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Consulo Indicium

September 19th, 2017 | No comments

Information for your Consideration…

Congratulations To Miss North Dakota!! – As many of my readers know, I’m from North Dakota.  At the Miss America pageant in Atlantic City, Cara Mund won the crown!!!  She did so after answering her onstage interview question by pointing out that the Tweeter-in-Chief was wrong to pull out of the Paris Climate Accord.  Does this portend a new Twitter war?  She’s off to a good start from my perspective… 

The DACA Shocka! – As has been widely reported, the Deferred Action for Childhood Arrivals or, DACA was created by executive order under the Obama Administration in 2012.  The order allows an estimated 800,000 individuals who were brought to the United States illegally as children to remain in the country through an application process. Most of these individuals have never known anything but life in the USA and frequently have no familiarity with their native countries’ culture or language. In an effort to urge Congress to pass a legislative replacement, the Trump Administration announced that it was rescinding the prior executive order six months from now or, around March 5th.  So, what’s this got to do with health care?  Well…a lot!!

Surveys of DACA beneficiaries show that about 20% work in the healthcare and educational sectors.  In healthcare, these workers range from home health aides and nursing assistants to nurses, pharmacists, medical students, residents, fellows and attending physicians.  Simultaneously, projections indicate “that the economy will need to add hundreds of thousands of workers in these fields over the next five to 10 years simply to keep up with escalating demand, caused primarily by a rapidly aging population.”  In a call-to-action, the CEO of the American Medical Association James L. Madara, MD said in a letter to Congress that the decision to reverse DACA “fails to recognize the enormous contributions of hundreds of thousands of individuals who are living, working, and providing vital services in the United States, including healthcare services.” He was joined by many of the specialty societies and the Association of American Medical Colleges (AAMC) in calling for a solution to the DACA questions.  Their letters of concern highlighted not only the projected shortage of providers but also the benefits the increasingly diverse U.S. patient population receives by having access to a diverse and culturally responsive health care workforce.  If you want to weigh in, send your Congressional delegation a note on the bipartisan, bicameral Dream Act of 2017 (S. 1615 and H.R. 3440) which provide for a permanent solution to the issue.  It provides a legal pathway to permanent residency for undocumented Americans brought to the USA as children.  Congress needs to step up and solve the problem.  The time has come…

USA Uninsured Rate Continues To Decline – According to a recent Census Bureau report, the percent of the population who lacked health insurance declined from 9.1% to 8.8% over the period of  2015 to 2016. While the decline was welcomed news, the Wall Street Journal argued that the continuing decline in the uninsured rate was due primarily to the fact that we are seeing more Americans reaching the age of 65 and becoming eligible for Medicare. Regardless, the USA now has about 28+ million who remain uninsured – the lowest number in many, many decades or, as far back as I can remember 🙂 .


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