act – Worlding

February 9, 2014

Obamacare HIV problems

Hundreds of people with HIV/AIDS in Louisiana trying to obtain coverage under President Barack Obama’s healthcare reform are in danger of being thrown out of the insurance plan they selected in a dispute over federal subsidies and the interpretation of federal rules about preventing Obamacare fraud, Reuters reports

“Some healthcare advocates see discrimination in the move, but Blue Cross and Blue Shield of Louisiana says it is not trying to keep people with HIV/AIDS from enrolling in one of its policies under the Affordable Care Act, also known as Obamacare.

“The state’s largest carrier is rejecting checks from a federal program designed to help these patients pay for AIDS drugs and insurance premiums, and has begun notifying customers that their enrollment in its Obamacare plans will be discontinued.

“The carrier says it no longer will accept third-party payments, such as those under the 1990 Ryan White Act, which many people with HIV/AIDS use to pay their premiums.

“In no event will coverage be provided to any subscribers, as of March 1, 2014, unless the premiums are paid by the subscriber (or a relative) unless otherwise required by law,” Blue Cross Blue Shield of Louisiana spokesman John Maginnis told Reuters. The dispute goes back to a series of statements from Centers for Medicare and Medicaid Services (CMS), the lead Obamacare agency. In September, CMS informed insurers that Ryan White funds “may be used to cover the cost of private health insurance premiums, deductibles, and co-payments” for Obamacare plans. In November, however, it warned “hospitals, other healthcare providers, and other commercial entities” that it has “significant concerns” about their supporting premium payments and helping Obamacare consumers pay deductibles and other costs, citing the risk of fraud. The insurers told healthcare advocates that the November guidance requires them to reject payments from the Ryan White program in order to combat fraud, said Robert Greenwald, managing director of the Legal Services Center of Harvard Law School, a position Louisiana Blue still maintains. Continue reading “Obamacare HIV problems”

December 5, 2013

Millennial skepticism over Obamacare

The Harvard Institute of Politics survey released Wednesday has garnered a lot of attention for its findings about Millennials’ views of Obamacare, in addition to their opinions on President Obama himself, reports The Atlantic.

“Between 56 and 57 percent of the 18- to-29-year-old respondents didn’t approve of the Affordable Care Act or Obamacare (depending on how the question was asked); 40 to 44 percent thought their quality of care would get worse under the new law; and 50 to 51 percent said they expected costs to increase.

“This has led to a giant round of Oh my God, Obamacare is going to be a giant failure because young people hate it, won’t enroll, and the insurance plans will go into death spirals. Well, no. Ryan Cooper argues this morning that Millennials “will come around on Obamacare.” But do they even need to? More than half the Millennials in the IOP study said they’d at least consider to signing up for Obamacare exchange insurance if and when they are old enough to need it.

“According to the survey, 22 percent said they’d definitely or probably enroll in Obamacare, and another 29 percent said they were 50-50 on whether they’d enroll or not. Only 45 percent said they definitely would not enroll. The whole survey sample was asked those questions, according to topline data provided by the pollsters. Sounds dismal—until you see that only 22 percent of those surveyed individuals were uninsured! Another way of looking at the data: 22 percent of people in a sample that was 22 percent uninsured said they would definitely or probably sign up for Obamacare. And 29 percent of people in a sample that was 35 percent covered by their parents’ insurance said they were 50-50 on enrolling if and when eligible. That paints a very different picture than just focusing on the large percentage who think their costs will go up while their quality of care goes down. Obamacare’s long-term health depends on whether people who are already insured support the program, but their opinion matters much less in the short term. Continue reading “Millennial skepticism over Obamacare”

November 18, 2013November 18, 2013

Not buying the “Buyers Club” revisionism

Critics have showered Dallas Buyers Club with praise, which is good news for Focus Features and Matthew McConaughey, whose outsized performance swings for the fences.

But it’s bad news for LGBT history and the history of AIDS activism, writes Partrick Mulcahey in Huff Post. You see, Mulcahey ws really thre in those days:

“McConaughey plays Ron Woodroof, a Texan homophobe who loves rodeo, drugs, booze, and loose women and scams for cash. The chance discovery in 1985 that he has HIV and a T-cell count of 9 marks him for imminent death, but he won’t go down easy. He buys AZT stolen from a study. He smuggles unproven treatments home from Mexico to sell at a profit, cutting a deal with a drug-addicted transgender woman (a transcendent Jared Leto) who disgusts him for access to gay men who might be desperate enough to pay.

“What is largely missing is the sense that Ron’s efforts are part of a larger movement,” theNew York Times review diplomatically suggests. Variety puts it more artlessly, gushing over McConaughey as “a redneck bigot who becomes the unlikely savior to a generation of gay men frightened by a disease they don’t yet understand.”

