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Cathy McMorris Rodgers: Obamacare Likely Won't Be Repealed

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Rep. Cathy McMorris Rodgers (R-Wash.), the number four ranking Republican in the House of Representatives, says the Affordable Care Act likely won't be repealed.

In an interview with The Spokesman-Review published Friday, McMorris Rodgers said President Barack Obama's signature health care law is probably here to stay, so Republicans should focus on other issues.

“We need to look at reforming the exchanges,” the Republican conference chairwoman said.

Her comments mark a departure from the GOP mission of repealing the law in its entirety. House Republicans have voted to repeal or change the legislation over 50 times in the last four years. Few of the bills have gained traction in the Senate.

Meanwhile, enrollment in Obamacare plans has topped 8 million, including 164,062 sign-ups for private health insurance in McMorris Rodgers' home state of Washington.

Obama himself has chided the GOP for wasting time and resources on repeal efforts.

"Republicans have voted more than 50 times to undermine or repeal health care for millions of Americans," Obama said during his weekly radio and Internet address Saturday. "They should vote at least once to raise the minimum wage for millions of working families."

In the Spokesman-Review interview, McMorris Rodgers also addressed immigration reform, predicting lawmakers will reach a deal on a bill before the election.

“I believe there is a path that we get a bill on the floor by August,” she said.

The Republican said she would support a bill that tightened security at the border in addition to providing a pathway to citizenship for undocumented individuals currently living in the United States.

“We're going to have to push that this is a legal status, not amnesty," she said. Reported by Huffington Post 4 hours ago.

Nonprofit builds different kind of insurance firm

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Maryland hadn't had a health insurance co-op for 20 years. Then Dr. Peter Beilenson came along. Reported by Miami Herald 4 hours ago.

Understanding next Steps after Missing Health Insurance Open Enrollment

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Experient Health is helping the community better understand healthcare reform thanks to a guest blogging opportunity with The Health Journal, a healthcare news magazine based out of Williamsburg, VA with a readership that stretches across the Peninsula and into South Hampton Roads.

Richmond, VA (PRWEB) April 27, 2014

Missed the health insurance open enrollment deadline? Wondering what happens now?

"Unless you qualify for a hardship waiver, or meet one of a few exceptions (like being in prison or a member of certain Indian tribes), you’re going to have to pay a fine," writes Dayton Wiese, a health insurance benefits consultant with the Virginia Farm Bureau's Experient Health.

"New health reform laws required that most Americans purchase health insurance starting this year. The deadline for open enrollment was March 31, although many people were able to get an extension if they tried to sign up on healthcare.gov by that day."

Wiese, Experient Health's benefits consultant in the Tidewater, VA area, explains this and more in his latest guest blogging post for The Health Journal.

Experient Health is helping the community better understand healthcare reform thanks to a guest blogging opportunity with The Health Journal, a healthcare news magazine based out of Williamsburg, VA with a readership that stretches across the Peninsula and into South Hampton Roads.

Experient Health benefits consultants write about, among other topics, subsidies, understanding grandfathered plans, pre-existing conditions, and primary care physician shortages.

"The law says that if you didn’t get insurance (or have it already through your employer or through government-assisted plans such as Medicaid and Medicare), you have to pay a penalty," Wiese wrote in the latest edition. "You might have heard it called an individual mandate. Depending on your household income, that could mean a fine of a few hundred dollars."

Read the complete healthcare reform series here, or sign up for The Health Journal's newsletter, #Hashtags, to read these blog posts and more.

About Experient Health:

For years, Experient Health, a Virginia Farm Bureau company, has helped people find the right insurance coverage and get the most for their health care dollars.

The Richmond, VA -based group is dedicated to providing high quality health insurance options to customers in Virginia, Maryland, and Washington, DC. As a result, its consultants, with an average of more than 20 years' experience, are intimately familiar with the states’ provider networks, products, and regulations.

Representing the top national insurance carriers, including Anthem Blue Cross Blue Shield and Aetna, Experient Health provides customers with multiple policy options designed to meet wellness needs and financial requirements.

Experient Health grew out of Virginia Farm Bureau and is a “hometown agency” in that it operates a network of more than 100 offices. However, it boasts the resources and technology of larger firms.

Consultants are available online, via phone, and through their offices.

Learn more at http://www.experienthealth.com, utilize the online health insurance quote calculator or contact a consultant directly at 855.677.6580. Reported by PRWeb 4 hours ago.

President Obama Condemns Clippers Owner's 'Ignorance' at Malaysian Press Conference

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The basketballer-in-chief weighed in on the controversy over Los Angeles Clippers owner Donald Sterling.

"When ignorant folks want to advertise their ignorance, you don't really have to do anything," President Obama said at a press conference in Malaysia. "You just let them talk. That's what happened here."

The Clippers owner allegedly told his biracial girlfriend in a recorded telephone conversation not to bring African Americans to his team's games or post pictures or her appearing with them online.

"I have confidence that the NBA commissioner, Adam Silver, a good man, will address this," the president said. "Obviously, the NBA is a league that is beloved by fans all across the country. It's got an awful lot of African American players. It's steeped in African American culture. I suspect that the NBA is going to be deeply concerned in resolving this."

The president, a basketball player and fan, employed several NBA greats--past and present--to promote health insurance through the federal government's exchanges. LeBron James and Magic Johnson, two players pushing the president's program, also sharply criticized Sterling's comments.

"The United States continues to wrestle with the legacy of race and slavery and segregation," Obama continued. "That's still there, the vestiges of discrimination. We've made enormous strides, but you're going to continue to see this percolate up every so often." Reported by Breitbart 2 hours ago.

Giving Up On Its Obamacare Exchange No Cure For Oregon's Ills

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High hopes dashed, Oregon is the first state to abandon having its own health insurance marketplace. Now it has to figure out how to transition to HealthCare.gov. Reported by NPR 3 hours ago.

70,000 Oregon Obamacare Customers May Have to Re-Enroll

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70,000 Oregon Obamacare Customers May Have to Re-Enroll After blowing $250 million on its busted Obamacare website, the state of Oregon made a decision on Friday to dump its website and join the federal HealthCare.gov exchange. According to NPR, however, five of the 16 health insurance companies in Oregon lack the computer interface needed to function on the federal Obamacare website.

"So will they go to the expense of setting one up? Or will they stop doing business in Oregon? That's unclear," reports NPR. 

In addition, the so-called "navigators" who were trained to enroll Oregonians on its broken Cover Oregon system must all now be retrained to sign people up on the federal Obamacare website. 

