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HUFFPOST HILL - Trump Bribes Company To Send Jobs To Mexico, Scores Huge Win

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President-elect Trump made his first appearance since election night, and judging by his tone, substance and demeanor, he clearly is expecting a strong showing in the New Hampshire primary. Trump Tower is sending mixed messages over whether James Mattis will be tapped as defense secretary, which appears to precisely be the type of crap James Mattis hates. And Joe Manchin is being considered for a Cabinet job, meaning he and Steven Mnuchin could pose the greatest threat to Washington’s copy editors since Ben Nelson and Bill Nelson served together in the Senate. This is HUFFPOST HILL for Thursday, December 1st, 2016:

*Discord in Trump Tower? *Both WaPo and CNN have reported that Gen. James Mattis has been tapped for SecDef, but Trump spokesman Jason Miller tweeted, “No decision has been made yet with regard to Secretary of Defense.” Seems like Mattis wouldn’t abide Trump ignoring the results of the 2020 election if he loses. Which is how we’re judging this pick. Jesus.

*D.C.’S STRANGEST MURAL ISN’T CHANGING TO ACCOMMODATE TRUMP* - Anyone who has ever stumbled across the Duke Ellington Bridge after (or before) an evening of tears and oversized pizza in Adams Morgan has likely marveled at the mural on the side of Mama Ayesha’s, a Middle Eastern spot on Calvert Street NW. For the uninitiated, the mural, unveiled in 2009, depicts the restaurant’s eponymous founder ― a slight, older woman ― surrounded by every U.S. president from Eisenhower to Obama. A natural question arises: Will the Middle Eastern restaurant, not exactly a natural gathering place for Trump supporters, add the president-elect? “The mural is finished and done,” said the mural’s creator, Karlisima Rodas-Israel, in an email.

*TRUMP MOVING TO FREE UP SENATE SEATS, FILL IMPORTANT POSITIONS *- Steven Mufson: “Sen. Heidi Heitkamp (D-N.D.) will meet with President-elect Donald Trump on Friday, sparking speculation that she could be on the short list for a Cabinet job, most likely as energy secretary. *A source familiar with the meeting arrangement said they would also discuss the Interior Department. Such a move would have several pluses for Trump. He would have reached across the aisle for a Democrat, and her seat would be filled by someone appointed by North Dakota’s Republican governor, Jack Dalrymple*. That would nudge the Republican majority in the Senate up to 53. Moreover, Heitkamp is a loyal supporter of the oil, gas and coal industries, especially including the drilling of shale formations with hydraulic fracturing, or fracking.” [WashPost]

“Heitkamp took a little heat during a senate lunch today, one senator told Ryan Grim after the Senate Dems’ caucus meeting, ‘some good natured, some not.’”

*Trump is also giving Joe Manchin the distinct privilege of directly overseeing the decline of his state’s economic engine*: “President-elect Donald Trump’s transition team is considering Sen. Joe Manchin of West Virginia for the energy secretary job, according to three sources close to the discussions. The conservative Democrat ‘is being considered to show the coal people how serious Trump is about coal,’ one source said. Manchin told POLITICO Thursday afternoon that he and his staff haven’t been contacted by Trump’s transition team and he didn’t have any trips to New York City on his calendar. But Manchin, who is up for reelection in 2018 in a state that has become increasingly more Republican over the past decade, also didn’t dismiss the notion of taking DOE’s top job in the Trump administration.” [Politico’s Darius Dixon]

*TODAY’S MOST TELLING POOL REPORT* - From Adrian Carrasquillo’s report from the president-elect’s rally in Indiana: “As Trump walked past and then through reporters and photographers, chief strategist Stephen Bannon was heard saying, ‘Who are all these photographers and why are they here?’ Hope Hicks replied, ‘This is the press pool.’”

*Like HuffPost Hill? Then order Eliot’s new book*, The Beltway Bible: A Totally Serious A-Z Guide To Our No-Good, Corrupt, Incompetent, Terrible, Depressing, and Sometimes Hilarious Government

Does somebody keep forwarding you this newsletter? Get your own copy. It’s free! Sign up here. Send tips/stories/photos/events/fundraisers/job movement/juicy miscellanea to huffposthill@huffingtonpost.com. Follow us on Twitter - @HuffPostHill

*TRUMP HOLDS FIRST TIMESHARE PRESENTATION/RALLY SINCE ELECTION *- Arthur Delaney: “President-elect Donald Trump on Thursday toured the Indiana factory that won’t be closing after he intervened to stop the company from shipping all its jobs to Mexico. ‘They’re going to spend a lot of money on the plant and I said to some of the folks, I said companies are not going to leave the United States any more without consequences,’ Trump said at Carrier Corporation’s gas furnace factory in Indianapolis after greeting workers. ‘Not going to happen.*’ Bizarrely, Trump claimed that some earlier statements of his ― like ‘If I were in office right now, Carrier would not be leaving Indiana’ and ‘They’re not going to move’ ― were not actually intended as promises to save jobs at Carrier*…. Nevertheless, in exchange for keeping 800 of the 1,400 jobs it had planned to transfer to Monterrey, Mexico, Carrier is getting $7 million worth of tax breaks from the state of Indiana over the next 10 years, a spokesman for the Trump transition told The Huffington Post.” [HuffPost]

*OBAMA DID A LOT FOR INDIANA, BUT SOLD IT TERRIBLY* - Sam Stein: “In his first trip outside of Washington D.C. as president, Barack Obama went to Elkhart, Indiana, the hub of the RV industry and a town that, at that point in time, was being crushed by the Great Recession. He had gone there as a candidate several times. But when he arrived with the trappings of the presidency, it was to pitch the idea of a massive stimulus package to save towns just like Elkhart, where the unemployment level was nearing 20 percent. The stimulus passed. The economy came back. And Elkhart did, too. When Obama paid another visit this summer, the unemployment rate was down to 3.8 percent…. [A]s the president-elect takes a victory tour of Carrier, *even aides to the president acknowledge they failed in the public relations phase that follows the legislating*. Obama took trips, too. Elkhart’s residents can attest to that. But he was never able to connect the dots between a government action and a private sector reaction the way that Trump appears poised to do on Thursday. “ [HuffPost]

*ELLISON UNDER FIRE FOR RADICAL PAST *- Steve Bannon, meanwhile, remains an eccentric guy with a lot of passion. Andrew Kaczynski: “Rep. Keith Ellison’s past ties to the Nation of Islam and his defense of its anti-Semitic leader, Louis Farrakhan, are resurfacing as he campaigns to lead the Democratic National Committee. Ellison, the first Muslim elected to Congress, publicly renounced his association with the Nation of Islam in 2006 after it became an issue during his run for Congress, when local Republican bloggers began publishing his old law school columns and photos connecting him to the organization…. *But several outlets have resurfaced Ellison’s past writings as he runs for DNC chair, raising new concerns about his own views and what they would mean for the Democratic Party if he were to be its leader*. A CNN KFile review of Ellison’s past writings and public statements during the late 1980s through the 1990s reveal his decade-long involvement in the Nation of Islam and his repeated defense of Farrakhan and other radical black leaders against accusations of anti-Semitism in columns and statements to the press. None of the records reviewed found examples of Ellison making any anti-Semitic comments himself.” [CNN]

