Obamacare, Broccoli and the Supreme Court


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Antonin Scalia observes in court that the government cannot compel a citizen to purchase broccoli, and the government’s lawyers are Struck Dumb. They clearly do not spend time in my local pub. Every week some bonehead appears there with the “broccoli” canard. And there is a simple answer to that stupid assertion:

The government can bomb Pakistan with drones; the government can declare one man the property of another; the government can intern Japanese citizens; the government can declare a corporation a citizen; the government can tax your income at 99 cents on the dollar; the government can make it OK to shoot unarmed strangers in your neighborhood; the government can declare who is President without regard to the popular vote or to the Constitution.

Yes, Antonin. The government can make you buy broccoli.

I practice law in the trenches with ordinary people for clients. Ask them what the government can make you do. You have to be willfully blind to think our government lacks the power to make you buy broccoli. Willful blindness can, of course, be useful to a Supreme Court justice.

This is how John Locke describes government: Government is the power of coercion, up to death, to compel citizens to act for the common good (2nd Treatise of Civil Government, §3). Your “freedom” is the freedom to elect the government that coerces you—a government for the people or a government for the privileged. That is the beginning and end of your freedom, Judge Scalia.

Ultrasound Bill Bad Idea for Women, Dr.’s, RI


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Here at RI Future, we give the Providence Journal editorial board no small amount of grief for their reasoning and positions. But we were very pleased to see them take a strong stance against Rep. Karen MacBeth’s bill that will legislate mandatory ultrasounds for women who have decided to have an abortion.

“This approach is a very bad idea,” they wrote in their editorial on the bill this morning. “Doctors and women should be able to make these often difficult decisions with a measure of privacy, and without the cumbersome imposition of the state dictating what should be said and done. Regulations should be based on the health of patients, as much as reasonably possible, rather than on trying to enforce particular religious or moral views of politicians.”

We couldn’t agree more.

As Paula Hodges of Planned Parenthood told us when we first broke this story: “Politicians forcing doctors to use an ultrasound for political – and not medical – reasons is the very definition of government intrusion. Rhode Island lawmakers should not be interfering with personal, private medical decisions that should be best left to women and families and their doctors.”

The Projo points out, as we did last week, that doctors who don’t comply would be subject to fines starting at $100,000 and go up to $250,000. This is a ridiculously large fine, considering there is no medical issue here – only a political one. I suspect the high dollar amount is more about State House politics than anything else in that they might be able to get a few votes be negotiating down the fine.

That said, given the lack of support in the legislature for reproductive rights it might not be all that hard to win over votes on this bill. Less than a third of the Democratically-controlled General Assembly is on record as being pro-choice.

To that end, local women need everyone to let their elected officials know how they feel about this issue that seems to be doing little more than distracting government from dealing with the stuff that is really plaguing our society.

RI Called ‘Hostile’ on Pro-Choice Issues


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A Guttmacher Institute map shows in dark red the states that it lists as "hostile" on pro-choice issues, including Rhode Island.

If it’s true, as Nancy Pelosi said recently when  she was here in Rhode Island, that the recent dust-up over reproductive freedom for women is an election year tactic, it might just prove to be a successful one in Rhode Island.

While we may like to fancy ourselves a left-leaning state, such is not the case when it comes to abortion rights.

The Guttmacher Institute, a public policy group that specializes in reproductive health, has listed Rhode Island as being the only northeastern state listed as being “hostile to abortion.” And it’s been listed that way since at least 2000. Check out these three maps to see how the country has become more hostile to abortion rights since 2000.

It’s not surprising that Rhode Island would be listed as hostile as only a third of overwhelmingly Democratic House of Representatives are on record as being pro-choice, according to Planned Parenthood of Southern New England. The Senate is even more hostile to reproductive rights, with only seven of 38 members identifying themselves as being pro-choice or 18 percent – and one of the them is Republican Dawson Hodgson of North Kingstown.

