge more for people with preexisting conditions in some states, rolling back a key achievement of the Affordable Care Act.

  • In New York, 8.4 million people under the age of 65 have preexisting conditions.
  • The MacArthur amendment would allow states to opt out of provisions that restrict providers from raising prices on people with preexisting conditions.
  • Removing protections for people with pre-existing conditions will result in the sick paying high premiums and would force those who cannot afford it to lose coverage.
  • The health plan would also permit states to charge older people more, which would also force people who cannot afford it to lose coverage.

Cuomo: AHCA Passage Would Mean a 10 Percent Tax Increase on New Yorkers; $52 Million Loss for Hospitals in King’s, Zeldin’s Long Island Districts

Long Islanders appeal to save the Affordable Care Act and push for New York State to move toward universal health care (single payer). Governor Cuomo warns that the state will lose billions of dollars and 2.7 million will lose health care altogether if the Republicans’ American Health Care Act passes © 2017 Karen Rubin/news-photos-features.com

 

Passing the Republican-sponsored American Health Care Act, which is scheduled for a vote in the House on Thursday, March 23, would mean a 10 percent tax increase on all New Yorkers, or, if Republicans also “reform” the tax code, a 26 percent increase on middle class New Yorkers, Governor Andrew M. Cuomo warned.

What is more, hospitals in Congressmen Peter King’s and Lee Zeldin’s districts on Long Island would lose $57 million in funding.

“The American Health Care Act as drafted by the Republican Congress and amended by [Congressmen Chris] Collins and [John] Faso will devastate the New York Healthcare system,” Cuomo stated. “The Republican plan will leave 2.7 million New Yorkers without healthcare and cut $4.7 billion from the state’s Medicaid budget. This comes after the Republicans promised the exact opposite: That no American would lose healthcare and that no block grant would cut funding to the state.”

“Life has options and the hard reality is that Collins and Faso are leaving New York State with only two unacceptable choices. Either, we could pass on the devastating cuts to our hospitals, nursing homes and the 40 percent of New Yorkers who currently receive Medicaid and health benefits. Or, we would be forced to raise state income taxes – either by increasing taxes on all New Yorkers by 10 percent, or if Collins and Faso have their way in protecting only the wealthy, on the middle class by 26 percent. Any tax increase flies in the face of New York’s success in reducing spending and taxes to record lows.

“To devastate our healthcare industry will not only affect millions of lives, but disrupt one of the state’s main economic engines. Healthcare is a pillar of the New York economy.

“Make no mistake. The Republican house members are recklessly attempting to buy votes for the AHCA with an IOU to the New York taxpayers. One nonsensical suggestion is that the state should ‘find the money.’ We have cut our spending to record low limits. Five years ago we imposed a 3 percent cap on the growth of Medicaid in New York. Our hospital sector operates on the lowest margins in the country. New York’s 3 percent rate of growth is lower than most other states.

“If the federal government wants to buy votes, let them pay for it.

“It’s absurd to ask the state to pay the cost, while the same bill provides a $150 billion tax cut to the 1 percent richest Americans and Republicans in Congress also support a record $54 billion increase for the Pentagon. If they think that $4.7 billion is merely chump change, they should factor it into their own budget – propose $145 billion tax break or a $49 billion increase to the defense budget.

Hospitals in King, Zeldin Districts Would Lose $57 Million 

What is more, an analysis by the New York State Department of Health shows that hospitals in the districts of Republican Congressmen Lee Zeldin and Peter King would lose millions.

The seven hospitals in Zeldin’s 1st Congressional District would lose $41.2 million in funding if the Ryan/Collins/Faso health care repeal is passed, crippling their ability to provide critical health care services for local residents and jeopardizing hundreds of jobs across the district.

Stony Brook University Hospital – $27,123,469

Brookhaven Memorial Hospital Medical Center – $5,827,691

Eastern Long Island Hospital – $673,801

John T. Mather Memorial Hospital – $2,542,069

Peconic Bay Medical Center – $1,993,305

Southampton Hospital – $1,021,658

St. Charles Hospital – $1,970,589

District Total – $41,152,582

The three hospitals in Republican Congressman Peter King’s 2nd Congressional District would lose $14.6 million in funding:

Good Samaritan Hospital of West Islip — $6,015,802 in cuts

St. Joseph Hospital — $1,253,535 in cuts

Southside Hospital — $7,319,357 in cuts

District Total— $14,588,694 in cuts

“The radical conservative ideology in Washington has declared war on New York with legislation that will devastate hospitals across the state and hurt New Yorkers,” Governor Cuomo said. “These massive cuts will cripple our hospitals and ravage the health care services on which New Yorkers rely, with $41.2 million in cuts to hospitals in the 1st District and $14.6 million in cuts to hospitals in the 2nd District alone. I urge members of the community to call their member of Congress and demand that they vote ‘no’ on this unconscionable piece of legislation.”

“If the Republican representatives are responsible to their districts, they must provide federal revenue to pay for their actions. Isn’t it their job to help – rather than hurt – their district?