*Ellison responds in a HuffPost blog entry*: “In my effort to pursue justice for the African-American community, I neglected to scrutinize the words of those like Khalid Muhammed and Farrakhan who mixed a message of African American empowerment with scapegoating of other communities. These men organize by sowing hatred and division, including, anti-Semitism, homophobia and a chauvinistic model of manhood. I disavowed them long ago, condemned their views, and apologized.” [HuffPost]

Rep-elect Charlie Crist drew the worst number in today’s House housing lottery. We could be wrong, but we’re pretty sure he will soon be working atop the roof of Cannon.

@Redistrict: House GOP’s 4% geography bonus:

2012: 49% of 2-party vote, 53% of seats

2014: 53% of vote, 57% of seats

2016: 51% of vote, 55% of seats

*REPEAL AND ― LOOK A SQUIRRELL! *Raise your hand if you think the GOP is really prepared for three years of fighting amongst themselves about what kind of government health care is best. Jonathan Cohn and Jeffrey Young: “Republicans are coalescing around what’s come to be known as the ‘repeal and delay’ strategy for Obamacare…. [B]ut *voting to end Obamacare, even years in the future, is likely to cause market problems right away. And that’s to say nothing of the anxiety that millions who depend on the health care provided through the Affordable Care Act will endure* while they wait to find out exactly when they’re going to get kicked off their health insurance ― and what, if anything, they’ll get instead.” [HuffPost]

*BECAUSE YOU’VE READ THIS FAR *- Here’s a beaver who is not down with fake Christmas trees.

*POPULIST WATCH: HOLLANDE WON’T RUN FOR REELECTION *- Opening up a chance for Marine Le Pen to Rendre la France Super Encore. BBC: “In a surprise move Francois Hollande has announced he will not seek a second term as president of France. ‘I’ve decided not to be a candidate to renew my mandate,’ the Socialist leader said in a live televised address. Mr Hollande, faced with very low popularity ratings, has become the first sitting president in modern French history not to seek re-election*. He said he was aware of the risks of running and warned of the threat from the far-right National Front*. One of the first reactions came from a former economy minister, Emmanuel Macron, who said the president had made a ‘courageous decision’. He is himself now standing for president as an independent centrist, having resigned from the government a few months ago.” [BBC]
*COMFORT FOOD*

- Guy Fieri eating things set to Johnny Cash’s cover of “Hurt.”

- An app that calculates the political leanings of your Facebook news feed.

- A visualization of the relationships of Europe’s royal families.   

*TWITTERAMA*

@berniethoughts: I KNOW HUMANS DO NOT FEEL PAIN WHEN THEIR HAIR IS CUT—PERHAPS BECAUSE THE HAIRS ALONE FEEL IT

@jessetaylor: Finally, someone will provide businesses the certainty needed in these tough times, where you get government money for outsourcing

@Lawrence: So this just happened: @realDonaldTrump visited a company moving 1,000 jobs to Mexico to congratulate them.

Got something to add? Send tips/quotes/stories/photos/events/fundraisers/job movement/juicy miscellanea to Eliot Nelson (eliot@huffingtonpost.com) or Arthur Delaney (arthur@huffingtonpost.com).

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 19 hours ago.

Socialized healthcare: Man forced to cut off own toes to save foot after being denied hospital treatment

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(NaturalNews) Any American who truly believes that government-run healthcare (not just the catastrophe that has resulted from government-run health insurance via Obamacare) is a much better alternative than the private market, a) has not been paying attention to how badly the government... Reported by NaturalNews.com 12 hours ago.

Getting to Know Medicare Better

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Recent research suggests that consumers are living longer. This creates immense pressure on governing bodies and health systems with increasing health care requirements. In the United States, Medicare, for years, has been trying to keep pace with the growing demand for health care services. Medicare offers multiple health insurance plans with different benefits and costs, to give consumers options and convenient access to health services. Medicare was introduced and implemented by President Lyndon B Johnson in 1965. This federal health insurance plan covers hospital and medical care for Americans who are 65 or older or disabled. From 19 million enrollments in 1966, the program has grown to... Reported by WorldNews 12 hours ago.

Ad Age Names Path Interactive as #3 Best Place to Work in 2016

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New York City-based agency Path Interactive has been named as one of Ad Age’s top places to work in 2016, taking a top spot as the #3 employer on the list.

New York, NY (PRWEB) December 02, 2016

Path Interactive, a New York City-based digital marketing agency founded in 2006, has been named the #3 Best Place to Work in 2016 by Advertising Age. Path Interactive was among 50 companies selected nationwide for this prestigious list, and was selected based on criteria such as leadership, employee role satisfaction, workplace environment, pay and benefits, training & development, and more.

The Ad Age Best Places to Work survey and awards program identifies, recognizes and honors the best employers in the agency, ad tech, media company or marketing division of a brand. Determined through feedback from multiple surveys, Path Interactive’s prominent place on this year’s list was influenced in part by policies such as unlimited vacation, no-deductible health insurance, generous employee wellness programs, regular office festivities, and profit-sharing recognition programs.

“Our employees work hard for our clients, so we work hard to make this a great place to be for them,” says Michael Coppola, CEO and co-Founder of Path Interactive. “One of the most important ways we keep our staff engaged is by empowering them with true responsibility, ownership and trust. We really believe a challenging mission along with flexible time off policies enables our staff to deliver great work they’re proud of.”

These initiatives have also paid off when it comes to talent acquisition and retention. Also named for the second time as one of Crain’s Best Places to Work in NYC this year, Path Interactive continues to maintain impressive employee tenure with very low turnover rates.

“We put a strong emphasis on training, mentorship and development for all our employees,” says Michael Candullo, COO and co-Founder of Path Interactive. “Path is a culture that we are incredibly proud of as it empowers employees at all levels, promotes true collaboration and rewards all employees. We are truly one. It’s important to us that that our talent stays with us for the long haul – which is why we are committed to making this a truly great place to work.”

Also named last year to Inc. Magazine’s list of 5000 Fastest Growing Private Companies in the U.S., Path Interactive has experienced consistent growth in a highly competitive digital marketing service industry. The co-founders credit their staff’s dedication, engagement and leadership in helping to drive this growth year over year.

