January, 29 2013, 10:50am EDT
Senate Panel Diagnoses Primary Health Care Crisis
A Senate panel today examined a "major crisis" in primary health care at a time when 30 million more patients will soon get health insurance under the Affordable Care Act and worsen an already acute doctor shortage.
One in five Americans today live in areas where they do not have adequate access to primary care due to a shortage of providers, according to Sen. Bernie Sanders (I-Vt.), the chairman of the Senate Primary Care and Aging Subcommittee.
WASHINGTON
A Senate panel today examined a "major crisis" in primary health care at a time when 30 million more patients will soon get health insurance under the Affordable Care Act and worsen an already acute doctor shortage.
One in five Americans today live in areas where they do not have adequate access to primary care due to a shortage of providers, according to Sen. Bernie Sanders (I-Vt.), the chairman of the Senate Primary Care and Aging Subcommittee.
"In our country today we are spending almost twice as much per capita on health care as any other major country yet our health outcomes in terms of life expectancy, infant mortality and disease prevention are not particularly good," Sanders said. "One of the reasons for that is that we have a major crisis regarding primary health care access which results in lower quality health care for our people and greater expenditures."
According to a report released at the hearing, as many as 45,000 people die each year because they do not have health insurance and do not get to a doctor on time. A significant reason for the lack of access to care is that less than one-third of all doctors in America today practice primary care, down for half of all physicians 50 years ago. The problem is likely to get worse because many primary care doctors are nearing retirement and fewer and fewer medical students are interested in becoming family practitioners.
Dr. Claudia M. Fegan, the chief medical officer at Cook County Hospital in Chicago, told the subcommittee she sees evidence every day of patients without primary doctors. "Every single day, people without a physician line up across the street from our hospital to be seen in our walk-in clinic ... They hope to be one of the lucky ones who will be given a physician of their very own, who will get to know them and take care of them and be available when they have a problem or question, someone to help them meet their medical needs, someone to help them navigate our complicated health care system to get what they need."
Another witness, Princeton economist Uwe E. Reinhardt, said Medicare and Medicaid payments should be realigned to address the acute shortage of primary care physicians.
Tess Kuenning, executive director of the Montpelier, Vt.-based Bi-State Primary Care Association, testified that community health centers could provide affordable care for more patients. The 2010 health care law included a Sanders provision that authorized $11 billion to double the number of patients cared for at health centers. Funds needed to reach that goal, however, have not been committed.
In Vermont, Kuenning said, more than 110,000 patients receive care at one of eight community health centers throughout the state. With additional funding, she added, three more communities "are fully poised to apply for competitive federal funding to bring medical, dental and behavioral health services to communities in need."
LATEST NEWS
"Not a 'Joke.' It's Fascism": Trump Says He Wouldn't Mind Journalists Getting Shot
The Republican nominee also said during the same rally in Pennsylvania that he "shouldn't have left" the White House after losing the 2020 election.
Nov 04, 2024
During a rally on the final Sunday before the presidential election, Republican nominee Donald Trump told an audience gathered in the battleground state of Pennsylvania that he wouldn't mind if a gunman shot through the group of reporters covering the event.
After discussing the protective glass surrounding him, the former president said a would-be assassin "would have to shoot through the fake news" to get to him.
"I don't mind that so much," Trump said, drawing laughter and applause from his supporters. "I don't mind."
Watch:
Trump says he doesn't mind if someone shoots the press.
He repeatedly encourages violence against anyone who challenges his narrative.
That's what a dictator does — and Trump's Supreme Court gave him immunity to do whatever he wants if re-elected.
Votepic.twitter.com/W0dUWro2g9
— Melanie D'Arrigo (@DarrigoMelanie) November 3, 2024
Journalist Jeff Sharlet wrote in response that during his time covering "the fascism beat," he's met "men who've been itching for that encouragement, who openly fantasize about beating or killing reporters."
"It's not a joke," Sharlet wrote. "It's fascism."