Clyde Hamstreet is Cover Oregon's third executive in five months. He says the 70,000 Oregonians who signed up for individual plans may end up having to do it all over again in the future as the Oregon Obamacare nightmare is untangled.

"Cover Oregon certainly is going to be around for 2014," said Hamstreet. "Exactly what Cover Oregon is going to look like in 2015, I think it is too early to say."

The Wall Street Journal says Oregon's Obamacare fiasco is "unmatched in its failure." Reported by Breitbart 29 minutes ago.

PowerSchool Special Education Powered by TIENET Provides Schools Easy, Efficient Way to Manage Special Education Services

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Industry-Leading Student Information and Special Education Case Management Systems Combine to Help Educators Support Important Student Population

Rancho Cordova, Calif. and Reston, Va. (PRWEB) April 29, 2014

Nearly seven million U.S. K-12 students qualify for special education services, requiring specialized case management and reporting by educators. To support this important work, Pearson and MAXIMUS today announced the launch of PowerSchool Special Education Powered by TIENET, a complete case management and reporting system for educators. This solution combines PowerSchool, a leading student information system, with TIENET, a top special education case management and response to intervention system.

Sheila Kublek, principal at Boularderie Elementary School in Nova Scotia, Canada, currently uses PowerSchool and TIENET and believes the collaboration will improve her staff’s ability to serve its special education students. “Single sign-on with PowerSchool and TIENET is so easy and allows us access to the best of both worlds,” she said. “With a click of a mouse, we can access historic up-to-date student information.”

Developed by MAXIMUS, TIENET allows school districts to track and monitor the entire individualized education program (IEP) process from initial referral through classification and placement of students, while meeting all state and federal reporting requirements. TIENET’s response to intervention system offers a problem-solving framework for educators to identify those students who require intervention, monitor their progress, and meet their academic and behavioral goals. School districts operating with constrained budgets, reduced staff, and limited resources are under tremendous strain to fulfill government mandates, and more than 700 school districts across North America use TIENET. As a Web-based, user-friendly and highly scalable solution, TIENET seamlessly integrates with PowerSchool, easing the administrative burden of reporting, facilitating communication and collaboration, and providing easy access to information so that educators can deliver critical services to students with disabilities.

“When we talk to educators, like Ms. Kublek, who are using PowerSchool to manage student information, one of their primary requests is to expand the system to provide easy access to critical data and reports that support learning for their special education students,” said Bryan MacDonald, managing director of Pearson’s School Systems group. “PowerSchool is the fastest growing, most widely used student information system, serving more than 13 million students around the globe. By combining solutions with MAXIMUS, we offer educators the data and tools for ensuring that this important student population stays on track for academic success.”

Now with one single sign-on, educators using PowerSchool Special Education Powered by TIENET can manage and monitor the entire special education process, including pre-referral, eligibility, IEP development, service documentation, reporting to parents, 504 plans and personalized education programs, as well as support Medicaid billing. MAXIMUS software architects worked closely with educators to create a system that delivers an easy-to-use, Web-based interface that requires minimal training and is both scalable and customizable.

“TIENET has long served K-12 districts with a solution that ensures compliance with state and federal regulations, including the IDEA 2004 reauthorization and No Child Left Behind,” said Dr. Philip Geiger, senior vice president at MAXIMUS. “Collaborating with Pearson enables us to deliver a solution that will improve integration, streamline implementation, and enhance overall support for school districts using both PowerSchool and TIENET.”

About MAXIMUS                                                                                    
MAXIMUS is a leading operator of government health and human services programs in the United States, United Kingdom, Canada, Australia and Saudi Arabia. The Company delivers business process services to improve the cost effectiveness, efficiency and quality of government-sponsored benefit programs, such as Medicaid, Medicare, Children's Health Insurance Program (CHIP), Health Insurance BC (British Columbia), as well as welfare-to-work and child support programs around the globe. The Company's primary customer base includes federal, provincial, state, county and municipal governments. Operating under its founding mission of Helping Government Serve the People®, MAXIMUS has approximately 11,000 employees worldwide. For more information, visit http://www.maximus.com/tienet.

About Pearson
Pearson is the world’s leading learning company, with 40,000 employees in more than 80 countries working to help people of all ages to make measurable progress in their lives through learning. For more information about Pearson, visit http://www.pearson.com.

Contact:
Stacy Skelly, stacy.skelly(at)pearson(dot)com, or (800) 745-8489
Lisa Miles, lisamiles(at)maximus(dot)com or (703) 251-8637 Reported by PRWeb 17 hours ago.

Florida Lawmakers Fail For Second Year To Provide Medicaid Alternative

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Florida Lawmakers Fail For Second Year To Provide Medicaid Alternative
Florida Lawmakers Fail For Second Year To Provide Medicaid Alternative
Cricket
Politics
Has Been Optimized

For two years running Florida lawmakers have failed to come up with an alternative to Medicaid expansion, a failure that has left 750,000 of the state’s poor with out healthcare coverage.

A recent column in the Tampa Bay Times claims lawmakers must have intended to deceive Floridians when they claimed, last year, they would find an alternative once they decided not to take the federal Medicaid money.

Florida was among 23 states who opted out of the Medicaid expansion that was part of the Affordable Care Act. The expansion would have filled a gap in coverage for those who didn’t qualify for tax credits under the new healthcare law — tax credits that could be used to buy health insurance. Without the extra Medicaid money coming in, the state was forced to leave Medicaid coverage as it had been. The decision left as many as 995,000 without health coverage according to the Orlando Sentinel.

While the Tampa Bay Times column puts that number slightly lower, the real crime, the column argues, is that state lawmakers haven’t even attempted to pass an alternative in 2014.

"There's a desire to do the right thing and try to find a way to provide a safety net for this population that works,'' promised Republican Rep. Richard Corcoran over a year ago. "There's all kinds of things we can look at.’'

But they haven’t.

The inability, or unwillingness, of members of the state legislature to do something has now been directly linked to the death of Charlene Dill. The website All Voices reports that Dill was a single mother who worked multiple jobs and made only $11,000 per year. She died of a heart attack recently, the result of complications from a severe heart condition. She did not qualify for the tax credits or subsidies under the Affordable Care Act and because Florida opted out of Medicaid expansion she could not qualify for that coverage either.

Ron Pollack executive director of Families USA, a nonprofit health advocacy group, predicted that such individuals would be left without coverage once Florida denied the federal funds.