“Really? Is that how you remember it, if you remember it? ACT UP doesn’t exist in Dallas Buyers Club, nor do NAPWA, the PWA Health Group, GMHC, John James’ AIDS Treatment News, the Healing Alternatives Foundation. The film’s only gay characters are weak, docile, dithering, relegated to the background, standing in line for what Woodroof is selling — and overselling.

“In 1986, after years of blind rage — at the sickness and sanctimony, the calls for quarantine, the hawking of crystals; at affirmation-spewing quacks like Louise Hay; at the sheer, harrowing loss of friends and neighbors and co-workers — I stumbled into Project Inform’s shabby little office in San Francisco’s Tenderloin neighborhood. Two men, Tom Jefferson and Ron Koslow (“a Texas sissy, honey”), were on the phones, answering questions about experimental treatments for AIDS. (There was no other kind, of course.) I learned to take calls. I stuffed mailing packets with information about ribavirin, AL721, isoprinosine, interferon, rifabutin, pentamidine, fluconazole, and dextran sulfate and how to get them. I scanned the AmfAR Treatment Directory and study lists from all over to identify clinical trials that our callers might qualify for. Continue reading “Not buying the “Buyers Club” revisionism”

October 28, 2013

ENDA senate vote by Thanksgiving

Senate Majority Leader Harry Reid announced Monday that he intends to hold a floor vote on the Employment Non-Discrimination Act before Congress leaves D.C. for Thanksgiving.

The Advocate reports that “Reid did not announce a precise day when the long-languishing legislation will be debated, but some observers expect the bill could come to the floor as early as next week. The legislation passed a Senate committee with bipartisan support in July.

“I thank Majority Leader Reid for committing to bring ENDA to the floor this work period,” said Oregon Democratic senator Jeff Merkley, a chief sponsor of the bill that would outlaw employment discrimination on the basis of sexual orientation or gender idenitity. “Americans understand that it’s time to make sure our LGBT friends and family are treated fairly and have the same opportunities. Now it’s time for our laws to catch up. People should be judged at work on their ability to do the job, period.”

“Several LGBT organizations applauded the announcement, noting that the legislation is long overdue, as it’s been introduced in almost every Congress since 1994. “NCTE is grateful for Senator Reid and Senator Merkley for their leadership on moving ENDA forward,” said Mara Keisling, the executive director of the National Center for Transgender Equality in a statement Monday. “Their commitment to do this and to do it right is so important to transgender people. Right now we have the best chance ever to pass ENDA through one of the chambers, which is going to be an important step for us to getting ENDA passed when it’s finally able to move in the House. Because of all the work people have done over the years at the grassroots level and on Capitol Hill, we’re optimistic that the Senate vote will go our way. The forthcoming Senate vote will change the playing field once we have a friendlier House that can tackle ENDA.”

“The National Gay and Lesbian Task Force also issued a statement commended Reid and Merkley for their “steadfast opposition of discrimination and support for the Employment Non-Discrimination Act.” In the statement, executive director Rea Carey noted, “The vast majority of Americans believe that lesbian, gay, bisexual, and transgender people should not have to live in fear of being fired or discriminated against at work because of who they are or who they love. The upcoming ENDA vote is an historic opportunity for all senators to listen to the American people and be on the right side of history.”

More at: http://www.advocate.com/politics/2013/10/28/breaking-senate-will-vote-enda-thanksgiving

October 9, 2013October 9, 2013

Artists and Obamacare

It’s not yet clear how many people purchased insurance through the exchanges created under the Affordable Care Act that opened up yesterday.But one of the things we’ve been hearing from a lot of creative people

is that the ACA has made it easy to be, or to contemplate being, an artist.

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As discussed in ThinkProgress,”Being a writer, or a visual artist, or a musician, or an actor, has always been an economically risky choice where a few people succeed in dramatic terms, a larger number figure out middle-class existences doing what they love at least part of the time, and others struggle to do what they love. The ACA, and the ability to purchase more affordable insurance as an individual, doesn’t change that economic calculus. But it does help minimize a risk factor that can make it impossible to attempt careers as artists at all.

“It’s been interesting to hear all of the different ways the ACA has mattered to artists. Writer Kameron Hurley explains that not having decent insurance meant that, until she passed out and started convulsing, she decided she couldn’t afford to pay for the tests that ultimately revealed she had Type 1 Diabetes–a condition that then meant that she had to race to stay continuously insured, even if it meant taking low-paying temp work, less she go uninsured long enough for her diabetes to be considered a “pre-existing condition” that wouldn’t be covered in a future plan. Continue reading “Artists and Obamacare”

September 29, 2013September 30, 2013

Not ready for college

The average SAT scores for the high school class of 2013 remained stagnant from the previous year and fewer than half of the students who graduated were prepared for the rigors of college, officials said.

