This is a proposed political ad for our upcoming election to be paid for by a proposed political action committee named Pre-Existing Conditions Political Action Committee (PEC PAC).
PEC PAC commercial — Take One. Continue reading
Category Archives: Medicare
Health Reform and the Role of Private Insurance
As a family physician and health-care advocate, I have fought for universal health-care access for more than 25 years.
In 1997, I advocated for the proposed Healthy and Well Kids in Iowa (HAWK-I) program by writing in an op-ed that a “child with a laceration on the arm goes to the school three days after the injury happened. The wound is held together with a bandage of rags and electrical tape. The child has no insurance.”
Health Reform and a Primer for Democratic Presidential Candidates in Iowa
What every presidential Democratic candidate — many of whom will be speaking at the Iowa State Fair this week — should know about Iowa health reform:
1. Iowa suffered greatly by having a Republican-dominated state government (governor, Senate, and House) during the aftermath of the enactment of the Affordable Care Act (ACA). With a Republican governor and most recently a Republican Senate and House in Iowa, we had a miserable attempt at a Marketplace/Exchange; no support for our attempt at a health-care Co-Op (Co-Oportunity Health, which had 120,000 members in one year of operation); passage of association health plans, which allow for discrimination against persons with co-existing conditions; and, overall, an unbelievably negative atmosphere in general regarding anything that concerned the ACA.
Medicare for All and the Elimination of Private Insurance
An Iowan’s Plea for Honesty to Democratic Presidential Candidates
I last wrote to you regarding health care in Cuba after a cruise there earlier this year. Interestingly, that cruise has now been banned by our president. Now, six years to the month since I started this blog regarding health-care reform in Iowa, we have 24 Democratic presidential candidates crisscrossing the state and most of them on a national debate stage raising their hands regarding whether the country should eliminate private insurance in lieu of a Medicare for All proposal.
Health Reform and Cuba
After four days in Cuba, seeing much countryside and touring three cities – Cienfuegos, Havana, and Santiago de Cuba, I have some reflections regarding health care, there and here in the United States.
Health Reform: 2019 and Representative Cindy Axne
As my Health Reform blog returns in a new format, I wish to comment on two more significant startups — a new year and a new 3rd District congresswoman from Iowa. In relationship to health reform, by which I mean improving health-care coverage for Americans and especially Iowans, I think these new developments have meaning.
In Iowa, a new year will start with health costs continuing to go up, the individual insurance market pricing people out of the ability to have health insurance, a state-legislated health-association insurance plan that legally allows for the discrimination of individuals with pre-existing conditions (further perverting the individual insurance market), and a besieged Medicaid for-profit managed-care scheme that will continue to reward these companies’ shareholders at the expense of Iowa patients.
Health Reform and $2,000 per Month Health Insurance with a $10,000 Deductible (which Is Only Going to Get Worse)
2017. The year health reform took it on the chin. The year the middle-class, individual health-insurance buyer was abused by President Donald Trump and the entire Republican Party.
In Iowa, where we almost had no insurers in the individual market, we were left with one for 2018, Medica. One is not a choice. Who knows whether we will have insurers in 2019.
Health Reform and the Orphan Called the Individual Health-Insurance Market
Last week, the buzz in Washington, D.C., where I heard numerous lectures and personally talked to two U.S. representatives and two U.S. senators, was about impending health-care legislation in the Senate and particularly focused on the imminent crisis in Iowa, where there probably will be no insurers for the individual insurance market in 94 of its 99 counties in 2018.
Seventy thousand Iowans may not have health insurance next year in a state that prides itself as an insurance state. Iowa is the poster child for the deficiencies in the individual insurance market. Across the nation, only a few counties in Tennessee have that known potential for 2018, though several potential fixes are being discussed at the federal and state levels.
Health Reform and High-Risk Pools
United States House of Representatives Speaker Paul Ryan is right. High-risk pools could be the solution that solves some of the current problems with our health-care system.
Even though high-risk pools have not worked in the past (most immediate for me is the example of my home state, Iowa); even though I believe that states have neither the expertise, the competency, nor the will to run high-risk pools; even though I have railed time and again against high-risk pools as being anti-universal coverage, I now propose a new concept for high-risk pools.
Health Reform and Nick Bath
Nick Bath is the senior health-policy aide to Senator Pat Murray (D) of Washington. I met Nick several times when he was a health-policy aide to now retired Senator Tom Harkin (D) of Iowa.
Nick is a Harvard law graduate and a classical pianist (according to his bio), and he reminds me in both looks and mannerism of British actor Hugh Grant when Grant was a younger man.
Senator Murray is one of the primary health-care advocates and strategists in the Senate. Because of my previous association with Nick and Senator Murray’s important health-care advocacy, I compose the following letter to Nick regarding the current health-care crisis and unknown future of health care, which evolved from the recently failed partisan attempt to repeal and replace the Affordable Care Act (ACA).