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The hidden costs of health care

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Taxes, fees and unpaid dollars are all contributing to rising premiums for health insurance and there's not much the companies or the consumer can do about it. OR Why is my health insurance premium so high? Reported by bizjournals 27 minutes ago.

Fighting Islamophobia through health care in Cherry Hill

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A Muslim-run clinic's goal is twofold: Treat people with limited or no health insurance, and change the negative reputation Islam sometimes has in America. Reported by philly.com 21 hours ago.

Jimmy Kimmel Compares Cassidy-Graham Health Care Proposal to Bill Cosby (Video)

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The battle of words between Jimmy Kimmel and Sen. Bill Cassidy over health care continued on Thursday, with the ABC late-night host looking back on “an unusual week.”

“If you’ve been watching the show over the past few days, I have found myself in the middle of a battle over American health care,” Kimmel began his monologue.

“The reason I had [Cassidy] on my show in the first place was because he started telling people that any plan he supports would have to pass what he called ‘The Jimmy Kimmel Test,'” Kimmel said, before reiterating his reasons for protesting the Cassidy-Graham bill that aims to overhaul the health care system and replace Obamacare.

*Also Read:* Jimmy Kimmel Tackles TrumpCare, Says Senator Bill Cassidy 'Lied Right to My Face' (Video)

In his response Wednesday morning, the Louisiana Republican told CNN’s “New Day”: “I’m sorry he does not understand … more people will have coverage, and we protect those with pre-existing conditions.” The senator added, “There’ll be billions more dollars to provide health insurance coverage to those in those states who have been passed by Obamacare.”

The bill’s supporters say that giving states more flexibility to decide how they provide health care assistance to their residents will free them to design better, locally controlled systems, the L.A. Times reported. Graham and Cassidy state that their proposal keeps most of the tax revenue raised by the 2010 law, allowing the federal government to continue providing hundreds of billions of dollars of assistance.

*Also Read:* Sen. Bill Cassidy Swipes Back at Jimmy Kimmel on Health Care: 'He Does Not Understand' (Video)

However, Kimmel has said that “Americans, understandably, especially do not like the idea of being priced out of insurance for a pre-existing condition,” citing objections raised to the Cassidy-Graham bill by the American Diabetes Association, American Medical Association, American Cancer Society and American Heart Association.

“We haven’t seen this many people come forward to speak out against a Bill since Cosby,” he quipped.

“So, the president got involved last night, via Twitter, of course,” Kimmel continued, before quoting Trump’s tweets.



I would not sign Graham-Cassidy if it did not include coverage of pre-existing conditions. It does! A great Bill. Repeal & Replace.

— Donald J. Trump (@realDonaldTrump) September 20, 2017





Senator (Doctor) Bill Cassidy is a class act who really cares about people and their Health(care), he doesn't lie-just wants to help people!

— Donald J. Trump (@realDonaldTrump) September 21, 2017



*Also Read:* Jimmy Kimmel Goes Off on Senator Bill Cassidy, 'Phony Little Creep' Brian Kilmeade Over TrumpCare

“For Donald Trump, this isn’t about the Graham-Cassidy bill, it’s about getting rid of Obamacare, which he hates — primarily because Obama’s name is on it,” Kimmel said.

The Oscars host went on to defend his knowledge of health care — and his knowledge of Hollywood. “The fact that Charlie Sheen is still alive means he probably knows more about health care than any of us.

“And I feel like it’s my duty to remind these people who are so concerned about my qualifications, the guy you voted for president — his job qualification?  He fired Meat Loaf,” he said in a “Celebrity Apprentice” reference. “And you put him in the White House.”

Watch the video above.

*Related stories from TheWrap:*

Jimmy Kimmel Goes Off on Senator Bill Cassidy, 'Phony Little Creep' Brian Kilmeade Over TrumpCare

Sen. Bill Cassidy Swipes Back at Jimmy Kimmel on Health Care: 'He Does Not Understand' (Video)

Jimmy Kimmel Tackles TrumpCare, Says Senator Bill Cassidy 'Lied Right to My Face' (Video) Reported by The Wrap 11 hours ago.

ClearHealth Quality Institute to Unveil new Telemedicine Accreditation Program at ATA’s Fall Forum

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Conference to be held Oct. 2-4 in Washington D.C.

