October 29th, 2011 by PreparedPatient in Health Policy, Opinion
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The Obama administration has dealt a mighty blow to one part of the health reform law by effectively killing off the CLASS Act, which was to be a baby step in the development of a national program to pay for long-term care. The CLASS Act, short for Community Living Assistance Services and Support Act, was supposed to be a voluntary and federally backed insurance program for people to use to cover potential long-term care needs. The idea was for Americans to pay premiums into the fund during their working years. If they later became disabled and needed assistance, they would be entitled to a daily cash benefit of, say, $50 to buy services of a personal care attendant or make home improvements that would allow them to stay in their homes—the preference of most seniors. Advocates of the CLASS Act even envisioned that some of the benefit could be used for nursing home care.
The program, though, was never popular with insurance companies and politicians who listened to them, and the Act barely made it into the final bill. It ran into trouble from the beginning. The Secretary of Health and Human Services, Kathleen Sebelius, was tasked with Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
December 21st, 2009 by MotherJonesRN in Better Health Network, Health Policy, News, Opinion
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I took this picture a couple of years ago during a trip to Iowa. This is the old Clarinda Asylum for the Insane. The name was changed for obvious reasons a long time ago to the Clarinda Treatment Complex. I grew up in Iowa, so let me tell you a few things about my home state. Among other things, Iowans grow corn, raise hogs, and sometimes elect people to the Iowa State House who need a little schooling about mental illness and the needs of the mentally ill.
Iowa currently has four state hospitals for the mentally ill. Now that number is being cut down to three. Iowa State Legislators, who have no clue about what they’re doing, ordered the head of the Department of Human Services, Charles Krogmeier, to shut down one of the state’s mental hospitals. The Clarinda facility and three other hospitals were put on the chopping block. Krogmeier didn’t want to shut down any of the hospitals. He said that the move wouldn’t save money or improve patient care, but the politicians gave him no choice. Mr. Krogmeier suggested the elimination of the Mount Pleasant Mental Health Institute. Read more »
*This blog post was originally published at Nurse Ratched's Place*