Average SAT scores for high school seniors nationwide stayed steady in reading, math and writing, according to a report released last week by the College Board, the New York-based nonprofit that administers the SAT and Advanced Placement program.

imgres-3 The combined average SAT score of 1498 was the same as last year; a perfect score on the three-section test is 2400. In California, the combined average score of 1505 dropped two points from last year and 12 points from 2010. Perhaps more telling, only 48% of test takers reached the “SAT Benchmark” — a score of 1550 that indicates a 65% likelihood that students will obtain a first-year college grade-point average of B- or higher, according to the College Board. Students who reach that threshold are more likely to enroll in a four-year school and complete their degree, the College Board said. There was, however, the highest representation of minorities among test takers in history.

“In 2013, 46% of those who took the test were minorities, up from 40% in 2009. African American, American Indian and Latino students made up 30% of test takers, up from 27% in 2009. In California, 57% of graduating seniors — 234,767 students — took the exam, the highest number ever for the state. Nationwide, participation has dipped slightly since 2011 for the SAT. Meanwhile, a rival college entrance exam, the ACT, has seen a steady rise in participation since 2003. About 54% of graduating seniors nationwide took the ACT, up from about 40% in 2003. In California, 26% of graduates took the exam, up from 15% in 2003, according to ACT officials.”

More at: http://www.latimes.com/local/la-me-sat-scores-20130929,0,2158987.story?track=rss

August 23, 2013

Standardized test scores drop

With a 20.9 composite average, the 2013 ACT scores are the lowest they’ve been in five years, with the biggest drops occurring in the English and reading sections, reports InsideHigher Ed.

“The high school class of 2013’s composite average is down 0.2 points from 21.1 last year, and English and reading scores (averaging 20.2 and 21.1) are down 0.3 and 0.2 points, respectively.

“The diversity of students in the pool continues to grow, which is a good thing. The aspirations of those students continues to rise, which is a good thing,” ACT President Jon Erickson said. “But the performance of the students still leaves something to be desired.”

“More students are taking the exam — some of whom are required by schools to do so but have no collegiate aspirations — which accounts in part for the lower scores, Erickson said. ACT also made some logistical changes this year: updating the reading and science benchmarks, and including scores of students who were accommodated with extra time.“I’m kind of looking at this as a new normal,” he said, “a new baseline.”

“The score decline in composite average as well as for each individual benchmark — English, reading, mathematics and science – was steeper among students who did not complete a high school core curriculum comprising four years of English and three years of each other benchmark subject. Twenty-six percent of tested students – one percentage point higher than last year – met all four subject benchmarks, which indicate a 50 percent chance of making a B grade or 75 percent chance of a C grade in corresponding college courses. The majority of students (64 percent) met the English benchmark, while 44 percent met reading and/or math benchmarks and 36 percent made it in science.”

July 6, 2013July 6, 2013

How the health law delay could help adjuncts

In many ways, the White House’s surprise announcement that it would delay the employer mandate provision of the Affordable Care Act by one year, until January 2015, is good news for colleges and universities struggling to figure out just who will be covered under the law. InsideHigherEd says that “It gives institutions more time to decide how they’ll count adjunct instructors, whose credit hour-based schedules don’t fit neatly into the law’s existing metrics for qualifying for coverage.

“And while the announcement could lead to good news for adjuncts who have had their hours limited by colleges worried about the new provision taking effect, there was little celebration Wednesday. Colleges said that they were studying the situation, but no one was pledging to lift limits or restore hours to anyone.

“But in other ways, it adds a new layer of confusion onto what is already a complicated situation, particularly for those colleges that already have announced plans to limit adjuncts’ course loads to avoid having to provide them with health insurance as full-time employees. Questions remain as to whether institutions will temporarily backtrack on their plans, and if that’s even possible, given the timing of the announcement, so far into summer when planning for fall courses is already under way.

“I think that the government has poorly served institutions by announcing this delay so abruptly and so relatively close to the date of implementation,” said David Baime, senior vice president for government relations and research of the American Association of Community Colleges – one of many organizations that’s asked the federal government to issue long-promised specific guidelines as to what constitutes a full-time employee in higher education under the law. (In January, the Internal Revenue Service asked higher education officials to use “reasonable” means of calculating faculty hours worked.)

“At the same time, Baime added, “We hope that colleges will take this additional time given to them to evaluate their approach to policies in this area and, even more importantly, ask the government exactly what’s expected of them as institutions.”