“If this bill is passed as is, our federal representatives will be responsible for massive income or sales tax increases or devastating cuts to New York’s healthcare system. That is the plain reality. No political rhetoric can change it. New Yorkers will hold them accountable for their vote. This is radical conservative ideology at work rather than real public policy to help the very people of this state who elected them.”

See also:

Nassau County Democrats Raise Alarms Over Impact of Repealing Affordable Care Act

Nassau County Democrats Raise Alarms Over Impact of Repealing Affordable Care Act

Nassau County Legislature Minority Democratic Leader Kevan Abrahams, Legislators Laura Curran and Carrie Solages, Planned Parenthood CEO JoAnn Smith, Long Island Progressive Coalition Executive Director Lisa Tyson, and Long Islander Rachel Siehs raise alarm about how repealing the Affordable Care Act will impact residents and the county budget © 2017 Karen Rubin/news-photos-features.com 

By Karen Rubin, News & Photo Features

(MINEOLA, NY) –Nassau County Democrats are raising alarms about what repealing the Affordable Care Act would mean for county residents and appealed to County Executive Ed Mangano to compile a comprehensive report that would quantify the impact on residents and the county’s budget.

Minority Democratic Leader Kevan Abrahams and Legislator Laura Curran stood with their democratic legislative colleagues, along with local healthcare advocates including Long Island Progressive Coalition and Nassau County Planned Parenthood calling upon the Nassau County Executive, commissioners, and administrators to compile a comprehensive report that measures the impact of what looks like the inevitable repeal of the Affordable Care Act (ACA).

According to a report issued by New York State’s Office of the Governor on January 4, 2017, Nassau County stands to lose $17,866,829 in direct funding which “goes directly to counties and helps to lower property taxes”.

Under the ACA, Nassau County saw a 33% decrease in the number of uninsured according to the most recent U.S. Census. The number of uninsured people on Long Island has declined rapidly over the last decade, while the proposed GOP healthcare bill will undo that work by putting 24 million at risk of losing coverage, according to the nonpartisan Congressional Budget Office. The American Health Care Act proposed by the Republican Party may affect more than 1 in 4 Nassau residents. Those at risk of coverage changes include, but are not limited to, the 204,681 Nassau seniors enrolled in Medicare and 133,324 residents who enrolled on the Affordable Care Act’s open marketplace.

“After making inroads for more affordable healthcare access, the proposed law could force counties to choose between supporting low-income residents who rely on Medicaid for health services,” said Minority Legislative Leader, Kevan Abrahams (D-Freeport).

“President Trump is leading us down a very dangerous path and County Government is going to be left holding the bag while taxpayers’ costs could skyrocket. Trumpcare is no longer a campaign talking point but an imminent threat to the financial and physical health of our community, and we must be prepared,” said Legislator Laura Curran (D-Baldwin). “Repealing the Affordable Care Act and replacing it with Trump’s alternative is going to drive a massive hole in the County budget while leaving more residents uninsured and without the benefits of preventative care. So that the County is prepared for these massive changes, County Executive Mangano, County Commissioners, and Department Administrators must immediately start preparing a report that outlines the real impact of losing the Affordable Care Act and what it will mean for Nassau taxpayers.”

Today, Nassau Democratic Legislators called upon the Nassau County Executive, county commissioners and department administrators to prepare an impact study that outlines the real impact losing the affordable care will have on Nassau County residents and the services they receive.

Such a study was just announced by Suffolk County Executive Steve Bellone and is being undertaken by county governments all over the country, Lisa Tyson, Executive Director of the Long Island Progressive Coalition, said.

“The repeal of the Affordable Care Act will deprive Long Islanders’ access to affordable healthcare that can be a matter of life-and-death. Nassau County residents deserve to know how losing the Affordable Care Act might affect their family both financially and physically,” she said.

The repeal of the Affordable Care Act. could be detrimental to citizens of Nassau most in need: low-income families, young adults, seniors and those in need of mental health care and substance abuse treatment. All these programs are at risk of being affected as the legislation currently stands.

“Repealing the Affordable Care Act will have real consequences for our community and we need to know how many of our neighbors will be affected and what costs will fall to the County. Obvious questions are whether our Medicaid costs will rise, and by how much; how increased emergency room visits will affect Nassau University Medical Center; whether the workload and costs of the County’s Department of Health will skyrocket; whether the County’s drug abuse rates are likely to soar due to diminished treatment options; the projected costs that will result; and many more. Governor Cuomo estimates that 133,000 Nassau residents (one out of ten residents) would lose coverage, and that should serve as a chilling wake-up call to every stakeholder in government and healthcare. Our taxpayers deserve to know exactly how much they will be affected by Washington’s costly decisions, and the County’s planning must start now,” said Legislator Curran.

Older residents will see a rise in healthcare premiums, with a projected 20-25% increase for those in their early 60s, given the current proposed GOP tax credit structure, which does not take income into account. For Nassau’s poor and working families, the halting of Medicaid expansion coupled with rising premiums will disintegrate any chance of affordable healthcare.