Given this, it’s no wonder Rep. Karen MacBeth’s bill that would require Rhode Island abortion doctors to perform an ultrasound and to ask the woman if she would like to see the picture might gain traction – even though it carries very high fines for doctors who don’t comply: $100,000 fine for a first offense and up to $250,00o for a second offense.

A Republican legislator who is pro-choice but doesn’t go on record for political purposes recently told me that abortion issues are losers for social liberals. Abortion politics, they said, energize only the anti-choice side of the debate.

To that end, it is no surprise that FOX News told MacBeth, she said, they are ready to report on Rhode Island if and when her bill comes up for a vote. Seeing how well economic issues are going for conservatives, they may as well try to move the debate over to social issues.

RI Says Happy Birthday Affordable Care Act


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Director of HHS Stephen Constantino, Sen. Sheldon Whitehouse, Lt. Gov. Elizabeth Roberts and Kathleen Otte, administrator for the US Administration on Aging celebrate the anniversary of the Affordable Care Act.

Today marks the second anniversary of the federal health care reform law, the Affordable Care Act. Here in Rhode Island elected officials, health care leaders, and Rhode Islanders who are benefiting for provisions of the law celebrated the passage in Providence.

 “Although the country is still almost evenly divided over the Affordable Care Act, here in Rhode Island we are fully committed to ensuring that Rhode Island is a national leader in implementing health reform. And for the Rhode Islanders who are already benefiting from provisions in the law in very important ways, health reform has improved their lives,” said Lt. Governor Roberts.

“The Affordable Care Act is already making a real difference for real people and real families in Rhode Island by improving access to higher-quality care, reducing health care costs, and giving Rhode Islanders new and better choices,” said Whitehouse.  “Through her work to set up the state health insurance exchange, Lieutenant Governor Roberts is helping Rhode Island lead the way in expanding access to quality care and driving down costs.”

The highlights of the event were Rhode Islanders who told their stories of how they are benefiting from the Affordable Care Act, which continues to provide thousands in the state with insurance protections, preventive benefits, and resources to improve care.

For 22-year old Brianne of Providence, being able to stay on her mother’s insurance because of a provision in the ACA “has been a relief financially and emotionally trying to make ends meet.” The recent URI graduate is working part-time as a physical therapy aide and suffers from several allergies. Her mother’s coverage has ensured that Brianne can get the frequent medical attention her condition requires. As of June of last year, Brianne was one of over 7,500 young adults in Rhode Island who gained health coverage as a result of the reform law.

For frame shop owner Geoff, providing health coverage “is just the right thing to do.” Geoff was relieved to qualify for the Small Business Healthcare Tax Credit, a provision of the law made available in 2010 to make it more affordable for small businesses to offer health coverage to their employees. As a small business eligible for the credit, Geoff was able to claim up to 35% of premiums paid for his employees’ coverage and put that savings back into the business. The Congressional Budget Office estimates that the tax credit will save U.S. small businesses $40 billion by 2019.

Jane, a senior citizen in affordable housing, had to pay out of her own pocket for expensive, life-saving drugs when she reached the coverage gap, known as the “donut hole.”  Jane was one of almost 15,800 Rhode Islanders on Medicare who received a $250 rebate to help cover the cost of their prescription drugs last year. Additionally, when over 14,800 Medicare beneficiaries in Rhode Island hit the donut hole in 2011, they received a 50 percent discount on their covered brand-name prescription drugs. That discount yielded an average savings of over $500 for each senior for a total savings of over $8.2 million to older Rhode Islanders.”

Participating in the event were

Lt. Governor Elizabeth H. Roberts, Chair of the RI Healthcare Reform Commission, along with Senator Sheldon Whitehouse, Tri-Regional Administrator Kathleen Otte from U.S. Administration on Aging, and community partners RI Health Coverage Project and Ocean State Action,
The event included state officials, community partners and RI Healthcare Reform Commission members. Also featured was an exhibit of student artwork on display from RISD instructor Lindsay Kinkade’s visual and graphic design class, “Making It (Healthcare Reform)Understandable.