“They’re out of luck,” he told the Sentinel.

That, tragically, was the case for Charlene Dill.

Sources: Tampa Bay Times, Orlando Sentinel, All Voices

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Regular Piece Reported by Opposing Views 16 hours ago.

Numbers Tell the Story of ACA's Success, But They Also Show Millions are Missing Out

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President Obama recently stated, "The Affordable Care Act is working ... The repeal debate is and should be over." Senate Minority Leader Mitch McConnell, one of the law's most vocal opponents, has maintained that the ACA "is beyond fixing. It needs to be pulled out root and branch, and we need to start over."

So which is it?

By a number of measures, the ACA is succeeding in its main purpose: reducing the number of uninsured and making sure that Americans have comprehensive, affordable health insurance.

• According to a recent Gallup survey, the number of uninsured Americans dropped from high of 18 percent in 2013 to a low of 14.5 percent at the end of March. For states that have set up their own insurance marketplaces and expanded Medicaid, the number of uninsured has dropped even lower -- to 13.6 percent. Those numbers will continue to decrease later in the year, with the next open-enrollment period and with more people signing up for Medicaid under the ACA's expansion provisions.

• According to Rand Corp., 9.3 million people gained health insurance coverage between September 2013 and mid-March 2014. About a third of the 3.9 million people that gained coverage through the individual insurance market were previously uninsured.

• Medicaid enrollment increased by 5.9 million, and the majority of these Americans did not have insurance before signing up.

• The non-partisan Congressional Budget Office estimates that 19 million people will gain coverage through the ACA by 2015, increasing to 25 million by 2016.

All of this looks like real evidence that the 25-year trend of increasing uninsured rates has finally been turned around.

It also appears that federal and state insurance marketplaces, or exchanges, in spite of troubled rollouts, are exceeding initial enrollment estimates and are becoming more attractive to insurance companies.

• More than 8 million people have enrolled through insurance exchanges.

• Thirty-five percent of those enrollees were under age 35. More important, 28 percent of enrollees were between 18 and 35. While this number is lower than hoped for, it may well be enough to prevent premium increases resulting from an age-skewed risk pool, the so-called premium "death spiral."

• Many insurance companies are seeing positive trends in the new marketplaces, including market size and higher-than-anticipated sales of mid-level insurance plans. United Healthcare Group, the nation's largest insurer, which offered coverage only in five public marketplaces this year, is now considering entering into more exchanges in 2015.

It's not entirely clear what effect these new enrollees will have on premium prices. Since insurance companies can no longer discriminate against people with pre-existing conditions, it will take some time for them to determine whether these newly enrolled policyholders are disproportionately less healthy. The higher the number of claims, the more likely it is that premiums will increase. While it is true that the more chronically ill were likely to be the first to enroll, there is realistic evidence that younger and healthier people were signing up in large numbers as enrollment came to a close. Based upon that and other reasons, the CBO has reduced its estimates for premium growth in 2015.

There are some other positive trends, as well. The number of people getting insurance through their employers increased by 8.2 million, largely due to an increase in employment. Contrary to numerous reports, fewer than 1 million people lost their private plans in the individual insurance market.

While it will clearly take more time to judge the real success of the Affordable Care Act, many of these initial measures are pointing in the right direction. And that might put into question whether repealing the law and reversing these trends is an especially good idea.

There is a flip side to the success of the Affordable Care Act, however, and that is the millions of Americans left behind -- those who did not gain access to health insurance and affordable health care.

In that sense, the ACA has highlighted an obvious division in the United States, made up of states that seem to be partitioned into two camps. The divide appears to be based largely on partisanship and two approaches to governing.

Some states expanded Medicaid to near-poor residents, as allowed under the ACA, and some did not. Some states embraced the law and created their own health insurances exchanges. Other states have not done all they can to fully implement the law, and some have even gone so far as to impose regulatory and legislative roadblocks.

As a result, the success of the ACA and access to insurance and health care may largely depend upon the state a person lives in.

Perhaps the largest measure of failure is that 24 states have not yet expanded Medicaid, including 21 that have refused to do so. According to the Kaiser Family Foundation, this has resulted in a coverage gap of 5.2 million Americans that will remain uninsured. Texas alone accounts for 20 percent of those uninsured Americans. The cost of emergency care for the uninsured will ultimately be passed on to residents in those states that have private insurance. And the downsides of this decision are not restricted to state residents. At least five public hospitals in Georgia, North Carolina and Virginia have reported cutting staff and services as a direct result of their state's decision not to implement the expansions.

The final report card on the ACA will come in years and not in weeks or months. But if we add these early results together, it seems clear that the ACA righted itself after a troubled launch, is attracting insurance companies into the new marketplaces, is improving competition between those carriers and is helping millions of Americans gain affordable insurance coverage. If those who want to repeal the law have their way, those same Americans may lose their new benefits and those positive initial results may be reversed.

But for now the law remains in place, and the divide may grow even wider. Residents and health providers in some states will reap the benefits of the law while others will not. Whether the motivations for the divide result from a political strategy or an honest disagreement over the role of government, the consequences are very real. Reported by Huffington Post 17 hours ago.

Tiffany Jones, Breast Cancer Survivor And 'Love In The City' Star, Reveals Shocking Health News To Her Friends (VIDEO)

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"Love in the City" star Tiffany Jones hasn't been shy about discussing her battle with breast cancer. Diagnosed in 2005 at age 29, Tiffany underwent treatment and launched a breast cancer awareness foundation called Pink Chose Me. Then, in 2007, Tiffany's cancer returned. She spent a year doing chemotherapy and has continued devoting herself to her foundation, aimed at helping women affected with cancer regain their emotional balance, self-worth and inner and outer beauty.

But there's something that not even Tiffany's friends know about her breast cancer story. In an emotional episode of "Love in the City," Tiffany makes a confession that leaves her three friends shocked.

While hosting a fundraising event to benefit a hospital in Ghana, which has a program that helps breast cancer patients get health insurance for $25, Tiffany stands in front of the group and drops a bombshell.

"Two months ago," she begins, "the cancer came back."

Tiffany's friends are stunned. Fighting back years, Tiffany takes a deep breath and prepares to share another secret about her health. "I chose to do a double mastectomy," she reveals.

The breast cancer survivor then expresses her gratitude to the friends and loved ones who have helped her in her difficult journey. "If I didn't have the support that I have, I don't know how you can get through something like this," she says.