Annapolis, Maryland (PRWEB) September 22, 2017

ClearHealth Quality InstituteTM (CHQI), an independent health care accrediting body that incorporates the next generation of quality and outcomes measures, will host a pre-conference workshop and serve as a featured exhibitor at the American Telemedicine Association (ATA) Fall Forum – Edge 2017. The conference will be held October 2-4, at the Marriott Wardman Park, located in Washington, D.C. The annual forum will focus on three areas critical to the future of telemedicine: policy, strategy, and action.

At the Edge 2017 conference, CHQI will launch its Fall 2017 Educational Series, which will highlight the new accreditation programs it is developing, including telemedicine. “We are excited to offer the very first public preview of our Telemedicine Accreditation Program at one of the premier national events in the field,” says Doug Clarke, CHQI’s executive director, accreditation programs.

“Telemedicine is playing an important role in health care under the current medical model, and that role will increase as the model evolves and patients demand more from providers,” says Sabrina Smith, Dr.HA, ATA’s interim CEO. “As the range of modalities of telemedicine increases, we recognize the need to protect the integrity, quality, and security of patient/provider interactions, and look forward to continue working with CHQI on their new telemedicine accreditation program to be unveiled at ATA’s Edge 2017 conference.” In May, CHQI and the ATA announced a strategic partnership to develop the next generation of telemedicine performance and quality standards.

CHQI’s pre-conference workshop, entitled An Introduction to the New Telemedicine Accreditation Program Standards, will be held on October 2, from 1-4 p.m. EDT. Attendees will have an opportunity to network with CHQI leaders and learn about its Telemedicine Accreditation Program (TAP), the application process, and how TAP may improve an organization’s credibility and negotiating position with health insurance plans and other payors. For details about the Edge 2017 conference and to register, click here. For a full list of CHQI’s upcoming events, click here.

“This is an exciting time in health care,” says Michael D. Reisman, JD, MA, CHQI president. “Our aim is to build a value-based, accountable care health system by offering innovative accreditation, compliance monitoring, and outcomes measurement programs.” CHQI’s future offerings include two accreditation programs for health insurers, focusing respectively on behavioral health parity compliance and insurance appeals.

To obtain more information about CHQI accreditation programs and our Fall 2017 Educational Series, contact Julie Irons, manager of accreditation programs, at (410) 696-7634 or via email at info(at)chqi(dot)com.

About ClearHealth Quality Institute™ (CHQI) (http://www.CHQI.com)
The mission of ClearHealth Quality Institute (CHQI) is to promote quality-based practices for health plans, providers and other stakeholders across the United States and its territories. CHQI’s accreditation and certification programs help assess, track and report on trends to enhance key insurance and provider outcomes. CHQI also offers regulatory compliance solutions, hosts educational programs, publishes issue briefs, and underwrites research to raise awareness of patient safety issues and promote best practices. The organization is governed by an independent board and committee system, which is open to a wide range of volunteers to ensure transparency and accountability. CHQI provides resources to serve patients, providers, payers, government agencies, and other stakeholder groups. To learn more about CHQI, please contact us at (410) 696-7634 or info(at)CHQI(dot)com Reported by PRWeb 22 hours ago.

Millions could be left uninsured under Obamacare repeal bill

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Louisiana Senator Bill Cassidy says his bill to repeal Obamacare will boost the number of Americans with health insurance. Reported by CNNMoney 20 hours ago.

Affordable Care Act policies up 31 percent in South Carolina

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COLUMBIA, S.C. (AP) — The cost of health insurance under the Affordable Care Act is going up in South Carolina. The South Carolina Insurance Department said on its website Thursday that premiums will be going up 31 percent in 2018. The increases will vary for some buyers. Congress is considering changes in the Affordable Care […] Reported by Seattle Times 19 hours ago.

The healthcare bill could blow up in the GOP's face because of an obscure Senate rule

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The healthcare bill could blow up in the GOP's face because of an obscure Senate rule In just more than a week, the Graham-Cassidy healthcare bill has gone from its introduction as a fringe proposal to a serious prospect for overhauling the US healthcare system.

Despite its rapid rise, the latest Republican attempt at repealing and replacing Obamacare faces challenges both policy-based and political.