 

Error Makes Projo Explain Doonesbury Decision


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Thanks to a “production error,” the Providence Journal ended up giving us an explanation for why it didn’t run Garry Trudeau’s Doonesbury cartoon that deals with the Texas abortion law.

This item was in today’s Corrections:

“The distributor of Doonesbury this week offered to newspapers nationwide a choice of two comic story lines. The creator, Garry Trudeau, had drawn a weeklong series of comics focusing on the abortion debate in Texas. Upon review, The Journal elected to use the alternative strip because we believed it was more suitable for our comics page audience. The alternative appeared Monday through Wednesday. Because of a production error, Thursday’s comics page carries the strip that focuses on the Texas debate. The alternative strip will resume in Friday’s Journal.”

Not sure why they couldn’t have told me that when I asked on Monday, but here’s my original story on the controversial comic, and the way I was treated by two editors there when I called for comment.

Projo Pulls Controversial Doonesbury Cartoon


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The Providence Journal not only won’t publish a controversial Doonesbury cartoon that is running this week, its editors won’t even talk about it. When I called for a comment on why Garry Trudeau’s latest cartoons, which deal with Texas’ new abortion law, wasn’t in the paper yesterday two different editors hung up on me.

First some background.

Garry Trudeau, the creator of Doonesbury, decided to take on the Texas abortion law that requires women wanting an abortion to undergo, in Trudeau’s words to the Washington Post, “a vaginal probe with a hard, plastic 10-inch wand.” As happened in 1985, the last time Trudeau took on the subject of abortion, many newspapers across the country decided not to run the cartoon.

Evidently, the Providence Journal is one of those papers. Instead of running the new, controversial stuff from Trudeau, the Projo ran repeats.

The strip (which runs all week and  you can see here) was not in the Projo this morning, so I decided to call for a comment. I explained to the features editor who I was and why I was calling and he began telling me why they weren’t running the controversial cartoon this week. Then it occurred to him that he was talking to a reporter and he literally hung up on me. I called back but it went straight to his voice mail.

So I called Deputy Executive Editor Karen Bordeleau. I had sent her an email earlier, and since we have known each other for years, she knew right away why I was calling.

“I forwarded your email to the correct person,” she said. “If they want to respond, they will get back to you.”

I began to explain to her what happened when I called someone else for a comment. She said the first person I spoke with didn’t understand he was talking to a reporter. Okay, fair enough, so I asked her another question.

“I think I am going to hang up now,” she said.

And then she did.

So now we don’t know why the Providence Journal didn’t run the cartoon. Did the publisher in Dallas instruct them not to? Did they make an independent decision here in Providence that their Rhode Island readers shouldn’t know what Trudeau thinks about Texas’ new law? Did they just think the old stuff was funnier?

Who knows. Maybe they will tell us on the editorial page later this week…

Doherty Hosts Texas Extremist at Hope Club


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Brendan Doherty, Republican candidate for David Cicilline’s seat in Congress, will parse himself as a political moderate as he tries to snatch the seat away from the Democrats. But inviting Congressman Pete Sessions, R- Texas, to his fundraiser at the Hope Club tomorrow afternoon won’t help with that message.

This from the Rhode Island Democratic Party:

“Who is Pete Sessions? In addition to being the chair of the National Republican Campaign Committee, Sessions has been one of the biggest cheerleaders for the radical Republican agenda in Congress. Sessions just last year introduced a bill to privatize Social Security. He also offended women from coast to coast by saying he failed to understand the problem with insurance companies charging women higher premiums than men. Sessions defended the practice by comparing women to people who smoke, somehow suggesting that being a woman, like chain-smoking, should be considered a pre-existing condition.”

There’s currently a bill making its way through the legislature that would make it illegal to charge women higher insurance premiums based on their gender. In fact, Planned Parenthood plans to hold a protest outside of the private social club for the elite.

