The tax and spending legislation the House voted to send to President Donald Trump’s desk on Thursday, enacting much of his domestic agenda, cuts federal health spending by about $1 trillion over a decade in ways that will jeopardize the physical and financial health of tens of millions of Americans. The bill, passed in both the House and the Senate without a single Democratic vote, is expected to reverse many of the health coverage gains of the Biden and Obama administrations.
Medicaid and Medicare
Project 2025 Is Trump’s Blueprint for Ending Health Care As We Know It
The rapid-fire adoption of many of Project 2025’s objectives indicates that Trump acolytes — many of its contributors were veterans of his first term, and some have joined his second administration — have for years quietly laid the groundwork to disrupt the national health system. That runs counter to Trump’s insistence on the campaign trail, after Democrats made Project 2025 a potent attack line, that he was ignorant of the document.
‘Granny Cams’ Could Be Coming to Florida’s Nursing Homes and Assisted Living Facilities
The bill (SB 64) by Republican Sen. Illeana Garcia would allow residents to install cameras so long as they are willing to foot the bill for installation and removal. Nursing home residents who share rooms would have to secure permission from their roommates to use the cameras, as well.
The Affordable Care Act Is Back in the Bull’s Eye in Final Days of the Campaign
Health care is suddenly front and center in the final sprint to the presidential election, and the outcome will shape the Affordable Care Act and the coverage it gives to more than 40 million people. Besides reproductive rights, health care for most of the campaign has been an in-the-shadows issue. However, recent comments from former President Donald Trump and his running mate, Ohio Sen. JD Vance, about possible changes to the ACA have opened Republicans up to heavier scrutiny.
Drive Begins to Get Medicaid Expansion on Ballot as 653,000 Floridians Lost Coverage in Past Year
More than 653,000 Floridians who lost their Medicaid coverage over the past year because the state determined they were ineligible. Nearly 315,000 Floridians in the so-called coverage gap, ineligible for Medicaid or insurance through the Affordable Care Act. Florida Voices for Health, a nonprofit advocacy group that works on multiple health issues including expanding Medicaid, is pushing to get Florida to join the majority of states that have expanded Medicaid.
The Immoral Gamble of ‘Shopping’ for Health Insurance
Between high premiums, deductibles, co-pays, co-insurance, other out-of-pocket costs, and the enduring myth that Americans still get to choose their own doctor, health insurance has become a maze of forced costs and limited options based on impossible choices you shouldn’t have to make. Obamacare has failed. Private insurance is often an overpriced, over-subsidized racket. Medicare alone remains the only viable solution with universal application.
154 Participants Later, Flagler Cares’ Opioid Recovery Initiative Marks Its First Year, With New Wheels
The Coordinated Opioid Recovery initiative launched in Flagler County a year ago under the umbrella of Flagler Cares, umbrella. It’s a multi-layered approach that shepherds individuals toward recovery through medically-assisted treatment, peer-to-peer counseling, mental health and other services. Last week it marked its anniversary with, among other things, the ribbon-cutting for an outreach vehicle run by Flagler Open Arms Recovery Services.
Families Flee Florida and Other States Thwarting Transgender Care
Missouri, Florida, and Texas are among at least 20 states that have limited components of gender-affirming health care for trans youth. Those three states are also among the states that prevent Medicaid — the public health insurance for people with low incomes — from paying for key aspects of such care for patients of all ages.
Resident of Palm Coast Assisted Living Facility Stabs Roommate
Wilbert Vreen, a 67-year-old resident of Gentle Care Assisted Living in Palm Coast, was arrested early Tuesday morning on allegations that he stabbed his roommate there. The roommate was treated and released from AdventHealth Palm Coast with non-life-threatening injuries, and returned to the facility.
Florida Lawmakers Approve Abortion Ban Past 6 Weeks, One of the Most Restrictive in U.S.
In less than a year, Florida has moved from a 15-week abortion ban to the passage of one of the most restrictive bans in the nation — a 6-week abortion ban. The state House approved the legislation after at least six hours of questions, amendments, debate, protests and a final vote that will clear the way for Gov. Ron DeSantis to consider the bill.
Florida Moving toward Medicaid Ban on Gender-Affirming Care for Transgender People
The DeSantis administration moved toward banning gender-affirming care for transgender Floridians under Medicaid, meaning that treatments such as hormone therapy and puberty blockers may soon be out of reach for many low-income members of the LGBTQ+ community.
State Quickly Appeals Abortion Law Ruling, Leaving New Restrictions in Place
A new Florida law blocking doctors from performing abortions after 15 weeks of pregnancy remains in effect despite a Leon County circuit judge’s ruling that it is unconstitutional, as attorneys for the state swiftly appealed the decision Tuesday.
