Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Saturday, April 19, 2008

Mayor gets leeway to try to save St. Francis

Well maybe Blue Island's St. Francis might be saved afterall. Refer to this earlier post here and this Southtown article was found via Chicagoist...

Blue Island aldermen on Friday night approved a resolution granting Mayor Donald Peloquin or his designees the authority to do whatever they can to save St. Francis Hospital.

At a special city council meeting, city officials, residents and St. Francis staff members packed the room and voiced their concerns about the looming loss of the downtown hospital they see as critically important to the city's continued economic health.

Three weeks ago, St. Francis' owner, St. Louis-based SSM Health Care, announced plans to close St. Francis, saying the hospital was losing millions of dollars per year with no hope of a turnaround in the foreseeable future.

SSM officials said the financial problems largely stemmed from the hospital caring for so many uninsured and underinsured patients, with Medicaid payments covering the costs.

Peloquin said Friday the resolution gives him official authority to try to negotiate a sale and to obligate the city as part of any sale, subject to final approval by the city council. He said he not only wants to keep St. Francis from closing but wants to make it better than it was before.

"Our ultimate goal is to maintain the facility, maintain the staff and hopefully bring in additional staff and services," he said.

Barbara Holt, district director for U.S. Rep. Bobby Rush (D-1st), of Chicago, attended the meeting and said Rush would do all he could to save St. Francis.
I also want to refer to this post here on this same subject but with a different angle.

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Wednesday, April 16, 2008

Man bites Dog | Madigan backs single-payer?

A strange thing happened in Springfield Tuesday night. The moon set, the sun rose, and rain began falling upwards. That, and Illinois House Speaker Michael Madigan signed on as a chief sponsor of House Bill 311, which would create a single-payer healthcare system in Illinois.

Has he gone Mad? Has the “revolution begun”, as some single-payer fanatics are saying?

No. It seems to be typical Madigan - playing another game. We just aren’t sure which game he is playing this time. Is it:

  1. Build the majority? Allow his members to vote for healthcare to help them in the fall elections.
  2. Appease Rep. Mary Flowers? Is she going to jump to the Green party after endorsing their presidential candidate? Madiganneed to hold on to as many members as possible.
  3. Provide cover for his members on healthcare? The House has worked for almost a year now to destroy Governor Blagojevich’s healthcare for all plans. Is this the Madigan’s way of allowing his members pretend they are for healthcare to avoid more heat?
  4. Stick it to the Governor? Seems the most likely - after the Governor’s healthcare expansions ran into resistance in court yesterday.

Nine times out of ten, its going to be “Stick it to the Governor,” the Lincoln to his Lee (or is it vice versa?).
But let’s give the Speaker the benefit of the doubt here. Let’s pretend he actually cares about the policy. And let’s pretend that the man who killed single-payer in Illinois 16 years ago (and killed healthcare for all again last year) has finally grown a heart. Is HB311 the single-payer we have all been waiting for?

UPDATE: HB311 sailed out of committee with an 8-4 vote. What makes this more suspicious are all the “subs” that were put on the committee last night to vote in place of normal members. The subs who served last night:

Normal committee members not attending were Rep. May, Rep. Crespo, Rep. Dugan, Rep. Golar, and Rep. Howard.

CROSS-POSTED AT WONKISH.COM

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Saturday, April 05, 2008

I thought exactly about this

On Wednesday I posted here an article from the Chicago Tribune about the closing of a Blue Island hospital. This is probably one thing that didn't help in keeping this hospital open and in business...

As health insurance companies and government health insurance programs reduce amounts they pay hospitals, hospital operators increasingly look to consolidate to gain economies of scale in the regions where they operate.

Some operators also try the increasingly controversial route of expanding or relocating to wealthier suburban areas in order to attract a higher number of commercially insured patients who can provide a steadier flow of revenue.

But SSM was stymied in its attempts to expand and does not have other hospitals in the area to rely upon. SSM said it tried to strengthen St. Francis, located in a blue-collar community that has suffered job losses, by expanding to more affluent Orland Park, which is partly in Will County.

Those plans were rejected three years ago by the Illinois Health Facilities Planning Board.

The planning board, which regulates hospital construction in Illinois, said the Orland Park area already was well-served by hospitals that had excess bed capacity, so there was no need for another hospital's services in the growing suburb. State health planning officials had no comment when reached Wednesday.
Then I saw this in the Clout St. blog today in the very last paragraph...
Questionable decisions by past members of the Health Facilities Planning Board have been used to underscore corruption allegations in the federal trial of Antoin “Tony” Rezko, a fund-raiser for Gov. Rod Blagojevich.