“Repealing the Affordable Care Act and defunding Planned Parenthood will mean that many women – across the country and right here in Nassau County –who receive their care at Planned Parenthood health centers won’t receive care at all. We are calling on congress to stop these political attacks, but, until they do, Planned Parenthood will leave no stone unturned in fighting back for our patients and ensuring that our doors stay open,” said PPNC President & CEO JoAnn Smith.

For Long Islander Rachel Siehs, not having healthcare at a most crucial time in her life could have been a matter of life-and-death. After Rachel was laid off from her job in October 2015 she battled the very same conflict so many do when they lose their health insurance – in this case, she gotten it from her previous employer. “I was on the fence if I should buy health insurance? I couldn’t afford Cobra. Plus, I am young and healthy and thought I could wait to start a new job and acquire insurance that way,” said Rachel Siehs. “After discussing the issue with my parents, they encouraged me to find coverage on the Affordable Care Act marketplace and thankfully I did – I was diagnosed with Hodgkin’s lymphoma only two months later and would fight cancer for most of 2016.”

Long Islander Rachel Siehs describes how being able to purchase health insurance through the Affordable Care Act saved her life © 2017 Karen Rubin/news-photos-features.com

Since then, Rachel, 28 years old, has successfully fought Hodgkin’s lymphoma. She was able to see doctor because she had health coverage through the Affordable Health Act. Like many Americans, she risks losing health insurance again after the repeal.

“I don’t know if I would be here today if I didn’t seek coverage on the ACA marketplace. I would start a new job in January 2016 but my health insurance would not have kicked in until April. But also, who knows if I would have scheduled the doctor appointments if I would have had to pay completely out of pocket for them. The impact is real here in Nassau. Health care is important. It needs to be well thought out and studied and shouldn’t be a rushed vote. This is people’s lives,” said Rachel Siehs of Melville.

While County Executive Mangano has already indicated his disinterest in undertaking such a study, which he decried as purely political, Governor Andrew M. Cuomo did provide some indication of the impact on New Yorkers of the American Health Care Act – 2.7 million New Yorkers would face substantial loss in their health care coverage from what they have now, while quality and availability of health services across the state would be jeopardized. Also, an amendment just introduced by Chris Collins, an upstate Congressman (and Trump spokesman) and John Fasio, which would apply solely to New York State, would ban federal reimbursement for state Medicaid funds for local governments outside of New York City, cutting Medicaid for these local governments by $2.3 billion. When added to the $4.5 billion cost of the ACHA over the next four years, the total cost to the State would rise to $6.9 billion.

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© 2017 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go to www.news-photos-features.com, email editor@news-photos-features.com. Blogging at www.dailykos.com/blogs/NewsPhotosFeatures.  ‘Like’ us on facebook.com/NewsPhotoFeatures, Tweet @KarenBRubin

 

A Day Without Women? Strike Sex Instead

The Capitol Building, still draped in flags for Donald Trump’s inauguration the day before, is backdrop for nearly 1 million who flooded Washington DC to stand up for Women’s Rights. The success of the march led organizers to call for “A Day Without Women” strike on International Women’s Day, March 8 © 2017 Karen Rubin/news-photos-features.com

By Karen Rubin, News & Photo Features

For those women who flexed their liberated muscles by opposing Hillary Clinton (because after all, what did they have to lose?), two stories from this week stand out:

GOP Lawmaker Asks Why Men Should Pay for Prenatal Care

Judge resigns over rape trial comment: ‘Why couldn’t you just keep your knees together?’

Trump has not only set back American progress on every aspect of civil, environmental, economic and criminal justice a century to the Gilded Age, but threatens to do the same with women’s rights and standing in society. And I’m not just referring to the fact that he has made it okay to be a misogynistic, sexist, racist, xenophobic bit.

Hillary Clinton in her campaign noted that it isn’t just “attitude” or “culture” that propagates bias, but systemic reinforcement in the economy, the tax code, the courts, the law, and most especially health care and reproductive rights, that, more than anything else for all practical purposes keep women down and lacking power.

The Affordable Care Act (Obamacare), explicitly reversed those impediments, which allowed insurance companies to make women pay higher premiums for their pre-existing condition of being a woman.

The health care “reform” that Republicans are trying to ram through would not only restore that ability of insurance companies to charge women more so that they couldn’t actually afford prenatal care, or for that matter a delivery, or the necessary care for their infant, especially one that is born without all the advantages of its mother having had access to prenatal care, but they propose to defund Planned Parenthood, used by 4 million people (52 million visits a year), resulting in 551,000 fewer unintended pregnancies, and of course, they intend to end women’s reproductive rights altogether.

After the Women’s March on Washington the day after inauguration, which brought out millions across the US and the world, I proposed that women should strike to demonstrate how essential to the economy women were. On March 8, International Women’s Day, there was just such a strike, “A Day Without Women.” But as the big day approached, I realized it had to fail because women predominate in jobs that are life and death – nurses, teachers, home healthcare and daycare providers, legal services (the list goes on and on and on).