The 2016 Best Places to Work list is a joint effort of Advertising Age and Best Companies Group. Best Companies Group is dedicated to establishing programs to identify and recognize workplaces that nurture a superior level of employee satisfaction and engagement. Companies from across the United States participated in the two-part survey process. The first garnered information about employer offerings, and the second was an employee survey to measure the workplace experience. The combined scores determined the top companies and the final ranking.

See the full 2016 list of Ad Age’s Best Places to Work here: http://adage.com/article/news/ad-age-s-places-work-2016/306695/

About Path Interactive:

Path Interactive is a search-first digital marketing agency headquartered in NYC's Flatiron District. Delivering results-oriented digital campaigns, Path Interactive exercises deep expertise in a full suite of results-oriented marketing services including PPC management, SEO, social media and display/digital media advertising. Path Interactive's client list includes well-known brands such as Zagat, Time Inc., WWE, Carmex, Jackson Hewitt, and the American Management Association. Reported by PRWeb 10 hours ago.

‘Challenging trading enviroment’ sees revenues/profits fall at Galway Clinic

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Spiralling cost of health insurance cited as a problem by hospital as it hits demand for private treatment Reported by Irish Times 7 hours ago.

Two controversial items put on hold in Hong Kong voluntary health insurance plan

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Two controversial items will be dropped temporarily from the planned voluntary health insurance scheme after resistance from insurers, the health minister confirmed on Friday. Insurers would not have to cover high-risk patients or guarantee to cover anyone regardless of age or illness. But Secretary for Food and Health Dr Ko Wing-man said the government would not “give up” on these two features and would carry on the legislation work in the next phase. “We realised that... Reported by S.China Morning Post 5 hours ago.

The Most Important Entrepreneurial Challenge of Our Time

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The US Presidential election has concluded.

The rage of the white working class that is today poor and disenfranchised has propelled Donald Trump to the White House.

Majority of the college educated did not vote for Trump.

Large numbers, in fact, did not vote at all, finding Hillary Clinton equally uninspiring.

In a previous blog post, I pointed out that more and more, the uninformed and the ignorant will be deciding on the future heads of states in the Western democracies. [This is already the case, by the way, in countries like India, where bulk of the voting population is uneducated, uninformed, and incapable of making rational choices.]

Trump Won Because Voters Are Ignorant, Literally [Foreign Policy Magazine]:Trump owes his victory to the uninformed. But it's not just Trump. Political scientists  have been studying what voters know and how they think for well over 65 years. The results are frightening. Voters generally know who the president is but not much else. They don't know which party controls Congress, what Congress has done recently, whether the economy is getting better or worse (or by how much). In the 2000 U.S. presidential election, most voters knew Al Gore was more liberal than George W. Bush, but significantly less than half knew that Gore was more supportive of abortion rights, more supportive of welfare-state programs, favored a higher degree of aid to blacks, or was more supportive of environmental regulation.The important question of our time is what will happen to the uneducated, unskilled working class that will have no jobs and no prospects in the years to come? Their numbers, inevitably, will increase as automation marches through industry. [Heck, white collar jobs will ALSO get automated in large proportions.]

Trump may promise them protectionist policies, but if America enters into a trade war with China, it is the middle and lower income people that would be hurt the most from higher prices for their basic necessities.

Rather, I am more interested in what entrepreneurs can do to change the course of things through ingenuity and enterprise. Let me explain.

Why do you think Uber is so successful?

No, it is not because of technology.

It is successful because it has used technology to leverage the need of millions of working class people without jobs to create a new livelihood.

Uber doesn't offer job security. It doesn't offer health insurance. But it offers an opportunity for millions of people to make **some* *money. May not be grand incomes, but some income is better than no income for most of these people who need, desperately, a means of sustenance.

Now parlay that into your entrepreneurial thinking and figure out what else can generate incomes for large numbers of blue-collar people. What other services can be thus delivered with the help of technology?

This, I believe, is the most important entrepreneurial challenge for our time.

Not Artificial Intelligence. That will create wealth and erode jobs. That will continue to accumulate fortune at the tip of the economic pyramid.

If you care about the future of humanity, figure out the future of jobs, especially jobs for the less educated, less skilled whose angst will otherwise destroy civilization as we know it.

Photo credit: Greg Younger/Flickr.com.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 3 hours ago.

Senate GOP shies from fight over Medicare

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WASHINGTON (AP) — Congressional Democrats are warning that Speaker Paul Ryan and President-elect Donald Trump are gunning for Medicare — and they are rubbing their hands in glee at the prospect of an epic political battle over the government's flagship health program that covers 57 million Americans. Ryan, R-Wis., is the most powerful advocate in Washington for a premium-support approach that would, over time, remake Medicare into a voucher-like program that could force some seniors entering the program to buy health insurance on the open market instead of getting coverage through the traditional open-ended program. Ryan, just days after the election, said any legislation to replace President Barack Obama's signature Affordable Care Act law would necessarily include cuts to Medicare and Medicaid. Ryan's comments set off alarm bells, as did recent remarks by Rep. Tom Price, R-Ga. — made before becoming Trump's nominee to head the Department of Health and Human Services — suggesting that House Republicans are eyeing major Medicare cuts as early as the summer. Medicare cuts were used by Democrats to help finance the Affordable Care Act and they are a big part of GOP promises to balance the budget. Reported by SeattlePI.com 3 hours ago.

National Health Care Spending Rose Faster Last Year Because More People Got Care

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WASHINGTON ― Health care spending by U.S. households, businesses and the government rose almost 6 percent last year to $3.2 trillion, driven by the large expansion of health coverage brought about by the Affordable Care Act, federal auditors reported Friday.

The good news is this means more Americans had health insurance or government health benefits and that they used them to receive medical care.

The bad news is the uptick, which follows several years of historically low growth in health care spending, means health care made up an even larger share of the U.S. economy, reaching 17.8 percent in 2015, a 0.4 percentage point increase. The independent Office of the Actuary at the federal Centers for Medicare and Medicaid Service published the new data in the journal Health Affairs.

Total national expenditures grew by 5.8 percent in 2015, the largest year-to-year increase since 2007, and 0.5 percentage points faster than in 2014, when the Affordable Care Act’s expansion of coverage began. According to the Department of Health and Human Services, more than 20 million previously uninsured people have gained coverage from private health insurance or Medicaid since 2014, and the Centers for Disease Control and Prevention has reported the uninsured rate is at an all-time low.

“Our significant progress in reducing the nation’s uninsured rate, while providing strong protections for Americans if they get sick, would not be possible without the Affordable Care Act,” Andy Slavitt, acting CMS administrator, said in a press release. “As millions more Americans have obtained health insurance, per-person cost growth remains at historically modest levels.”

From 2009 to 2013, health care spending rose at the lowest annual rates in the more than half-century that the actuaries have produced these annual reports, increasing an average of just 4 percent a year over that time. This followed decades of more rapid acceleration in health care spending that at times reached double digits per year.