Perhaps one of the biggest challenges for the bill will come next week when the Senate parliamentarian — an umpire of sorts for the chamber's rules — takes a look at the bill.

The parliamentarian will evaluate whether parts of the Graham-Cassidy bill violate a provision known as the Byrd rule — and if certain aspects of he bill run into trouble, it could throw the entire legislation into jeopardy.

*A bit about the Byrd Rule*

The Byrd rule, named after the late West Virginia Sen. Robert Byrd, was passed in 1985 to erect guardrails on the types of bills that could be brought up through the process of budget reconciliation.

Reconciliation allows a bill to pass the Senate with just 50 votes and no threat of a filibuster to block the bill. Republicans, who currently control 52 Senate seats, are using the process to try to pass the Graham-Cassidy bill through the Senate without any Democratic votes.

The Byrd Rule, however, restricts what can be considered under budget reconciliation. If a provision of a bill is considered an "extraneous matter" or something "merely incidental" to the federal budget, it can be stripped out of the legislation.

*Byrd hunting*

The Graham-Cassidy bill will likely undergo the Byrd rule process — colloquially known as a "Byrd bath"— sometime next week. 

Most healthcare experts say the focus will be on the bill's proposed waivers that would allow states to relax Obamacare regulations, most notably essential health benefits (EHB). EHBs are the 10 health services, like emergency room visits and prenatal care, that Obamacare mandated must be covered under insurance plans. Under Graham-Cassidy, states could ease these rules or even eliminate EHBs if they can show that it would bring down overall health costs.

The previous iteration of the Senate GOP's healthcare bill, the Better Care Reconciliation Act (BCRA), already showed what may happen with the waivers in the Byrd rule process. During the Byrd bath, the waivers in the BCRA that allowed the loosening of EHBs and other regulations were deemed to have nothing to do with the budget and were required to be stripped out of the bill.

Health policy experts say this could indicate that the waivers in the Graham-Cassidy bill would also have to be stripped.

"My own prediction is that the parliamentarian is likely to strike the waiver provision," said Daniel Hermel, an assistant law professor at the University of Chicago.

"The state innovation waivers were cloaked in budgetary language (a state could qualify for a waiver only if it produced a plan that would not add to the federal deficit), but the parliamentarian evidently saw that the intent was to transform health insurance markets rather than save the federal government money," Hermel wrote in a post on Tuesday.

The language for the waivers, however, has been slightly tweaked from the BCRA's iteration, designed to hold up under the Byrd bath. As Vox's Dylan Scott reported, some experts believe it could be successful.

Others, like University of Michigan Law Professor Nicholas Bagley, say the parliamentarian won't be fooled by by a rewrite with a crystal-clear purpose.

"The waiver provision is not *exactly* the same; it’s been drafted to dodge reconciliation concerns," Bagley tweeted Wednesday. "But the dodge is transparent."

If the waivers are eliminated, the bill would simply shift the funding from the current percentage-based system, which adjusts based on how much money states actually spend, to the lump-sum block grants in the Graham-Cassidy. The block grants are much less generous overall than the current system.

In such a circumstance, states would get less funding for healthcare with little of the freedom proposed by the bill's authors.

*SEE ALSO: GOP senator admits new healthcare bill could harm people with preexisting conditions, but says it won't happen*

Join the conversation about this story »

NOW WATCH: Putin's controversial bridge to connect Russia to annexed Crimea will be the longest in Russian history Reported by Business Insider 17 hours ago.

US bishops: Newest health care proposal fails moral test

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Washington D.C., Sep 22, 2017 / 11:08 am (CNA/EWTN News).- Leading U.S. bishops have applauded pro-life provisions in the newest GOP health care proposal, but said that substantial changes are needed in other areas to make the bill morally acceptable.

“Without significant improvement, this bill does not meet the moral criteria for health care reform outlined in our previous letters,” four committee chairs of the U.S. Conference of Catholic Bishops wrote to U.S. senators on Thursday.

They asked the senators “to think of the harm that will be caused to poor and vulnerable people.”

