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health care

A former student who shares my appreciation of history told me last night that he had found one high-ranking Republican who would have opposed the government shutdown. That gentleman, who once made a famous speech in Kalamazoo, told fellow Republicans in New York “I see that some, at least, of you are those who believe that an election being decided against them is no reason why they should sink the ship.“

That’s a good and reasonable philosophy of government. Unfortunately, the man who said that, himself a former Congressman, is Abraham Lincoln, and he happens to be dead. Lincoln said those words while struggling to save the nation from breaking apart just before his first inauguration. The fault was with Democrats then.

To an increasing number of people, the shutdown of the federal government today is the fault of the Republicans. To me, the nature of what is happening ought to be pretty frightening regardless of who is to blame.

Republicans in Congress are saying they won’t allow the government to be funded unless the President and Congress agree to stop the Affordable Care Act from taking effect this year.

Courtesy of Children First

Michigan's new healthcare exchange goes live next Tuesday (October 1), and the White House put out a sneek peak of sorts.

It’s a snapshot of prices Michiganders could pay for what are expected to be some of the most popular plans.

In terms of cost, Michigan is projected to be below the national average.

The Detroit Tigers won their division championship last night, and there’s good news for Democrats in that. This year, they can root for the team to win the World Series. Last year, that wasn’t the case.

You see, there’s an odd quirky way in which baseball correlates to national elections. When the American League wins the World Series, that‘s generally good news for the Republicans. National League wins; good for the Democrats.

Detroit‘s last two World Series triumphs came in 1968 and 1984, years when the GOP won presidential elections. The Tigers lost the World Series seven years ago, and less than a month later Democrats recaptured Congress. When the Tigers were humiliated in last year‘s series, we knew it meant curtains for Mitt Romney.

User: Brother O'Mara / flickr

Michigan will pay less than average for health insurance

"The Obama administration says Michigan residents required to shop for health insurance starting next week will pay an average $306 a month - before tax credits - for a mid-range benchmark plan. That's below the national average of $328 and ranks 29th-lowest out of 47 states for which data was available," the Associated Press reports.

Wayne State University to offer in-state tutition for undocumented students

"Wayne State University will begin offering in-state tuition to undocumented students. The decision came as part of a policy change that ties tuition to students' high school diplomas, instead of their residency status," Michigan Radio reports.

Snyder not running yet, but his campaign ads are

"The first campaign ad in the race for Michigan governor will start airing today. Governor Rick Snyder is launching his ad campaign before he’s formally announced he’s a candidate," Rick Pluta reports.

http://www.commonwealthfund.org/

A brand-new report card has been released from the bipartisan Commonwealth Fund.

The report examines just how well the health care systems in each of the 50 states are working. The conclusion: if you live in a state that generally does poorly in health care, it doesn't necessarily matter what your income level is. High-income people who live in these poorly-performing states are worse off than low-income people who live in states with high health scores.

Cathy Schoen is senior vice president at The Commonwealth Fund and the author of the new report. She spoke with Cyndy Canty, host of Stateside, earlier in the day.

Listen to the full interview above.

More than 1,500 works of art, with more than 160 venues, and 47 countries represented. Those are just a few statistics of this year's ArtPrize in Grand Rapids opening today with some 400,000 expected visitors to the city. Michigan Radio's Lindsey Smith was on the scene, and we spoke to her as well as the new Executive Director of ArtPrize.

And, Congressman Justin Amash has decided not to run for U.S. senate. What does this decision mean for the rest of the candidates?

The University of Michigan announced earlier that they will now offer in-state tuition to undocumented students. We talked with Serena Davila, the executive director for Legislative Affairs for the Hispanic Association of Colleges and Universities, about what this means for the students.

Also, how well are health care systems in the U.S. working? A new report by the Commonwealth Fund gave us some answers.

And, the small town of Colon in southwest Michigan has been dubbed the “Magic Capital of the World.” We spoke with one resident to find out why that is.

First on the show, our weekly check-in with Detroit News Business Columnist Daniel Howes. And, on the front-burner? The mediation talks between Detroit's Emergency Manager Kevyn Orr and dozens and dozens of lawyers representing the city's creditors. Howes joined us to tell us more about the mediation.

The deadline for the Affordable Care Act's open enrollment period is January 31.
user striatic / Flickr

If you’re a Michigander looking for health insurance this fall, relax — help is on the way. Well, at least some help.

Earlier this August, Michigan Radio’s Steve Carmody reported four groups were picked by the federal government to navigate Michigan’s uninsured — or underinsured — through the new health insurance market developed under the Affordable Care Act.