The consensus has been that this unusually slow growth was mainly a consequence of the Great Recession and slow recovery at the beginning of this decade. Historically, Americans spend less on health care during economic downturns because of job loss and lower income, and expenditures rebound when the economy improves.

That pattern appears to have repeated itself, but President Barack Obama’s administration and some economists also believe the cost-containment provisions of the 2010 health care reform law contributed to the slowdown by encouraging efficiencies in the health care system, even as it ramped up spending on medical care for newly covered people. And the nation is spending less on health care than projected before Obama enacted the Affordable Care Act.

The coverage expansion is reflected in the 2015 spending patterns. Expenditures on hospital care, physician and clinical services rose faster than during the prior year as people received more medical care. Prescription drug spending growth, by contrast, slowed compared to 2014. 

Notably, rising prices for medical services and products were less a factor in overall spending growth than was the increase in the amount and intensity of medical care people received in 2014 and 2015. That breaks with historical trends, when price hikes constituted a bigger share of the year-to-year growth.

The results of the election make predicting future trends difficult. Prior to Donald Trump’s winning the White House and Republicans’ maintaining control of Congress ― putting them in position to repeal the Affordable Care Act and make other, sweeping changes to the health care system ― the actuaries at the Medicare agency had projected that overall spending would rise by an average of 5.8 percent a year from 2015 to 2025, and that health care eventually would constitute one-fifth of gross domestic product.

Doing away with the Affordable Care Act would dramatically change the equation. Eliminating the law’s Medicaid expansion, the subsidies it provides for private insurance and its guarantee of coverage for people with pre-existing conditions will shrink the insurance rolls and reduce costs for the federal government.

But repeal also would do away with cost-containment policies, such as not paying hospitals to re-treat patients for the same condition if they must return within 30 days for more care. And some portion of the reduced federal spending will simply shift to individuals paying out of pocket for health care and to hospitals and others that will provide charity care and absorb unpaid bills.

Trump and congressional Republicans also vow to devise a new health care agenda that will succeed the Affordable Care Act, but since they currently have no such plan ― and may not for another three years ― evaluating its effects on health care spending is problematic.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 23 hours ago.

Emanuel: Millions Will Lose Health Insurance With Ryan Plan

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House Speaker Paul Ryan's plan to replace the Affordable Care Act is not the place to start, because millions of people will lose their healthcare coverage, Obamacare architect Dr. Zeke Emanuel said Friday. Reported by Newsmax 21 hours ago.

Washington orders Zenefits to charge for HR software it was giving away

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Human resources software startup Zenefits has been ordered by the state of Washington to begin charging customers who use its currently free software platform. Mike Kreidler, the state’s insurance regulator, said the company’s free software business model is illegal and violates an insurance law against inducements — rebates that health-insurance brokers offer to attract new customers. Join the conversation: Follow @SFBusinessTimes on Twitter, "Like" us on Facebook and sign up for our free… Reported by bizjournals 22 hours ago.

Top Rating in Virginia Achieved by Optima Health

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OptimaFit® Individual and Family health plans awarded highest CMS Star Rating in Virginia, a 4.0. Optima Health 4-Star score for Member Experience the highest in Virginia.

Virginia Beach, VA (PRWEB) December 02, 2016

Optima Health achieved Virginia’s highest score, a Global 4-Star quality rating, for its OptimaFit® Individual and Family health plans, by the Centers for Medicare & Medicaid Services (CMS) 5-Star Quality Rating System.[1] This top Virginia rating was accomplished in the first year of a pilot program initiated by the CMS to present health insurance quality ratings for Individual and Family health plans, also known as Marketplace plans.

CMS quality ratings provide information that can be helpful for anyone who is shopping for health insurance coverage during Open Enrollment.

In all three of the areas making up the overall 4-Star Rating, Member Experience, Medical Care and Health Plan Administration, Optima Health consistently achieved 4 Stars. Additionally, Optima Health achieved the highest rating in the state of Virginia - 4 Stars - for Member Experience.

“As we strive to improve the health of our members, it is especially pleasing to know our members appreciate our exemplary service,” said Optima Health Senior Vice President of Sales and Marketing, John DeGruttola. “Providing an excellent member experience is at the heart of what we do at Optima Health, and being number one in this area really fuels our efforts to continually exceed our members’ expectations.”

Optima Health also achieved the highest possible score - 5 Stars - in the areas of Doctors and Care, Enrollee Experience and Patient Safety. Covered in these respective areas are members’ experience with: medical services, including those provided by personal doctors and specialists; the service provided, including answering questions and providing necessary information, and; the care received and access to medications needed to manage conditions.

With Open Enrollment for Marketplace plans currently underway, CMS health plan quality ratings provide new information about the service and care obtainable from a health plan. Virginia Marketplace shoppers can utilize this resource by visiting a health plan’s website to view the summarized CMS quality results before buying.

About Optima Health

Optima Health, based in Virginia, provides health insurance coverage to approximately 450,000 members. With 30 years of experience in the health insurance arena, Optima Health offers a suite of commercial products including consumer-directed, employee-owned and employer-sponsored plans, individual health plans, employee assistance programs and plans serving Medicare and Medicaid enrollees. Its provider network features 26,000 providers including specialists, primary care physicians and hospitals across Virginia. Optima Health also offers programs to support members with chronic illnesses, customized wellness programs and integrated clinical and behavioral health services, as well as pharmacy management – all to help members improve their health. The company’s goals are to provide better health, be easy to use and offer services that are a great value. To learn more about Optima Health, visit http://www.optimahealth.com.[2]

[1] CMS rates qualified health plans (QHPs) offered through the Marketplaces using the Quality Rating System (QRS), which is based on third-party validated clinical measure data and QHP Enrollee Survey response data. CMS calculates QRS ratings annually using a 5-star scale. QHP issuers contract with HHS-approved survey vendors that independently conduct the QHP Enrollee Survey each year. QRS ratings and QHP Enrollee Survey results may change from one year to the next. For more information, please see CMS’ Health Insurance MarketplaceSM Quality Initiatives website at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Health-Insurance-Marketplace-Quality-Initiatives.html.

[2] The membership figure includes total membership in all group and individual insured products, Medicare Managed Care Plans, Medicaid and Famis Plans, and self-funded health plans issued or administered by Optima Health. Total Medical Membership based on Membership History Report, June 2016. Includes members from all Optima Health Licenses, products, Medicare and Medicaid products. Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, and Sentara Health Plans, Inc. Optima PPO plans, and Medicare Managed Care Plans are underwritten or administered by Optima Health Insurance Company. Optima Vantage HMO plans, Medicaid, and Famis products are underwritten or administered by Optima Health Plan. Sentara Health Plans provides administrative services to self-funded plans but does not underwrite benefits. Employee Assistance Programs (EAP) are administered by Optima Behavioral Health Services, Inc. Wellness programs are administered by Sentara Health Plans. Source for provider network is Optima Health, Provider Status Report, February 2016. Reported by PRWeb 21 hours ago.

