The premium assistance, which begins Jan. 1, will come in the form of tax credits for low- and middle-income workers and their families. The money will flow directly to the patients’ health plans, which simplifies matters and means patients don’t have to come up with cash and wait for reimbursement.
Health & Society
As Local Governments Tackle Candy-Flavored Tobacco, Teen Trends Contradict Alarm
Palm Coast, Bunnell and Flagler Beach have each passed a resolution asking merchants not to sell flavored tobacco products, which are especially appealing to youths, but teen use of tobacco products (including smokeless tobacco) has been on the decline since the mid-1990s.
Florida Speaker Weatherford’s Homeschool Blinders to the Poor and Uninsured
Rather than worship his homeschooling past, what Will Weatherford needs to be wondering is what Florida will be like if its 4 million uninsured citizens continue to go without health coverage, argues Rhonda Swan.
Bill To Close a Gap in Children’s Health Insurance Stalls as Tallahassee Dawdles
With a third of the annual regular legislative session already gone, a bill that would close gaps in access to health care coverage for Florida children has passed just one committee and appears in danger of not passing.
When Harm in the Hospital Follows You Home, and Changes Your Life
A conversation between some of the 1,550 members of a Patient Harm Facebook community and Dr. Gerald Monk, who specializes in the aftermath of patient harm for both patients and providers. What emerges is a portrait of the long journey that begins after the unthinkable happens.
In the Trenches: Anger and Questions From Doctors Who Treat Gunshot Victims
In Colorado, where more people die from gunshots than car crashes, the victims have a profound effect on the physicians who treat them. For some of the doctors on the front lines, the experiences lead to a strong opposition to guns, questions about gun laws and even activism.
Bill Forbidding Local Governments from Passing Sick-Day Ordinances Advances
The proposed law, by Sen. David Simmons, is intended to thwart efforts to pass labor-friendly laws in local governments, since state-level labor reform is beyond reach with the anti-labor, GOP-led Florida Legislature.
Small Businesses Self-Insure, Evading Obamacare Requirements, and Threatening It
As more small employers avoid the health act’s requirements through self-coverage, small-business marketplaces intended to cover millions of Americans could break down and become unaffordable.
With 1 in 5 Floridian Uninsured, Backers of Broader Coverage Want Lawmakers to Act
Although Florida lawmakers have made it known they have no intention of going along with an expansion of Medicaid under the federal health care law, legislative leaders say they’re open to crafting an alternative that would find some way to expand health care coverage to many more uninsured as the law envisions.
Florida Senate Kills Obamacare’s Medicaid Expansion, But 3rd-Way Alternative Remains
Florida lawmakers say they want to pursue an alternative plan, possibly expanding Healthy Kids, that would use federal money to help uninsured low-income people get coverage through private insurers. Democrats are not entirely opposed.
Flagler County’s “Ulympic Games,” Set for April, Are Crying for Participants
Flagler’s “Ulympic Games” feature 10 sports over a week, April 6-13, open to anyone employed by any local government, but as a March 15 deadline approaches, only a few dozen people had registered.
Obamacare’s 10-Year Cost to Florida: $5.2 Billion, a Fraction of Planned Expansion
The state’s share would only be a fraction of the $55 billion overall expansion cost, with the federal government paying the rest. Under the law better known as Obamacare, Washington would pay 100 percent of the expansion costs during the first three years and gradually reduce that share to 90 percent in 2020.
Snubbing Scott and Billions in Federal Aid, Florida House GOP Reject Medicaid Expansion
Only a few hours after Florida’s chief economist said the state can’t afford to leave billions of federal dollars sitting on the table, the House committee on the Affordable Care Act voted to do exactly that.
How Mom’s Death Changed My Thinking About End-of-Life Care
None of his years of reporting had prepared Charles Ornstein for this moment, this decision–whether, and when, to let his mother die. In fact, he began to question some of his assumptions about the health-care system.
Florida Posts 32% Drop in Youth Lock-Up Rate Since 1997, In Line With U.S. Numbers
The peak nationally came in 1995, with 107,637 juveniles incarcerated on a single day, and dropped to 70,792 on a single day in 2010, according to the U.S. Census Bureau and the Office of Juvenile Justice and Delinquency Prevention. During that time, the overall incarceration rate dropped by 41 percent.
From Bankruptcy to Granny Nannies: Navigating the Shoals of Long-Term Care
Long-term care insurance is expensive, but the costs of long-term care are far more so. The experiences of local residents and businesses contending ding with reality almost everyone will eventually face illustrate the dilemmas of aging in a society with a meager safety net. A special report.
Gov. Scott Loses Welfare Drug-Testing Case Again, But Vows to Fight On to Supreme Court
The 11th U.S. Circuit Court of Appeals in Atlanta said the state had not shown a “special need” for drug testing applicants to the program known as Temporary Assistance for Needy Families. It upheld a preliminary injunction issued in 2011 by U.S. District Judge Mary Scriven.