On October 1 — the day the new marketplace opens up — the aptly named “navigators” will guide Michigan residents through their choices under Obamacare.

“Navigators are entities that are working on behalf of the exchange at no cost to consumers,” said Don Hazaert, the executive director of Michigan Consumers for Healthcare. MCH is one of the organizations selected to navigate Michiganders, along with Community Bridges Management, the Arab Community Center for Economic & Social Services, and American Indian Health and Family Services of Southeastern Michigan.

Sarah Cwiek / Michigan Radio

Detroit could end health care coverage for retired employees younger than 65.

Retiree health care costs make up about $6 billion of Detroit’s roughly $11 billion in unsecured debt.

City officials told Detroit pension trustees Wednesday that emergency manager Kevyn Orr is considering the plan. The idea isn’t new, though—Orr floated it as early as June, in his proposal to Detroit’s creditors before the city filed for bankruptcy.

Orr’s plan calls for the younger retirees to shifted onto the new insurance exchanges coming online with the Affordable Care Act.

Michigan businesses are trying to get ready for changes to the health care system by the Affordable Care Act.

But there's a lot of confusion, especially for small businesses.

Jennifer Kluge with the Michigan Business and Professional Association says the new health care system will increase costs for small businesses.

"For small businesses, there's nothing affordable about health care reform," she said.

But Brett Williams with Michigan Consumers for Healthcare says it's too early to tell, but rates could decrease over time.

Patricia Drury / Flickr

Detroit Emergency Manager Kevyn Orr proposed a new health care plan to the city’s 47 unions Friday morning, according to Reuters.

The plan will save the city $12 million a year by raising deductibles and trimming the number of plans available, but it will keep premiums the same.

Currently, there are 20 health care plans available to employees. Orr wants to reduce that number. Under his plan, single city workers will see their annual deductibles increase nearly fourfold -- from $200 to $750 -- and out-of-pocket expenses will be capped at $1,500. Married employees will see annual deductibles increase to $1,500, and out-of-pocket expense will be capped at $4,500.

Co-pays for doctor visits and prescription drugs will stay the same. The city will also continue to offer vision and dental plans. Preventive measures will still be free.

Orr said in a statement:

“We think this is the best plan we could propose given Detroit's financial crisis, but I look forward to hearing from union leadership on their ideas to lower healthcare costs. . . . The City’s plan holds the line on premium costs for employees while allowing Detroit to save enough money to put another 100 police officers or firefighters on the streets.”

The proposal is part of Detroit’s financial restructuring efforts to eliminate more than $18 billion in debt.

-Michelle Nelson, Michigan Radio Newsroom

User: Brother O'Mara / flickr

Detroit Public Schools get new emergency manager

Governor Rick Snyder has named Jack Martin as the new emergency manager for Detroit Public Schools. Martin replaces Roy Roberts, who is retiring after two years in the position. Martin is leaving his position as Detroit’s chief financial officer.  Roberts says DPS still has a long way to go, but conditions are noticeably better than when he started; the current budget deficit is more than $70 million.

Retiree health care coverage suspended in Pontiac

Pontiac’s emergency manager Louis Schimmel has proposed the Emergency Loan Board address an expected $6 million general fund shortfall in the current budget year. The board approved a plan to suspend health care coverage for retirees from the city of Pontiac and increase their monthly pension payments. The city's roughly 1,000 pensioners will get an extra $400 a month to buy their own health care, the Associated Press reports.

EPA now accepting Great Lakes grant applications

The U.S. Environmental Protection Agency has $9.5 million to distribute for Great Lakes projects and is looking for takers. The money comes from the Great Lakes Restoration Initiative, an Obama administration program to clean up and protect the lakes from a variety of threats. A webinar explaining the application process will be held July 30.

Steve Carmody/Michigan Radio

Federal prosecutors reached a multimillion-dollar, out-of-court settlement this week with a Jackson cardiologist in a health care fraud case.

It’s the latest in a string of Medicare and Medicaid fraud cases in Michigan. Federal prosecutors in the Eastern District of Michigan have filed nearly 300 charges of health care fraud during the past five years. Half the time, defendants have pled guilty or were convicted. And the pace of prosecutions has picked up during the past few years.

"This is about caring about one another, eh."

Well, he probably didn't turn on his Upper Peninsula dialect, but he certainly carried his message of support for Medicaid expansion in Michigan to the Yoopers.

Ever since he cut his trade mission to Israel short last month, Gov. Snyder has been pushing the state Senate to pass a bill that would allow the state to offer Medicaid to almost a half a million Michigan citizens.