Doctor’s $1 Million-a-Year Endowment, Largest of Its Kind, Launches Flagler Cares Initiatives for Neediest
In what amounts to the largest health-related private endowment in Flagler County’s history, Dr. Stephen Bickel is pledging to award Flagler Cares, the Palm Coast-based non-profit focused on health and social services for the neediest, $1 million a year, every year, leading to a self-sustaining endowment worth $10 million. Flagler Cares today is launching mold-breaking innovative grants and local health initiatives with the money.
Flagler County Seeks Volunteers for Meals on Wheels and Supplemental Food Programs
Flagler County Senior Services is looking for a few good men and women volunteers to assist with the Bread of the Mighty Food Bank’s Commodity Supplemental Food Program and Meals on Wheels.
DeSantis Administration Issues Proposed Ban on Medicaid Coverage for Transgender Treatments
Gov. Ron DeSantis’ administration moved forward Friday with a proposal that would deny Medicaid coverage for treatments such as puberty-blocking medication and hormone therapy for transgender people.
U.S. Supreme Court Sides With Florida Government Agency Against Family in Medicaid Dispute
Justices, in a 7-2 opinion, sided with the Florida Agency for Health Care Administration in a case that drew attention from officials across the country. They ruled that the agency could claim $300,000 of an $800,000 settlement a company paid a family after a 13-year-old girl was permanently injured bya company truck.
‘It’s Stressful to Kill Somebody’: Health Workers Behind Assisted Dying
New legislation in Britain laying groundwork for legalizing assisted dying are part of a wider international movement towards formally allowing some form of assisted dying. That means addressing how and whether healthcare professionals will be involved in facilitating assisted dying, and the effect this may have on them.
Florida’s Medicaid Costs and Enrollment Are Spiraling in Pandemic, Posing Challenge for State Budget
Economists projected that Medicaid costs in the current fiscal year, which started July 1, will total $31.6 billion, which is about 19 percent higher than during the 2019-2020 fiscal year.
Elizabeth Warren’s Medicare For All: Unfair and Irresponsible
Elizabeth Warren’s Medicare for all proposal is right in principle but is not realistic, fair or honest and it ensures that Warren’s candidacy will not succeed at a time when a door knob should have the capabilities of defeating Donald Trump.
72 Nursing Homes and Assisted Living facilities Evacuated Ahead of Storm Along East Coast
Palm Coast’s Grand Oaks Health and Rehabilitation Center off Palm Coast Parkway and Tuscan Gardens of Palm Coast on Colbert Lane are among those evacuated.
Why Some CEOs Are Figuring Out That ‘Medicare For All’ Is Good For Business
As health costs continue to grow, straining employer budgets and slowing wage growth, CEOs and others in the business community are beginning to take the Medicare for All option more seriously.
Medicaid Expansion in Florida Would Improve Maternal and Child Health and Reduce Racial Disparities
States like Florida that refuse to expand Medicaid are missing an opportunity to address racial disparities in maternal health and improve child health care, according to a report released Wednesday.
Avoidable Sepsis Infections Send Thousands Of Nursing Home Seniors To Gruesome Deaths
No one tracks sepsis cases closely enough to know how often these severe infections turn fatal. But the toll — both human and financial — is enormous, an investigation finds.
Critics Assail Scott Policy Shift That Would Reduce Eligibility Window For Medicaid
The majority of the 39,000 people impacted by the change would be seniors and people with disabilities. But Gov. Scott wants the shift to save nearly $100 million.
Scott Wants To Cut Medicaid Application Window From 90 Days To 30; His Savings Claims Are Challenged
The Scott administration’s cost analyses sometimes have not made sense to Medicaid experts or health and social-service providers in the trenches.
‘Aggressive’ New Advance Directive Would Let Dementia Patients Refuse Food
Do not resuscitate (DNR) orders are common. Do not feed orders, not so much, but New York may be opening the way to giving patients with dementia that option.
Congregate Meals Program For Seniors at Wickline in Flagler Beach Hits Milestones
The need for congregate meals for seniors has grown in Flagler over the years, but federal and local funding has not, declining somewhat in the past 10 years.
To Stay on Medicaid, You May Have To Start Working: Trump’s Decision Sparks Fury
Trump’s decision to allow states to test a work requirement for adult Medicaid enrollees sparked criticism from doctors, advocates for the poor, and minority and disability rights groups.
Coffee Talk: Road Safety Focus of Inaugural Presentation in New Health Series
Palm Coast and Florida Hospital Flagler are presenting a new talk series focused on health, starting Jan. 10 with a focus on pedestrian, bicyclist and driver safety.
Trump Administration Plan to Add Medicaid Work Requirement Stirs Fears
advocates who see the changes as a way for states to kick millions of adults off the program and undermine its mission of providing health coverage to the poor.
Uncertainty On Generators at Nursing Homes After Governor’s Order Is Invalidated
Gov. Rick Scott’s administration appealed the order to the 1st District Court of Appeal and claims the rules remain in effect during the appeal.
Obamacare Exchanges In Limbo as GOP Repeal Fails and Trump Ramps Up Sabotage Talk
Even as premiums increase about 18 percent, Florida Blue, the state’s largest health insurer, said those rates would go even higher if government subsidies disappeared.
