Universal coverage for pregnant women and children = 9 days of DOD spending

Nurses Activism

Published

http://www.tompaine.com/articles/2007/03/02/immoral_lack_of_care.php

but even if schip is fully funded, millions of children will still be excluded from health care coverage.

up until now, medicaid and the schip program have made great strides in providing children with health insurance. but even with their successes, one out of every nine of our children is still without health insurance and millions more are underinsured. as congress considers reauthorization of schip this year, we have a unique opportunity to take the next logical, achievable and moral step that would guarantee comprehensive health and mental health care to all children and pregnant women. we at the children's defense fund propose a plan whereby children’s health coverage under medicaid and schip would be consolidated into a single program. this will include a guaranteed, comprehensive benefits package nationwide for children whose family incomes are at or below 300 percent of the federal poverty level (topping at about $62,000 a year for a family of four).

under the proposal, children currently enrolled in medicaid, schip and means-tested federal programs like school lunch and food stamps would be enrolled automatically, with an opportunity for parents to opt out. uninsured children could also be automatically enrolled when they are born, enter school or get a social security card, again with the opportunity to opt out.

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another element of the proposal would substantially increase reimbursements to health care providers so children can actually get health services when they need them. and there would be no additional cost to states for child coverage expansion or enhanced benefits.

health coverage can be provided to every child in america in 2007. the funding necessary to expand coverage to all children and pregnant women would be the equivalent to just nine days of defense department spending in 2007, and three months of the tax cuts to the richest one percent of americans this year.

which is of the greater moral value? 20,000 plus in tax cuts for dick cheney and his family or health care for poor children in your community?

Most uninsured adults are not unemployed drug addicts as some seem to believe. I recently read in the American Journal of Nursing that the majority of uninsured families include at least one adult with a full time job and incomes between 100% and 200% of the poverty level. They don't have insurance either because their employer doesn't offer health insurance benefits or the premiums are so high they can not afford them. And certainly private insurance is not an affordable option for most people.

Anyone can find themselves without health insurance due to unfortunate circumstances that may be completely beyond their control. That realization is part of the reason I feel compassion for those without insurance. I have also lived without insurance and know how difficult it is, and I have family members who are experiencing that problem now.

1 in 5 Americans do not have any health coverage. I do not believe it is because 1 in 5 Americans are lazy moochers. There are many options to fix this problem, each with their own pros and cons. I don't think ignoring the problem or blaming it on the victims is the way to go.

Most uninsured adults are not unemployed drug addicts as some seem to believe. I recently read in the American Journal of Nursing that the majority of uninsured families include at least one adult with a full time job and incomes between 100% and 200% of the poverty level. They don't have insurance either because their employer doesn't offer health insurance benefits or the premiums are so high they can not afford them. And certainly private insurance is not an affordable option for most people.

Anyone can find themselves without health insurance due to unfortunate circumstances that may be completely beyond their control. That realization is part of the reason I feel compassion for those without insurance. I have also lived without insurance and know how difficult it is, and I have family members who are experiencing that problem now.

1 in 5 Americans do not have any health coverage. I do not believe it is because 1 in 5 Americans are lazy moochers. There are many options to fix this problem, each with their own pros and cons. I don't think ignoring the problem or blaming it on the victims is the way to go.

If a women is pregnant with her 2nd, 3rd, or 4th child and doesn't have health insurance she should bare the responsibility her choices. The victims are the children, but the perpetrator is the women who makes the choice to continue to have children. These women are not victims. Her children and the tax payers who pay for her children are the victims.

I am not saying that some people who work and are truly trying can't afford insurance. There should be reform to make insurance more affordable. There are persons in our society who need help, who have had catastrophic things happen, who are doing there best but still coming up short. There are plenty of programs for the poor, including programs for children of the poor. The reform needs to focus on the citizens who are truly trying, while not hurting tax payers. I know we live in a society together, but that does not mean we all have a moral obligation to pay for our fellow citizen's choices.

Why not introduce reform that embraces the idea that we should be accountable for ourselves? Maybe take health care out of the employer's control and put it in employee ownership and control. How about tax cuts for all medical expenses, and tax free health savings accounts, get rid of health insurance mandates, make more drugs avaliable over the counter. Decrease the cost of medical malpratice suits, by implenting "loser pays" law.

There has to be some personal and governmental accountability before we jump head long into universal health care. It is not the evil rich or the evil corporations or the evil pharmaceutical companies or the evil insurance companies who are going to pay the price for universal health care. It is us, the tax middle class tax payers. Sure we might have health care, but what about the rest of our quality of life?

We cannot continue on the road we are on now. Hospitals are closing, many are closing ER's and mental health services. [/q]

Where are the hospitals closing left and right? where are the ER's closing left and right? Obviously not here in Houston. There are hospitals opening every month and there are ER's every where as wel as urgent care centers for minor problems. I have not seen reports of hospitals closing all over the ones I have seen were marginal at best and more than likely needed to be closed. Just becasue it is a hospital does not make it a scared place.

