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Making Room at America's Inn for All God's Children



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No. 10
from MBANurse
Old Dec 31, 2007, 11:27 PM

Default Re: Making Room at America's Inn for All God's Children
In other articles that I was reading there is a reference that families that are more than 250% above the federal poverty level are getting SCHIP.


http://www.latimes.com/features/prin...ines-pe-health

Number of uninsured children with household income 2 1/2 times the federal poverty level ($50,000 based on a family of four): 2.9 million
and the the income would be more along the lines of

http://www.unionleader.com/article.a...3-a780067644c1

This bill expands SCHIP coverage to families earning three times the federal poverty level, or $61,950 for a family of four. As columnist George Will pointed out yesterday, the median household income in the United States is $48,201.
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No. 11
from Lizzy6
Old Jan 01, 2008, 09:41 AM

Default Re: Making Room at America's Inn for All God's Children
Originally Posted by MBANurse View Post
What state or states makes someone reapply three times a year?

Also... what kind of lesson are we teaching when we demonstrate that even if you haven't earned it; even if you don't pay for it... you will get it. Teach THAT lesson to children and the way of life for our country is going to rapidly come to a stop. Why work for anything... the government will give it to you. That guy that works hard for his stuff is a sucker...
I believe most states are either annually or bi-annually. The application is a simple and anyone can obtain help from the DSS dept or local health dept to complete it. Maybe there are states that require caregivers to re-cert 3x per year, to check if income has increased.
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No. 12
from Lizzy6
Old Jan 01, 2008, 09:48 AM

Default Re: Making Room at America's Inn for All God's Children
[quote=mercyteapot;2575808]SCHIP also likes to make families reapply often and drop them if they don't. quote] Where I live the re-cert process is annually, unless of course your income has changed, then it needs to be reported. Often, some of these folks move & fail to inform DSS or the health dept of their new address. We usually try to give them 30-60 days to re-cert. I think that is fairly generous, and I am sure there are other states that are not so generous depending on their circumstances. You can easily fax, mail or stop in your local health dept, and often an extension is given to the caregiver in order to get their paperwork up to date.
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No. 13
Old Jan 06, 2008, 08:17 PM
Updated Jan 06, 2008 at 08:28 PM by HM2VikingRN

Default Re: Making Room at America's Inn for All God's Children
SCHIP is not premium free....(Its not "given" to them.)

I agree that families should be responsible for health care but we need to make sure that it is affordable. Decent family coverage is now 12,000/year and projected to rise to 20,000 within 5 years. At 12,000/year that is over 30% of the income for families making 40,000/year. (Roughly 200% of poverty.) Health insurance on the individual market is unaffordable for families within that income bracket.

The Bush administration encouraged states to apply for waivers to expand SCHIP until it became politically useful to beat the drum in the other direction. Mr. Will is being dishonest in his commentary. Cost of living is not uniform between the states. 62,000 in rural MN is the equivalent wage of being working poor in New Jersey or NY.

Besides it is cheaper and more efficient to provide insurance with larger groups. See:

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No. 14
from NRSKarenRN
Old Jan 06, 2008, 08:37 PM
Updated Jan 06, 2008 at 11:48 PM by NRSKarenRN

Default Re: Making Room at America's Inn for All God's Children
From nurse.com:

No Place Like ... a Shelter?
Cathryn Domrose
Last March, Paul Leon, RN, BSN, PHN, walked into an armory that served as Orange County's winter homeless shelter. He was looking for a transient patient with a Foley catheter that needed to be removed. What the public health nurse saw changed his life....

Leon and a group of fellow public health nurses began researching the homeless in Orange County and working on a plan to help connect them with desperately needed healthcare services.

At first Leon's work was on his own time, but eventually the county health department created a full-time position for him and a new program called the Comprehensive Health Assessment Team for the Homeless, or CHAT-H. So far the paid members of the team include Leon and a psychiatric nurse, but they hope to add a benefits specialist to help qualified homeless people obtain health coverage.

The program's main purpose is to make contact with homeless people, assess their health needs, and refer them to services as needed. The team also coordinates volunteers and does some preventative care, such as giving immunizations.

Orange County has an estimated 35,000 homeless people, about 70% of them families with children, according to the county's 2005 Health Needs Assessment Report. Many homeless Orange County parents are working but make far less than the $23.80 an hour needed to afford a median-priced apartment. Other reasons for homelessness among families with children include poverty and domestic violence, according to a county report released this year.