Walmart Settles Discrimination Suit Over Benefits for Same-Sex Spouses

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The company will pay $7.5 million, largely to compensate employees affected by the denial of health insurance benefits to same-sex spouses. Reported by NYTimes.com 21 hours ago.

Trump And His Betraying Makeover

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Attention workers who voted for Trump, either eagerly or as a vote against the hawkish, Wall Street favorite, Hillary Clinton: Donald Trump, less than a month after the election, has already begun to betray you.

You can often see where a president-elect is going by his nominations to high positions in his forthcoming administration. Across over a dozen crucial posts, Mr. Trump has chosen war hawks, Wall Streeters (with a former Goldman Sachs partner, Steven Mnuchin, as his pick for Treasury Secretary) and clenched teeth corporatists determined to jettison life-saving, injury and disease preventing regulations and leave bigger holes in your consumer pocketbooks.

In addition to lacking a mandate from the people (he lost the popular vote), the president-elect continues to believe that mere showboating will distract from his breathtaking flip-flops in his campaign rhetoric. Remember his last big TV ad where he blasted "a global power structure" responsible "for robbing the working class" with images of Goldman Sachs flashing across the screen?

Fast forward several weeks and he has selected cabinet secretaries who want to dismantle the public school system with your taxes going to private schools, reduce regulation of banks, cut consumer protections and weaken labor laws and job safety standards. Other appointees say they want to privatize Medicare, which has led health insurance company stocks to soar, and some want to transfer Medicaid to even more hostile state manipulations.

Regarding national security, his White House advisors are advocates of imperial intervention and bombing Iran. Trump wants to renege on the Iran nuclear agreements the U.S. made with a dozen leading nations and risk escalation of hostilities. Granted, Trump did talk about the Iran deal, with little knowledge of its careful safeguards and ongoing implementation. He also told voters that he didn't believe in the U.S. policing the world with costly military might.

Perhaps the best sign of where Trump is heading comes from the major surge in the stock markets, the booming bank stocks anticipating looser regulations so they can speculate more readily with "other peoples' money" and industries looking forward to more easily emitting pollutants into your air, water, and soil.

As an accomplished sleight-of-hand specialist - a failed gambling czar who always jumped ship with his gold and left his workers, creditors and shareholders stranded - Trump recently traveled to Indiana to brag about the decision by Carrier to keep intact 800 of the 2000 jobs it plans to ship to Mexico. You'll recall Trump made Carrier, a subsidiary of giant United Technology (UT), his poster-child for showing how the U.S. is losing jobs under NAFTA.

Well Trump's boast, for starters, will cost Indiana taxpayers $7 million for Carrier to agree, with presumably, additional goodies for United Technologies coming later. Already, UT and Carrier have long been loaded up with tax and other "incentives," subsidies and all the complex corporate welfare that defense companies receive from the Pentagon.

Being a long-time recipient himself of crony capitalism, Trump hopes that his working class supporters will never catch on to this kind of back room "deal-making" when he is in the White House. Big corporations are drooling at the prospect of further tax cuts, weaker law and order (e.g. deregulation) and the many sub-visible freebies of the corporate welfare state.

Guess who gets left holding the bag? Why, you, of course, the workers and small taxpayers. Stay tuned, for more corporatists, Wall Streeters and militarists are on their way to Trump's Washington.

A French writer once said, "the more things change, the more they remain the same." Then there is Trump's highly bruiseable and dangerous ego, as he gets up at 3am to tweet his mad impulses and false assertions.

Trump doesn't like to be accused of disloyalty by workers who supported him. Therein lies some leverage. Laborers, who were crucial to the Boaster's Electoral College victory, will have many opportunities to laser-focus on Trump's betrayals in very personal ways. They should take them.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 20 hours ago.

Trump and His Betraying Makeover

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Attention workers who voted for Trump, either eagerly or as a vote against the hawkish, Wall Street favorite, Hillary Clinton: Donald Trump, less than a month after the election, has already begun to betray you.

You can often see where a president-elect is going by his nominations to high positions in his forthcoming administration. Across over a dozen crucial posts, Mr. Trump has chosen war hawks, Wall Streeters (with a former Goldman Sachs partner, Steven Mnuchin, as his pick for Treasury Secretary) and clenched teeth corporatists determined to jettison life-saving, injury and disease preventing regulations and leave bigger holes in your consumer pocketbooks.

In addition to lacking a mandate from the people (he lost the popular vote), the president-elect continues to believe that mere showboating will distract from his breathtaking flip-flops in his campaign rhetoric. Remember his last big TV ad where he blasted "a global power structure" responsible "for robbing the working class" with images of Goldman Sachs flashing across the screen?

Fast forward several weeks and he has selected cabinet secretaries who want to dismantle the public school system with your taxes going to private schools, reduce regulation of banks, cut consumer protections and weaken labor laws and job safety standards. Other appointees say they want to privatize Medicare, which has led health insurance company stocks to soar, and some want to transfer Medicaid to even more hostile state manipulations.

Regarding national security, his White House advisors are advocates of imperial intervention and bombing Iran. Trump wants to renege on the Iran nuclear agreements the U.S. made with a dozen leading nations and risk escalation of hostilities. Granted, Trump did talk about the Iran deal, with little knowledge of its careful safeguards and ongoing implementation. He also told voters that he didn't believe in the U.S. policing the world with costly military might.

Perhaps the best sign of where Trump is heading comes from the major surge in the stock markets, the booming bank stocks anticipating looser regulations so they can speculate more readily with "other peoples' money" and industries looking forward to more easily emitting pollutants into your air, water, and soil.

As an accomplished sleight-of-hand specialist - a failed gambling czar who always jumped ship with his gold and left his workers, creditors and shareholders stranded - Trump recently traveled to Indiana to brag about the decision by Carrier to keep intact 800 of the 2000 jobs it plans to ship to Mexico. You'll recall Trump made Carrier, a subsidiary of giant United Technology (UT), his poster-child for showing how the U.S. is losing jobs under NAFTA.

Well Trump's boast, for starters, will cost Indiana taxpayers $7 million for Carrier to agree, with presumably, additional goodies for United Technologies coming later. Already, UT and Carrier have long been loaded up with tax and other "incentives," subsidies and all the complex corporate welfare that defense companies receive from the Pentagon.

Being a long-time recipient himself of crony capitalism, Trump hopes that his working class supporters will never catch on to this kind of back room "deal-making" when he is in the White House. Big corporations are drooling at the prospect of further tax cuts, weaker law and order (e.g. deregulation) and the many sub-visible freebies of the corporate welfare state.