“We’re for abolishing the Illinois Health Facilities Planning Board to do about $3 billion worth of projects and put 8,000 people to work,” said Sen. Kirk Dillard (R-Hinsdale). “And that’s just on top of the corruption problems that want to lead us to abolish that board, which is the central focus of the Tony Rezko trial going on in Chicago today.”
There shouldn't be any impediment to allowing a hospital to expand especially if it means it's survival and I don't think this should be left up to a government board. If nothing else it should be up to those localities where a hospital seeks to expand. If we are to believe this idea that there is a health-care crisis in this country, why should we entertain stopping a hospital from expanding into another locality?

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Friday, November 30, 2007

UPDATE: Blagojevich receives birthday presents of Facebook support for healthcare

Wow. What a difference a day and a blog post makes!

Only a day after I pointed out that Gov. Rod Blagojevich was all alone on Facebook in his holy Web 2.0 crusade to get the people of Illinois healthcare, he's received 169 additional supporters for his group, "I Support Healthcare."

(Click images for full screenshots)

Before:


And.... after:


Looks like some of the 2,148 "Friends of Blagojevich" decided to take my advice and give him an early birthday present (much more preferred over Facebook gifts). Keep it up guys!

Wait, what's that? He doesn't have 2,148 friends anymore?


Why did this unknown supporter leave? I've got a theory: Maybe it was because Blagojevich prefers watching the Blackhawks game instead of watching a "rigged" game in the Illinois House.

(Cross posted to my blog. E-mail me or Facebook me!)

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Wednesday, July 25, 2007

Revenue, health care and electricity rates

The House and Senate advanced different pieces of legislation — a cigarette tax and a health care plan in the Senate and an electricity rate relief plan in the House — but there’s no clear indication that these individual pieces could actually converge into the much-delayed state budget. House Democrats spent about three hours in what felt like an end-of-session gathering behind closed doors Wednesday afternoon. And each of the pieces is expected to be heard on the floor in their respective chambers Thursday, but their futures in the opposite chambers are murky. The same goes for their future in Gov. Rod Blagojevich’s office. As House Speaker Michael Madigan said of the cigarette tax advance in the Senate, “We’ll see.” Here’s a recap of the different measures:

Cigarette tax
BY DEANESE WILLIAMS-HARRIS
Seven days before a possible government shutdown, lawmakers moved a bill out of committee that would generate additional revenue for the state by taxing smokers.

The measure would increase the tax on cigarettes by 75 cents a pack. If approved by both chambers and signed by the governor, the proposed tax on cigarettes would generate about $328 million a year.

It’s unclear how the money would actually be spent, but its sponsor, Chicago Democratic Sen. John Cullerton, said that so far, the money would go into the state’s general revenue fund and be intended to fund a road and school construction plan. Cullerton also said legislators have their own wish lists for the money, such as education funding, capital and health care. However, he assured the final decision would be made collectively by the General Assembly.

Sen. Chris Lauzen, an Aurora Republican, wasn’t so quick to jump on the cigarette tax band wagon. He said Democrats would control where the money goes. “What’s happened to the rest of us who serve a quarter of a million people back home is truly disgraceful,” he said, mentioning unfunded projects for school and road construction in Republican districts.

“Somebody’s [going to] have to take a chance,” Cullerton said. “I know one thing. We can’t fund it at all if there’s no new revenue. This is new revenue, and it’s the easiest way I can think of to get support of three-fifths.”

Opponents voiced concern about small businesses losing revenue from people crossing the borders to buy cigarettes. Coincidentally, Indiana increased its cigarette tax by $1.01. In Washington, the U.S. Senate also approved a $1 tax on cigarettes.

The Illinois Department of Revenue said it supports the proposed cigarette tax, straying away from the governor’s campaign pledge not to sign any legislation that would increase sales tax. “This is different than the sales tax,” said Larry Doll, spokesman for the department. “It’s an excise item. It’s different than a general sales tax. A sales tax is applied to all items including necessities. People need food, clothing, what have you, whereas I don’t think you can make the same argument for cigarettes.” Doll also said it’s his understanding that the governor would sign the legislation if it wins approval.

The governor’s office hasn’t confirmed that yet. If approved, the legislation would immediately go into effect.

Revamped health care proposal
BY DEANESE WILLIAMS-HARRIS
Despite a weird afternoon of goofs and misunderstandings, the governor’s scaled-back Illinois Covered health care proposal moved out of a Senate committee with a 7-4 vote along party lines.

The governor wants to pay for the $1.2 billion initiative with a 3 percent payroll tax on businesses that employ at least 10 but that don’t provide comprehensive health benefits to them. The biggest question of the day was how many businesses would actually be subject to the tax. The committee will have to wait for that answer because no one had those numbers on hand.