“My babies,” is how a Great Neck kindergarten teacher described her students during a school board hearing on the proposed bond, noting that there is a significant difference in learning readiness for children who come to kindergarten with or without having attended pre-K, which follows through throughout their elementary schooling. They don’t catch up. I am quite sure she was in her classroom teaching instead of joining the “Day Without Women” strike.

Moreover, unless a woman worked for a sympathetic boss, she likely could not afford to lose pay, and possibly her job.

Consequently, the full impact of women on the economy, and in society – that women comprise half of the entire paid labor force for the first time in history, mothers are now close to 50 percent of all primary breadwinners, and women drive 70 to 80 percent of all consumer purchasing – went unnoticed, and women as a political force were pretty much told to sit down and shut up, as Senate Majority Leader Mitch McConnell told Senator Elizabeth Warren.

But, as ever, Senator Warren expressed best why “women’s issues are economic issues” and how the system is rigged against them:

Women are the main breadwinners, or joint breadwinners, in two-thirds of the families in America, she said, but:

  • Having a child is the single best predictor that a woman will end up in financial collapse.
  • Single moms are more likely than any other group to file for bankruptcy – more likely than the elderly, more likely than divorced men, and more likely than people living in poor neighborhoods.
  • Single moms who have been to college are actually 60% more likely to end up bankrupt than those with just a high school diploma.

“The deck has been stacked against working women and moms for years. And with the Republicans in charge, it’s getting worse – a lot worse.”

Warren noted:

Women struggle under the burden of student loan debt, child care costs that equal college tuition,  make 78 cents to the dollar of her male colleague and can be fired just for asking what the guy down the hall makes (Republicans are blocking the Paycheck Fairness Act).

Mothers are 10 times more likely than fathers to take time off when their kids are sick, and 60% are not paid for that time off. Too many women fear losing their jobs because they are stuck having to choose between work or caring for someone they love. (Republicans won’t even let us have a vote on paid sick time and family leave, and Trump rolled back Obama’s executive orders on parental leave and overtime pay).

Two-thirds of minimum wage workers are women but the minimum wage hasn’t gotten a federal raise in seven years, and mothers of very young children disproportionately work low-wage jobs (Trump rolled back Obama’s executive order and Republicans have blocked every effort to raise it.).

Because women make less than men throughout their lifetimes, they receive, on average, about $4,000 less a year than men in Social Security benefits (as well as pensions). This really hurts because women are less likely to have other assets, so they rely more heavily on those Social Security checks to keep them out of poverty. Republicans still threaten to cut Social Security for women and families and raise the retirement age, while their health care plan would also increase the cost of having health care and likely toss off millions of women and children from any health care at all.

“Donald Trump was right about one thing: the game is rigged. It’s rigged for rich guys like Donald Trump. The system works great for those who can hire armies of lawyers and lobbyists, but it leaves women and families behind. A system in which Republicans work tirelessly to rip away health care from millions of women and defund Planned Parenthood health clinics, while giving away billions of dollars in subsidies to Big Oil. A system that cuts Head Start programs and NIH medical research, but protects tax breaks for billionaires and giant corporations,” Warren stated.

And no where is this “rigged system” more apparent than in the Trump/Ryan plan to repeal Obamacare and replace it with a plan that will strip health insurance from millions, raise the cost for women, for older people, for the poor and sick, in order to give the 400 richest Americans—who averaged incomes of $318 million in 2014—a tax cut of about $7 million a year, a windfall that they will happily reinvest in buying the election of candidates who will do their bidding. (Trump doesn’t pay taxes, so this wouldn’t benefit him.)

Indeed, as it turns out, there isn’t a single “Women’s Issue” but rather, a broad gamut of issues are central to women: climate change, nuclear nonproliferation, gun violence prevention, food, water and drug safety, education, workers rights, health care and public health; infrastructure and mass transportation; immigration rights, criminal justice reform, affordable housing. What is there about life that doesn’t concern women?

The fascinating thing about that ignorant lout who is unbelievably serving in Congress but can’t understand why a man should have to pay for prenatal care is that society has a collective interest in women’s health, and public health. If someone doesn’t go to the doctor and can’t afford to stay home from work, their communicable disease will spread. When people don’t go to the doctor for an early diagnosis, but only go when the condition becomes severe, society as a whole foots the bill for catastrophic care, and is deprived of that individual’s productivity.

Clearly, there should be a different sort of strike, one that would not require women to relinquish their work responsibilities: they should strike sex. Women are considered mere vessels to incubate an embryo (an elected official actually said that), a lesser person with fewer legal and political rights than a zygote. Women are singularly punished for having sex. Sex in Trump’s misogynistic RightWing America has come to mean enslavement. (And yes, I realize this sounds as crazy as Ben Carson, the neurosurgeon who has taken over Housing & Urban Development, who equated the slaves who were brought to the US in chains at the bottom of boats to “immigrants” with their high aspirations.)

