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States’ Policies on Health Care Exclude Poorest – NYTimes.com

It is dumbfounding!   It paralyzes the brain, the heart and almost all hope–without need for audacity.

Ph.D.s, advocates, health professionals, and good old moms and dads come to the agreement that healthcare needs changing and that sick people should get help–especially those who have difficulty getting it.  Presumably, it is logical and reasonable to think that many of these people are what we, all of us for hundreds of years, have called “the poor.”

Yet for as long as there have been those with and those without, those with often have the efficacy to get more and those without, perhaps by definition, get even less–always…

So here we are well into healthcare reform and the NYT is sounding the whistle on the haves once again–millions have been spent and the poor are somehow invisible once again when it comes to targeting the needs of those who are hurting and are having a difficult time getting good, reliable, continuos, patient centered, medical home care!  Go figure… or better yet, go read the New York times…

“The refusal by about half the states to expand Medicaid will leave millions of poor people ineligible for government-subsidized health insurance under President Obama’s health care law even as many others with higher incomes receive federal subsidies to …”

More via States’ Policies on Health Care Exclude Poorest – NYTimes.com.

Filed under: access to education, Aging, Behavioral Health Outcomes, Blogosphere, Children and Poverty, consumers, Death and Dying, Economic Recession, Feminization of Poverty, Health and Exercise, Health Literacy, Health Policy, Healthcare Reform, Maternal and Child Health, Medical Research, Medicare, News, Parenting, Policy ThinkShop Comments on other media platforms, Public Health, Public Policy, Public Service, WeSeeReason, , ,

State of the Union 2013 and Public Opinion | Pew Research Center The President to the Republicans: Boogie oogie oogie!

The Pew Foundation’s research arm did a nice job on a survey on “the State of the State of the Union Address.”  It appears that President Obama is riding a tremendous popularity and approval wave into a second term that is already characterized by a buoyed economy with clear skies ahead.  The President’s victory on the fiscal cliff seems to have sealed the deal, as the President enters his second term with the Republicans in shambles and, perhaps more importantly, with Americans believing in this two term President the opposition tried to paint as a boogyman.  The President seems to be smiling on, like the baby boomer that he is, saying: “Boogie oogie oogie!”

“President Barack Obama delivered his State of the Union address to the nation on Tues., Feb. 12. A survey released ahead of his speech found that 43% of the public views the president’s address as about as important as past years’ addresses, and a third (32%) say Obama’s speech will be more important than those in past years.

Here’s a roundup of Pew Research findings across 10 of the biggest public policy issues:

The Economy

The economy and jobs remain the public’s top two priorities for the White House and Congress.

57% of Americans (and 74% of Republicans) say that President Obama won the battle over the “fiscal cliff.”

Americans took a dim view of the fiscal cliff deal, saying it would hurt: the economy (46%), people like themselves (52%), efforts to curb the deficit (44%).

Read more about Pew Research findings on the economy

Debt and Deficit

72% of Americans now say reducing the deficit is a top priority, up from 53% in Jan. 2009, including 84% of Republicans, 67% of Democrats and 71% of independents.

Majorities of Americans oppose most deficit reduction measures, including reducing funding for education (77% disapprove), reducing transportation funding (67%) and reducing funding to help low-income people (58%).

There are wide partisan gaps on many debt reduction proposals, including reducing military defense spending (+35 points Democrats) and reducing funding to help low-income people (+29 points Republicans).

74% say a combination of program cuts and tax increases is the best way to reduce the deficit.

Read more about Pew Research findings on the debt and deficit

The Middle Class

The median income for a middle-income, three-person household fell to $69,487 in 2010 from $72,956 in 2000 (in 2011 dollars.) Median net worth among the middle-income tier fell 28% to $93,150 in 2010 from $129,582 in 2000.

85% of those in the middle class say it is more difficult today than a decade ago to maintain their standard of living.

The middle class blamed their difficulties on: Congress (62%), banks and financial institutions (54%) and large corporations (47%).

Middle-class adults say they are: Democrats (34%), Republicans (25%) and independents (35%); conservative (39%), moderate (35%) and liberal (22%).

Read more about Pew Research findings on the middle class

Gun Control

51% of Americans say it is more important to control gun ownership, while 45% say it is more important to protect gun rights.

47% say mass shootings reflect broader societal problems, 44% call them isolated acts of troubled individuals.

There is broad public support for background checks for private and gun show sales (85%) and laws preventing the mentally ill from purchasing guns (80%).

There are large partisan divides on creating a federal database to track gun sales (35-point gap, Democrats favor), implementing a ban on assault-style weapons (25-point gap, Democrats favor) or having more teachers and school officials with guns in schools (33-point gap, Republicans favor).