The four bishops who wrote the letter to the U.S. senators were Cardinal Timothy Dolan of New York, chair of the bishops’ pro-life activities committee; Archbishop William Lori of Baltimore, chair of the ad hoc religious liberty committee; Bishop Joe Vasquez of Austin, chair of the migration committee; and Bishop Frank Dewane of Venice, Fla., chair of the domestic justice and human development committee.

Senate Republicans introduced the Graham-Cassidy health care proposal last week as the latest attempt by Republican lawmakers to repeal the current Affordable Care Act and replace it with another health care law.

Under the proposal, the old individual and employer health insurance mandates of the Affordable Care Act would be repealed, as well as the Medical Device Tax. Patients with pre-existing conditions would still be protected, the senators sponsoring the bill said.

States would receive more freedom and flexibility to innovate health care policies and lower costs, the senators claimed. The proposal would replace the expansion of Medicaid payments to the states with a “per capita cap” on the federal Medicaid payments based upon the population of the respective states.

However, these changes to Medicaid would “fundamentally restructure this vital program” and “result in deep funding cuts and lost coverage for millions of people,” the bishops wrote.

The bill would also replace other federal subsidies and grants to the states – like ACA premium tax credits and cost-sharing reduction subsidies – with block grants to states, the bill’s sponsors said. This would help reduce the inequality between the states that chose to partake in the Medicaid expansion under the Affordable Care Act and those that did not. Just three states received “37 percent of Obamacare funds,” the senators claimed.

However, “while flexibility can be good at times, these block grants will result in billions of dollars in reductions for those in health care poverty,” the bishops wrote.

States facing budget deficits may be forced to cut more programs benefitting low-income citizens if they do not receive the additional aid from the federal government, the bishops said.

Pro-life provisions in the bill are laudable, they noted, especially those protecting against taxpayer funding of abortions in health care, and redirecting Medicaid dollars away from abortion providers like Planned Parenthood toward other health clinics that do not provide abortions.

“The legislation does correct a serious flaw in the Affordable Care Act by ensuring that no federal funds are used for abortion or go to plans that cover it. This improvement is praiseworthy, and it is essential that any improved final bill retain these key provisions,” the letter said.

“We also applaud that Graham-Cassidy redirects funds from organizations that provide abortion,” the bishops said.

Looking ahead, the bishops told the senators to avoid being hasty in passing a comprehensive health care bill that could affect the coverage of millions of Americans.

“The Senate should only proceed with a full report concerning just how many people will be impacted,” the bishops said of the changes to Medicaid.

“Decisions about the health of our citizens – a concern fundamental to each of us – should not be made in haste simply because an artificial deadline looms,” the bishops said. Members of Congress should pass a bill with bipartisan support, one “that addresses the life, conscience, immigrant access, market stability and affordability problems that now exist.”

  Reported by CNA 12 hours ago.

Attorneys general in 37 states urge insurance industry to do more to curb opioid epidemic

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Attorneys general for 37 states recently sent a letter to the health insurance industry’s main trade group, urging its members to reconsider coverage policies… Reported by ABA Journal 12 hours ago.

John McCain Kills GOP's Last Ditch Efffort To Repeal Obamacare

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John McCain Kills GOP's Last Ditch Efffort To Repeal Obamacare Third time turned out to be unlucky after all.

Earlier today, Sen. Susan Collins said that she has serious concerns about the latest GOP bill to repeal and replace ObamaCare as Republicans prepare to vote on the legislation next week, adding that she was "leaning against the bill... I’m just trying to do what I believe is the right thing for the people of Maine."  And with Collins voicing against the bill, it meant that GOP leadership would be left with no room for error if they want to get their last-ditch ObamaCare repeal bill through the Senate next week.

The math is simple: Republicans have 52 seats and need 50 senators to support the bill, which would require Vice President Pence to break a tie, under the special budget rules being used to avoid a Democratic filibuster.  Sen. Rand Paul has already said he will vote against the legislation.

Which meant that *losing just one more vote would mean the end of this latest attempt to repeal Obamacare. *

They lost it moments ago when John McCain said in a statement that *"I cannot in good conscience vote for the Graham-Cassidy proposal*"



I cannot in good conscience vote for Graham-Cassidy. A bill impacting so many lives deserves a bipartisan approach. https://t.co/2sDjhw6Era pic.twitter.com/30OWezQpLg

— John McCain (@SenJohnMcCain) September 22, 2017



The senator added that "I would consider supporting legislation similar to that offered by my friends Senators Graham and Cassidy *were it the product of extensive hearings, debate and amendment. But that has not been the case. Instead, the specter of September 30th budget reconciliation deadline has hung over this entire process*.

