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Republicans are starting to admit they may have to work with Democrats on healthcare

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Republicans are starting to admit they may have to work with Democrats on healthcare With the Senate Republican healthcare bill stalled due to disagreements within the party, some Republicans are admitting they may have to move to a plan B: working with Democrats.

Senate Majority Leader Mitch McConnell on Thursday said during an event in Kentucky that if GOP senators fail to reach an agreement on a bill that can get 50 votes in the chamber, they would have to work with the other party on a way to stabilize the Obamacare insurance markets.

"If my side is unable to agree on an adequate replacement, then some kind of action with regard to the private health insurance market must occur," McConnell said.

McConnell pointed to increasing premiums in the individual insurance marketplaces as the reason Republicans would have to reach across the aisle.

"No action is not an alternative," McConnell said, according to The Associated Press. "We've got the insurance markets imploding all over the country, including in this state."

McConnell reportedly used the prospect of working with Democrats as a threat earlier in the negotiations over the Senate healthcare bill, the Better Care Reconciliation Act (BCRA).

Sen. Jerry Moran of Kansas on Thursday also suggested Republicans may have to work with their Democratic counterparts to solve healthcare. Moran said he would have preferred to deliberate the bill in a more open fashion in the Senate, instead of using the more secretive process for which McConnell was criticized, and "figure out where there are 60 votes to pass something."

The Kansas Republican also said there was no consensus within the 52-member GOP conference on the healthcare bill.

The BCRA hit a roadblock after its introduction. Conservative members rejected the bill because it did not go far enough in its repeal of Obamacare. On the other hand, more moderate members said the bill goes too far in stripping away funding from programs like Medicaid.

Senate Minority Leader Chuck Schumer welcomed the remarks from McConnell is a statement. The Senate's top Democrat expressed willingness to work with Republicans if they chose to do so.

"It’s encouraging that Sen. McConnell today acknowledged that the issues with the exchanges are fixable, and opened the door to bipartisan solutions to improve our health care system," Schumer said. "As we’ve said time and time again, Democrats are eager to work with Republicans to stabilize the markets and improve the law."

*SEE ALSO: MCCONNELL: People think Congress is divided, but no one has 'almost beat to death a senator on the floor of the Senate' like in 1856*

Join the conversation about this story »

NOW WATCH: 'He started talking about blood coming out of her ears’: Joe Scarborough claims a red-faced Trump ranted about Mika Brzezinski in front of 20 congressmen Reported by Business Insider 1 day ago.

United States: Avoiding Snares In Workplace Wellness Programs - Butler Snow LLP

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Encouraged by health insurance companies, workplace wellness programs have become trendy. Wellness programs help prevent disease and encourage employees to adopt healthier lifestyles. Reported by Mondaq 8 hours ago.

Hampton Roads millennials watch health care debate closely

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With a husband in the military, Leah Allen never had to worry about health insurance.

But after the couple filed for divorce earlier this year, Allen started looking at health care plans, trying to find one that will keep her monthly prescriptions in her price range.

Allen, 28, just began a new... Reported by dailypress.com 12 hours ago.

Fin24.com | NHI and your medical scheme: as clear as mud

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Aaron Motsoaledi has presented the revised White Paper on National Health Insurance. Here’s what it says about the possible future of private medical schemes. Reported by News24 18 hours ago.

Global Team of Experts at Columbia's Department of Psychiatry Define Non-Verbal Learning Disability

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Key step in raising awareness and improving diagnosis, treatment of a condition that affects spatial learning

New York, NY (PRWEB) July 07, 2017

Faculty from the Department of Psychiatry at Columbia University Medical Center (CUMC), along with other global leaders in the field, have found consensus regarding the precise definition of non-verbal learning disability (NVLD), a condition that affects spatial processing and learning but does not affect verbal abilities. Having the definition, they say, will help improve awareness, diagnosis, and treatment of the condition.

The definition is the result of a recent consensus conference held at CUMC which was sponsored by The NVLD Project, a Manhattan-based nonprofit organization dedicated to helping children, adolescents and adults with NVLD.