Wow, this is directly related to the federal government and yet you still want them to run healthcare? What I see on here is a bunch of people who have illnesses that are expensive to treat or pre-existing conditions or other problems that want that burden placed on everybody else and trying to use children and women (typical liberal trick) to try and force everyone else to pay for it. Here is my thought go over to your neighbors house tonight, knock on the door and ask them for the money for you or your family to cover the cost of healthcare. It is not everyone elses problem because your premiums are high for whatever reason and to think that because the government will be involved in the care the costs are going to go down is simply ridiculous and anyone with 1/2 a brain knows this. I bet 90% of all insured Americans are perfectly happy with their plans. I am and everyone I know is happy with their current health insurance plan/premiums.

We cannot continue on the road we are on now. Hospitals are closing, many are closing ER's and mental health services. Why are prisoners entitled to healthcare but not little boys born with a disorder that is expensive to treat?

Back to the original post.....I remember when people used to pay for their medical care out of pocket....when "insurance" was used to cover the out of the ordinary medical expenses. (Now you all can imagine how old I really am!!)

It pains me today to work with clients who come into my office, uninsured and pregnant, and expect "someone" to give them health insurance to cover their planned pregnancies. When asked how they feel about being pregnant (part of our assessment) they are almost all "exited and happy". Despite stating a bit later that they have no insurance, no way to obtain baby supplies, car seat, crib, etc. Anybody ever hear about planning for a family????

I agree with the poster who spoke about personal responsibility....if you can't afford something...either save up and pay for it, or wait til you can afford it.

To the person who spoke about prevention...it's cheaper to pay for a box of condoms and a diaphragm than prenatal care. We need to put more funding into interconceptional coverage and family planning services for both men and women.

That said...I do agree that the system is broken and should be fixed, but to constantly "give" benefits to people who accept no personal responsibility for their situation isn't the answer either. There is some merit to the idea that if you have to pay for something, you value it a bit more....so if people have to pay for some portion of their coverage they may not abuse it quite so much.

And truth be told...most of my clients do not want to take their kids to the community health center where they can purchase/pay for their care on a sliding scale basis...they want it for free!

Sometimes I just get sooo discouraged

assessing america's health care system

http://www.pww.org/index.php/article/articleview/10703/1/362

in this book ,dr. don sloan md, argues the case for corporate free universal health care. sloan describes the current process in which doctors have become "simply the middleman between the sick and vulnerable and the insurance companies seeking to elicit whatever gains were possible."

the extremely high cost of healthcare is hurting the profit margins of some american corporations. health care costs add $1600. to the cost of manufacturing a car at ford motors, and the situation is similar to other auto producers.in canada auto producers have absolutely no extra health care costs.

dr. sloan exclaims, "health care is not a privilege. it is a right. and if nessessary, this right should be protected by a constitutional amendment."

the author calls out for mass grass roots activism to effect the nessessary changes.

the right to health care

http://www.righttohealthcare.org/newlaw.htm

a fresh look at thr right to healthcare, documents and legal foundation

"health care is a human right, not a privilege.if you dont believe this now , you might change your mind if and when you find yourself in need of life saving care in a hospital emergency room.in recent protests on both coasts demonstrators have shouted for their right to health care."

more evidence that there is a push to make healthcare a constitutional right.

s.b.14 constitutional amendment provides right for a universal health system that provides for affordable access to medical care for all residents. minnesota.

other states such as massachusetts also have amendments to give the people the right to healthcare.more states are bound to do the same.

endorsers and supporters of the "right" to health care

http://www.righttohealthcare.org/simply.htm

"t's cheaper to pay for a box of condoms and a diaphragm than prenatal care. We need to put more funding into interconceptional coverage and family planning services for both men and women." -horvie

That is absolutely true. Unfortunately, many young women don't know how to get or use contraception. For example, a woman in her twenties recently told me she believes that "pulling out" is the most effective birth control method. There is wide spread ignorance about contraception in this country, thanks in part to abstinence-only sex education in many of our schools. If we made a practice of teaching all public school students what they need to know about contraception and made various methods easily available to everyone regardless of age or income, we would be doing a lot to prevent unintended pregnancies.

Specializes in Tele, ICU, ER.

I agree with those that state that personal responsibility is key here. I believe the biggest objection to universal healthcare comes with the perception of hard-working people having to pay for people who'd rather live off the state than work for their own lives.

I'm not referring to folks who DO work hard but don't have insurance. We need to find a way to make insurance affordable for working class families.

BUT - I do have an objection to saving everyone who wants a prescription for Tylenol so they don't have to pay for it over the counter (while keeping their newly-done nails in great condition). I do have an objection to seeing someone get disability because they've been noncompliant all their lives (when someone who has worked all their lives has to literally SUE to get legit disability).

I have a real problem with folks who'll use the ER instead of a sliding-scale clinic because they simply believe they shouldn't HAVE to pay anything. By that token, I shouldn't HAVE to work for anything I have, should I? Someone else should just give it to me!