Guess who gets left holding the bag? Why, you, of course, the workers and small taxpayers. Stay tuned, for more corporatists, Wall Streeters and militarists are on their way to Trump's Washington.

A French writer once said, "the more things change, the more they remain the same." Then there is Trump's highly bruiseable and dangerous ego, as he gets up at 3am to tweet his mad impulses and false assertions.

Trump doesn't like to be accused of disloyalty by workers who supported him. Therein lies some leverage. Laborers, who were crucial to the Boaster's Electoral College victory, will have many opportunities to laser-focus on Trump's betrayals in very personal ways. They should take them.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 21 hours ago.

Can Tech Reduce Your Health Care Costs?

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With the Affordable Care Act in jeopardy, many Americans are wondering how they are going to pay for health insurance next year. Hardest hit will be people who have ongoing medical expenses, such as patients with diabetes or think of pregnant moms, who have to contend with numerous office visits.

Tech can offer a solution.

"There's an app for that" has become something of a punchline these days. Everything, it seems, can be done with a smartphone, from shopping for groceries to making your car payments. Health, thus far, has been under-represented in this revolution. Right now all most people do is track their running pace, cycling speed, or the number of stairs they can climb. So much more is possible.

As any expecting mom knows, taking proper care of yourself when pregnant can get expensive. OB-GYN practices, too, are looking to manage costs, and they are facing a lot of uncertainty next year. What will their insurance company reimbursements be like? Some forward looking practices are looking to tech to help manage costs and track patients. The Center for Innovation at the Mayo Clinic has been testing a program called OB Nest that intends to give patients "care at a distance" via remote monitoring of vital signs and metrics. A startup out of Washington, DC called Babyscripts is working with health care providers in Washington, Florida, and other states to provide new digital tools for pregnancy. Babyscripts (a client of mine) has what it calls a "Mommy Kit," a WiFi and Bluetooth enabled monitoring package that allows a doctor to check up on a pregnant mom without an office visit.

With mobile remote platforms like Babyscripts, maternity care providers and pregnant women meaningfully interact between office visits. Doctors can keep watch over real-time readings from weight scales, blood pressure monitors and glucometers. All the patient needs is a smartphone, and doctors can get a better picture of a patient's health status.

Common Sensing is another promising app for remote monitoring. Its founders are bringing a smart cap for insulin pens to market called the Gocap. The Gocap is a tool created with the intent of helping people improve glycemic control. (Glycemic control is a medical term referring to the typical levels of blood sugar [glucose] in a person with diabetes.) The Gocap generates an insulin logbook that can be shared wirelessly with doctors, care providers and family. It syncs data with every dose of insulin. This is important to patients because insulin can be dangerous if misused.

In both examples, the difference tech makes can involve serious health issues, and certainly affect a patient's quality of life.

Exciting changes are coming as more personalized forms of health care come into focus, a development that medical professionals are calling precision medicine. If vital signs can be remotely monitored, then doctors can have more accurate, up to the minute information about their patients. It's a market and a technology to watch in 2017.

But you don't have to wait until next year. In December, Babyscripts is teaming with Florida Hospital's Innovation Lab to create a conference about remote monitoring. At the Future of Obstetrics Summit, leaders in obstetrics, patient care, remote patient monitoring, and data science will explore the challenges medical experts face in providing precision care to pregnant mothers, discuss what providers can do to improve care, and look at the best tech tools to accomplish these important goals.

That conference might just be a glimpse of the future, and we can look forward to more as application developers team up with doctors to make better medical care for patients.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 19 hours ago.

Obama Urges Americans to Sign Up For Obamacare Amid GOP Opposition

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President Barack Obama encouraged Americans to sign up for Obamacare health insurance plans Friday despite Republicans' stated intentions to repeal, or at least improve, the law during Donald Trump's administration. Reported by Newsmax 13 hours ago.

Experts Call for Urgent Multi-Stakeholders Collaboration in the Development of an Integrated Cancer Strategy to Safeguard the Sustainability of Hong Kong's Health Care System

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Experts Call for Urgent Multi-Stakeholders Collaboration in the Development of an Integrated Cancer Strategy to Safeguard the Sustainability of Hong Kong's Health Care System Cancer is a Top Killer in Hong Kong that Brings Rising Social and Economic Burden

HONG KONG, Dec. 3, 2016 /PRNewswire/ -- Healthcare professionals, NGOs, pharmaceutical industry, insurance companies, cancer patient groups and community leaders must join hands in the fight against the high burden of cancer in Hong Kong.  "A people-centred cancer strategy based on a more integrated, and multi-disciplined model needs to be urgently introduced for better patient outcomes," said experts from the Oncology Innovation Study Group (OISG).  Expert Panel Members of the Oncology Innovation Study Group (L-R) Dr Raymond Lo, Dr Polly Cheung, Dr Alexander Chiu, Ms Sabrina Chan, Dr Stephen Chun Key Law and Ms Chow Sau Fong call for urgent multi-stakeholders collaboration in the development of an integrated cancer strategy.

 “There are actually many other stakeholders that can contribute to speed things up and make cancer control a much more integrated public health strategy,” said Dr Alexander Chiu.

 Hong Kong Cancer Strategy, Oncology Innovation Study Group (OISG)

*The Cancer Burden*

Cancer ranks as the number one leading cause of death in Hong Kong, accounting for thirty percent or 13,803 of all registered deaths in 2014 - a significant increment of 17% compared to a decade ago.  Further to this, new cancer cases have also been rising at 3.1 % per year over the past decade, reaching 29,618 in 2014.

OISG commissioned KPMG to conduct a study, Improving Patient Outcomes -- A Cancer Strategy for Hong Kong, to identify gaps along the WHO's framework of patient's pathway in five key areas from prevention, screening, diagnosis, treatment to palliative care.  Hong Kong was benchmarked with six other countries/regions including the UK, Australia, Singapore, Taiwan, Sweden and France in this study.

*Key Bottlenecks*

Cancer patients face a complex journey once diagnosed. They visit multiple healthcare providers, specialty fields of testing, hospital units and organizations.  They also see a multitude of physicians, radiologists, chemotherapy, nurses etc.  An integrated approach to coordinate care and optimize resources is therefore urgently needed.  One of the inevitable circumstances that cancer patients face today is the long waiting time from diagnosis to their first treatment. 

Palliative care is also an instance in which earlier integration could benefit patients.  "Research evidence has shown that with palliative care incorporated early, advanced cancer patients' pain and depression can be improved with better quality of life, and their quantity of life can be further extended too," said Dr Raymond Lo, an OISG Expert Panel Member.

Cancer patients need affordable access to cancer medicines in a timely manner.  Yet, out of the 26 cancer medicine approved by the European Medicine Agency in 2003-14 and indicated for major cancers, patients in Hong Kong can only receive subsidies to one-third of them through public funding. 