“Getting leaders in the field to agree on a standardized definition for NVLD was a necessary first step in getting NVLD accepted as a diagnosis,” noted Prudence W. Fisher, PhD, Division of Child and Adolescent Psychiatry, Columbia University College of Physicians & Surgeons, and primary organizer of the conference. “Having reached consensus, we can move forward with a proposal to include the diagnosis in the Diagnostic and Statistical Manual (DSM).”

Individuals with NVLD have persistent difficulties in spatial or visual spatial processing, such as problems discriminating shape, size or other spatial information, distinguishing the relative position of objects in the environment or in relation to oneself, reproduction of visuospatial information, following spatial directions, and recalling spatial relationships. These difficulties are accompanied by other problems, which can vary by individual, and include motor difficulties, executive functioning problems, attention problems, social cognition or pragmatic communication problems, and lead to impairment in social functioning, academic or occupational functioning, or self care.

Currently, many people with NVLD are misdiagnosed, not receiving proper care and are unable to apply for health insurance coverage. Achieving DSM status for NVLD will raise awareness among healthcare professionals and improve diagnosis and treatment of the disability.

Participants at the two-day conference included CUMC faculty, experts from other academic institutions, and educators from the New York area. Additionally, seven NVLD global experts, Drs. Jessica Broitman, Joseph Casey, Jack M. Davis, Jodene Goldenring Fine, Irene Mammarella, M. Douglas Ris, Margaret Semrud-Clikeman, and members of The NVLD Project’s Board of Directors and Advisory Board were in attendance.

The attendees adopted the name “Spatial Processing Disorder (Non Verbal Learning Disability) ” to reflect the fact that spatial processing difficulty is what differentiates NVLD from other DSM disorders, and to disconnect it from the term ‘non-verbal,’ which is confusing to those unfamiliar with the disorder as those with the disability are not verbally impaired.

Getting NVLD into the DSM is a multi-step process involving expert review and public comment. NVLD experts at Columbia are currently conducting a systematic review of the scientific literature to provide supporting evidence for its inclusion in the DSM. This work is being led by Dr. Fisher, with the support of The NVLD Project.

“We are pleased to have brought global leaders in the field of NVLD together for this vitally important project,” added Laura Lemle, PhD, founder of The NVLD Project. “We are looking forward to continuing these efforts to achieve DSM status for NVLD and funding the research to support this process.”

About The NVLD Project
Founded in 2013 by Laura Lemle, PhD, The NVLD Project envisions a world where children, adolescents, and adults with Non-Verbal Learning Disability can receive a helping hand, live their lives to the fullest, and are free of any stigmatization. The NVLD Project offers resources to help children and their families sort through the challenges of this often-misunderstood learning disability.

Its main goal is to secure an official diagnosis for NVLD, specifically to gain recognition for it as a valid disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM). The NVLD Project, a 501©3 non-profit, is dedicated to raising awareness and funds so that those who have NVLD are understood and counted in on life. This work is accomplished through a variety of programs, including educational workshops, expert research and community outreach. For more information on NVLD and The NVLD Project please visit nvld.org.

Columbia University Department of Psychiatry
Columbia Psychiatry is among the top ranked psychiatry departments in the nation and has contributed greatly to the understanding and treatment of brain disorders. Co-located at the New York State Psychiatric Institute on the New York-Presbyterian Hospital/Columbia University Medical Center campus in Washington Heights, the department enjoys a rich and productive collaborative relationship with physicians in various disciplines at Columbia University’s College of Physicians and Surgeons. Columbia Psychiatry is home to distinguished clinicians and researchers noted for their clinical and research advances in the diagnosis and treatment of depression, suicide, schizophrenia, bipolar and anxiety disorders, eating disorders, substance use disorders, and childhood psychiatric disorders.

Contacts:
NVLD Project:
Alana Cowan
973-809-4858
Alanacowan5(at)gmail.com

Columbia Psychiatry:
Rachel Yarmolinsky
917-532-3090 or
646-774-5353
Ry2134(at)cumc.columbia.edu Reported by PRWeb 16 hours ago.