Kate Wells / Michigan Radio

For a lot of uninsured families in Michigan, this is a big week.

Lawmakers in Lansing are sloooowly moving ahead with expanding the state’s Medicaid program.

That would give another 470,000 Michiganders coverage.

So who exactly are we talking about here?

The morning I meet Jen and Todd Nagle, we have no clue the day will end with Todd being rushed to the doctor for chest pains.

Steve Carmody / Michigan Radio

LANSING, Mich. (AP) - More than 30 conservative and tea party activists say they won't support Gov. Rick Snyder's re-election because of his support for expanding Medicaid eligibility to more Michigan adults under the federal health care law.

In an open letter to the Republican governor Tuesday, the advocates faulted him for consulting with U.S. Health and Human Services Secretary Kathleen Sebelius on Medicaid expansion.

They accuse Snyder of purposefully sticking a "finger in the eye of his own conservative base." The activists - including some of Michigan's better-known tea party advocates - say a "line must be drawn."

Snyder and Republican legislative leaders sent a letter to Sebelius May 29 asking her to meet with them in Michigan. The House is considering legislation that would expand Medicaid but require a federal waiver.

Up to half a million Michigan residents could lose their health insurance if the legislature fails to expand Medicaid.

Low-income Michiganders covered by local health plans could lose their coverage in 2014 under the Affordable Care Act. The law was written with the assumption states would accept federal funds to expand Medicaid.

Adrian Clark / flickr

A planned mega-merger between two of Michigan’s largest health systems has been scuttled.

Beaumont and Henry Ford health systems are two of southeast Michigan’s three largest health care providers.

Democrats did something unusual yesterday. They came out with some new ideas and announced a package of things and innovative reforms they are for, rather than against.

The subject was mainly women’s health care, and for once, the party seems united around a well-thought out package of bills. Tim Griemel, who is still finding his voice as House Minority Leader, told a press conference “when a woman doesn’t get the health care she needs when she is pregnant, it isn’t just her own health that’s at stake. When a woman can’t get the care she needs after a violent attack, everyone who loves and supports her suffers along with her.”

user Laura4Smith / Flickr

37,000 low-income Michiganders and small-business customers may be eligible for health coverage through a new health insurance cooperative, the Lansing State Journal reports.

With $72 million in federal funding, Consumers Mutual Insurance of Michigan is an alternative health care option for families and businesses looking for coverage after provisions of the Affordable Care Act go into effect January 2014.

As you may know, the federal government has offered to expand Medicaid coverage to families whose incomes are less than one hundred and thirty three percent of the poverty level.

If you wonder how much money that is, I looked it up for you – slightly less than $26,000 a year for a family of three. The answer to the question: How do you support three people on that and afford health insurance? is that you don’t.

If Michigan accepts, an estimated 320,000 people who now have no health insurance would be immediately covered. That would rise to nearly half a million people within a few years. The cost to the state government would initially be zero.

After the year 2020, Michigan would have to pay 10 percent of the cost. This would still, health care experts say, be a mere fraction of what all these uninsured people currently cost the state.

Senate Bill 136 would allow health care providers, facilities and insurance providers to deny service based on religious, moral or ethical objections. State Senator John Moolenar, a Republican representing Michigan’s 36th District is the bill’s sponsor. He spoke with Jennifer White earlier this week.

Listen to full interview above.

Flatbush Gardener / Flickr

Modern medicine is full of innovation.

It can extend life in ways once thought impossible, but those breakthroughs come at great cost and potential risk.

Dr. Fitz Blake believes the future of medicine lies in returning to the core of the doctor-patient relationship.

Dr. Blake is a Michigan physician well versed in the fast pace of the emergency room.

He’s shocked people back to life, set broken bones, and stabilized gunshot victims.  Blake is imposing.  He’s built like a linebacker, and speaks in a deep baritone voice.  
 
He says his traditional medical training taught him and other doctors like him how to identify disease, do procedures, and select the right medicines.  But he’s troubled by what current medical training doesn’t seem to emphasize as much, it’s what health policy experts refer to as “patient centered care.”

Flatbush Gardener / Flickr

Palliative care is a medical specialty designed to relieve patient suffering by focusing on the needs of the whole person.  Many people think palliative care is like hospice care, but palliative care is not just for the dying.  

Rose Mark is 82 years old and lives in a retirement community. She moved into the retirement community about ten years ago, right after her husband died.  It's close to her oldest daughter, Gloria, and her grandchildren. 

A state House subcommittee has stripped a provision from a budget bill to expand Michigan’s Medicaid program.

The money to add more than 400 thousand people to Medicaid would come from the federal government under the new national healthcare law.