Owner of Group Home on Palm Coast’s Braddock Lane Faces 5 Felony Counts for Elderly Neglect
Two residents at the group home had to be hospitalized and three evacuated from a house where the air conditioning hadn’t worked for two days, and the indoor temperature hovered around 91.
In Palm Coast, A Small Protest Against GOP Health Bill Echoes Myriad Anxieties of Flesh and Blood
It wasn’t a large protest but every person gathered in support of Obamacare had a story to tell that looked past ideology to the human beings behind the numbers, and all those stories were local.
Non-Partisan Analysis of 22 Million More Uninsured Deals Blow to Senate Health Bill
By 2026, an estimated 49 million people would be uninsured, compared with about 28 million who would lack coverage under current law.
GOP Defends Health Bill With Euphemisms, False Statements and Deleted Comments
Since the passage of the American Health Care Act, Republican members of Congress have tried to swing public opinion to their side, but through deceptive means.
Going Gray: Can Our Car-Centric Towns Adjust to Aging Baby Boomers?
The millions of boomers who will grow old in Palm Coast-like exurbs will put pressure on local governments to spend more on everything from transportation to senior services.
Should Older Drivers Face Special Restrictions?
Legislatures have become increasingly reluctant to restrict driver’s licenses for seniors or impose extra requirements — such as vision or road tests — for getting them renewed based solely on their advancing age.
Pleading Guilty to Manslaughter Death of Invalid Uncle, Woman Now Faces Up to 15 Years in Prison
Prosecutors say Holly Norris, 38, had neglectfully left her 65-year-old invalid uncle alone for days by the time he was found unconscious on the floor of a bedroom. He died two weeks later. He’d had a stroke.
How Trump’s Health Secretary Will Alter Policy from Obamacare to Abortion to Birth Control
Tom Price, a Georgia physician who opposes the Affordable Care Act, abortion and funding for Planned Parenthood, among other things, could have a rapid impact without even a presidential order or an act of Congress.
Florida Hospitals in Flagler and Volusia Anchor 3-Year Project to Improve Lung Cancer Care
The ACCC Optimal Care Coordination Model for Lung Cancer Patients on Medicaid project will work to reduce barriers to care by developing a care coordination model to leverage effective partnerships among cancer programs and practices, community organizations, patients, and primary care and specialty providers.
America’s Other Doping Problem: Drugging Up the Elderly in Hospitals
An increasing number of elderly patients are on multiple medications, raising chances of dangerous drug interactions. Often the drugs are prescribed by different specialists who don’t communicate, and hospital doctors add to the list of drugs, sometimes unnecessarily or unsuitably.
“A Hair Between Sanity and Insanity”: Pehota’s Anguished Account of Killing Husband Marks 1st Trial Day
A video interview of Pehota describing the killing of her husband and the circumstances surrounding it underscored the first day of her trial. She faces a second-degree murder charge. Nothing happened today to shake an aura of sympathy–even empathy–around Pehota.
In Jury Selection for Anna Pehota Trial, Pronounced Sympathies for the Killer
Anna Pehota, 76, facing a second-degree murder charge for shooting her husband in the Hammock last September, is benefiting from inherent sympathy going into her trial, which began with jury selection Monday and starts in earnest Wednesday.
Pyrrhic Vanishing: Democrats Unite, But What Happened To Medicare For All?
Most health policy analysts — including those who are sympathetic to the idea — say moving from the current U.S. public-private hybrid health system to one fully funded by the government in one step is basically impossible. And that’s making a huge assumption that it could get through Congress.
Florida Health Summit Concludes With One Overriding Prescription: Expand Access to Care
While senators have focused heavily on access, the House and Scott have pushed for health-care changes that include reducing or eliminating some longstanding regulations. They contend that such ideas would create more competition and lower health-care costs.
In a Rebuff to Florida, Federal Government Says New Abortion Law Can’t Block Clinic Funding
A key federal health agency on Tuesday notified Florida and other states that they may not ban Medicaid funding for family-planning services at clinics that also offer elective abortions.
You’re Dying. But Most Doctors Don’t Know How to Tell You.
Policy experts are urging more end-of-life conversations not just to accommodate patients’ desires, but to save money on aggressive medical interventions that patients and their families don’t want and that won’t prolong life.
Nurse Assistants at Grand Oaks Rehab Strike for $15/hr Wage in Echo of National Movement
Workers at Grand Oaks Rehab Center in Palm Coast, most on poverty wages, walked out for 24 hours, though they’d given the facility almost two weeks’ notice and replacements ensured no residents lacked care.
Hear Us Roar, Older Residents Tell Palm Coast Council as They Clamor for a Senior Center
But the Palm Coast City Council is cool to the idea of a dedicated senior center: it has an active community center on Palm Coast Parkway and is ramping up uses of its new city hall’s community wing.