McConnell, Paul talk health care — just not with each other

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(AP) — As Republican efforts to get rid of former President Barack Obama's health care law stall in the U.S. Senate, Kentucky's two senators are traveling the state to talk about it. [...] Paul won the primary and the election. [...] McConnell has carried the flag for the Republican establishment while Paul has led the libertarian wing of the party. Paul said one thing that could get him closer to voting for the bill would be to let people seeking to buy health insurance on the individual market join together to have more leverage against insurance companies. McConnell said Thursday that he believes "every Republican is in favor of association health plans," but said the problem is that Senate rules likely won't allow the bill to be amended to include it. Reported by SeattlePI.com 15 hours ago.

GOP leader says he'll rework health bill, but offers Plan B

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*By The Canadian Press*

GLASGOW, Ky. — Senate Majority Leader Mitch McConnell says he plans to produce a fresh bill in about a week scuttling and replacing much of President Barack Obama's health care law. But he's also acknowledging a Plan B if that effort continues to flounder.

"If my side is unable to agree on an adequate replacement, then some kind of action with regard to the private health insurance market must occur," McConnell, R-Ky., said Thursday. It was one of his most explicit concessions that a... // Read Full Article Reported by CJME 14 hours ago.

Policybazaar.com Launches a New Campaign for Car Insurance

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Policybazaar.com Launches a New Campaign for Car Insurance *Policybazaar.com*, India’s largest insurance website and comparison portal, has launched a new advertising campaign with the tagline “*Policybazaar pe compare karke car insurance khareedo aur Rs. 8000 tak bachao*” (compare and buy car insurance on policybazaar, and save upto Rs. 8000). The campaign aims to highlight that spending 3 minutes on comparing insurance plans of all leading companies on Policybazaar.com can help get the best deal, and saving of a significant amount of money. The month-long campaign is designed by the in-house team of Policybazaar.com and executed by K Silent Productions. The TV campaign will go on air on 8 July, 2017.

 

 

*Policybazaar.com - Car Insurance Campaign*

 

Speaking on the new campaign,* Naveen Kukreja, Co-founder & CEO, PaisaBazaar.com and Group Chief Marketing Officer, PolicyBazaar.com *said, “Since the inception of Policybazaar, we have been educating people to compare insurance products before buying. And they should not only compare premium but also understand what benefits each plan offers. Through this TV commercial, we aim to target car owners as well as potential car buyers, and help them make a flawless decision while renewing insurance policy or buying a new policy.”

 

*Sai Narayan, Associate Director and Head of Marketing, Policybazaar.com,* added that, “Most people renew their car insurance in a hurry just a few days before the expiry, that too from their existing insurer. They do not bother to see what better policies are available in the market. Through this campaign, we want to shake consumers up, push them out of inertia, make them compare insurance plans before buying and save their hard-earned money.”

 

The TV commercial starts with a family head reading the family’s expense sheet. He reads loudly his wife’s credit card payment of Rs. 8000 in a sarcastic tone, internet charges of Rs. 2000 and then car insurance of Rs. 17000. As soon as he reads out the insurance premium amount, his school-going son, who was busy on his tab all this while, repeats the insurance premium in a slightly shocked tone and says, “*apne zyada pay kar diya (you paid extra).*” Reacting to son’s comment, farther says in a slight irritating tone, “*you know everything.*” The kid points out to him that on policybazaar.com one can compare insurance plans of 15 different companies in 3 minutes, that too free of cost, and save up to  Rs. 8000. To check out the veracity of his son’s information, the father takes the tab from his hand. The son, meanwhile, taunts in the following words: “*Mere marks toh sabse compare karoge, car insurance compare nahi kiya na *(you compare my marks with everyone but did not compare car insurance). The ad ends with saying “*policybazaar.com par car insurance khareedo aur Rs. 8000 tak bachao*.”  