The $1.2 billion would go into a trust fund, and the General Assembly would be limited to spending 90 percent of the cash per year to curtail overspending.

Some Senators voiced concern that almost 500,000 of the 1.4 million uninsured and underinsured Illinoisans wouldn’t qualify for either of the two health care packages the governor proposed. Eligibility would be modified as the program moves forward, depending on the revenue generated. Sen. Carol Ronen, the measure's sponsor and Blagojevich ally, estimates that 300,000 people will qualify for one of the programs, and 600,000 would qualify for a second option.

Todd Maisch of the Illinois Chamber of Commerce said the payroll assessment tax would “target the most vulnerable employers.” He also called the tax erroneous and excessive. “The major change is funding,” he said. “This is not a scaled back proposal.”

The proposal will most likely be called for a vote in the Senate this week.

Electricity rate relief
BY BETHANY CARSON
The $1 billion in electricity rate relief for Ameren Illinois and Commonwealth Edison customers is one step closer to becoming law. It’s not without controversy, however, as House Republicans aren’t happy that they weren’t part of closed-door negotiations for most of the past month. If Wednesday night’s House committee hearing was any indication, House Republicans could protest by voting “no” or “present” when the legislation reaches the House floor. But it would still have enough votes among Democrats to return to the Senate.

House Speaker Michael Madigan seemed to smile as he welcomed the chance of Republican rejection. “If there’s some member of the legislature who wishes to vote ‘no’ against $1 billion of rate relief, be my guest.” In other words, a Republican “no” vote for rate relief would make prime campaign literature for the Democrats during election season — it’s the equivalent of saying their opponent voted against health care for children or meals for the elderly.

One controversial portion of the deal that’s unsettling to some is that the state would dismiss six lawsuits brought against the utilities and power companies as a result of the September power auction. That includes the case filed by Attorney General Lisa Madigan’s office that alleged the power companies colluded to set electricity prices that robbed customers of an extra $4.3 million.

Rep. Jim Durkin, a Western Springs Republican, was one of the skeptics. “How’s the public protected by not following through and getting to the bottom of each one of these lawsuits instead of just dismissing them with the signing of this letter of understanding and the passage of this legislation? How in good faith can the state of Illinois settle those two cases when you have made serious allegations of manipulation and fraud upon the public?” He was the lone Republican to vote “present” in committee because he said he supported offering rate relief but didn’t like the process of coming to this deal.

Susan Hedman, senior assistant attorney general, justified the dismissal of the lawsuits by saying her office believed rate relief was needed now and that the procurement of power needed to be reformed for the future. “There’s a tradeoff between getting relief up front and waiting. If we do not get reforms in the procurement process now, it would mean that every year that we’re litigating that case, there could be another reverse auction with the danger of the same problems that we observed last time.” She later cut someone off and said, rather bluntly, that without dismissal of the lawsuits, “the deal falls apart.”

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Thursday, May 24, 2007

Illinois doctors wary on Wal-Mart clinics

Add some doctors to the people who have a problem with Wal-Mart. According to the Financial Times, Illinois may impose restrictions on "walk-in" clinics being planned not just by Wal-Mart, but CVS, and Walgreens.

Advocates say the clinics will improve access to healthcare and reduce costs; that they will reduce more expensive visits to hospital emergency rooms; and that they will catch some illnesses before they become serious and costly. As a result, physicians will have more time for complex cases.

But the clinics also have a direct impact on doctors, who see themselves as the gatekeepers of common, everyday healthcare.

Dr Rodney Osborn, president of the Illinois State Medical Society, said: "This is a brand new animal. That’s why we believe legislation is important to guarantee patient safety ... They’re not putting these things in to provide healthcare; these people are businessmen."

What a bunch of crap. Doctors are businessmen and businesswomen too. But they're not the best at delivering good business services.

Most doctor's offices, those not in hospitals, usually are in bad locations, with minimal parking available, and cramped waiting rooms stocked with magazines from the Bill Clinton era.

The Illinois State Medical Society and its doctors only want to preserve its near-monopoly of heatlh care services

Dr. Arnold Millstein told Financial Times:

[Doctors] wrap themselves in the holy garb of quality ... completely ignoring the facts that all the research shows current care stinks. The weaknesses that are endemic in the current healthcare system are being trotted out to block innovation and change.

The retail walk-in clinics are a good idea. Many people are afraid of visiting doctors, and a medical office in a store like Wal-Mart might assuage those fears. And for those who don't have health insurance, paying out of pocket will be less expensive than visiting those offices with all those old magazines.

To comment on this post, please visit Marathon Pundit.

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