Tiffany's friend Kiyah can't seem to stop her tears. "Hearing that new from Tiffany was… not something I was expecting at all," Kiyah says. "Like, you didn't even share this with any of us?"

After her speech, Tiffany heads straight to her teary-eyed friends. "You okay?" she asks, hugging each one tightly.

"It's so much," Kiyah says tearfully.

Fellow breast cancer survivor Bershan jokingly scolds Tiffany. "You didn't tell us!" she says, pulling her friend in for a hug. "It's a lot."

"It's a lot," Tiffany agrees.

Follow more stories from these four friends on "Love in the City," airing Saturdays at 10 p.m. ET on OWN. Reported by Huffington Post 16 hours ago.

Annual Observance of Mental Health Month is Not Cause for Celebration

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One bright spot in an otherwise grim picture is the Helping Families in Mental Health Crisis Act, introduced by Rep. Tim Murphy and co-sponsored by more than 70 members of both parties in Congress, said the Treatment Advocacy Center.

Arlington, VA (PRWEB) April 29, 2014

The annual observance of Mental Health Month will not be cause for celebration as long as Americans with the most severe mental illnesses don’t receive the treatment they need to stay of out jails and prisons, off the streets and on the road to recovery, according to the Treatment Advocacy Center.

“This May is the 66th observance of Mental Health Month, yet the consequences of untreated severe mental illness among the nation’s most ignored population have never been more apparent,” said Doris A. Fuller, executive director of the Treatment Advocacy Center. Among the consequences: 356,000 people with mental illness behind bars, 200,000 living on the streets, increasing numbers of police shootings involving individuals with psychiatric disease and more.

One bright spot in the otherwise grim picture, Fuller said, is “The Helping Families in Mental Health Crisis Act,” introduced by Rep. Tim Murphy (R-PA) last December and co-sponsored by more than 70 members of both parties in Congress.

The most comprehensive overhaul of the nation’s mental health system in half a century, the legislation, if enacted, addresses a long list of inadequacies in our mental health system by:· Requiring states to authorize court-ordered treatment for qualifying individuals with severe mental illness as a condition of receiving mental health block grant funds. Many states require people with mental illness to be violent or to commit a crime before they can access treatment, according to our study “Mental Health Commitment Laws: A Survey of the States.”
· Requiring states to have assisted outpatient treatment (AOT) laws on their books in order to receive mental health block grant funds. Where implemented, assisted outpatient treatment laws have been shown to reduce episodes of violence, incarceration, homelessness and repeat hospitalization among individuals with severe mental illness.
· Amending the Health Insurance Portability and Accountability Act (HIPAA) to allow family members greater access to the private health information of a loved one with mental illness when necessary to protect the health, safety or welfare of the patient or the safety of another.
· Promoting jail diversion programs such as mental health courts and crisis intervention team (CIT) training for law enforcement. These programs have been consistently found to reduce the criminalization of mental illness, yet less than 40% of the US population lives in jurisdictions with mental health courts, and only 49% lives where police departments are using CIT, according to our study “Prevalence of Mental Health Diversion Practices.”
· Access to treatment for acute or chronic psychiatric disease varies widely from state to state,” Fuller said. “Rep. Murphy’s bill would expand that access by lowering or removing some of the barriers that commonly prevent individuals from getting the care they need.

The Treatment Advocacy Center ] is a national nonprofit organization dedicated to eliminating barriers to the timely and effective treatment of severe mental illness. The nonprofit promotes laws, policies and practices for the delivery of psychiatric care and supports the development of innovative treatments for and research into the causes of severe and persistent psychiatric illnesses, such as schizophrenia and bipolar disorder.

The organization does not accept funding from the pharmaceutical industry. The American Psychiatric Association awarded the Treatment Advocacy Center its 2006 presidential commendation for "sustained extraordinary advocacy on behalf of the most vulnerable mentally ill patients who lack the insight to seek and continue effective care and benefit from assisted outpatient treatment.” Reported by PRWeb 16 hours ago.

The Biggest Reason People Didn’t Sign Up For Obamacare

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The post The Biggest Reason People Didn’t Sign Up For Obamacare by AOL Video appeared first on The Epoch Times.

The top reason uninsured people didn’t enroll in coverage under Obamacare this year is they still don’t feel like they can afford health insurance, according to a new survey.…

The post The Biggest Reason People Didn’t Sign Up For Obamacare by AOL Video appeared first on The Epoch Times. Reported by Epoch Times 15 hours ago.

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Thousands of former foster youth are gaining health insurance under the Affordable Care Act. Reported by WEAR ABC 3 15 hours ago.

The Politics of Pain

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iStockPhoto

In the spring of 1992, as the contentious Democratic primary ground to a close, Bill Clinton was speaking at a rally in New York City when an AIDS activist accused him of ignoring the ongoing HIV epidemic. Uttering four words that epitomized his campaign style, Clinton told the activist, “I feel your pain.”

Clinton’s remark was widely mocked by conservatives who believed that bleeding-heart liberal policy, under the pretext of compassion, was creating a culture of dependence. In his new book, Pain: A Political History, Keith Wailoo argues that over the past 60 years, sparring over what constitutes pain, who can judge pain, and how the government should mete out treatment has elevated our maladies into fraught political concerns. Pain resists measurement, raising questions about whether sufferers can be trusted to evaluate their own distress. Conservatives worry that chronic pain is a symbol of underlying social maladjustment, while liberals seek to put the means of relief into patients’ hands. Should pain count as a disability? Does relief encourage fraud and addiction? Wailoo, the Townsend Martin Professor of History and Public Affairs at Princeton University, contends that the politics of pain has morphed beyond rhetoric into an enduring partisan divide.

In 2010, Melanie Thernstrom wrote about physical suffering in The Pain Chronicles, a book that is simultaneously a memoir of her own experience of chronic pain, an exploration of the scientific foundations of pain, and an expansive record of pain’s cultural meanings. She explores the paradox of pain: Impossible to articulate, it is a defining and unifying element of humanity. “Pain is the most vivid experience we can never quite describe, returning us to the wordless misery of infancy,” she writes. Whose pain is real—and whose pain can be cured—are questions that have reverberated for generations.