John Oliver, in his summation of International Women’s Day on Sunday’s episode of Last Week Tonight, said: “Every year, the best way of gauging not just how far women have come, but perhaps how far they still have to go, is by watching powerful men around the world trip over their dicks while talking about the day.”

He highlighted Vladimir Putin, who told his nation, “Women give us life and perpetuate it in our children. We will do our utmost to surround our dear women with care and attention, so that they can smile more often.”

Women in Congress (still only 20%) wore white to Trump’s joint address, to symbolize the suffragettes of a century ago and show solidarity.

“We wear white to unite against any attempts by the Trump Administration to roll back the incredible progress women have made in the last century, and we will continue to support the advancement of all women,” Rep. Lois Frankel, D-Fla., the chair of the party’s Women’s Working Group, said in a statement.

See also:

Lessons From the Historic Women’s March: How to Counter Trump

___________________________

© 2017 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go to www.news-photos-features.com, email editor@news-photos-features.com. Blogging at www.dailykos.com/blogs/NewsPhotosFeatures.  ‘Like’ us on facebook.com/NewsPhotoFeatures, Tweet @KarenBRubin

Fly on the Wall: Trump Blasts Obamacare, Praises GOP Health Plan, in Session with ‘Victims’ and First-Ever Cabinet Meeting

Donald Trump holds his first-ever cabinet meeting. © Karen Rubin/news-photos-features.com

Pool Reporter Alex Leary, Washington Bureau Chief for the Tampa Bay Times, brings us into the inner sanctum of the White House to learn how Donald Trump and Mike Pence are manipulating the debate over the repeal and replacement of the Affordable Care Act (Obamacare) with the Republicans’ American Health Care Plan (Ryancare).

On March 13, he hosted a group of Obamacare “victims”, followed by his first-ever meeting of his Cabinet which featured remarks by Health & Human Services (HHS) Secretary Tom Price’s dismissal of the Congressional Budget Office (CBO) scathing report projecting that 24 million people would lose health care under the Republican plan:

This is Leary’s report:

POTUS entered the room at 11:26 a.m. and pool was inside for roughly 33 minutes.

POTUS thanked the participants for sharing their stories about “the very, very failed and failing Obamacare law.”

Several times POTUS complained about news media coverage of the debate. “The press is making Obamacare look so good suddenly. I’m watching the news. It looks so good. … First of all, it covers very few people and it’s imploding. And ’17 will be the worst year.”

POTUS cast the coverage as nostalgia. “It’s a little bit like President Obama. When he left, people liked him. When he was here, people didn’t like him so much. That’s the way life goes. That’s human nature. The fact is, Obamacare is a disaster.”

The best political play, POTUS said, would to let the law collapse on its own over the coming year – “because it’s going to blow itself off the map. But that’s the wrong thing to do for the country. It’s the wrong thing to do for our citizens.”

POTUS said his administration and “a lot of people in the Senate and a lot of people in the House are committed to repealing and replacing this disastrous law with a health care plan that lowers costs, expands choice and ensures access for everyone. You represent the millions of Americans who have seen their Obamacare premiums increase by double-digit and even triple-digits …”

POTUS said the House bill would provide “far” more choices at lower costs. “Americans should pick the plan they want. Now they’ll be able to pick the plan. They’ll be able pick the doctor they want. They’ll be able to do a lot of things that the other plan was supposed to give and it never gave. …”

You’re not going to have one-size-fits-all. Instead, we’re going to be working to unleash the power of the private marketplace to let insurers come in and compete for your business and you’ll see rates go down, down, down and you’ll see plans go up, up, up. You’ll have a lot of choices. You’ll have plans that nobody is even thinking of today.”

Seated across the table in the Roosevelt Room was VPOTUS. At one head of the table was HHS Secretary Tom Price; at the other. Gary Cohn, director of the White House’s National Economic Council.

The rest of the table was filled out by individuals (see list below) invited to tell their stories.

A collection of Obamacare “victims” from across the country shared their stories. (names below as provided by WH).

But first, more from POTUS, who said the Obamacare repeal and replacement must come in three steps, due to working with Congress. “I’d love to do it all in one package, but if you did it that way, it can’t get done.” 

As pool was led out, a reporter asked POTUS if he had “any message” for people worried about losing coverage if Obamacare goes away.

“It’ll get better. If we’re allowed to do what we want to do, it will get better. Much better.,” POTUS replied. “Hopefully it will get very good.”