I am against free-for-all everything for those who are not willing to work to provide for themselves (as opposed to those who TRULY cannot), I am opposed to free healthcare and education for illegal aliens who are breaking our laws, and I am FOR our citizens ALL sharing responsibility for their health and wellbeing. Right now, it sure seems that folks think the only ones how have to have social responsiblity are the ones who WORK.

As an aside - I DO think children should be taken care of and not punished for having idiot parents and I think that folks who can't afford to have kids should figure out how that's happening (it ain't the water, sweetie) and not have 8 kids on my dime.

Until we as a nation put out the expectation that people ARE responsible for thier decisions and their lives, folks will continue to expect to be taken care of, with no consequences to themselves. That's a problem.

We cannot continue on the road we are on now. Hospitals are closing, many are closing ER's and mental health services. [/q]

Where are the hospitals closing left and right? where are the ER's closing left and right? Obviously not here in Houston. There are hospitals opening every month and there are ER's every where as wel as urgent care centers for minor problems. I have not seen reports of hospitals closing all over the ones I have seen were marginal at best and more than likely needed to be closed. Just becasue it is a hospital does not make it a scared place.

Here many ICU and medical/surgical patients are held in the ER for hours to days. I guess that is not happening in houston. I am glad.

TOO FEW HOSPITAL BEDS

Mentally ill-and locked out

http://www.chron.com/disp/story.mpl/editorial/outlook/4599054.html

40 mental health hospitals have closed in the past decade

http://www.psychlaws.org/HospitalClosure/Index.htm

Closed California Hospitals

1996 to Present as of September 2006

http://www.calhospital.org/public/ER/cat1.asp

Mental Health:

http://psychlaws.blogspot.com/search/label/hospital%20closures

Rural Hospital Closures:

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1070153

Emergency room closures causing health care crisis

http://media.www.dailytrojan.com/media/storage/paper679/news/2004/10/21/Opinions/Emergency.Room.Closures.Causing.Health.Care.Crisis-775105.shtml

Nationwide 500 hospitals closed in 10 years. 1,128 ERs closed from 1988-1998 and it continues.

http://www.calacep.org/alert/alert.html

ER closures place patient care in jeopardy:

http://www.nurseweek.com/features/00-05/er.html

How far to the next hospital?

Boston, Cleveland, and...

http://www.hschange.com/CONTENT/312/?topic=topic03

Jails forced to serve mentally ill after hospital closures

http://www.kten.com/Global/story.asp?S=4959223

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I agree that health education including facts about birth control should be taught to teens. I don't believe education causes sexual activity.

I also think it is normal for married couples to have sex. That does not always have to result in a child.

After we were married 11 months I became pregnant. A major hospital had a program where we paid a down payment and at every prenatal visit until the

7th month. Then the three day hospitalization for mother and infant was paid for. Sort of an insurance policy because if something had been wrong it would have been covered.

BUT - I do have an objection to saving everyone who wants a prescription for Tylenol so they don't have to pay for it over the counter (while keeping their newly-done nails in great condition). I do have an objection to seeing someone get disability because they've been noncompliant all their lives (when someone who has worked all their lives has to literally SUE to get legit disability).

Right now, it sure seems that folks think the only ones how have to have social responsiblity are the ones who WORK.

I hesitate to tell my own personal experience with no health insurance, but it is fitting here.I worked for 27 years as an LPN in LTC. I raised 4 children on my own after being divorced when my youngest was 7 years old. I could not afford to go back to school and I did work full time, so I did not persue my RN.I helped put all 4 of my children through college and am proud to say thay are all successful, responsible adults.I could no longer work as an LPN in 2005 when my DDD, DJD became so severe I could not get through a shift without massive back and leg spasms.Severe DJD in R knee, need replacement surgery. I also am blind in one eye and now have starting cataract in good eye, I was recently diagnosed with inflammatory arthritis in bilateral hands, right hand has moderate damage, just within the last year.I am one of those folks who have had to hire an attorney to FIGHT for Social Security Disability. I never asked for a dime from any one until I could no longer support myself.I have bankrupt my savings and am living off the charity of my four children until I get an approval from SSDI.It has been a year and a half of waiting.I go to a free clinic that is great but because of cost constraints cannot provide the services a of a rheumatalogist for my hands. I am NOT eligible for Medicaid in the state of Wisconsin, until I am proven disabled, and so far that has taken 1 1/2 years and I dont even have a court date yet. I dont expect sympathy, I hope that my situation can provide a better understanding of the NEED for Health care REFORM. Medicaid and other entitlement programs as well as private health care need expansive reforms, people that have been responsible HARD WORKERS all their lives are suffering, not just the "users, slackers, etc, etc."

Let's not confuse a "right" with a "need." Food, water, shelter, and maybe healthcare; those are needs. A "right" is a moral good, as defined by a human. I don't think anyone has the "right" to my property. But, I may feel the morally obligation to help others. So, long as it doesn't impinge on my rights.

"Observe that all legitimate rights have one thing in common: they are rights to action, not to rewards from other people. The American rights impose no obligation on other people... The system guarantees you the chance to work for what you want-- not to be given it without effort by someone else." http://www.bdt.com/pages/Peikoff.html

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