Obama’s proposal would remove the CAH designation for
hospitals within 10 miles of another hospital from 101 percent to 100 percent
of reasonable costs in 2014 and in some cases hospital would lose their
classification and would receive no Medicare reimbursement. Obama’s proposal would save more than $2
billion over 10 years. This could cut
funding to 53 out of 58 Hospitals in Wisconsin
currently designated as Critical Access Hospitals.
Nationwide there are more than 1,300 critical access
hospitals. The CAHs patient populations
are largely elderly and low income without access to the larger, more expensive
healthcare systems in urban areas and many have 25 or less hospital beds. In
addition to providing basic outpatient care and inpatient care, they provide
long term care for patients.
There are serious concerns that Obama’s requirement changes
for designation as critical access hospitals will limit the care their patients
receive, force layoffs of hospital workers in rural areas and lead to
closures. In other words, rural
healthcare would be devastated.
According to Alan Morgan, CEO of the National Rural Health Association,
“most CAHs operate with a negative operating margin, even with the current enhanced
reimbursement’. Terry Eisinger,
president of the National Organization of State Offices of Rural Health said
“rural health care is fragile as it is without any additional cuts.”
On the August 22nd edition of ABC’s Nightline,
Remote Area Medical (RAM) Facility’s annual visit to West
Virginia was featured.
Remote Area Medical was started in 1985 by Stan Brock after
years of working deep in the Amazon where medical care was 26 days away by foot.
He began bringing healthcare to poor, under developed countries like Haiti ,
Africa , India
and Guyana . After setting up headquarters in Knoxville ,
Tennessee United States
had no access to healthcare.
“You’ve
got 40 or 50 million people that are in this category that don’t have insurance
and can’t get the care that they need or can’t afford it.”
He’s held more than 700 RAM events around the world, and has helped more than 550,000 in the
Teresa Gardner, who runs the local free clinic, first
invited Brock to Wise, West Virginia
14 years ago and now the RAM visit is an annual event.
"It's always an amazing sight, isn't it? That here
in America 5 o'clock in the morning, with rain threatening,
there are 1,500 people out there," Brock said, standing by the entrance
gate overlooking the crowd on the first morning. "It's sort of the one
time opportunity that they know they can afford to get the care that they need.
... It's a pretty sad sight."
"The economy here has hit a downturn. We've had a
lot of mining layoffs, which is really the only industry here," Gardner
Gardner first invited Stan
Brock and RAM to Wise 14 years ago and helps organize the 1,400 dentists, eye
specialists, doctors and volunteers who all donate their time and expertise.
Approximately 80 dental chairs are fully manned, as well as 16 eye examination
stations.
At
Wise, RAM has "all the different specialists, all the way from cardiology,
OB-GYN, pulmonology, nephrology, dermatology," Gardner
"You find people having strokes, heart attacks,
elevated blood sugars. We do a lot of emergency care here on sight," she
said.
In fact, six people over the course of the weekend are
found by the mobile X-ray unit to be walking around with broken limbs.
"Even though the care here is quality care, we don't
need to be doing this in the world's richest country," Brock says. "I
would rather be back in Haiti India Africa , and where this
organization began in the Amazon than doing it here in the world's richest
country. But I don't see this ending anytime soon".
RAM is funded by donations
and receives no government funding. One
of the major setbacks for RAM is that RAM has an army of volunteers, many of
whom have volunteered for years and pay their own travel expenses to provide
care. A problem in providing care in the
United States
Brock said he would be able to hold more events around
the country and help more patients if states would be less strict about
allowing volunteer doctors from other states to practice temporarily within
their borders.
"People come all the way from Florida, all the way
from Michigan, all the way from Wisconsin, New Jersey ... because we're not
allowed in those states because they won't allow doctors to cross state
lines," he said.
It is the thought of having to turn away people that
haunts Brock.
In a New York Times article datedMay 13, 2011 entitled “Health Insurers Making
Record Profits as Many Postpone Care” you can see who Obama is looking out for.
In a New York Times article dated
“The nation’s major health insurers
are barreling into a third year of record profits, enriched in recent months by
a lingering recessionary mind-set among Americans who are postponing
or forgoing medical care”.
“The UnitedHealth Group,
one of the largest commercial insurers, told analysts that so far this year,
insured hospital stays actually decreased in some instances. In reporting its
earnings last week, Cigna, another insurer, talked about
the “low level” of medical use”.
“Yet the companies continue to
press for higher premiums, even though their reserve coffers are flush with
profits and shareholders have been rewarded with new dividends. Many defend
proposed double-digit increases in the rates they charge, citing a need for
protection against any sudden uptick in demand once people have more money to
spend on their health, as well as the rising price of care”.
Yes, you read that right. “The insurance companies
continue to press for higher premiums, even though their reserve coffers are
flush with profits and shareholders have been rewarded with new
dividends”. The insurance companies and their CEOs with their million
dollar and some times billion dollar salaries just keep getting richer, while
the American people travel for days in inclement weather hoping to get a
coveted space on a gurney in a cattle stanchion to receive life saving medical
care. These greedy bastards are nothing more than merchants of death.
Make no mistake about it, Obamacare was written of, by and
for the insurance industry. When you hear that Healthcare is one-fifth of
the economy, what they really are saying is that one-fifth of the profits on
Wall Street come from our for profit healthcare system.
This is the richest country in the World but the wealth is
concentrated at the top. Our congress has some of the richest people in
it. Darrell Issa’s net worth since he has been in congress is over $355
million dollars, and he’s not the only one.
By Patricia Baeten
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