Tag: medicaid

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Medicare reconsiders surgery rules

The federal Department of Health and Human Services announced Thursday that it will reconsider a longstanding denial of gender-confirming surgeries for transgender people on federally subsidized healthcare.

Since 1989, both Medicare and Medicaid, the federally-run health program for low-income families and individuals, have explicitly excluded the coverage of gender confirmation surgeries for transgender individuals, reports The Advocate images

“Under National Coverage Determination 140.3, the programs have been exempted from covering these surgeries, though the data cited in the government’s justification is based on a 1981 National Center for Health Care Technology report. “Because of the lack of well controlled, long term studies of the safety and effectiveness of the surgical procedures and attendant therapies for transsexuals, the treatment is considered experimental,” reads the report in its explanation for why such procedures are not covered by insurance. “Moreover, there is a high rate of serious complications for these surgical procedures. For these reasons, transsexual surgery is not covered.”

“A lot has changed since 1981, however. The American Medical Association and American Psychological Association have since issued statements in support of gender-confirmation surgeries as a medical necessity and acceptable treatment for those suffering from gender dysphoria.

“In a ruling released December 2, the Department of Health and Human Services Departmental Appeals Board declared that the current National Coverage Determination record “is not complete and adequate to support the validity” of the determination excluding coverage for gender-confirming surgeries. The board determined that the 1981 report, which reviewed medical and scientific sources published between 1966 and 1980, is no longer “reasonable in light of subsequent developments.”  Continue reading “Medicare reconsiders surgery rules”

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What will we tell the children?

The U.S. has the highest child poverty rate of any country in the developed world. That means right now, not some abstract national deficit future. Right now millions of kids are hungry, sick, living in economically stressed homes, attending rotten schools­­ ­­–– and not getting talked about because they fall outside the noble “middle class.”  According to a recent article in the New York Times, “federal expenditures on children — including everything from their share of Medicaid and the earned-income tax credit to targeted efforts like child nutrition and education programs — fell one percent last year and will fall an additional four percent this year, to $428 billion, according to estimates by the Urban Institute based on the Congressional Budget Office’s projections.”  Yet aside from advocacy from few groups like Nuns of the Bus, the actual plight of children is getting short shrift in the current election cycle.  The Times’ “Cutbacks and the Fate of the Young” contrasts Romney’s assertions of a “moral responsibility” to protect the inheritance of the nation’s kids from debt with his winner-take-all approach to economics more generally, especially in light of his running-mate’s famously draconian budget. Continue reading “What will we tell the children?”