The U.S. Health Care Catch-All Thread

He kept talking about not owning it. Well he owns it now.

Trump healthcare order could run afoul of retirement plan law

Trump only owns things if they're successful or he can BS that they're successful. If this goes down the shitter, he'll blame his advisors or Congress for forcing him into a bad move because they didn't pass Repeal and Replace.

And enough of his base are fucking dense enough to lap that shit up.

http://www.newser.com/story/250062/18-states-sue-to-stop-trumps-obamacare-cut.html

https://reason.com/blog/2017/10/13/by-cutting-off-obamacares-insurer-subsid


https://reason.com/blog/2017/10/12/trumps-new-executive-order-makes-it-easi[/quote]

Blogs.

Where did trump touch you garamet?

We all bear the emotional scars.

deep in her soul

http://www.newser.com/story/250451/mcconnell-will-bring-aca-fix-to-senate-if-trump-approves.html

My favorite part?

We can't actually have a consensus in Washington. Trump thrives on controversy; it would make him irrelevant.

Nice to see garamet is still active.

Trump has never seen a doctor's bill in his entire life, so he has no idea what the fuck he's talking about. He tries to play to his base, as always, but even then he fucks it up.

Yeah, not bad considering her age.

With ACA, Uninsured New Cancer Patients Hit Historic Low

The number of adults in the United States facing a first-time cancer diagnosis with no health insurance fell by one third in 2014, the first full year that the Affordable Care Act (ACA), or "Obamacare," was in effect, say researchers.

Data from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program show that in 2013, 5.73% of new cancer patients were uninsured at the time of diagnosis compared with 3.81% adults in 2014, according to Aparna Soni, MA, from the Kelley School of Business at Indiana University, Bloomington, and colleagues.

The 1.92–percentage point absolute decrease (P < .001) or 33.51% relative drop in the number of uninsured individuals with a new cancer diagnosis who were aged 19 to 64 years represents an "historic low," they report in a research letter published online October 19 in JAMA Oncology.

A secondary analysis reveals that in 2014, nine states that underwent Medicaid expansion experienced even larger decreases in the number of uninsured adults with newly diagnosed cancer, with rates dropping an additional 2.38 percentage points. These states are California, Connecticut, Hawaii, Iowa, Kentucky, Michigan, New Mexico, New Jersey, and Washington. Not all US states underwent Medicaid expansion.

"Future research should examine effects of coverage on cancer diagnoses, treatment and outcomes," the researchers write. "Policy changes that reduce Medicaid funding or weaken protections for individuals with preexisting conditions could be particularly harmful for patients with cancer."

For the analysis, which used SEER data for 858,193 adults with new cancer diagnoses, the researchers compared the percentage of patients with newly diagnosed cancer who were uninsured in 2014 — the year that Obamacare kicked into gear and Medicaid was expanded in a handful of states — with 2010-2013 rates of noninsurance.

Significant gains in insurance coverage were seen across common types of nonskin cancer, including breast, prostate, colorectal, and thyroid cancer. However, the largest absolute and relative declines in noninsurance rates were seen in lung and bronchial cancer, and for distant disease followed by local disease.

Large increases in insurance coverage were also seen across multiple demographic groups, particularly those of Hispanic ethnicity. This finding, which is in keeping with results from other studies of changes in insurance coverage, access to care, and health, may indicate that disparities in healthcare coverage are narrowing, the researchers suggest.

Without healthcare insurance, treatment is often unaffordable and can result in a delayed cancer diagnosis, they add, pointing to recent evidence suggesting that expanding insurance coverage could improve cancer-related outcomes.

Increasing early cancer detection was a stated objective of the ACA, and this study quantifies how effective it was in increasing insurance coverage among patients with cancer, Soni told Medscape Medical News. "In future projects, we plan to assess the downstream effects of this increased insurance coverage on diagnosis, treatment, and mortality," she said, noting that this work is already underway.

Clinicians in non-Medicaid expansion states are more likely to be working with uninsured patients, for whom cancer treatment could be unaffordable, she also suggested. Another effect of the ACA is that healthcare providers in Medicaid expansion states could be faced with newly insured patients who don't have a lot of experience interacting with the healthcare system.

Limitations of the analysis include the fact that use of data from only 13 states and from 1 year post-ACA.


This analysis was funded by the National Cancer Institute, the Office of Behavioral and Social Sciences Research, and the Agency for Healthcare Research and Quality. The authors have disclosed no relevant financial relationships.

JAMA Oncol. Published online October 19, 2017.

Well, surprise, surprise, surprise:

https://www.reuters.com/article/us-...ear-ryan-says-reuters-interview-idUSKBN1CU1XW

U.S. lawmakers will not tackle healthcare this year, Ryan says: Reuters interview
Richard Cowan, Doina Chiacu

WASHINGTON (Reuters) - Republican lawmakers will not take up a bipartisan plan to stabilize Obamacare insurance markets or try again to repeal and replace the law this year, House of Representatives Speaker Paul Ryan said on Wednesday, signaling his party was shelving the matter until the 2018 U.S. congressional election year.

"I guess the poors can live another year," Ryan sneered as he stole a lollipop from a passing baby.

.@NC_Governor @RoyCooperNC fought for 6 long years to to get the GOP legislature to see the light.

Now 600,000 people will get health insurance

Democratic Governors Matter! @DemGovs

Medicaid expansion deal reached between NC House and Senate
​

https://twitter.com/johnanzo/status/1631654204233117696

How many Red and Purple states have accepted Medicaid expansion since the Rs tried and failed (but by only one vote!) to repeal it?

Gotta think it is untouchable at this point.

Idaho Legislature keeps trying to repeal the expansion, but there remains just enough collective sanity among Republicans to remind them that more than 60% of voters statewide voted for the expansion. As far as the idea of voter initiatives, it was never an issue until....well...follow this link and you tell me what made it an issue..