  1. Carrie Couey, from Colorado, said her rates are “three times” higher than when Obamacare began and that has hurt her family cattle ranching business. “We can’t afford our equipment if we’re paying these rates year after year after year. Our food source is in jeopardy because of this health care law.”
  2. Brittany Ivey, Georgia, said she left a full-time job in 2009 to raise her two children. She said a family plan for four cost them $650 per month and by 2015, it had gone up “102 percent.” She said her husband’s employer dropped the family from coverage so she looked for a new job but couldn’t find one that offered insurance. At that point, the family got Obamacare. “We believed the sales pitch that if you like your doctor, you can keep your doctor. Even though we were going to have to pay $1,300 a month for Obamacare, we thought we’d still be ok with our doctors.” But she said doctors would not accept the coverage. “We paid them $8,000 in five months and were never able to use it.” She and her husband earn a combined $74,000 a year, Ivey said, but health care is too burdensome. “It’s almost put our family in financial ruin.”
  3. Elias Seife, Florida, said his individual plan was canceled. He said his parents came from Communist Cuba. “They know what socialism is all about. I know what socialism is … and this whole system was meant to have one single provider.”
  4. Kim Sertich, Arizona, said her premium last year was $365 a month and it had risen to $809 a month this year, with a deductible of $6,800. “It just didn’t seem like a good use of my money,” she said, adding she had opted out and went into a faith-based program.
  5. Louis Brown, Virginia, said he worked for the Democratic National Committee when the Affordable Care Act was going through Congress in 2009 and that he later resigned, citing opposition to abortion. He supported Trump in the election and said that he was on hand to support efforts to place people “at the center of our American health care system, not the government.”
  6. Manny Sethi, Tennessee, says he runs nonprofit called Healthy Tennessee and that he’s noticed that people can’t afford rising premiums. “So what they are doing is, effectively, they’re paying the tax penalty because it’s cheaper and works out better than paying for the insurance. That’s been a big problem that we’re seeing across the state.”
  7. Joel Brown, Tennessee, said he’s in farming and he considered paying the penalty for not carrying insurance. He said there is only one option for coverage, Blue Cross Blue Shield Tennessee and the premium is $540 a month with a $7,000 deductible. “You’ve got to pay a high premium for a plan that I don’t need or don’t want.”
  8. Robin Armstrong, Texas, said a lot of patients are not adequately covered by Obamacare and are hit with high premiums and deductibles. “I actually read the bill that’s been produced, that’s coming out of the House now and I really like a lot of the changes in it. I think this is going to correct a lot of issues that Obamacare has had.”
  9. Gina Sell, Wisconsin, said she’s a nurse and mother and had to get a full-time position to pay the costs. “We could not afford a premium of $1,200 per month and a deductible that didn’t cover anything.” She said now the deductible is $6,500 “and so if I have a child who is extremely sick, it’s going to cost me hundreds of dollars.” Last week, she said, her daughter had a fever and she sent her to school for “three days straight because I had to work to afford our insurance” and couldn’t pay for a trip to the doctor. “It has been devastating for our family.”
  10. Greg Knox, Ohio, began by giving POTUS a note and drawing from his 11-year-old son. The note was written on the back of a cutout face with orangeish hair. “Looks nothing like you,” Knox said to laughter. POTUS flashed a big smile and said, “I wish I looked that good.” Knox said he had meet with Secretary Price and Vice President Pence during a recent roundtable in Cincinnati. “We have the best health care system in the world. We do. But it needs to be fixed. Small business owners like myself — I’m a manufacturer — what we’d like to see is not a government-operated market but a free market.”
  11. Stan Summers, Utah, said his son was born premature 26 years ago and they had good insurance but it deteriorated over time. Enter the ACA. “I’m not going to call it the other word. I call it the last president’s health care bill. I don’t need to say that name.” (POTUS: “Other than that, you like him a lot.” Laughter.) Summers said he has three businesses and drives a school bus to provide coverage for his family. He said he expects to meet a $6,000 deductible in April.

Secretary Price gave brief remarks about the stories. “This is about real people, about real patients.” He said he was “really excited” to help install a replacement.

POTUS then again bemoaned what he deemed “wonderful press” about Obamacare. “It’s a horrible thing, actually, and getting worse.” 

VPOTUS thanked the participants. “These people are emblematic of the Americans that Obamacare has failed.”

Trump Convenes His First Cabinet Meeting

Later, at 3:48 pm, Trump convened the first-ever meeting of his Cabinet, lamenting that, “We have four empty seats, which is a terrible thing.

“Because the Senate Democrats are continuing to obstruct the confirmation of our nominees for the Department of Labor, the Department of Agriculture, the director of national intelligence and the United States Trade Representative, somebody I want very badly. … The main victim of this very partisan obstruction is the American public.”

POTUS began by giving an update on the approaching storm…

He then touted actions by the nascent administration, including stripping away “job crushing” regulations, and alluded to the coming executive order to “begin the process of reorganizing the executive branch to make it less wasteful and more productive.”

POTUS reiterated his earlier remarks about Obamacare and talked about the replacement plan on Capitol Hill. “It’s a big, fat beautiful negotiation,” he said, drawing snickers. “Hopefully we’ll come up with something that’s going to be really terrific.” He thanked “Paul Ryan” and “Mitch.” 

POTUS said he’d be sending a budget request with the major increase in defense spending. “And it will be fully paid for,” POTUS said, Secretary James Mattis on his left. “I saved a lot of money on those jets, didn’t I? Did I do a good job?”