 

 

*Policybazaar.com Car Insurance Ad*

 

*You Tube Link: *

https://youtu.be/iZJmWYXkVbQ

 

*Creative Credits: *

*Policybazaar.com Marketing Team*

*Group CMO, **Policybazaar.com** and CEO, PaisaBazaar.com**:* Naveen Kukreja

*Associate Director and Head of Marketing - *Sai Narayan

*Manager-* *Marketing - *Samir Sethi

 

*Production House:* K Silent Productions
*Writer/ Creative Director:* Riazat Khan
*Director:* Ankit Mehrotra
*Executive Producer*: KC Pandey/ Riazat Khan

 

*About PolicyBazaar.com*

PolicyBazaar is India's largest insurance marketplace and is an InfoEdge (Naukri.com), Inventus Capital, Tiger Global Management, Steadview Capital, Premji Invest, Temasek and Ribbit Capital Investee Company. The portal started with a purpose to educate people on insurance products and has had a significant influence on how insurance is bought in India. It has helped in driving penetration of pure life insurance, health insurance and such products which were barely bought earlier. 

From receiving traffic of 180,000 visitors in 2008, PolicyBazaar.com has come a long way and today hosts over 60 million visitors yearly and records sale of nearly 120,000 transactions a month. Currently, PolicyBazaar.com accounts for nearly 20% of India’s life cover, and over 7% of India’s retail health business. It accounts for roughly half of all internet based insurance purchase in the country, and is more than doubling annually.

The company has received several accolades in India and globally. The most noteworthy being recognized as India’s top and world’s leading “*Fin Tech Innovator*” by the Global consultancy firm, KPMG and venture capital fund, H2 Ventures for 2015 & 2016. It has won a range of awards, including The Financial Express “*Best Fintech Marketplace*”, The Economic Times “*Best Corporate Brand*”, Internet & Mobile Association of India (IAMAI) “*Best Financial Website*” for two years, Exchange4Media “*E-commerce Marketing Campaign*” and BML Munjal Award for “*Excellence in Learning & Development*” among the most notable ones in the last couple of years.  Reported by NewsVoir 15 hours ago.

The Hidden Subsidy That Helps Pay for Health Insurance

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The tax exclusion on what employers pay toward employees’ health insurance premiums is bigger than any subsidy offered under the Affordable Care Act. Reported by NYTimes.com 13 hours ago.

Average Premiums Could Rise 74% by 2020 if Trumpcare Passes

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Trumpcare could cause health insurance premiums to rise dramatically. Find out how Trumpcare could impact your health insurance premiums. Reported by Motley Fool 12 hours ago.

Going on holiday? Why you should check your European Health Insurance Card

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Going on holiday? Why you should check your European Health Insurance Card Last year almost 5.3 million EHIC cards expired so don’t get caught out! Reported by Grimsby Telegraph 9 hours ago.

Center for Network Therapy Medical Director Says Opioid Prescription Decline Data Misleading; Heroin And Fentanyl Still Driving Opioid Overdose Deaths Higher

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Dr. Indra Cidambi Analyzes CDC Report Showing Doctors Are Cutting Back on Opioid Prescriptions

New York, NY (PRWEB) July 07, 2017

Opioid prescription data released this week by the Centers for Disease Control and Prevention (CDC) revealed the number of opioid pain pill prescriptions per 100 people declined by 13% and the potency declined by 41% in the 2010-2015 period. While the drop in prescriptions is encouraging, the reality is sobering and points to more people switching to street drugs, according to Addiction Expert Dr. Indra Cidambi, Founder and Medical Director of the Center for Network Therapy.

“Due to tighter oversight of opioid prescriptions and sharp decline in prices of illegal opioids (heroin and fentanyl) individuals addicted to opiates have been switching to street drugs.” Overdose deaths from opiates have risen every year starting in 1999. In the 2010-2015 period, overdose deaths from all opiates (licit + Illicit) grew an astounding 57% to 33,000 in 2015 (NIDA), despite a plateauing of overdose deaths from prescription opioid pain relievers (licit).

As per this week’s CDC Report:· The annual opioid medication prescribing rate by doctors dropped 13 percent, from 81 prescriptions per 100 people to 71 prescriptions per 100 people.
· Doctors also prescribed high doses of opioids less often - high-dose prescriptions fell 41 percent, from 11.4 per 100 people to 6.7 per 100 people.
· The length of prescriptions increased from an average of 13 days in 2006 to 18 days in 2015.