Some Republicans say they don’t trust Washington to keep that promise or that they want to see some changes to Medicaid before they’ll support it.

Roger Martin is the spokesman for a coalition of businesses and healthcare providers that supports the expansion. He says concerns that the federal government will eventually cut off the money is unfounded.

“I can’t name one instance where the federal government has made a promise in law, that was affirmed by the U.S. Supreme Court, the Congress and the president had, and then pulled the plug on. I can’t name one. So basically I think it’s a Trojan horse argument.”

Governor Rick Snyder says he expects the Legislature will ultimately accept federal money to expand Michigan’s Medicaid program

“This is just a part of the legislative process. There are usually some challenges. But, again, the track record’s good about overcoming barriers. Do you get everything you want? Not necessarily, but you work hard and achieve the goals that really count – relentless positive action.”

Governor Rick Snyder called for the Medicaid expansion in his new budget proposal. He considers the subcommittee action a temporary setback.

Steve Carmody/Michigan Radio

A state Senate committee took testimony Thursday on a bill that would allow doctors, nurses and other health care providers to opt out of providing medical care if they feel it violates their personal or religious beliefs.

The legislation could affect patients seeking a variety of treatments, including approval for medical marijuana or a prescription for the ‘morning after’ pill.

Tim Schultz is the legislative policy director of the group, American Religious Freedom. He says the legislation respects an individual’s ‘conscience’.

FreedomWorks

The Affordable Care Act requires that for those Americans who can afford it, they must carry some form of health insurance starting on January 1st, 2014 or pay a fee.

Online 'health care exchanges' will be set up to help people buy health insurance who can't access it through an employer. If the states don't set up an exchange, the federal government will.

Gov. Snyder wanted legislators to set up a state-run exchange last year, but Republican legislators refused to vote on it, hoping the federal health care law would be overturned.

That didn't happen and the timeline for a state run exchange has passed.

Now some state Republicans are reluctantly voting in favor of a setting up a federal-state run exchange.

State capitol
Lester Graham / Michigan Radio

A bill to set up a healthcare exchange in Michigan has passed its first hurdle in the state Legislature. A House panel today voted to accept more than $30 million from Washington to set up the exchange.

It would be a partnership between the state and the federal government under the Affordable Care Act.

House Appropriations Chair Joe Haveman says the alternative would be a federal exchange with no state control.

“Although it may appear like it was a step in the wrong direction or endorsing Obamacare, this was the conservative vote. The other vote was the liberal vote to say ‘we want the federal government to take us over.’”

Governor Rick Snyder wanted an exchange run entirely by the state. But lawmakers did not act in time, and that’s now off the table.

The bill now goes to the floor of the state House.

On today's show, troubling headlines have been coming out of Grand Rapids in recent  months a burst of violent crime. Today we take a look at what can be done to curb the violence.

And we turn an eye to medical care: just how can we fix inequality in access to health care in Michigan.

But to start things off... he has been an assistant Wayne County prosecutor, the deputy Wayne County executive under Edward McNamara. He was the CEO of the Detroit Medical Center.Today, Mike Duggan’s is making it official, he wants to be Detroit’s next mayor.

To take a closer look at the Duggan candidacy, we spoke with Rocelle Riley of the Detroit Free Press.

Health expert weighs in on 'moral objection' bill

Dec 12, 2012
Stethoscope
Adrian Clark / Flickr

The lame duck session in the Michigan legislature has been the most active in recent memory. While so-called "right-to-work legislation, signed by Governor Snyder, has gotten the most attention there are a number of other controversial bills working their way through the legislature. They include a bill that would allow health care providers, facilities, or insurers deny service based on religious, moral or ethical objections. The providers would have to provide service in emergency situations. I talked with Peter Jacobson, Professor of Health Law and Policy at the University of Michigan School of Public Health.

user clarita / morguefile

Many Republicans in the Michigan Legislature want to allow health care providers, or insurers to deny service to patients based on religious, moral or ethical objections.

The "Religious Liberty and Conscience Protection Act" passed the state Senate last Thursday during the tumultuous 'right-to-work' debate.

Now a House Committee has approved the bill, which will allow it to go before the full House. The Michigan House could vote on the measure today, which would send it to Gov. Snyder's desk.

More from the Detroit Free Press:

On a straight party-line vote, the state House insurance committee voted Wednesday to approve a bill that would allow health care providers and facilities to refuse service based on a moral objection, religious reasons or matters of conscience.
The bill now moves to the full House, where it could be considered as early as this afternoon and, if approved, would move to Gov. Rick Snyder for his signature.

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