POTUS talked about immigration and enhancing vetting. “We will not rest until the job is done.”

“This is our first Cabinet meeting,” POTUS said. “I hope this is going to be a historic Cabinet meeting, historic in the sense that we’re going to do a fantastic job for the American people, for our country and for the future of our country.”

He did not respond to a request for comment on the “wiretapping.”

A number of officials were on hand, including Jared Kushner, Steve Bannon and Kellyanne Conway.

HHS Secretary Price ‘Disagrees Strenuously” With CBO Report on GOP Health Care Plan

“We disagree strenuously with the report that was put out,” HHS Secretary Tom Price told reporters at the White House after the CBO score was released on the GOP health care plan.

Price argued that the CBO report looked “at a portion of our plan, but not the entire plan.” He explained that HHS can employ the “regulatory apparatus” to “make certain that patients are helped and that costs are decreased.”

Price said CBO ignored other legislative action.

“We believe that our plan will cover more individuals at a lower cost and give them the choices that they want for the coverage that they want for themselves and their family, not that the government forces them to buy.”

OMB Director Mick Mulvaney said he had not read the entire CBO report but found a bright spot. “The numbers that I’ve seen in the first glance is that CBO says that premiums will go down by at least 10 percent.”

A reporter noted that CBO got to that figure by estimating that fewer older Americans would get coverage but Price waved that away, again saying CBO did not take into account the full plan for repeal and replace. “The fact of the matter is, we’re working on the regulations right now.”

Asked about the report’s finding that 14 million more people would be left without insurance next year, Price said it’s “virtually impossible to have that number occur.”

Reporter: So CBO is wrong, they are not credible?

“Well, you just look at the numbers,” Price said. “There are 8-9 million people who are on the exchange currently. I’m not sure how they are going to get 14 million people uninsured, if that’s what they say, with only 8 million people on the exchange.

“They are individuals, I guess that they assume that are on Medicaid who aren’t paying anything in the Medicaid system who are not going to take the Medicaid policy just because the mandate ended or something happened. It’s just not believable is what we would suggest. We’ll look at the numbers and see.”

Reporter: Without that mandate to buy coverage, wouldn’t you concede there will be millions of uninsured?

“No, I wouldn’t concede that at all,” Price said. “The fact of the matter is they are going to be able to a coverage policy that they want for themselves and for their family. They are going to have the kind of choices that they want. … So we think that CBO simply has it wrong.”

Mulvaney echoed those points, criticizing CBO for assuming Medicaid changes will happen “on day one. It’s just absurd.”

New York Blasts Republican Plan That Would Replace Obamacare; Singles Out Collins Amendment

Governor Andrew Cuomo commenting on the Republican plan to replace Obamacare: “I can’t make up 2, 3 billion dollars. It would wreak havoc in this state.” © 2017 Karen Rubin/news-photos-features.com

Governor Andrew Cuomo, in response to a question posed by Mark Halperin on MSNBC, said:  “Obviously the consequences for a state like New York could be devastating. Depending on what they do, you have 3 million people who are insured under Obamacare. What are you going to do with the 3 million people? Medicaid is a big piece of our budget. They talk about block grants, turning it over to the state. That sounds great. The question is when they block grant it, do they actually transfer the money? Remember the old expression, passing the buck without passing the bucks. Governor of New York, my fear is the rhetoric of give it back to the states sounds great, but if they give it back to the states and they cut the funding, you put the states in a really terrible situation. So I get the political appeal of repeal Obamacare, but you know, be careful what you ask for and I think this is the dog that chases the car. What are they going to do? And you have millions and millions of people who are affected and you could devastate the budget. I just did my budget. I said, “Look, I don’t have a contingency plan.” Because I don’t know what they’re going to do, and frankly, they could take an action for which there is no contingency plan. There are rumors that they could cut the state of New York 2, 3 billion dollars. I can’t make up 2, 3 billion dollars. It would wreak havoc in this state. So it’s their move and I want to see what they come up with.”

Lt.  Governor Kathy Hochul, commenting on a proposed amendment from Congressman Collins (R-NY), said:

“Our Founding Fathers warned us this day would come. Partisan politics would overtake good government for the people.  The Medicaid changes being proposed in Washington would cut taxes for wealthy special interests while devastating New York State’s finances and all but eliminating health care for the most vulnerable New Yorkers.

“What’s worse, a New York Republican Congressman, Chris Collins is offering an amendment that would wreak havoc on the state. While I understand that the Democrats in Washington are attacking Collins on ethics issues and are having a heated political fight, they shouldn’t be played out at the expense of everyday New Yorkers.

“Here are the facts: The overall Medicaid plan would cost the state billions of dollars of lost federal funds and jeopardize hospital stability.  As if that were not enough, Rep. Collins would have the state assume the counties’ share of Medicaid expenses outside of New York City. The current breakdown is 13 percent county, 36 percent state, and 51 percent federal. This ill-conceived plan would cost his home state approximately $2.3 billion. Unbelievably, that’s on top of the cost of the Republican Affordable Care Act repeal plan – another $2.4 billion.