“We hope you will join us on the evening of March 8th on the public spaces outside of the Hope Club to protest the presence of Congressman Pete Sessions (TX-32) and Congressman Jeff Fortenberry (NE-1) who have consistently voted against women and access to reproductive health care and who are in town to fundraise for Congressional Candidate Brendan Doherty.

We know that Rhode Islanders support basic reproductive health care like access to birth control with no co-pays! We know that women are watching! We know that women will vote! Let’s send Pete, Jeff and all other anti-women legislators a strong message of solidarity!”

Hope to see you there…

RI Mulls Pre-Abortion Ultrasound Requirement


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You might think that legislation requiring a woman to have an ultrasound before an abortion is something that would only happen in Virginia or Texas. Well, you’d be wrong. In fact, such a bill has been put forward for the last several years in the General Assembly.

You also might think, if you are a regular reader of the New York Times, that Rhode Island’s version of the bill is equally as invasive as the one that just passed in Texas or the original one that was put forward in Virginia that caused such a commotion around the country.

Well, you’d be wrong again.

“Alabama, Kentucky, Rhode Island and Mississippi are also considering Texas-style legislation bordering on state-sanctioned rape,” wrote Nick Kristof in The Times this weekend.

“Absolutely not,” said the sponsor of Rhode Island’s  bill, Karen MacBeth, D-Cumberland, when asked if this was an accurate account of her bill.

Her bill, rather, would require a non-vaginal ultrasound. MacBeth said she informed The Times of their error.

Even without being what Kristof called “state sanctioned rape,” Planned Parenthood of Southern New England thinks the bill is a legislative overreach.

“Politicians forcing doctors to use an ultrasound for political – and not medical – reasons is the very definition of government intrusion,” Paula Hodges, the group’s Rhode Island director, said. “Rhode Island lawmakers should not be interfering with personal, private medical decisions that should be best left to women and families and their doctors.”

MacBeth, who describes herself as being “very pro life” said she has sponsored the bill for the last three sessions since Rep. Arthur “Doc” Corvese, D- Providence, asked her to sponsor it for him when she took office. The bill has not made it out of committee since then, she said.

OP protests Pfizer, ALEC joining 7 N.E. Occupies


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Members of Occupy Providence protest Pfizer in Groton, Conn. on Wednesday.

Despite the cold rainy weather, about a half a dozen Occupy Providence members took part in the #F29 Shut Down the Corporations at Pfizer in Groton, CT. The national action was called by Occupy Portland to protest members of ALEC, the American Legislative Exchange Council, a front group that writes model pro-corporate legislation.

The coordinated inter-occupy direct action against ALEC and Pfizer in Groton resulted in a civil disobedience where 8 people were arrested after Pfizer refused to send a representative out to discuss their ALEC initiatives. It was a success by any standard. The coalition, which consisted of occupiers from Occupy New London, Occupy Shoreline (CT), Occupy Hartford, Occupy Worcester, Occupy New Haven, Occupy Boston, Occupy Providence and more, gathered in Groton to march to the Pfizer facility, and then participated in a dynamic teach-in to work on ways to build non-violent protest in the Occupy movement.

Occupy Providence’s Susan Walker said, “We couldn’t believe how many police cars and officers were there. It was a little intimidating at first. But we walked right up to the crowd and joined about 100 other protesters in mike checks about Pfizer and ALEC. The energy was great. The costumes and signs were creative- an activist costumed as Big Bird with a sign ‘Hey Pfizer, Test This Bird’ was my favorite.”

CT residents were angry because Pfizer negotiated $161 million in tax incentives to build the facility, bulldozed a residential neighborhood, and then laid off 1500 local workers once the tax incentives abated. Not only that, but they resented that Pfizer is a heavy hitter with ALEC in legislating for corporate greed.