Trump has long reveled in attacking members of the press, vilifying them as "the enemy of the people" and directing the ire of his supporters in their direction. Kash Patel, a Trump confidant who's expected to get a senior national security post if the former president wins Tuesday's election, suggested earlier this year that a second Trump administration would go after "the people in the media" with criminal or civil charges, underscoring the threat the Republican nominee poses to press freedom.
Facing backlash over Trump's latest attack on the press, his campaign issued an absurd statement claiming the former president was "actually looking out for [reporters'] welfare" by "stating that the media was in danger."
The Atlantic's Helen Lewis noted Sunday that "journalists are only some of the many 'enemies from within' whom Trump has name-checked at his rallies and on his favored social network, Truth Social."
Lewis continued:
He has suggested that Mark Zuckerberg should face "life in prison" if Facebook's moderation policies penalize right-wingers. He has suggested using the National Guard or the military against "radical-left lunatics" who disrupt the election. He believes people who criticize the Supreme Court "should be put in jail." A recent post on Truth Social stated that if he wins on Tuesday, Trump would hunt down "lawyers, Political Operatives, Donors, Illegal Voters, & Corrupt Election Officials" who had engaged in what he called "rampant Cheating and Skullduggery." Just last week, he fantasized in public about his Republican critic Liz Cheney facing gunfire, and he previously promoted a post calling for her to face a "televised military tribunal" for treason. In all, NPRfound more than 100 examples of Trump threatening to prosecute or persecute his opponents. One of his recent targets was this magazine.
Trump also said during Sunday's rally in Pennsylvania—where he and Democratic nominee Kamala Harris are in a dead heat—that he "shouldn't have left" the White House after losing the 2020 election.
Keep ReadingShow Less
'This Is What We're Funding': At Least 50 Children Killed in Israeli Strikes on Jabalia
"Civilians and civilian structures... must always be protected in accordance with international humanitarian law," said the head of UNICEF. "Yet these principles are being flouted over and over again."
Nov 03, 2024
The United Nations children's agency on Saturday condemned the Israel Defense Forces' "indiscriminate strikes on civilians in the Gaza Strip" after at least 50 children were reportedly among those killed in attacks on Jabalia refugee camp in the northern part of the enclave.
Northern Gaza has been under siege since early October, when Israel resumed its attacks there, claiming it was targeting Hamas militants.
The current situation in northern Gaza has been called "apocalyptic" by leading humanitarian groups in recent days, with women and children making up the majority of the hundreds of people killed, and Israel imposing a near-total blockade on humanitarian aid.
Now, said Catherine Russell, executive director of the U.N. Children's Fund (UNICEF), "the entire Palestinian population in North Gaza, especially children, is at imminent risk of dying from disease, famine, and the ongoing bombardments."
In addition to the attacks on residential buildings this weekend in Jabalia, the World Health Organization (WHO) reported that an attack on a healthcare center in Gaza City injured at least six people, including four children. The facility was participating in a polio vaccination drive, the second round of inoculations for children across Gaza.
"The Sheikh Radwan primary healthcare center in northern Gaza was struck today while parents were bringing their children to [get] the life-saving polio vaccination in an area where a humanitarian pause was agreed to allow vaccination to proceed," WHO chief Tedros Adhanom Ghebreyesus said. "These vital humanitarian-area-specific pauses must be absolutely respected. Ceasefire!"
Russell said the vehicle of a UNICEF staffer who was working on the vaccination campaign was attacked by "what we believe to be a quadcopter while driving through Jabalia—Elnazla."
The staff member was not injured, but Russell said "the attacks on Jabalia, the vaccination clinic, and the UNICEF staff member are yet further examples of the grave consequences of the indiscriminate strikes on civilians in the Gaza Strip."
"Civilians and civilian structures, including residential buildings, as well as humanitarian workers and their vehicles, must always be protected in accordance with international humanitarian law," said Russell. "Yet these principles are being flouted over and over again, leaving tens of thousands of children killed, injured, and deprived of essential services needed for survival."