The Drug Enforcement Administration and state and local governments have increased oversight of opiate pain medication prescriptions in some shape or form over the years, which has definitely contributed to the decline in the rate of prescriptions. “Consequently, individuals addicted to pain pills have had a harder time accessing opiate pain pills through their medical care providers,” said Dr. Cidambi. “The reality on the street, however, is that heroin and synthetic opiates are cheaper to obtain, causing individuals addicted to opiate pain pills to switch to these street drugs.”

“Seasoned users of prescription pain pills have likely left the system, as it is cheaper to obtain illicit opiates on the street,” said Dr. Cidambi. “These individuals had likely developed tolerance for the drug and were being prescribed higher-potency doses previously.” Consequently, a sharp decline in high-dose prescriptions may be due to this ongoing switch.

“Individuals who seek prescriptions for opiate pain pills to feed their addiction usually indulge in doctor shopping,” said Dr. Cidambi. “It is not uncommon for them to visit multiple doctors just once in a short period of time to obtain prescriptions, sometimes crossing state lines. As illicit opiates have become much cheaper, they now have no reason to doctor shop,” adds Dr. Cidambi. This may have contributed to the lengthening of prescriptions.

According to Dr. Cidambi, the opioid prescription decline data is an isolated piece of information that is not connected to the whole and is misleading. While the nation is weary of the fight against the drug epidemic and is ready to welcome any positive news with open arms, it is still too premature to think that we have turned the corner in this fight. “The fight against this epidemic has to be multi-faceted. As a nation, we need to work on removing the stigma from addiction and recognize that it is a disease. Just coercing doctors to write lesser opiate pain prescriptions is not the panacea,” said Dr. Cidambi.

Dr. Cidambi recommends the following courses of action to help fight the opioid epidemic:· To address pain, health insurance companies should be mandated to cover alternate treatment (acupuncture, meditation, yoga, etc.) along with physical therapy and non-narcotic pain medications.
· When it comes to treatment, modalities that help the patient remain sober in their own environment (outpatient treatment, such as Ambulatory Detoxification) should be supported as they can deliver better outcomes. Inpatient treatment has so far been dominant, but ineffectual in the face of this epidemic. I have been treating individuals afflicted by addiction for over a decade and I strongly believe the best rehabilitation takes place at home, not in a bubble far from the individual’s real living environment. These individuals not only need to learn coping and relapse prevention skills, they need to practice using it and they benefit from the opportunity to apply it in the real world while they are in treatment.
· Another important issue is reintegrating these individuals back into the work force. Charges incurred while they were using substances hang over their head when they get sober and try to put their lives back together. Decriminalization utilizing token-economy (dropping charges if the individual completes treatment and stays sober for a certain period of time) provides the individual afflicted by the disease of addiction an incentive to seek treatment and embark on the road to recovery.

About Dr. Indra Cidambi
Indra Cidambi, M.D., Medical Director, Center for Network Therapy, is recognized as a leading expert and pioneer in the field of Addiction Medicine. Under her leadership the Center for Network Therapy started New Jersey’s first state licensed Ambulatory (Outpatient) Detoxification program for all substances nearly three years ago. Dr. Cidambi is Board Certified in General Psychiatry and double Board Certified in Addiction Medicine (ABAM, ABPN). Dr. Cidambi is the Vice President of the New Jersey Society of Addiction Medicine. She is fluent in five languages, including Russian.

About Center for Network Therapy
Center for Network Therapy (CNT) was the first facility in New Jersey to be licensed to provide Ambulatory (Outpatient) Detoxification Services for all substances of abuse – alcohol, anesthetics, benzodiazepines, opiates and other substances of abuse. Led by a Board Certified Addiction Psychiatrist, Indra Cidambi, M.D., experienced physicians and nurses closely monitor each patient’s progress. With CNT’s superior client care and high quality treatment, Dr. Cidambi and her clinical team have successfully detoxed over 1200 patients in four years. Reported by PRWeb 3 hours ago.

Montana Insurers Say Medicaid Cuts Would Drive Up Cost Of Private Health Plans

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Montana's three main health insurance firms say the Republican Senate's proposed cuts to Medicaid, and any plan to repeal the individual mandate, could drive up health costs for everyone. Reported by NPR 2 hours ago.