ULtimately, McCain demands the Democrats be part of any solution: "*A bill of this impact requires a bipartisan approach"*

His full statement below:



*STATEMENT BY SENATOR JOHN McCAIN ON HEALTH CARE REFORM** *

 

*Washington, D.C. — U.S. Senator John McCain (R-AZ) released the following statement today on health care reform: *

 

"As I have repeatedly stressed, health care reform legislation ought to be the product of regular order in the Senate. Committees of jurisdiction should mark up legislation with input from all committee members, and send their bill to the floor for debate and amendment. *That is the only way we might achieve bipartisan consensus on lasting reform, without which a policy that affects one-fifth of our economy and every single American family will be subject to reversal with every change of administration and congressional majority. *

 

*"I would consider supporting legislation similar to that offered by my friends Senators Graham and Cassidy were it the product of extensive hearings, debate and amendment. But that has not been the case. Instead, the specter of September 30th budget reconciliation deadline has hung over this entire process. *

 

"We should not be content to pass health care legislation on a party-line basis, as Democrats did when they rammed Obamacare through Congress in 2009. If we do so, our success could be as short-lived as theirs when the political winds shift, as they regularly do. The issue is too important, and too many lives are at risk, for us to leave the American people guessing from one election to the next whether and how they will acquire health insurance. *A bill of this impact requires a bipartisan approach*.

 

"Senators Alexander and Murray have been negotiating in good faith to fix some of the problems with Obamacare. But I fear that the prospect of one last attempt at a strictly Republican bill has left the impression that their efforts cannot succeed. I hope they will resume their work should this last attempt at a partisan solution fail.

 

"1 cannot in good conscience vote for the Graham-Cassidy proposal. I believe we could do better working together, Republicans and Democrats, and have not yet really tried. Nor could I support it without knowing how much it will cost, how it will effect insurance premiums, and how many people will be helped or hurt by it. Without a full CB0 score, which won't be available by the end of the month, we won't have reliable answers to any of those questions.

 

"I take no pleasure in announcing my opposition. Far from it. The bill's authors are my dear friends, and I think the world of them. I know they are acting consistently with their beliefs and sense of what is best for the country. So am I.

 

"I hope that in the months ahead, we can join with colleagues on both sides of the aisle to arrive at a compromise solution that is acceptable to most of us, and serves the interests of Americans as best we can."



 

And with the GOP's final attempt to pass Obamacare repeal before the end of the month now history, the market sighed a collective breath of relief, sending the managed care index soaring as the status quo is now assured to remain indefinitely.

And now we await Donald Trump's latest angry tweet. Reported by Zero Hedge 12 hours ago.

Gilleon Law Firm Announces Advocacy for Various Victims

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The victims of injury, harassment, and violence are now to be relieved, as the Gilleon Law firm debuts its advocacy program for victims suffering from a range of abuses.

Los Angeles, CA (PRWEB) September 22, 2017

California, the United States, the Gilleon law firm has announced one of its program to support the victims of various kinds.

According to an official statement by Dan Gilleon, the major stakeholder of the firm, “the advocacy program aims to provide support to sufferers of negligence, violence, harassment, domestic violence and many sorts of abuses”.
Highlighting upon the firm’s latest move, various social workers and journalists have raised questions such as, if the organization is charging fee for this program. In addition, if the law firm loses a case, what compensation would victims get? Not only this, many non-profit and social welfare organization are wondering about the sponsors and funding behind the program.

Apart from the aforementioned questions, citizens are eager to know if the law firm will soon offer services related to insurance matters. Having said, clients are waiting to hear a response about firm’s knowledge in areas of short-term and long-term health insurance disputes, life insurance refusals, and chiefly the defense of civil action.

Considering a large number of netizens’ queries, we’ll be waiting to hear from the firm. But, at this moment, all we can say is to have an upright anticipation as the firm’s has been long introducing programs which have been reportedly applauded by citizens. Reported by PRWeb 10 hours ago.