Wailoo and Thernstrom’s exchange has been edited for concision and clarity. —Amelia Thomson-Deveaux

*Melanie Thernstrom: Your book traces the evolving politics of pain, suffering, and disability—how we as a society evaluate people’s pain, whether it’s real and worthy of treatment and social support, beginning with the story of wounded veterans from World War II. How do we think about pain in a political sense? What is the “liberal” or “conservative” attitude toward pain?*

Keith Wailoo: You can begin to understand that divide through caricatures that have developed over the years. Liberals believe in compassion toward others—they believe that subjective claims about pain ought to be taken seriously and endorse broad-minded approaches to relief. Conservatives believe in stoic, grin-and-bear-it approaches to pain. They believe people should push through pain despite discomfort in order to get back to work. They also tend to critique this bleeding-heart, overly compassion--oriented society as lacking objective criteria for judging the pain of others, which leads society in a terrible direction of increasing dependency and welfare. To some extent, these caricatures hold up. Liberal eras like the 1960s and 1970s did produce innovations like patient--controlled analgesics, which essentially said, regardless of whether you believe a patient is in pain, just hand them a morphine drip and have them determine what level of relief they deserve. But then sometimes they don’t. You have President Dwight Eisenhower, who’s a Republican and signs the first disability act within Social Security in 1956. Or you have President Jimmy Carter’s attempts to roll back the growth of disability benefits.

*It’s a hard issue because pain is such a subjective state. Often, there are no objective criteria to tell how much pain someone is in. But most health-care providers will tell you that you have to approach patients in good faith. You write about how under President Ronald Reagan, there was a vast purge of the disability rolls because of the perception that many of the people who were receiving disability were cheating. The fear was that people were fabricating pain instead of working, because they could be paid almost as well for staying home and being disabled. It seems like the best way to address pain-related disability is not to focus on eliminating fraud but to think about how best we can treat the pain itself. Some pain, of course, isn’t treatable, but other forms of pain can improve or even be eliminated. Some of the people I interviewed for my book had this catch-22 that they couldn’t work unless their pain was treated, but they couldn’t afford health insurance without working. You’d think that this is exactly what Medicaid should be able to address, but in some states, Medicaid has been designed so that it’s not enough to be poor. You also have to have a minor in the home. So there’s this social message that poor people’s pain and suffering doesn’t matter unless they’re parents.*

Some of what you’re talking about is happening on the clinical level, too. Over the course of the last 50 years, physicians have internalized anxieties about drug addiction and the overuse of painkillers, with OxyContin as the most recent manifestation of that. Physicians are under surveillance because of these political concerns that carry over into criminal justice, and they routinely undertreat their patients as a result.

*That doesn’t seem like it’s a wholly bad thing. Painkillers come with a tremendous cost. There are many harmful side effects, and the research shows that there are other modes of non-drug pain treatment like physical therapy that are more effective—they’re just more expensive and time consuming for the doctor. So if the goal were actually to help people in pain, then non-opioid solutions should be the focus of pain treatment. But if politicians—mostly conservative politicians—don’t want to spend a lot of money on health care, then you get a system where patients, and especially poor patients, can’t get a more effective treatment.*

I agree that paying more attention to the actual people in pain would be a first step to resolving these problems. In politics, the issue of pain takes on a life of its own when liberals caricature conservatives as lacking compassion and conservatives see liberal “I feel your pain” policy as flawed. The debate increasingly moves away from people’s experience. It needs to be reconnected to these questions of experience. 

Your book has done an extraordinary job of laying out those complexities. I was reviewing it, and it seemed to me that on every other page, I found an observation that pivots from the world of people in pain to the world of the politics of pain. At one point, you say that pain brings out the best and the worst in people. You mean it to describe the experience of living with pain, but politically, that’s also true. It produces extreme compassion but also extraordinary skepticism and judgment.

*And that makes sense, those connections, because pain is one of the most salient and terrible facts of human life. I became fascinated with ancient Mesopotamian writings on pain when I was researching my book, and although we now often read religious texts about pain as spiritual and emotional, it’s clear that when you look at these writings, they’re obsessed with physical pain. There was a Babylonian god of toothache and a demon of stomachache. Trying to figure out how we should cope with pain is just so central to human life. It’s also a mirror for larger social attitudes. In the Victorian era, there was what could be described as a “great chain of being,” where the highest members of society—like upper-class women—were considered the most pain sensitive. At the bottom of the chain, slaves and Native Americans were thought to be insensate. Current studies show that minorities’ pain and women’s pain is still undertreated, even when they have the exact same complaints that men or white people have. It’s still society saying whose suffering matters to us.*

Yes, it evolves with the times. In the 1950s, after Alaska became a state, there were questions about Eskimos and how they feel pain. There were these dramatic stories in the news—which are obviously apocryphal—of how people living in the wilds of Alaska could cut off a gangrenous foot without any anesthesia. Then in the late 1960s, there was an ethnography of patients in a veterans’ hospital called People in Pain. On the one hand, it’s a wonderful book pointing out that Jews and Italians and Irish and Anglo-Americans all talk about pain differently. It may also be read today as the crudest form of ethnic stereotyping. Jews tend to complain about pain. The Irish are very present-oriented in their pain—that is, if pain is present, they feel it, but as soon as it goes away, it’s as if it didn’t happen. And of course the Anglo-Americans are the classic stoics; that is to say, they rationalize pain, they think about it intellectually. They’re considered to be the best patients because of that. 

*One interesting reversal from the stereotypes—that liberals are compassionate and conservatives aren’t—that you write about in the book is the conservative notion that a fetus can feel pain during an abortion. It’s hard to believe that this position can get anywhere, because there’s a strong scientific consensus that a fetus doesn’t experience pain in the way that people do. The parts of the brain like the limbic system that allow humans and other higher mammals to generate an experience of pain and suffering haven’t developed in a fetus. *

So much of the discourse surrounding pain has limited scientific foundation, and the question of fetal pain is one of the best contemporary examples. That contention—that the fetus feels pain—is extraordinarily politically powerful. In conservative religious states, part of the effort to roll back access to abortion involves these requirements that women be told that the fetus can feel pain before they can proceed with the abortion. In the book, I explain where the idea of fetal pain originated. It goes back to the Reagan years. A film released in 1984 called The Silent Scream argued that the fetus screams—and feels pain—during an abortion. It’s that political contention that drives the fetal-pain debate. Certainly based on what we know about fetal development, neurological development, and the physiology of pain, there is no scientific basis for this claim. But little of this cultural politics of pain revolves around actual science. Here was a president who was being bashed by liberals for ignoring people in pain, and this allowed him to say that he did feel compassion for a particular class of “person” and a particular kind of pain. It became an important and effective political argument regardless of the scientific underpinnings.