ASI's Advantages Sales Compensation Survey Finds Straight Salary on the Rise

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Distributors are increasingly choosing salary over commission to pay sales reps.

TREVOSE, PA (PRWEB) July 07, 2017

The 2017 Sales Compensation Survey published in the latest issue of Advantages® magazine found straight salary compensation for distributor salespeople and managers in the $23 billion promotional products industry is growing, reaching 18% of sales personnel this year.

While 53% of all distributor salespeople and managers are still paid through commission-based plans, making them the primary form of compensation in the industry, the number has dropped from 70% in 2013. At the same time, straight salary is on the rise, with an average increase of 3.5 percentage points each year since 2013, when only 4% of salespeople earned a straight salary, according to the survey.

Advantages is published by the Advertising Specialty Institute® (ASI). The award-winning magazine is the leading publication for distributor salespeople in the industry, providing tips and tactics for sales success, as well as the latest product offerings.

Salespeople can be paid through commission-based plans, salary only or through hybrid salary plans (salary plus commission, salary plus bonus and all three combined). Distributors interviewed by Advantages point to changing employee expectations as the main reason industry companies are lessening their reliance on commission.

“Historically, commission was the unquestioned standard of compensating sales reps, but as our cover story shows, salaries are on the rise and it’s a trend that cannot be ignored,” said Advantages Editor-in-Chief C.J. Mittica (@CJ_Advantages). “Today’s distributorships are shifting their compensation models to attract and keep top talent, and it’s a clear message that commission-only plans don’t entice the majority of salespeople. In the near future, a hybrid model of salary and commission may very well become the industry standard.”

Highlights from the Advantages Sales Compensation Survey include:· Average annual earnings for sales reps have remained flat the last three years, with a 2017 average of $83,459
· More than half of salespeople get charged back for errors or non-payment of their orders
· Fewer sales managers are earning commission based on profit
· Four in 10 industry companies offer a 50/50 profit split; two in 10 offer less than 30% for the rep
· 55% of distributors do not offer health insurance, though the total has decreased
· 85% of sales reps are staying put and not actively looking for a new job – down two percentage points from last year.

The online 2017 Advantages Sales Compensation Survey fielded responses from readers of Advantages magazine from March to April 2017.

For more information on the annual survey, please contact C.J. Mittica at cmittica(at)asicentral(dot)com. For info on advertising in any of ASI’s four magazines, contact Matt Barnes, ASI’s vice president of publishing and media services, at mbarnes(at)asicentral(dot)com.

About ASI
The Advertising Specialty Institute (ASI®) serves a network of 23,500 suppliers, distributors and decorators in the $23 billion promotional products industry. ASI’s flagship product, the technology platform ESP®, serves the industry’s supply and marketing chain. ASI also produces award-winning digital and print content, live events and educational programs that enable companies in 61 countries to be more efficient, productive and profitable. ASI’s Counselor® magazine provides the most authoritative business content in the industry, and the ASI Certification Program features 500+ live and online education courses for over 40,000 professionals. The company, family owned and operated since 1962, is proud to have been consistently ranked among the “Best Places to Work” in Philadelphia and Bucks County, PA. For more info: http://www.asicentral.com. Reported by PRWeb 1 hour ago.

Fact check: Deaths from a health care bill?

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What does research say about the impact of health insurance on mortality rates?

 
 
 
 
 
 
  Reported by USATODAY.com 38 minutes ago.

GOP leader says he'll rework health bill, but offers Plan B

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(AP) — Senate Majority Leader Mitch McConnell says he plans to produce a fresh bill in about a week scuttling and replacing much of President Barack Obama's health care law. "If my side is unable to agree on an adequate replacement, then some kind of action with regard to the private health insurance market must occur," McConnell, R-Ky., said Thursday. While the current, wide-ranging GOP health care bill has procedural protections against a Democratic Senate filibuster, a subsequent, narrower measure wouldn't and would take 60 votes to pass. In a written statement, Senate Minority Leader Chuck Schumer, D-N.Y., called it encouraging that McConnell had "opened the door to bipartisan solutions." [...] they say the GOP is exaggerating the problem and note that several insurers have attributed their decisions to stop selling policies in unprofitable areas, in part, to Trump administration indications that it may halt payments to insurers. In its report last week on the Senate bill, the nonpartisan Congressional Budget Office said that under Obama's law, it expected health care markets "to be stable in most areas." [...] it also said under the GOP bill, 22 million added Americans would be uninsured because it would eliminate Obama's tax penalty on people who don't buy coverage and it would cut Medicaid, the health insurance program for the poor, disabled and many nursing home patients. Reported by SeattlePI.com 2 days ago.