“Translation: Rep. Collins is proposing a tax increase on New Yorkers to the tune of $4.7 billion.  This one-two punch would destroy all the hard work the Governor and Legislature have accomplished in the last six years to lower taxes across the board and achieve the lowest spending increases in recorded history. New Yorkers will be at risk of losing their healthcare, hospitals will be forced to lay off workers, and our vulnerable elderly will find it much harder to afford nursing home care.

“On the merits, the counties have no right to claim this is an undue burden. They paid a percentage of health care costs even before Medicaid – and in fact, currently have a more favorable agreement than in decades.

“In 1960 – well before New York State and most counties had any sales tax revenue to pay for it – Congress passed the Kerr-Mills Act, which created a national role in funding health care for the elderly. Under this program, the counties in New York paid approximately 44 percent of the cost of care, the state paid about 38 percent, and the federal government paid around 18 percent.

“In 1965, Medicaid replaced that program and the counties paid 25 percent. That same year, the state began giving counties the option of collecting sales tax on their behalf. Every county in New York has subsequently agreed to this option. Many counties in the nation don’t get sales tax, and most of those receive less than our counties. Moreover, the state recently agreed to give the counties additional help – after hearing the counties’ complaints of the growing Medicaid costs, the state has held them harmless for any increases since 2011.

“As a result, the counties’ share for Medicaid is down from 25 percent to 13 percent, and the state assumed this cost while still living within the 2 percent spending cap, and all while cutting taxes. The state is not asking the counties to do anything more than we have done ourselves. In fact, the state has done far more.  If the Collins amendment passed, the state would need to raise income taxes or the counties would have to forego their share of sales tax in exchange for the state picking up the additional Medicaid costs.

“In short, Rep. Collins’ amendment and the Affordable Care Act repeal would transfer $4.7 billion in costs to the state which would translate into a new tax for New Yorkers. I know firsthand that the people of the 27th Congressional District face enough challenges in their lives – they don’t need to worry about increasing health care costs or new taxes.

“Rep. Collins should stop prioritizing his wealthy friends and start helping his home state by protecting the most vulnerable from losing their healthcare and putting the state budget at risk. Remember, as my mentor Sen. Daniel Patrick Moynihan used to always point out, New York is a donor state – we pay more in federal taxes than we receive back.

“Mr. Collins, try practicing good government rather than partisan politics.”

White House Only ‘Listening’ to Conservatives on Repeal of Obamacare

Donald Trump and Mike Pence are only courting right-wing conservatives on policies that impact all Americans’ lives, including health care and women’s reproductive health.

The only ones the Trump/Pence/Ryan/McConnell Administration care about, speak to are the ultra-rightwing conservatives.  This from the White House, Friday, March 10:

READOUT OF THE VICE PRESIDENT’S LISTENING SESSION WITH CONSERVATIVE LEADERS

Vice President Mike Pence and Secretary of Health and Human Services Tom Price assembled dozens of conservative leaders today at the White House to discuss the multi-faceted effort to repeal and replace Obamacare. The Vice President and the Secretary highlighted the work being accomplished through legislative and regulatory efforts to end Obamacare’s government takeover of healthcare and provide market-based reforms that will lower costs and provide more choice to Americans. They also invited conservative groups to continue offering their ideas for improving healthcare in America and agreed to keep communication channels open as the President and Congress work to fulfill the promise of repealing and replacing the flawed Obamacare law.

The following individuals participated:

Thomas Binion, Heritage Foundation
Melissa Ortiz, Able Americans
Mia Heck, ALEC
Jason Pye, FreedomWorks
Brian McManus
Matthew Schlapp, American Conservative Union
Nan Swift, National Taxpayers Union
Richard Manning, Americans for Limited Government
Grace Turner, Galen Institute
Kenneth Cuccinelli, Senate Conservatives Fund
Jennifer Butler, State Policy Network
Daniel Schneider, American Conservative Union
John McKechnie, ABA Health Savings Account (HSA) Council
Stephen Keen, National Federation of Independent Business
Lisa Nelson, ALEC
Jennifer Hatten, ABA Health Savings Account (HSA) Council
David Bozell, ForAmerica
Phil Kerpen, American Commitment
Peter Sepp, National Taxpayers Union
Timothy Chapman, Heritage Action
Bradley Close, National Federation of Independent Business
Kent Lassmam, Competitive Enterprise Institute
Jennifer Martin, Tea Party Patriots
Shonda Kalra, Tea Party Patriots
Amanda Moorhead, National Federation of Independent Business
Bill Pascoe, Tea Party Patriots
Christopher Jacobs, Texas Public Policy Foundation
Adam Brandon, FreedomWorks
Michael Cannon, CATO
Bob Carlstrom, Association of Mature American Citizens
Andy Roth, Club for Growth
Heather Curry, CATO