*There is a paradox here. Pain is the No. 1 complaint that brings patients to the doctor, and yet it’s still marginalized as a field. Why do you think that is?*

Part of the problem is that pain cuts across disease categories. We divide up the problems of health into organ systems or particular ailments; we don’t think about disease according to the experience that people have. It exemplifies how widespread the problem is but also how difficult it is to gain any attention for people in chronic pain, because pain is embedded in so many different illnesses.

*You talk about Rush Limbaugh in the book—how this influential conservative commentator claimed to have severe pain and became addicted to pain medicine. It seems like it could have been an opportunity for a conservative to shed light on the problem.*

That’s a great question. What happens if you have a conservative who believes in deregulation—who frequently criticizes this kind of “bleeding heart” attitude—become dependent on drugs? It’s especially interesting because with OxyContin, you have one of the places where liberal/conservative divides start to break down. People who were interested in broadening the scope of relief and people who wanted more deregulation embraced the rise of prescription painkillers that became so central to the national conversation we had about OxyContin—it’s a world liberals and conservatives made together. When Limbaugh first admitted he was addicted to OxyContin, there was a hope, mostly articulated by liberals, that he might become a voice for people in pain. The hearings surrounding his case reveal some of the nuance. But on the radio, he framed it very much in keeping with the conservative script—as a problem that he overcame. Then he moved on. 

*So what is the answer? Can we hope for improvement in pain treatment and pain management? The Affordable Care Act originally included funding for pain-treatment education, but then Congress slashed that funding. All that was left in the bill was the money to commission a report on pain by the Institute of Medicine at the National Institutes of Health. I was one of the authors of the report, and we concluded that there needs to be sweeping change on the research and the treatment front because pain is both poorly understood and poorly treated. That report, not surprisingly given the political climate, didn’t get much traction. What do you think has to happen to translate those recommendations into action?*

One possibility for change comes simply from the continuing aging of society. Chronic pain is inevitably associated with many degenerative diseases, and that means that pain will only rise in prevalence and importance. To be honest, I think we came very close with that provision in the Affordable Care Act. We could have created a kind of public-awareness campaign, akin to what you might find with AIDS awareness, to begin to shape the national conversation about the character of chronic pain. When the funding got cut, that was a missed opportunity to have a public dialogue about these issues, perhaps a “pain summit” with the goal of depoliticizing pain care. Because I’m also concerned that physicians continue to be woefully undereducated about this issue. 

*It seems like physicians would be a great potential audience for your book. *

Yes, if there’s one thing I think we should start doing, it’s pushing medical schools to embrace a more robust and sustained commitment to actually teaching doctors about pain as a widespread health problem. In the absence of a stable medical and scientific base, it’s likely that pain will continue to be politicized. Of course, it would be valuable for politicians, policy-makers, and people living in pain to understand the political battles that often make relief so hard to find. Reported by The American Prospect 14 hours ago.

More than 76,000 sign up for health insurance

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More than 76,000 people signed up for health insurance on Idaho's exchange through the end of March under the federal Affordable Care Act, officials said. Reported by Miami Herald 14 hours ago.

Former Foster Kids Gain Health Insurance Under ACA

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Nearly 10,000 teens and young adults who aged out of foster care are eligible for health insurance under the Affordable Care Act. Reported by cbs4.com 14 hours ago.

Kaups Insurance Now Offers Cheap Car Insurance Quotes in MN

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Kaups Insurance provides cheap car insurance quotes in MN, enabling customers to make comparisons before they opt for any particular insurance policy.

Minnesota (PRWEB) April 29, 2014

Kaups Insurance provides cheap car insurance quotes in MN, enabling customers to make comparisons before they opt for any particular insurance policy. These quotes facilitate comparative buying and inform about deductible options for smaller monthly premiums. In addition to this, consumers can also assess the risks involved by comparing different quotes and know about the policies that cover all legal obligations.

Talking about their cheap car and automobile insurance quotes in MN, a representative mentioned, “At Kaups Insurance, we can connect people with companies who more than likely will provide cheap car insurance quotes to fit any budgetary constraints. It’s a crazy world out on the roads of our nation. Congested traffic, higher speeds, road construction, higher gas prices and increasing repair costs each require a careful and insightful look at insurance choices. Cheap car insurance quotes take the consumer through a process of comparative shopping by connecting them with companies who will make suggestions based on information provided.”

Once a customer fills out the request form, Kaups Insurance.com provides auto insurance quotes from different companies that match with the client’s individual budget, lifestyle and security requirements. The portal assists in clarifying the ambiguities for a wise comparison so that customers get the accurate and appropriate insurance coverage for their cars and other vehicles.

Apart from online auto insurance quotes in MN, Kaups Insurance’s expertise also includes well-priced insurance quotes for health, life, business, home and other such possessions. They are dedicated to providing information for clients that hopefully will erase the possibility for any surprising terms and conditions or hidden costs later on.

About Kaups Insurance

Kaups Insurance connects people to well-priced insurance quotes as per their requirements. They help clients get free online quotes for auto, life, homeowners, business, motorcycle and health insurance needs. They help people receive personalized quotes tailored to meet their specific needs from strong and reliable companies. They connect people with companies that will provide them with quotes in just a few minutes, making sure that the insurance quotes offered cover all the customers’ needs. Their quick and convenient services have served clients very reliably, while unveiling insurance packages that really fit the bill.

For more information, please visit http://www.kaupsinsurance.com Reported by PRWeb 13 hours ago.

Health Partners America Publishes New Whitepaper: “No-Cost Employee Benefits”

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Health Partners America, a company that provides training, tools, and technology solutions for insurance agents and employers who are navigating the health reform legislation, announces the release of its new white paper – No-Cost Employee Benefits. This 10-page document gives insurance agents and employers some ideas to increase the return on investment of an employee benefits package – not by reducing the amount the company is paying (the investment) but rather by increasing employee satisfaction (the return).

Birmingham, Alabama (PRWEB) April 29, 2014

Health Partners America (http://www.healthpartnersamerica.com), a company that provides training, tools, and technology solutions for insurance agents and employers who are navigating the health reform legislation, announces the release of its new white paper – No-Cost Employee Benefits. This 10-page document gives insurance agents and employers some ideas to increase the return on investment of an employee benefits package – not by reducing the amount the company is paying (the investment) but rather by increasing employee satisfaction (the return).

Employers offer health insurance and other employee benefits in an effort to attract and retain quality employees. But the health reform legislation is changing the way employees evaluate these benefits because both employees and their family members who are eligible to enroll in a company’s group health plan – which has long served as the cornerstone of most benefits packages – are generally ineligible for the more generous government subsidies in the individual marketplace.