June 10, 2013June 10, 2013

Considering the Equal Pay Act in 2013

Anyone following conservative media this past week has heard arguments against the need for the Equal Pay Act, signed into law by President John F Kennedy 50 years ago. A thoughtful

piece appeared on NPR.org today digging a bit deeper into these disputes, as well as both the immediate and less-than-obvious state of the very real gender gap in remuneration these days.

” Kennedy signed the Equal Pay Act in an effort to abolish wage discrimination based on gender. Half a century later, the Obama administration is pushing Congress to pass the Paycheck Fairness Act, designed to make wage differences more transparent. Some dispute the frequently cited figure that women are paid 77 cents for every dollar a man earns. But even those who argue the gap is narrower agree it’s most prominent when a woman enters her childbearing years.

“In 2010, an analytics firm called Reach Advisors crunched Census Bureau numbers and found something surprising: The median salary of single, childless women under the age of 30 was 8 percent higher than their male counterparts. That’s largely because more women are going to college than men. What made that number noteworthy is that it’s the only group of women who have a pay advantage. In fact, different numbers from Reach Advisors show that that early advantage vaporizes later in women’s lives — especially if they have children. Continue reading “Considering the Equal Pay Act in 2013”

May 3, 2013

Insurance gender-identity discrimination

In America’s increasingly expensive health care system, the costs of not having adequate insurance coverage are both financial and physical,reports the Center for American Progress. Without coverage, many people must choose between struggling to pay exorbitant medical bills or going without the care they need.

“Similar to millions of other Americans, many transgender people lack health insurance coverage. But even when they are able to find coverage, the promise of more secure access to care and protection from unaffordable medical bills often rings hollow. This is because the majority of U.S. health insurance plans deny coverage for medical procedures and treatments seen as specific to transgender people.

“This brief provides an overview of insurance discrimination against transgender people; the impact of the Affordable Care Act on insurance discrimination; and how some state insurance regulators are taking action to stop gender-identity discrimination in insurance.

“Currently, most private insurance plans, as well as many state Medicaid programs, incorporate plan language that specifically targets transgender people by excluding, for example:

“All services related to sexual reassignment”
“Sex transformations”
“Any treatment or procedure designed to alter an individual’s physical characteristics to those of the opposite sex”
“Care, services or treatment for … gender dysphoria or sexual reassignment or change … including medications, implants, hormone therapy, surgery, medical or psychiatric treatment”

These categorical exclusions are based on the false premise that the health care services that transgender people need are not medically necessary and are never needed by nontransgender people. In fact, however, the health care services denied to transgender people under these exclusions are frequently needed by nontransgender people as well.”

Story continues at: http://www.americanprogress.org/issues/lgbt/report/2013/05/02/62214/why-gender-identity-nondiscrimination-in-insurance-makes-sense/

January 16, 2013January 16, 2013

Civil rights and wrongs

“By 1968, President Lyndon Johnson — a man brought into office by an assassin’s bullet — had already convinced Congress to pass the 1964 Civil Rights Act and the Voting Rights Act the following year,” states a Huffington Post editorial today.

“The bills put the full force of federal law behind the rights of black and other disenfranchised Americans to vote and use a wide variety of public facilities. But one other measure that Johnson and many civil rights activists saw as essential

— The Fair Housing Act — had languished in Congress for three years. In April of that year, Congress finally passed the bill. It was just days after another assassin’s bullet sliced through Martin Luther King Jr.’s neck and jaw, killing the civil rights leader in Memphis.

“Nearly 45 years later, the desire to memorialize King and his nonviolent struggle for a broad range of civil, labor and economic rights, has changed. Continue reading “Civil rights and wrongs”

November 13, 2012November 13, 2012

Now we can talk about mental illness

This doesn’t get talked about much, but the Affordable Care Act guarantees coverage for people with mental health problems – care that would have been eliminated if the republicans had their way. Psychiatric illnesses are surprisingly common, yet receive little attention because they are stigmatized, misunderstood, and definitely not especially photogenic.

Think about this: 20 percent of American adults suffer from a diagnosable mental illness. That’s more than 40 million potential voters. So when you think about it, things like depression, bi-polar disorder, PTSD, or addiction are not issues that affect anonymous strangers. These conditions face many around us at work, school and home, even though those who struggle with mental illness often do so in silence.

Not long ago the Los Angeles Times carried a piece entitled “Mental health care at stake in 2012 vote.” It said that “Just to provide a little context, according to the American Cancer Society’s latest numbers, about 12 million Americans are living with some form of cancer; 400,000 Continue reading “Now we can talk about mental illness”