What you need to know on Wall Street today

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*Welcome to Finance Insider, Business Insider's summary of the top stories of the past 24 hours. Sign up here to get the best of Business Insider delivered direct to your inbox.*

A new analysis says 21 million more people would have no insurance under the new GOP healthcare bill. 

Over 20 million more people could go without health insurance if the Graham-Cassidy healthcare legislation is signed into law, according to a study from the Brookings Institution published Friday.

The future of the bill looks shaky. Sen. John McCain said that he would not support the bill, dealing the legislation a potentially fatal blow. The healthcare bill could also blow up in the GOP's face because of an obscure Senate rule.

In finance news, the founder of the world's largest hedge fund, Ray Dalio, told Business Insider's Henry Blodget that the US economy looks like 1937 and we need to be careful.

Uber has lost its license to operate in London. Also in London, Rubicon, a macro hedge fund based there, has lost a third of its value this year in its flagship fund.

In other news:

· The 'death rate' of America's biggest companies is surging
· ROBERT SHILLER: Stocks look just like they did right before the 13 most recent bear markets
· Jamie Dimon bashes bitcoin again, says cryptocurrencies 'are kind of a novelty'

A fix for San Francisco's sinking skyscraper could cost upwards of $100 million, and no one wants to foot the bill.

Facebook is dropping $35 million to rent a beautiful, earthquake resistant skyscraper in San Francisco – take a look inside.

Join the conversation about this story »

NOW WATCH: Now that Apple has unveiled iPhone X, should you dump the stock? Reported by Business Insider 12 hours ago.

STOCKS CLOSE FLAT: Here's what you need to know

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STOCKS CLOSE FLAT: Here's what you need to know Stocks earned a small gain for the week after a mostly quiet day of trading for the three main indexes. Health insurance and hospital stocks gained following news that the GOP's latest attempt to repeal Obamacare appears doomed.

Here's the scoreboard:

· Dow: 22,346.97 -12.26 (-0.05%)
· S&P 500: 2,502.42 +1.82 (0.07%)
· Nasdaq: 6,425.59 +2.90 (0.05%)

1. Sen. John McCain of Arizona may have dealt a fatal blow to the GOP's latest healthcare legislation. In a statement, McCain said the lack of "regular order" in crafting the legislation meant he could not support it. 
2. T-Mobile and Sprint are closing in on a deal. Japan's SoftBank Group, which controls Sprint, will own 40% to 50% of the combined company, two sources familiar with the matter told Reuters. 
3. JPMorgan CEO Jamie Dimon doubled down on his anti-bitcoin position, saying cryptocurrencies like bitcoin and ether 'are a kind of novelty.' "It's creating something out of nothing that to me is worth nothing," Dimon told CNBC-TV18 in New Delhi. "It'll end when people lose a lot of money."

*Additionally: *

ROBERT SHILLER: Stocks look just like they did right before the 13 most recent bear markets

The 'death rate' of America's biggest companies is surging

It sounds like Trump's people have fallen for big pharma's nonsense, hook, line and sinker

Trump's people are back to giving really disconcerting interviews about the auto industry

Rents are finally flatlining in San Francisco and New York — here's what's causing it

Traders are betting billions against Disney

Join the conversation about this story »

NOW WATCH: Amazon's transformation of Whole Foods puts the entire grocery industry on notice Reported by Business Insider 10 hours ago.

Connelly: Washington would be big loser under Republican health plan

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The Senate Republican Graham-Cassidy health care plan would "lead to massive reductions in coverage and benefits," with 600,000 people in Washington losing health insurance, Gov. Jay Inslee and Insurance Commissioner Mike Kreidler warn in a letter to our congressional delegation. Reported by SeattlePI.com 10 hours ago.

2.2 million New Yorkers could lose insurance under health care proposal, Tonko says

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About 2.2 million New Yorkers would face losing their health insurance if a federal health care plan proposed by Republicans becomes law. The state could lose $33 billion in grant and Medicaid funding by 2027, Rep. Paul Tonko said Friday. "This is not a joke," Tonko said. "It's un-Christian," for those who carry the Bible, he said. "We are our brother and sister's keeper. It's the American way." The Congressional Budget Office has not analyzed the legislation and has said it won't have time to… Reported by bizjournals 9 hours ago.