The Gaza Health Ministry reports that at least 43,341 people have been killed in Gaza and at least 102,105 have been injured since Israel began its assault on the enclave more than a year ago in retaliation for a Hamas-led attack. Women and children make up most of those killed, even as Israel and the United States, the largest international supporter of the IDF, have insisted the military is targeting Hamas.
"How can this inhumane situation be tolerated by the Biden-Harris administration?" asked Nina Lahoud, who has served as a special adviser and peacekeeping officer at the U.N., after the death toll among children in Jabalia over the weekend was reported. "How many more Palestinian kids need to die to take urgent action?"
Keep ReadingShow Less
'It's the Abortion Ban': Final Iowa Poll Shows Harris Leading Trump 47-44
Rights advocates were energized by the "gold standard" poll results, but called on progressives to continue working to turn out voters.
Nov 03, 2024
Political observers expressed shock Saturday evening as the Des Moines Register released its final poll before Election Day showing Democratic Vice President Kamala Harris leading Republican presidential nominee Donald Trump by three points.
Harris was supported by 47% of respondents compared to 44% who backed Trump.
The newspaper's poll, conducted by pollster J. Ann Selzer, is widely regarded as the "gold standard" survey of voters in the state and has been recognized as "predicting" numerous election results in Iowa and giving a potential preview of how candidates could fare in other Midwestern states with similar demographics.
Progressive advocates cautioned against placing too much faith in a single poll—even a widely respected one—and urged Harris supporters to continue canvassing, phone-banking, and taking action to defeat Trump and the far-right MAGA movement.
But the unexpected result in a state that hasn't been considered a swing state in this election, and was widely assumed to be a Trump-supporting state, led political observers to look closely at the poll, which showed significant shifts toward Harris among women.
Women aged 65 and older supported Harris over Trump, 63% to 28%, in the poll. Women who identify as political independents also backed her, 57% to 29%.
Overall, women in the state are backing Harris in the poll by a margin of 20 points, according to the survey.
Lyz Lenz, a journalist based in Iowa, said she believed the poll could be linked to one major change in Iowa since the last presidential election: the six-week abortion ban that took effect in July, banning abortion care after fetal cardiac activity can be detected. Similar abortion bans have been blamed for at least four deaths of pregnant women in Texas and Georgia.
"It's the abortion ban," said Lenz. "Women are furious."
Daniel Nichanian, editor-in-chief and founder of the digital magazine Bolts, said the result could preview losses for state Supreme Court justices who have upheld abortion bans in a number of states, including Iowa.
In 10 states this year, voters will make their voices heard on ballot initiatives regarding the right to abortion care. In traditionally red states including Kansas and Kentucky since Roe was overturned, people have voted to protect the right to obtain an abortion.
"It's the Dobbs election," said Helaine Olen of the American Economic Liberties Project. "The Iowa poll is just the latest proof."
Selzer herself told the BBC that many respondents talked about abortion rights.
"The people who say they're supporting Kamala Harris, the issue they say they're thinking about most is democracy, about half of them saying that's the most important thing," she said. "But then half of that, about 25% roughly, say abortion. And Iowa has one of the strictest abortion laws in place... and that may well have played a part in this."
Sean Trende, senior elections analyst for RealClearPolitics, said it would be "foolish to dismiss [Selzer's] poll," but cautioned election watchers against abandoning "all of [their] prior views about the state of the race."
Dan Pfeiffer, a former adviser to President Barack Obama and co-host of "Pod Save America," said one possible interpretation among several is that "Harris isn't really winning Iowa but the poll is capturing late-stage momentum that bodes well for Wisconsin, Michigan, [and] Pennsylvania."
Advocacy group Indivisible on Sunday morning advised supporters to "send this Iowa poll to all your group chats. Then, sign up to talk to some voters. With your help, we're going to win this thing in two days."
Keep ReadingShow Less
Most Popular