Two Americas

The federal government is now shutdown. What happens next is anyone’s guess, especially since we hit the debt ceiling in two weeks and still have to pass an actual budget to fund the government. To get out of the current stalemate, one compromise that has been floated is for Congress to pass a continuing resolution – funding the government until November – along with the “Vitter amendment.” The Vitter Amendment would prohibit Congress from exempting itself from Obamacare. So what is the controversy over Congress and its staffers having to purchase healthcare on the exchanges? What are the issues with Congress exempting itself from Obamacare? And what does it say about our legislature?

In 2009, during the peak of the legislative debate over healthcare reform, Senator Chuck Grassley (R) inserted an amendment in Obamacare that required all members of Congress and their staffers to purchase health insurance on the newly-created health insurance exchanges. Of course, members of Congress wouldn’t be alone in doing this. Starting today, millions of Americans are utilizing the exchanges.

Continue ReadingTwo Americas

Health Commissioner: Milwaukee Must Deal with Race and Poverty Issues

If Milwaukee is to become a healthy city in both broad terms and in terms of specific issues, it must deal with issues in an honest, constructive way with poverty and race, City of Milwaukee Health Commission Bevan Baker said Thursday during an “On the Issues with Mike Gousha” session at Eckstein Hall.

“Milwaukee will not be the greatest, most relevant, healthiest city in America until we deal with our dirty linen,” Baker, health commissioner since 2004, told an audience of about 150.

“To do that,” he continued, “we have got to do what other cities have done, and that is to address race, to address poverty, to look at these issues, and say, it is tough, it is unimaginable, it makes me sick, it is ugly, but to be great we have got to do the unimaginable thing, and that is to once and for all say, and in true fashion, to take our spiritual and moral compass and say, Milwaukee will not be the healthiest, greatest, most relevant city in America until we deal with our dirty linen. That’s what New York has done and that is what Miami is trying to do and that’s what other cities in this nation I have lived in have done.”

Continue ReadingHealth Commissioner: Milwaukee Must Deal with Race and Poverty Issues

The Health Information Exchange Deadline

Friday’s deadline, November 16, calls for each state, including Wisconsin, to give the federal government a “blueprint” for a Health Information Exchange.  State exchanges compare the benefits and costs of insurance policies and post the results online so people and employers can choose which are the best values for them.  They will also make electronic patient records accessible for treatment and research for the public health.   As I noted in my election-eve blog post, exchanges (also called HIEs) are central to health care reform by making better consumer choices possible.

State blueprints would resolve such choices as whether the exchange will be a private non-profit company or a state agency, and what consent and protections are in place for patient privacy.  Overall, a state can choose whether its exchange will be run by the state, in a partnership with the federal government, or by the federal government.  If a state doesn’t provide a blueprint, its exchange will be formed and run according the rules and models in federal regulations that will be issued soon. 

Continue ReadingThe Health Information Exchange Deadline