Most of Orange County's homeless families are invisible, Leon says. Many live doubled- or tripled-up in someone else's home. Others sleep in homeless shelters, under bridges, in cars, or in motels. At one shelter for women and children only, Leon found at least 70 children sleeping outside.

Leon, Handler, and others have recruited volunteers and community partners — including dentists, physicians, and nurses — to help provide medical, dental, and mental health care to the county's homeless. The response has been amazing, they say. The growing list of partners includes the Children's Hospital of Orange County; St. Joseph Hospital; UC Irvine Medical Center; CalOptima, an insurance organization; and Kaiser Permanente.

Although the county has clinics and other agencies that serve the homeless, many homeless people don't know where these places are, how to use them, or even that they exist, he says. That is why outreach and assessment is so important, he adds.



$23.80/hr needed for an apartment ! Mc Donalds and other department store wages less than $10.00 in Philly area,
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No. 15
from Elvish
Old Jan 06, 2008, 11:46 PM

Default Re: Making Room at America's Inn for All God's Children
Wow, great article, Karen. Thanks for posting it.
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No. 16
from MBANurse
Old Jan 07, 2008, 03:15 PM

Default Re: Making Room at America's Inn for All God's Children
Originally Posted by NRSKarenRN View Post
From nurse.com:

No Place Like ... a Shelter?
Cathryn Domrose
Last March, Paul Leon, RN, BSN, PHN, walked into an armory that served as Orange County's winter homeless shelter. He was looking for a transient patient with a Foley catheter that needed to be removed. What the public health nurse saw changed his life....




$23.80/hr needed for an apartment ! Mc Donalds and other department store wages less than $10.00 in Philly area,
I can't afford a median priced apartment in Orange county. Why are they looking for "median" priced apartments and why would the article cite that as the targeted price range. Orange county has some extremely high income areas so the "median" is going to be high as well.

I am not saying that its not expensive... but lets talk about realistic expectations and gains. I work(ed) by that very homeless its on Brookhurst St.

It amazed me that the individuals that were sitting outside had smokes and booze/liquor... but no place to stay; or provide healthcare for themselves.

I think that it is great that these people volunteer(ed) their time and services; but that is what charity should be. Volunteer.
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No. 17
Old Jan 07, 2008, 06:28 PM

Default Re: Making Room at America's Inn for All God's Children
Access to affordable haelthcare is not charity. Insurance is a social product by definition.
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No. 18
from psalm
Old Jan 08, 2008, 01:24 AM

Default Re: Making Room at America's Inn for All God's Children
Here's another thought. Children would learn to NOT Be like their parents who aren't taking care of them (in the case of parents who neglect their kids but have $$ for their non-essentials). Balance should be the focus, not enabling or entitlement.

I am sure all of us are frustrated seeing little kids going without a warm coat or clean clothes, runny noses and dirty hair while their parent(s) have the cigs, drinks, cars, rings, jewelry, nails, nice clothes, etc. There are faith-based agencies that can help if the parents allow it. Because some parents won't accept "charity". My dad would yell he would take care of his own family...so I learned to go without alot and vowed I wouldn't put my kids thru that.

Obviously, if there is dangerous neglect, teachers and healthcare personnel need to report it.
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No. 19
from MBANurse
Old Jan 09, 2008, 09:59 PM

Default Re: Making Room at America's Inn for All God's Children
Originally Posted by psalm View Post
Here's another thought. Children would learn to NOT Be like their parents who aren't taking care of them (in the case of parents who neglect their kids but have $$ for their non-essentials). Balance should be the focus, not enabling or entitlement.

I am sure all of us are frustrated seeing little kids going without a warm coat or clean clothes, runny noses and dirty hair while their parent(s) have the cigs, drinks, cars, rings, jewelry, nails, nice clothes, etc. There are faith-based agencies that can help if the parents allow it. Because some parents won't accept "charity". My dad would yell he would take care of his own family...so I learned to go without alot and vowed I wouldn't put my kids thru that.

Obviously, if there is dangerous neglect, teachers and healthcare personnel need to report it.
So take the kids.
Kick the parents out on the street...
I have no problem with that.
The kids would learn that they can do what they want... and the government would pick up the tab for the rest.
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