Plan to shut Obamacare site during open enrollment draws critics

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The Trump administration plans to shut down the federal health insurance exchange for 12 hours during all but one Sunday in the upcoming Obamacare open enrollment season. Reported by CNNMoney 8 hours ago.

Extra, Extra: McCain Breaks Best Friend's Heart (But Don't Worry He Has Health Insurance)

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Extra, Extra: McCain Breaks Best Friend's Heart (But Don't Worry He Has Health Insurance) Because Martin Scorsese is teaching an online filmmaking course, check out today's end-of-day links: subway buttons, Wu-Tang Clan name drops Shkreli, Liam Gallagher interview, feel-good content, Trump staffers exodus, and doggy high jumper. Don't forget to follow Gothamist on Twitter, Instagram, YouTube, and Snapchat, and like us on Facebook. You can also get the top stories mailed to you—sign up here. [ more › ] Reported by Gothamist 2 hours ago.

Switzerland Struggles To Maintain Key Vaccine Stocks

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By Celia Luterbacher

It’s one of the wealthiest nations in the world, yet Switzerland is struggling to maintain stocks of 16 key vaccines, forcing doctors to adapt their practices. What’s causing the shortfall, and what’s being done about it?

Primarily affected are ‘combination’ vaccines, which protect against multiple diseases – for example diphtheria, tetanus, polio, pertussis (whooping cough), and a form of meningitis – with a single jab.

With restricted access to these critical vaccines from pharmaceutical manufacturers, doctors have been left to tap into their own local clinic or hospital reserves, or to rely on the remaining stocks from wholesalers.

But it’s not just Swiss healthcare providers who are struggling to make ends meet.

“This isn’t a Swiss problem – it’s an international problem. However, I can’t remember a situation like this in my 30 years of professional life as a vaccination expert,” Daniel Desgrandchamps, a paediatrics and infectious disease specialist, told swissinfo.ch.

According to the World Health Organizationexternal link, in 2015, 77% of European countries reported experiencing a shortage of at least one vaccine since the beginning of the year.

*Growing demand*

Vaccine production is struggling to keep up with an increasing global demand, due in part to large-scale vaccination programmes being deployed in African and Asian countries. Production is also becoming more centralised, with just a few large pharmaceutical companies – like Switzerland’s Novartis and Roche, as well as Pfizer and Sanofi – controlling most of the market.

Then there’s the question of profit. According to a report by Swiss public television, RTS, vaccines – which are administered at only a few key points in a person’s life (birth, injury, international travel, etc.) – may be viewed as less profitable prospects by pharmaceutical companies than drugs that are taken on a more regular basis. Testing and approval processes for new vaccines are also very costly and time-consuming for companies.

Desgrandchamps adds that Switzerland’s small size may also play a role in the domestic shortage.

“We have a very small market for pharmaceutical companies, and so producers might feel reluctant to submit vaccines for testing and approval by the authorities,” he says.

*Combinations, alternatives, and delays*

In July, the Federal Office for Public Health and the Federal Vaccination Commission issued recommendations for doctors to help them adapt their immunisation practices. The Swiss Society for Infectious Disease has also suggested alternatives to certain vaccines.

With combination vaccines in short supply, an obvious solution might seem to be to give several individual vaccines rather than one multi-purpose shot. But these so-called ‘monovalent’ vaccines are rarely manufactured anymore, having fallen out of favour with the convenience of combination vaccines.

This phenomenon has complicated the shortage problem. For example, Switzerland recommends that patients hospitalised with injuries receive tetanus vaccinations. The standard dose also contains diphtheria protection, which “piggybacks” on the tetanus vaccine to help reinforce immunity in the general population.

So, what are doctors to do when the combined diphtheria-tetanus vaccine runs out?

“You have to switch to a different diphtheria-tetanus combination vaccine with an additional polio or pertussis component. You end up having to give polio or pertussis vaccine to a person who doesn’t necessarily need it. It’s not dangerous, but you don’t like to have that because you just want to give patients the things they need,” Desgrandchamps says.