These facts and figures present a critical call for urgent attention to all stakeholders to jointly deliver more integrated cancer care in Hong Kong.  "The public healthcare system in Hong Kong has been doing a great job in cancer care given the amount of resources allocated. Within the community, there are actually many other stakeholders that can contribute to speed things up and make cancer control a much more integrated public health strategy. Shorter waiting times, early integration of palliative care, timely and affordable access to cancer medicines are key issues to deliver better patient outcomes," said Dr Alexander Chiu, an OISG Expert Panel Member.

*The Solution: A Modern People-Centred Cancer Strategy*

"We know that a people-centred, modern cancer strategy is the solution for Hong Kong. We should educate the public on the importance of primary and secondary cancer prevention. Moreover, multi-stakeholders involvement along the patient's pathway is also critical for success," said Dr Polly Cheung, Founder of The Hong Kong Breast Cancer Foundation and a representative in the OISG Expert Panel.

Based on the report as well as WHO's people-centred healthcare framework, OISG recommends a set of three concrete implementations. First, a district-based cancer care system that will integrate multi-disciplinary cancer care services to enhance timely care, improve patients' quality of life and optimize resources. Second, to improve cancer drug access. This includes exploring additional financing approaches, further extension of the current risk-sharing scheme, the development of affordable private health insurance coverage and an accelerated drug enlistment process. And finally, to engage multi-stakeholders in offering people-centred healthcare for both patients and their family members from prevention, to screening, diagnosis, treatment and palliative care.   [See Factsheet on OISG Recommendations.]

*Better Outcomes *

"Everything we recommend in speeding up the process and integrating multi-disciplinary professionals is to aim for a much better quality patient outcomes and quality of life.  Private sectors such as pharmaceutical manufacturers and health insurers must work together with the government and NGOs in narrowing the gaps along the patients' pathway," said Ms Sabrina Chan, Executive Director of The Hong Kong Association of the Pharmaceutical Industry.

"Every day, around 40 cancer patients are dying and another 80 new cases are diagnosed. Every single second matters for them!  We simply cannot wait any longer," said Dr C. K. Law, Specialist in Clinical Oncology, "Hong Kong needs to have an accelerated cancer control strategy that unites all stakeholders much closer, faster."

Experts from OISG will convene regularly with different stakeholders to communicate and explore ways to implement their recommendations for better patient outcomes.

*Highlight of OISG Recommendations*

[Please also see Factsheet of OISG Recommendations]

The Oncology Innovation Study Group recommends three implementation areas to improve the outcome of cancer care in Hong Kong.
*1.            Enhance Integration of Cancer Care Services *

*Adopt a people-centred approach in the design and development of cancer care facilities and services.*  To ensure cancer patients and their care givers receive comprehensive care throughout their journey, the report recommends the establishment district based integrated Cancer Care Centers with a hub-and-spoke model.  In this model, patients could receive specialized care from an integrated oncology and palliative centre (the "hub"), and supportive care from other local HA hospitals, clinics and community centres (the "spoke").  In the development of this model, public-private partnership could be explored and implemented to optimize resources and expertise across different sectors.

To assist patients in navigating the system and transitioning through different stages of care, the report recommends a cancer case management (CCM) system to ensure the delivery of the right health care resources at the right time. CCM programmes have been piloted in various hospital clusters with promising results such as improved waiting time from diagnosis to first definitive treatment. 

*2.            Enhance Accessibility of Cancer Medicine *

*Improve accessibility to and financing of cancer medicines while providing safeguards to ensure responsible use of funds.*  To alleviate the pressure public funding, the report recommends exploring other financing approaches such as charity sponsorship and private health insurance.  Charities will be called for to work together in support of public health care initiatives including sponsoring pilot programmes to assess feasibility and long-term viability of new solutions.  Private health insurers could play a more significant role in enabling sustainable model of cancer care financing. 

A key challenge for them today is the inability to predict and control costs.  To this end, private health insurance companies, government, pharmaceutical industry and hospital administrators should come together to improve data transparency and predictability to support further development of private health insurance programmes with more holistic cancer coverage.

OISG recommends further adoption of risk sharing agreements between healthcare payers and pharmaceutical manufacturers.  In particular, performance-based risk sharing agreements linking enlistment and reimbursement levels to how a medicine is utilized or its effectiveness, thereby enabling payers to manage uncertainties regarding clinical value, performance and financial impact.

*3.            Engage Multi-Stakeholders Along the Patient's Pathway*

*Engage multi-stakeholders' involvement along the patient's pathway *in five areas: prevention, screening, diagnosis, treatment and palliative care.   OISG recommends the setting up of a multi-stakeholder platform, such as a cancer commission, that enables the collaboration of professionals from different industries to do research and development for a modern cancer strategy. These multi-stakeholders come from medical sector, academia, insurance companies, pharmaceutical industry, NGOs, public and private hospitals as well as medical social work.

The cancer commission can set key performance indicators for short and long terms against international standards. 

Photo - http://photos.prnasia.com/prnh/20161203/8521607915-a
Photo - http://photos.prnasia.com/prnh/20161203/8521607915-b
Photo - http://photos.prnasia.com/prnh/20161203/8521607915-d Reported by PR Newswire Asia 14 hours ago.

Nancy Pelosi Has A Plan For Taking On The GOP Majority. It Worked Before.

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WASHINGTON ― Democrats just got their asses handed to them. They lost the presidential election, failed to take back the Senate and barely made a dent in their minority status in the House. Now what are they supposed to do?

Fresh on the heels of being re-elected House Democratic leader, Nancy Pelosi’s strategy for preventing Republicans from erasing President Barack Obama’s accomplishments over the next two to four years ― at a time when her party has next to no leverage ― is coming into focus. It looks a lot like 2006.

“When people told us it was time for a Republican majority … around now, in 2004 as we got ready for 2005, we had our plan,” she told The Huffington Post in a Monday interview. “We stuck together. We were unified, strategic, and really it was a beautiful sight to behold.”

“And we won.”

She’s referring to the Democratic wave that came in 2006, when her party reclaimed the House and the Senate. That was the year then-President George W. Bush conceded his party “took a thumping,” and when Pelosi was vaulted into the job of House speaker. Two years later, Obama became president, elevating Democrats to the same position of power Republicans are in now. 

There were different circumstances then. Bush was an unpopular president and so was his war in Iraq ― two issues Democrats could seize on in making the case to Americans for their proposals. There also wasn’t a wildcard like Donald Trump in the picture, preparing to move into the White House after a campaign fueled by hateful rhetoric and with an agenda that nobody really knows.

The political landscape has changed since then, too, and in a devastating way for Democrats. Since Obama became president, the party has lost more than 900 state legislature states, 12 governors, 69 House seats and 13 Senate seats. Some Democrats are clamoring for an internal shakeup, and that includes replacing people like Pelosi. More than 60 members of her caucus voted against her as leader this week, the most opposition she’s ever faced.