Read more about Pew Research findings on gun control

U.S. Foreign Policy

83% of Americans say that “we should pay less attention to problems overseas and concentrate on problems here at home,” up 10 points since 2002.

40% say the U.S. relies on military strength too much to achieve its foreign policy goals, 44% say about the right amount and 10% say too little.

63% say the U.S. should be less involved in Middle East leadership changes.

Americans largely approve of the use of drones to target extremists, unlike most other nations surveyed.

71% say defending the nation from terrorism is a top priority.

60% support withdrawing troops from Afghanistan “as soon as possible.”

Read more about Pew Research findings on foreign policy

via State of the Union 2013 and Public Opinion | Pew Research Center.

Filed under: African American, Blogosphere, Culture Think, News, Policy ThinkShop Comments on other media platforms, Public Policy, Public Service, Pundits, , , , ,

The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis – Kaiser Family Foundation

The Patient Protection and Affordable Care Act promises to change our healthcare system once and for all to solve many of its ongoing malformations and contradictions …  No where is this more true than in its expansion of healthcare services to persons under the Medicaid umbrella.  The Kaiser Foundation web, which always provides data and balanced analysis on the usually controversial health issue and so called “entitlement programs” like Medicaid.  The link below includes an entire report showing estimated impact on each of the 50 states …

“A central goal of the Patient Protection and Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges.  Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. These decisions will have enormous consequences for health coverage for the low-income population.

This analysis uses the Urban Institute’s Health Insurance Policy Simulation Model (HIPSM) to provide national as well as state-by-state estimates of the impact of ACA on federal and state Medicaid costs, Medicaid enrollment, and the number of uninsured. The analysis shows that the impact of the ACA Medicaid expansion will vary across states based on current coverage levels and the number of uninsured.  This analysis shows that by implementing the Medicaid expansion with other provisions of the ACA, states could significantly reduce the number of uninsured.  Overall state costs of implementing the Medicaid expansion would be modest compared to increases in federal funds, and some states are likely to see small net budget savings.”

More via The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis – Kaiser Family Foundation.

Filed under: Behavioral Health Outcomes, Blogosphere, Children and Poverty, Feminization of Poverty, Health Literacy, Health Policy, Healthcare Reform, Maternal and Child Health, News, Public Health, Public Policy, Public Sector, Public Service, Women's rights, ,

Philanthropy and Public Problem Solving | The Center on Philanthropy & Public Policy

Increasingly, philanthropists and philanthropic institutions are becoming more strategic in their efforts, working to leverage their assets – money, knowledge and networks – to achieve greater results. The Center studies the structures and networks that enable philanthropy to work better together to extend its impact as a field, and the alliances that enable philanthropic organizations and individuals to work with partners in nonprofits, government and business to solve public problems. The Center’s Distinguished Speakers Series also provides a venue for nationally recognized leaders to stimulate a conversation on the role that philanthropy can and should play in public problem solving.

The Center’s work to date in this area includes the following:

MORE via Philanthropy and Public Problem Solving | The Center on Philanthropy & Public Policy.

Filed under: Blogosphere, Culture Think, News, Public Policy, Public Sector, Public Service, WeSeeReason, ,

A Majority Says that Government Regulation of Business Does More Harm than Good – Pew Research Center

In general, more Americans say that government regulation of business is harmful than say it is necessary to protect the public. At the same time, when asked about regulating specific areas, such as food safety and environmental protection, there is broad support for strengthening or maintaining current regulations.

A Majority Says that Government Regulation of Business Does More Harm than Good

Just over half (52%) of people say government regulation of business usually does more harm than good, while 40% think regulating business is necessary to protect the public interest. These results, from a survey conducted Feb. 8-12, are similar to those from January 2008, before the financial crisis and onset of the economic recession.

via Daily Number: A Majority Says that Government Regulation of Business Does More Harm than Good – Pew Research Center.

Filed under: Blogosphere, consumers, Culture Think, Government Works?, lobbying, News, Public Policy, Public Sector, Public Service, regulations, ,

Consolidation Authority Would Empower Obama, Successors : Roll Call News

For much of the past year, President Barack Obama has been playing defense on spending cuts with the GOP, but his latest plan gives him — and potentially future presidents — a new way to go on …

MORE via Consolidation Authority Would Empower Obama, Successors : Roll Call News.

Filed under: Blogosphere, Culture Think, Election 2012, Government Works?, News, Public Policy, Public Sector, Public Service, regulations, Vote, WeSeeReason, , ,

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