Doctors must also decide whether a vaccine is indispensable in the first place. For example, polio vaccination is recommended for adults travelling to certain countries. But without adequate supplies, doctors must decide, based on an individual’s risk of contracting the disease, between skipping the vaccine or using a formula designed for children – which can potentially have more severe side effects in adults. In some cases, alternative travel vaccines, which aren’t covered by Switzerland’s basic health insurance plan, may also cost more.

A final option is to delay vaccination in some individuals in favour of patients whose need is more urgent.

“The Federal Office of Public Health recommends vaccinating all young people between the ages of 25 and 29, as well as pregnant women during the second or third trimester, against pertussis. But we’re currently saving the remaining doses for pregnant women, so they can pass the antibodies on to their babies,” explains Laurence Rochat, Assistant Clinical Director of the Vaccination and Travel Medicine Center at the Policlinique Médicale Universitaire in Lausanne.

She adds that in her experience, most patients adapt fairly easily to these changes.

“I would estimate that we have to adapt our vaccine schedule every three or four consultations. Most people cope well with the situation, accept the proposed alternative, and don’t complain much about extra costs,” Rochat says.

*Cabinet recommendations*

The recent implementation of two recommendations from the Swiss cabinet, issued last year as part of a report on national vaccine storage and distribution best practices, show promise for improving the situation in Switzerland.

First, all vaccine shortages likely to last more than 14 days are now published online by the Federal Office for National Economic Supply. Second, manufacturers are required by law to submit enough vaccines to a central stockpile to meet national demand for three to four months.

So far, due to the supply bottleneck, progress in building up the stockpile has been slow – and for some critical vaccines, supplies are still non-existent. But Desgrandchamps is hopeful.

“I am confident that central storage will ameliorate the situation. There are still open questions, but I think it is a major step forward,” he says.

A possible future strategy for Switzerland, he adds, could be following the example of Austria and the UK and establishing centralised vaccine importation. This would involve making a deal with a specific company to provide a certain number of vaccines for a set price. Failure to supply the agreed number of doses would result in a fine for the manufacturer.

“Currently, companies deliver vaccines first to countries where they have an agreement for global supply, to avoid penalties. Countries like Switzerland with an open market usually come last,” Desgrandchamps explains.

*Vaccination facts*

No vaccine is compulsory in Switzerland, so it’s up to the patients to decide if they want to get vaccinated. However, the Swiss Vaccination Plan recommends immunisations for various diseases at different stages of life, both for the general population and certain at-risk groups. Recommendations are formulated based on the regularly updated opinions of experts from the Federal Vaccination Commission, Federal Office of Public Health, Swiss Agency for Therapeutic Products, Swissmedic, and the World Health Organization.

The cost of most basic vaccines is reimbursed by Swiss compulsory health insurance. There are some exceptions, such as the HPV (human papillomavirus) vaccine, which may be covered by certain cantonal programmes; and vaccines recommended for international travellers, which are usually covered by a complementary insurance plan Reported by Eurasia Review 45 minutes ago.

The 15 best states for job seekers in 2017

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The 15 best states for job seekers in 2017 Everyone knows location is a big deal in the real estate world.

But it's also a crucial factor in the job search, too.

Personal finance site WalletHub found that landing a gig is far easier in some states than in others. WalletHub assigned each US state a score based on numerous factors, including median annual income adjusted for the cost of living, share of employees with private health insurance, and the number of workers living below the poverty line.

The site also assigned each state an employment outlook score using Gallup's job creation index. The score is based on the amount workers say their place of employment is increasing or decreasing the size of its workforce, with the highest score of 42 indicating the best employment outlook.

To read more about the study's methodology, check out the full report here.

Here are the most job-seeker-friendly states in the US:

*SEE ALSO: The 15 best states for finding a job in 2017*

*DON'T MISS: The largest employers in each US state*

Join the conversation about this story »

NOW WATCH: Amazing time-lapses show how much America has changed Reported by Business Insider 10 hours ago.

If blueberries were pharmaceuticals, they would be hailed as the greatest "miracle" health breakthrough in the history of medicine

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(Natural News) Blueberries are miraculous natural medicine. If they were prescription medications, they would be called a “miracle” health breakthrough and an unprecedented milestone in medical science. Yet you can get them without a prescription, without a visit to the doctor and without “permission” from your health insurance provider. And unlike toxic prescription medications, blueberries... Reported by NaturalNews.com 2 hours ago.
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