But Pelosi still pulled off a decisive win, and she’s convinced the most effective way to counter the GOP of 2017 is to repeat the effort she led in 2006. It relies on Democrats presenting a united front, hammering in the message that they are fighting for working families ― something Pelosi sees as the core of the party, even if they failed to communicate it widely enough in 2016 ― and differentiating themselves from the kinds of GOP policies that benefit the rich and powerful.

“Running against Washington is tried and true,” she said. “It isn’t easy. You have to have a plan and you have to be unified and you have to be strategic. And we’re prepared to do that.”Republicans miscalculated in 2004 when, emboldened by their control of Congress and the White House, they tried to privatize Social Security. Bush barnstormed around the country selling the idea to the public. But within months, fractures were forming in the GOP coalition as Democrats held firm in their opposition. Pelosi and other Democrats worked with advocacy groups to help stop the effort, including the powerful AARP. By the time the Senate held a test vote in March 2005, five Republican senators had pulled out, fearful they would be cast as trying to dismantle a popular program like Social Security.

It was a disaster for Bush and the GOP. Yet it’s the kind of effort some top Republicans are eager to try again. House Speaker Paul Ryan (R-Wis.) has long wanted to privatize Medicare, the popular health insurance program for tens of millions of seniors. And Rep. Tom Price (R-Ga.), who Trump just tapped as his Health and Human Services secretary, is a huge advocate of overhauling Medicare and Medicaid and repealing the Affordable Care Act.

It’s unclear whether Trump will embrace Ryan’s vision of entitlement reform; he’s suggested budget and tax reform can be done without touching Medicare or Social Security benefits. Some Senate Republicans don’t seem to want to go anywhere near the subject for now. But if Trump signs on with Ryan’s plan, Pelosi sees a huge opportunity for Democrats to side with public outcry and fire up supporters already outraged that Trump defeated Hillary Clinton. 

“We have a sense of urgency that is much greater than 2004,” she said. “We don’t have to drum anything up. ... I think the Republican leadership will find people are interested in what the Republican president has to say and what the opposition has to say more than what the Republicans in Congress have to say. So our voice is much more enhanced than theirs.”Throughout the interview, Pelosi exuded the kind of hope and optimism one would expect in a party leader girding for a fight. But even so, there were moments when the woman known for her focus and strategic approach to Washington politics showed flashes of pain at Clinton’s loss. Talking about what her Christmas cards would say this year, she choked up.

“May we have hope that has faith in America ― no, we have spirits that have faith in America, hope for our future ― I can’t say it. I just can’t say it. I’m just really sorry,” Pelosi said.

“It is, for those of us who care, who dedicate our lives to making the future better, and to see something happen with such ― elections are elections. Some people win, some people lose. That’s just the way it is. We accept the results of it,” she continued, visibly upset. “But to see something so drastic as this, and for Hillary not to win when we had such expectation … I’m still not, kind of, to the next step of, ‘OK, let’s just move on.’”

Asked if it was particularly disappointing seeing Clinton lose as someone who has broken barriers for women in politics, Pelosi listed off the things Democrats could have passed if Clinton had won and Democrats retook the Senate: the Equality Act, a bill banning LGBTQ discrimination in employment and housing, an infrastructure investment bill, immigration reform and gun safety bills.

“I just don’t like missed opportunities,” she finally said. “I just thought that was such a missed opportunity for our country.”

And just like that, she was back in strategist mode.

“Having said that, we don’t agonize, we organize. We get moving to make sure the public knows what’s at stake in the policy decisions and then go to the next step, which is hopefully try to do some things together,” Pelosi said. “I mean, who knows. Do you know how [Trump] is going to be?”

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 5 hours ago.

Healthcare spending in the US just did something that rarely happens outside a recession

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Healthcare spending in the US just did something that rarely happens outside a recession The amount that the US is spending on healthcare jumped $3.2 trillion in 2015, a 5.8% increase from the year before, according to the new National Health Spending Report (NHSR) from the Centers for Medicare and Medicaid Services.

This accelerated from the 5.3% growth in 2014, but is still slightly below the average annual growth from the past 30 years.

While the overall growth was certainly interesting, perhaps the bigger news from the report is the share of US GDP derived from healthcare spending increased, a phenomenon typically not seen outside of a recession. Usually during expansions, GDP and healthcare spending growth tend to move more or less in line with each other, keeping the percentage roughly constant from year to year.

According to the NHSR, nominal GDP growth over the past two years was 4.0% annually on average while healthcare spending grew 5.5% annually. Thus, healthcare spending as a percentage of GDP increased by 0.6 percentage points over those two years, with 0.4 percentage points of that coming in 2015 alone.

Typically, an increase of this nature indicates the US is in or near a recession, according to the NHSR.

"Increases of this magnitude in the health spending share of the overall economy typically occur around periods of economic recession," said the report.

Healthcare spending is less elastic than other types of personal spending, so even in a recession this spending likely won't decrease too much. But then, with overall GDP shrinking, the percentage of GDP derived from the more or less constant healthcare sector grows as the rest of the economy turns downwards. Put another way, fewer people are going out and buying large amounts of cars and clothes during an economic downturn, but are unlikely to cancel their prescription medicine or not get surgery for a broken leg, so healthcare claims a bigger share of spending.

The NHRS noted, however, that the US is decidedly not in a recession. Instead, the report cited two factors that have caused the increase. 

For one, the amount being spent by private insurers jumped 7.2% in 2015 due to the fact that more and more people are getting insured through employers and the Affordable Care Act, better known as Obamacare.

"Strong growth in 2014 and 2015 was due, in part, to increased enrollment in private health insurance in both years associated with coverage expansions under the ACA," said the report. "Additionally, in 2015 there was a notable increase in enrollment in employer-sponsored plans (1.4%) as the labor market continued to improve.

Additionally, the cost of prescription drugs increased by 9.0% from the year before, lower than in 2014 but higher than in past years. This issue has bubbled up over the past year as well with the Daraprim and EpiPen scandals.

"Although slower than the rate of 12.4 percent in 2014, growth in prescription drug spending was faster than that of any other service in 2015," said the NHRS report.

"Its recent rapid growth was primarily due to increased spending on new medicines, price growth for existing brand-name drugs, increased spending on generics, and a decrease in the number of expensive blockbuster drugs whose patents expired."

Thus, these structural shifts in healthcare costs and the weaker economic growth of the past year, caused the surge in healthcare's share of total spending.

*SEE ALSO: Obamacare is close to death after Trump's election*

Join the conversation about this story »

NOW WATCH: In the 1970s the CIA created a spy drone the size of a dragonfly Reported by Business Insider 3 hours ago.
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