In Major Shift, Scott Endorses Obamacare’s Medicaid Expansion, But Legislature Balks
The announcement was a dramatic move for the Republican governor, who launched his political career as an outspoken critic of President Obama’s efforts to overhaul the health-care system. The announcement also shifts the focus of the contentious Medicaid debate squarely to the Legislature, which would have to approve any expansion.
Florida Among States Where Out-of-Pocket Health Costs Exceed Reform Law’s Cap
Even when deductibles are included, 36 percent of policies offered to individuals on the private market exceed the new health law’s allowable limit. Once the cap is enforced, consumers may see higher premiums instead.
Ending American Agriculture’s Unhealthy Journey Toward the $4.99 Bag of Potato Chips
We can’t begin to reduce our surging healthcare costs in this country without addressing affordability and accessibility to healthier foods, by not educating the users of the system on personal responsibility and choices, and by moving toward more locally grown food, argues Milissa Holland.
The Missing Link in Ever-Rising Health Care Costs: Personal Responsibility
Car insurance costs go down when drivers drive responsibly for a few years. A similar approach to health care could help bring costs down, but first, Milissa Holland argues, people must take responsibility for their own health and lifesrtyles–and the way they seek out medical help: the ER is usually not the answer.
Medicare Advantage Works As Long As You’re Healthy, But Boots Off Neediest Patients
People leaving medicare Advantage for traditional Medicare are have higher levels of significant health problems, fueling concerns that the private plans cater to more profitable, healthy beneficiaries but don’t provide the most attractive care for the very ill.
For Children’s Advocates, Scott’s “Florida Families First” Budget Blurs Reactions
Backers of early childhood education and an expansion of Medicaid were disappointed, educators were guardedly happy about raises, and others applauded more money for prevention services to keep youths out of the juvenile justice system, plus $145,360 for juvenile health and mental health.
The Problem With Florida’s Medicaid Program Isn’t Cost. It’s Too Many Working Poor.
Florida has too many working poor whose employers don’t provide health insurance. Rather than complaining about the costs of coverage, we should try to increase the earnings of our people, argues Rick Outzen.
Beyond Doctor’s Orders: When Health and Fitness Are Not Always a Matter of Choice
The discipline it takes aside, getting healthy can be costly, writes Milissa Holland, in many more ways than one: healthy food is more expensive, exercise isn’t always as easy as deciding to do it, and even health insurance plans for the poor are becoming intractable. An invitation to discuss a central issue in most people’s lives.
When Doctor-Assisted Suicide Is the Humane Option
In oncologists’ offices and Alzheimer’s nursing homes, illness is not “a portrait in blacks and whites, but unending shades of gray, involving the most profound of personal, moral, and religious questions.” Including when may it be right to help end a life.
As if Flu Wasn’t Enough: Flagler on Alert For New Strain of “Winter Vomiting Disease”
It’s not here yet. But it’s spreading fast: a new, virulent strain of norovirus, an intestinal and very contagious virus that causes projectile vomiting, diarrhea and other symptoms, and that has the Flagler County Health Department cautioning schools, hospitals, nursing homes and other such places to beware.
“Don’t Miss the Signs”: In Florida, Campaign and Means to Report Child Abuse Broaden
Last year, the Florida Legislature passed the nation’s most protective child abuse reporting law. The state’s abuse hotline will accept reports of abuse committed by people other than parents and primary caregivers, such as a coach, teacher or neighbor.
Deadly Force Averted as Deputies Confront Another Troubled, Knife-Wielding Man
Flagler County Sheriff’s deputies drew their guns, then their Tasers, but ended up firing neither as Erik Flores, a 32-year-old resident of Lindsay Drive in Palm Coast, was wrestled to the ground and arrested in the latest confrontation between a potentially violent, mentally ill man and police, just five weeks after another 32-year-old man was shot and killed for wielding a machete at Flagler deputies.
Coke’s Obesity Campaign: Get Real
For the first time, Coke is using its slick commercials to address obesity. But the company’s new ads, which are brimming with misleading statements, just put lipstick on this pig, argues Jill Richardson.
Blaming the Gun-Violence Epidemic On Mental Illness Doesn’t Begin to Resolve It
With a startling personal revelation of her own, Milissa Holland argues in her latest column that if mental illness is to be a focus of gun control, it must be much better defined–and far more de-stigmatized. Otherwise, it’s a shield behind which politicians will do nothing.
An Epidemic of American Anger In Search of Stoicism
From Angry Birds to the Angry Whopper, road rage and mass murderers, we’re in an age of anger that appears driven by frustrated expectations and imagined grievances.
After Abuse at Girls’ Lock-Up, Promises of More Oversight from Florida’s Juvenile Justice
In the wake of allegations of abuse by staffers at a girls’ lockup in Milton, the Florida Department of Juvenile Justice is tightening its oversight of private residential facilities – adding interviews with youths and a partnership with the non-profit Annie E. Casey Foundation to its monitoring procedures.