Fact check: Deaths from a health care bill?

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What does research say about the impact of health insurance on mortality rates?

 
 
 
 
 
 
 
  Reported by Delawareonline 21 hours ago.

McConnell: Congress Must Shore Up Insurance Markets If Obamacare Repeal Fails

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U.S. Senate Republican leader Mitch McConnell said on Thursday that Congress must act to shore up private health insurance markets if it fails to repeal Obamacare, comments seen as providing a pathway to a bipartisan deal to fix the health system. Reported by Newsmax 23 hours ago.

The End Of The Social Contract – OpEd

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Disabled Americans came in wheelchairs into the United States Senate to register their protest against the harsh Republican plan to slash health care. ADAPT, a disability rights group, staged a die-in right before the office of the leading Republican in the Senate, Mitch McConnell of Kentucky. About 60 protesters tried to block the entrance to McConnell’s office. Their goal was to show the rest of America what would come out of the American Health Care Act (AHCA), which the Republicans sought to push through as an alternative to Obamacare. The police arrested 43 protesters and wheeled out others from McConnell’s hallway. The McConnell plan would slash Medicare, a government plan that provides health-care coverage for low-income Americans and for those with disabilities. One of the elements of the plan envisages cutting funds for in-home assistance that allows disabled Americans to remain in their own homes rather than move to nursing homes. Fourteen million Americans will lose any access to health insurance.

One of the people who got out of her wheelchair to be arrested was Stephanie Woodward, director of advocacy for the Center for Disability Rights. She was arrested by the officers in the Senate, who carried her out. “We have a right to live,” Stephanie Woodward said. “And by live, I don’t mean just breathe. I mean be a part of the American dream, be in the community, raise a family, go to work. These Medicaid cuts will force people into institutions who don’t need to be there.”

**Harsh budget**

Evidence of a major assault by the Trump administration on the social safety net in the U.S. was already there in Trump’s budget proposal. He sought to cut funds for the Department of Housing and Urban Development, Medicaid and the Interagency Council on Homelessness. Cuts to affordable housing and to homeless assistance programmes were a centrepiece. But so too are cuts that would hurt the disabled. Sally Johnston, president of the Disabled in Action of Greater Syracuse, said: “Trump’s proposed budget will cut trillions of dollars in domestic services. How can this make America better?”

Harshness towards the vulnerable defines Trump’s agenda. There was a whisper of this when Trump mocked a disabled reporter for The New York Times, Serge Kovaleski, and when 12-year-old J.J. Holmes, who has cerebral palsy, was ejected from a Trump rally in Tampa, Florida. The disregard shown to people with disabilities reveals the kind of agenda that Trump was always going to drive. Generosity towards people is not his metier. His is a harsh project, to push aside the vulnerable in a social Darwinist drive to excellence. Weakness is reviled. Strength is applauded.

In late June, Trump’s Treasury Secretary Steven Mnuchin married the Scottish actress Louise Linton. They had a lavish wedding, attended by Trump, his Vice President and most of the Cabinet. Mnuchin and Louise Linton live in a $12.6 million home in an exclusive part of Washington, D.C. The money is Mnuchin’s, what he made as a partner in Goldman Sachs. Mnuchin is not the only fabulously wealthy person in Trump’s cabinet. He sits at Cabinet meetings near Commerce Secretary Wilbur Ross and Deputy Commerce Secretary Todd Ricketts. Trump’s Chief Economic Adviser is Gary Cohn, another former Goldman Sachs president. All are worth hundreds of millions of dollars each.