Employers that make the decision to drop their group health plan in 2014 or 2015 might be doing so for their employees’ own good, but the fact that their workers could do better on their own doesn't eliminate the company’s recruitment and retention needs. This paper provides some ideas to help employers with those efforts.

“As the paper explains, group health coverage is so expensive for many employers that it may have crowded out other group-based insurance options, like dental, life, and disability, so companies that drop their health plan might now have the money to offer some of these benefits, which are greatly needed and highly valued by employees. But “not all benefits have to cost money,” explains Mel Blackwell, CEO for Health Partners America (HPA). “There are plenty of options a company can offer to its employees that don’t cost the company anything at all, yet they’re still greatly appreciated by employees.”

Blackwell is referring to two types of benefits that are described in the report – so-called “worksite” or voluntary benefits, which employees can purchase at group rates with pre-tax dollars, and other “freebies” that a company can choose to offer. The tax-free benefits can save both the employer and the employee money by reducing the FICA tax (Social Security and Medicare) liability, and employees can sign up for these programs online through a private exchange website. But the other benefits – often called “perks of the job” – are the “icing on the cake,” according to Blackwell. They have enormous value because they increase employee satisfaction without impacting the employer’s bottom line. With very little and sometimes no investment on the employer’s part, Blackwell points out, “that’s a pretty good ROI, and employers should look to work with agents who have partnered with HPA and are able to offer all of these solutions and benefits.”

Health Partners America is offering the full report at no cost through the company’s website.

About Health Partners America
Since 2007, Health Partners America has been providing game-changing training and solutions to agents and brokers nationwide. HPA is a technology and consulting company that works with and through brokers in order to engage with the marketplace through healthcare reform. HPA Partners with agents and brokers nationally to bring them technology solutions, private exchange sites, marketing tools, training, and leverage to help them be more successful.

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If you’d like more information about this topic or about HPA, please contact Katie Burns at 205-443-2184 or visit http://www.healthpartnersamerica.com. Reported by PRWeb 13 hours ago.

Poll: Nearly 60% Don't Believe Obamacare Enrollment Numbers

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Poll: Nearly 60% Don't Believe Obamacare Enrollment Numbers The Kaiser Health Tracking Poll released on Tuesday paints a dismal portrait of the nation's attitudes about Obamacare, including nearly six in ten who said the government fell short of enrollment levels. 

Despite the Obama administration's claim that it enrolled eight million Americans in Obamacare--a figure one million higher than its original seven million target--just 14% of Americans said the government "exceeded expectations." 

A full 57% said Obamacare "is not working as planned" versus 38% who agreed with the statement, "There were some early problems that have been fixed and now the law is basically working as intended." 

The poll also asked uninsured Americans why they they currently lack health insurance. Of those surveyed, over one in three (36%) uninsured Americans said they "tried to get coverage but it was too expensive." Indeed, almost half of the uninsured (45%) said they expect to be forced to pay a fine for remaining uninsured. 

The Kaiser Health Tracking Poll found that just 38% of Americans now support Obamacare. 

The Washington Post/ABC News poll released on Tuesday records President Barack Obama hitting his lowest-ever approval rating of just 41%. Reported by Breitbart 12 hours ago.

Five Stunning Facts About America's Prison System You Haven't Heard

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Submitted by Sean Kerrigan via SeanKerrigan.com,

We’ve done several exposés on the prison system in America, including The Prison System Runs Amok, Expands at Frightening Pace (Sept 6, 2012) and Selling the American Dream is the Biggest Market of All (Sept. 30, 2013), but there’s still much more to be said about this topic. *America’s massive prison system is creating a long list of unintended consequences, some of which will effect all of us in the coming years. *To help explain just how bad things have gotten, we’ve compiled this list of the most stunning facts and statistics on the America’s prison system today. 

-*1) Because of its prison system, **the US is the only country in the world where more men are raped than women.*-

According to the 2011 report from Department of Justice, nearly one in 10 prisoners report having been raped or sexually assaulted by other inmates, staff or both. According to a revised report from the US Department of Justice, there were 216,000 victims of rape in US prisons in 2008. That is roughly 600 a day or 25 every hour.

Those numbers are of victims, not instances, which would be much higher since many victims were reportedly assaulted multiple times throughout the year. Excluding prison rapes, there about 200,000 rapes per year in America, and roughly 91 percent of those victims are women. If these numbers are accurate, this means that America is the only country in the world where more men are raped than women.

Even if the number of unreported rapes outside of prison were substantially larger than most experts believe, the fact that many victims in prison tend to be raped repeatedly would indicate that rape against men is at least comparable to rape against women.

Kendell Spruce was one such inmate, sentenced to six years for forging a check for which he hoped to purchase crack cocaine. In a National Prison Rape Elimination Commission testimony, Spruce said:

“I was raped by at least 27 different inmates over a nine month period. I don’t have to tell you that it was the worst nine months of my life… [I] was sent into protective custody. But I wasn’t safe there either. They put all kinds of people in protective custody, including sexual predators. I was put in a cell with a rapist who had full-blown AIDS. Within two days, he forced me to give him oral sex and anally raped me.”

Spruce was diagnosed with “full blown AIDS” in 2002 and died three years later.

-*2) There are more black slaves in America today than in 1850.*-

This sounds outrageous. How can there be more slaves in America today than before the Civil War? First, consider there are more black men in prison today than there were slaves in 1850, according to Michelle Alexander, an Ohio State law professor, who cited the last census immediately before the Civil War. This comparison not account for changes in population, but the statistic is accurate in terms of sheer numbers .

Next, consider the 13th Amendment to the constitution which reads:

“Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States, or any place subject to their jurisdiction.”

Note there is an exception to the otherwise total abolition of slavery. Those suffering “punishment for a crime” can still be constitutionally enslaved. In other words, everyone convicted of a crime is at least potentially a slave.  The Supreme Court has not ruled on whether or not they technically are slaves, but practically it is obvious they are.

Slavery has different definitions, but almost all include the following characteristics: 1) A slave is forced to work under threat of physical or psychological threat. 2) A slave is considered owned property, an asset or commodity which can be sold. Finally, a slave has restrictions on their liberties, including freedom of movement. Right or wrong, a US prison inmate easily meets this criteria.