Bill Filed to Repeal Florida Prohibition On Doctors Asking Patients About Guns
Sen. Oscar Braynon, D-Miami Gardens, filed the measure (SB 314) to repeal the 2011 “Firearm Owners’ Privacy Act,” which isn’t currently being enforced because a federal judge threw it out in July. The state, however, is appealing that ruling.
How the Word ‘Retarded’ Hurts The Developmentally Disabled
Americans with developmental disabilities still remain second-class citizens in the eyes of the law and our fellow human beings. There is no greater symbolic gesture of the ridicule they endure than the accepted use of the word “retarded” in day-to-day speech.
State Health Agency Corrects Inflated Costs of Obamacare Scott Had Used to Oppose Reform
Florida’s costs could be as low as $3 billion over 10 years — a huge drop from the nearly $26 billion figure that AHCA produced in a report last month. Even with the changes, it appears that the Scott administration believes that the state’s final tab over 10 years would be higher.
Family Life Center Golf Tournament Fund Raiser on Monday
The Family Life Center, a private, non-profit Flagler County organization dedicated to providing free services to families and victims of domestic violence, is hosting a golf tournament fund-raiser for men and women at Palm Coast’s Palm Harbor Golf Club on Monday. Jan. 14.
Spying on Grandma: Health Companies Sell Surveillance as a Benefit and a Saving
Health care is joining a national trend toward greater surveillance of everyday life. Whether this costly technology will ultimately prove clinically or economically effective remains uncertain. So, too, is whether a benign health care purpose can help overcome the unsettling “Big Brother” overtones.
One-Fifth of Florida’s Nursing Homes Are On the State’s Watch List for Violations
Twelve of the homes have been on the the state Agency for Health Care Administration’s watch list for more than 100 days. The best way to pick a home for a loved one is to simply visit it, or to check a nursing home inspection database (link included).
Quality Concerns as Florida Medicaid Moves Millions of Poor and Elderly to Managed Care
Senior said much of the state’s negotiations with federal officials have focused on safeguards to make sure that Medicaid’s new Florida version would be based on providing services in people’s homes and communities and would not be a “nursing home light” system..
Fiscal Deal Delays Big Cuts in Food Stamps For Florida’s Poor, and Farm Reform
The nine-month extension would ignore comprehensive packages by the agriculture committees of both chambers, including provisions for dairy industry reform, disaster relief and cuts to the Supplemental Nutrition Assistance Program, or SNAP, formerly known as food stamps.
For Needy Children’s Christmas, Flagler Fire Fighters’ Union Answers the Call of the Year
Kyle Lockwood, a firefighter-paramedic with Flagler County Fire Rescue, organized a gift drive for 42 of the county’s neediest children and, with colleagues, delivered the gifts to children and their families Friday in the courthouse parking lot.
Time to Get Serious About
Mental Health in Florida
Florida ranks near dead last nationally in the level of expenditures for front-end community-based mental health services. Let’s not be penny wise and pound foolish when so many precious lives are at risk, argues Paula Dockery.
The Soft-Core Terrorism
Of Florida’s Gun Worship
Florida’s gun-worship is part of a lethal, juvenile romance for guns and a national disease that doesn’t hesitate to lock and load the words “gun” and “hobby” in the same chamber while vilifying those who’d imply a connection with the consequences.
How Legal Weed Might Wash in Florida
Full marijuana legalization is coming, eventually. But if you’re planning to go into the marijuana business, Bill Cotterell argues, you might want to ask Joe Camel what happens a few years down the road.
Obamacare or Bust: U.S. Tells Florida to Either Expand Medicaid or Lose Out on Billions
Under Obamacare the federal government would pay 100 percent of the cost of the expanded eligibility from 2014 through 2016. Florida and other states questioned whether the federal government also would cover the full costs for a partial Medicaid expansion. The Obama administration said no.
Kangaroo Express Donates $110,000 To Florida Hospital’s Breast Cancer Pink Army
Florida Hospital Flagler received approximately $37,000 of the sums raised ntirely by customers’ donations at the Kangaroo Express registers throughout October in several counties, with the balance going to other Florida Hospital campuses.
Tumor Gone, Staples Removed, Humor and Grit Intact: A Teacher Returns to Matanzas
On medical leave for cancer treatment since September, Jo Ann Nahirny describes in harrowing and moving detail her final medical hurdles and clearances before deciding to return to her classroom almost a month early, on Dec. 10.
Two Damaging Chases, 2 Arrests, Innumerable Charges. But Should She Be in Jail?
Deborah Brinkman, 60, took Flagler County Sheriff’s deputies on two car chases through Palm Coast in seven days, damaging three police cruisers, and was jailed again Monday on several charges, including battery on a cop, but her behavior raises questions about the county’s ability to respond beyond jail to individuals with mental health issues.
Children in Nursing Homes: Florida Rejects Court Oversight in Dispute With U.S. Justice
The Department of Justice in September threatened legal action over Florida’s violating the Americans with Disabilities Act by improperly placing disabled children in nursing homes and threatened legal action. Florida wants to resolve the dispute but opposes federal court oversight.