At a rally in Cedar Rapids, Iowa, just after the Mnuchin wedding, Trump mused about the wealth in his Cabinet. “Somebody said—why did you appoint a rich person to be in charge of the economy? No, it’s true. And Wilbur’s a very rich person in charge of commerce. I said—Because that’s the kind of thinking we want’.” What kind of thinking would that be? The thinking of someone who was willing to set aside any social agenda for his individual gain.

Trump’s base is made of a combination of people of great wealth—who are few—and the immense white-collar middle-class sector that has found itself made vulnerable by globalisation. Business process outsourcing struck the white-collar middle class, which formed the base of the Tea Party and then the Trump movement. He promised this base that he would not become wedded to Wall Street but would put Main Street in charge. That has not come to pass. “I love all people, rich or poor,” Trump said, “but in those particular positions I don’t want a poor person.” No poor or middle-class person should direct commercial or budgetary policy. That should be left to the rich. This is an honest assessment of Trump’s project—to appeal to the mass of white-collar vulnerable workers, but to deliver the reins of power to the very wealthy.

In a new book, Duke University professor Nancy MacLean goes into the intellectual roots of the radical Right and the vision of the current agenda, as articulated by Trump. The Right, she shows in Democracy in Chains: The Deep History of The Radical Right’s Stealth Plan for America, is interested in the destruction of “society” and the creation of pure individualism. Charles Koch, one of the major financiers of the radical Right, relied upon Baldy Harper. Harper argued, decades ago, that support for vulnerable populations would erode liberty. He suggested that liberal policies that helped the poor and the disadvantaged would be like a disease against society. “Once the disease has advanced,” he wrote, “a bitter curative medicine is required to gain already-lost liberty.” These are harsh words. The idea of a “bitter curative medicine” is something that is natural to the Trump team. The vicious knives they wield against any social policy for the poor and the vulnerable are sharp and are used with gusto. One can see the way they cut away at precious social policies in the budget and in their health care plans.

Nancy MacLean describes the agenda of the economist James Buchanan, who won the Nobel Prize for Economics. Buchanan is a favourite of the radical Right, for whom he acts as an important intellectual standard. A clear sentiment of Buchanan’s vision is available in a 2005 document, where he attacks people who have not been able to save enough for unforeseen circumstances or for retirement. If they fall catastrophically ill or lose their jobs, they should have prepared for this eventuality through prudent savings. If not, Buchanan wrote, they “are to be treated as subordinate members of the species, akin to animals who are dependent”. The language here is ferocious. It is mimicked by Trump and his Cabinet.

Let us return to Trump’s budget. He proposes to cut $2.5 trillion in programmes for the working class and the indigent. Food stamps, the essential means for the poorest Americans to access food, would go. It is important to underline that one in six Americans struggles with hunger—49 million Americans have a hard time putting food on their tables. One in five children is at risk of hunger, with the ratio higher—one in three—for African-American and Latino families. There will be no easy way for Americans who struggle with food insecurity to feed themselves. They will be left to starve, like “subordinate members of the species”.

**‘Poverty a state of mind’**

In a radio interview, Trump’s Secretary of Housing and Urban Development Ben Carson said: “I think poverty to a large extent is also a state of mind.” Aid to the poor, says the Trump team, does not work. The poor must be made to “go to work”, said Trump’s Budget Director Mick Mulvaney. But how to go to work when jobs are simply unavailable, as Trump himself has said on many occasions? In fact, the office that helps the poor find jobs has also been slated to be cut. That means even those few programmes to assist the unemployed to find work will no longer be available. In fact, as New York University Professor Jonathan Morduch and Rachael Schneider say in their new book The Financial Diaries: How American Families Cope in a World of Uncertainty, even those who have jobs at low pay struggle to make ends meet. Many of them rely on government assistance to get by. If they do not get access to government programmes, they turn to credit card loans and payday loans to cover their bills. There is great fragility in the budgets of the working poor.

There is cruelty in Trump’s vision. It throws the poor to the lions of desperation. The remnants of liberalism are being withdrawn. This is the end of the social contract.

This article originally appeared in Frontline (India) and is reprinted with permission. Reported by Eurasia Review 19 hours ago.

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