Prisoners can be denied communication with their fellow inmates, or forbidden from voluntary associations including union membership. Obviously, they are denied their freedom to leave the prison, but they are also forced to work unpaid or for extremely low wages. Prisoners are effectively being bought and sold to private corporations who are using them as cheep labor for private gains. There is also a market for younger and healthier prisoners because their healthcare cost make them less expensive to hold. Private prison contracts allow the transfer of prisoners to state run institutions.

If this is not slavery, then what is?

-*3) Solitary confinement, widely used in American prisons, is regarded internationally as torture.*-

This form of punishment has become increasingly common in the US since it was introduced as a part of America’s then new “Supermax” prison system which began growing in the mid-1980s. Prisoners held in solitary confinement are typically kept in a small, windowless cell for 23 hours a day, with minimal access to lawyers, family and guards. The number of prisoners currently in solitary is estimated to be around 80,000, though the number is growing faster than the overall prison population, indicating the method is becoming increasingly normalized.

Solitary confinement is used against a variety of offenders, including those picked up for immigration violations, which is a misdemeanor or the legal equivalent of a reckless driving ticket. Others are placed in solitary confinement “for their own protection” since they may be a target of other violent inmates. There are few regulations prohibiting its use or duration.

The Sun Times reports that Former US Rep. Jesse Jackson Jr., who is currently serving a prisons sentence for breaking campaign finance laws, was removed from the general prison population and placed in solitary confinement for 5 days after “advising other inmates in North Carolina about their rights in prison, according to the source, who said a guard took exception to that.”

Human rights groups have called the practice torture. The Center for Constitutional Rights argues:

“Researchers have demonstrated that prolonged solitary confinement causes a persistent and heightened state of anxiety and nervousness, headaches, insomnia, lethargy or chronic tiredness, nightmares, heart palpitations, and fear of impending nervous breakdowns. Other documented effects include obsessive ruminations, confused thought processes, an oversensitivity to stimuli, irrational anger, social withdrawal, hallucinations, violent fantasies, emotional flatness, mood swings, chronic depression, feelings of overall deterioration, as well as suicidal ideation.”

This was known as far back as the 1890s, when the Supreme Court originally ruled on the practice. They noted then:

“A considerable number of the prisoners fell, after even a short confinement, into a semi-fatuous condition, from which it was next to impossible to arouse them, and others became violently insane; others still committed suicide, while those who stood the ordeal better were not generally reformed, and in most cases did not recover sufficient mental activity to be of any subsequent service to the community.”

Despite this admission, the practice itself wasn’t ruled on and the method is still used today.

-*4) The food served in prisons is often stale, moldy, under-cooked, unhealthy and scarce.*-

In the 1940s, prison food used to be good, offering a wide variety of options. Today, they call it “shit on a shingle.” The reality is not much worse. State budget cuts and the trend to privatize prisons and prison services has substantially cut food variety and quality.

Incentives to cut costs exist at the institutional and individual level. In Alabama, state law allows law enforcement to pocket leftover funds after feeding prisoners provided they can still provide for their basic needs. The incentive to cut on quality and quantity resulted in the arrest and sentencing of Morgan County Sheriff Greg Bartlett who kept over $200,000 in funds intended for prisoners. The judge concluded that Bartlett had failed to provide “a nutritionally adequate diet.”

In April 2008, 277 prisoners at Florida’s Santa Rosa Correctional Institution became sick after eating chili. The Tampa Bay Times repoted the Philadelphia based food provider, Aramark, “landed the state contract in 2001 and is currently paid $2.67 per inmate for three meals a day. It serves about 60,000 inmates across Florida and contends it has saved the state $100-million in food costs.” The chili story is not an anomaly; it has been repeated across the country including New Jersey, where Aramark also provides meals.

This video shows some of what prisoners in Alabama are forced to eat — rotten and  uncooked meat. It’s difficult to hear, but skip to 0:59 to get a good view of what the meat looks like.

Even when the food isn’t rotten, that doesn’t mean it is particularly appetizing. Occasionally, the food tastes so bad that it has been considered “unconstitutional” in some states. States like Illinois and Pennsylvania feed inmates a food called “Nutraloaf,” a mix of raw vegetables shaped like a meatloaf.  In this video, the staff of the Glens Fall Post Star newspaper taste test the block of food. They conclude, “One bite is one thing, but if you have to live on that, that is awful.”

Sickness and hunger are a common and increasingly accepted part of being a prisoner in America. In addition to stale and rotten food, servings are often extremely small. Truthdig columnist Chris Hedges quotes a prison inmate who said, “You could eat six portions like the ones we served and still be hungry. If we put more than the required portion on the tray the Aramark people would make us take it off. It wasn’t civilized. I lost 30 pounds. I would wake up at night and put toothpaste in my mouth to get rid of the hunger urge.” Read the rest of Truthdig’s expose for more.

-*5) Many prisoners are forced to work real jobs for private corporations, forcing down wages in the rest of the economy.*-

While cheap sweatshop labor is becoming increasingly common across the country, no one takes better advantage of the system than prisons.

Alternet reports that almost 1 million prisoners are doing simple unskilled labor including “making office furniture, working in call centers, fabricating body armor, taking hotel reservations, working in slaughterhouses, or manufacturing textiles, shoes, and clothing, while getting paid somewhere between 93 cents and $4.73 *per day.*” They continue:

“Rarely can you find workers so pliable, easy to control, stripped of political rights, and subject to martial discipline at the first sign of recalcitrance — unless, that is, you traveled back to the nineteenth century when convict labor was commonplace nationwide….  It was one vital way the United States became a modern industrial capitalist economy — at a moment, eerily like our own, when the mechanisms of capital accumulation were in crisis.”

Compare the cost of less than $5 a day with the cost of a minimum wage worker at $58 a day and you begin to see the perverse influence on the entire labor market.

CNN Money reports that prison inmates are now directly competing for jobs in the rest of the economy, and employers are finding it increasingly difficult to keep up. Lost jobs are the result. They cite one company, American Apparel Inc., which makes military uniforms. They write:

“‘We pay employees $9 on average,’ [a company executive] said. ‘They get full medical insurance, 401(k) plans and paid vacation. Yet we’re competing against a federal program that doesn’t pay any of that.’

[The private prison] is not required to pay its workers minimum wage and instead pays inmates 23 cents to $1.15 an hour. It doesn’t have health insurance costs. It also doesn’t shell out federal, state or local taxes.”

The new influx of cheap, domestic labor will inevitably drive down wages for both skilled and unskilled jobs. Reported by Zero Hedge 10 hours ago.
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