The march ended back at the main gate where access was denied. Several Occupiers approached the gatehouse and asked for a representative to come out and speak to us as was requested in an advance letter that was sent. They were denied.  The group decided to march around the facility and approach all the gates and ask to speak to a Pfizer representative.

The police had painted a blue line demarcating a boundary protesters weren’t supposed to cross. One protester later mused “blue line from the blue pill (Viagra) company- did Pfizer plan it that way?”

In unified action of civil disobedience, the whole group crossed the line, and got within 20 feet of the heavily guarded gate. Eight protesters then walked straight up to the gate house, linked arms, refused to leave, and were arrested one by one.

Civil Disobedience arrestees were singing Solidarity Forever as the paddy wagon hauled them away. Occupiers chanted and mike checked for a little longer.

Walker noted, “I found the vibe of the police presence really interesting. It was intimidating at first.  I think it was almost a 1:1 ratio of officers to occupiers. Early on occupiers had chanted, “The Police Need a Raise! The Police Need a Raise!” which was a pressing local issue.  The officers were respectful and seemed to have our safety in mind.”

As the march around the facility continued, police made sure we stayed on the sidewalk, that traffic could flow, and even blocked traffic so we could cross streets.

Walker continued, “I’m willing to bet some of the officers know families who were hurt by Pfizer’s layoffs, or who were displaced when they built the facility in the first place.  But these are guesses, not facts.  It’s a fact that those arrested were treated well and released promptly. I really got the feeling some of the officers felt like they were marching with us.”

After a break, the group reconvened at the New London All Souls Unitarian Church for a teach-in by a War Resisters League member from Voluntown, CT.  In the workshop,  an energized 30-40 people from over 7 different occupations worked together to develop a stronger, more effective movement.  It included 3 first time occupiers whose excitement was palpable, one commented, “This is the most empowering day of my life.”

After protesters introduced themselves, CT Brian led the group reading off  #F29 highlights from around the country from Twitter, starting with a report from Tucson, where they forced a G4S prison deportation bus to cut a hole in their own fence to get the deportees on the road.

This an interesting snapshot video of a twitter reading at 3:15 ET.

#F29-#CT #OP-Snapshot-3:15 National Actions http://youtu.be/1cC4BhIpFxQ

The facilitator broke down the elements of successful activism into 8 components- constructive work/alternatives, common understanding, non-violence discipline, demonstrations, allies, negotiation, research/Info gathering, and legislative/electoral reform and let the participants break into groups to work on the aspect most resonant to them.

Then each study group was given a list of questions, like for the demonstrations sub-group focused on “how we can best demonstrate our concern”.

Each small group reported back to the whole group their observations. The demonstration group reported that they felt the ALEC protester was a good model as it was focused on a key issue that connected with the central messages of Occupy.  A person from one of the last standing of the New England encampment, Occupy New Haven camp resident Danielle DiGirolamo, reported on Alternatives- that much of this has started with natural medicine and alternative energy becoming more mainstream and Susan Walker added that “basically we feel there are a lot of alternatives to what the corporations are spoon feeding us.”

Then the group was asked to order the different parts of a campaign with respect to the sequence they should occur in. They selected- Common understanding, Research, Allies, combined Training/Education, create Constructive alternatives, Negotiation, Non Violent Discipline, Legislative Action, to which the facilitator commented, not the usual order but  “I’d say that’s perfect.” At the end materials on non-violent training were distributed.

Protesters nationally were successful in raising awareness about ALEC a legislative shadow organization as Occupies around the world united for systemic change.

Check out the embedded video from the Occupy Portand Video Collective.

The large  Anti-Corporate greed protest in LA included masked Anarchists and possible young actress marching behind a banner of People  Over Profits in the middle of a large crowd. One tweet reported that- when the March arrived at Walmart, many workers from WalMart stepped outside. The police responded by telling them to go back to work or risk arrest.  An interesting accidental exposure of the Police bias to protect corporate property before people.

Perhaps the management had called.  A t that time the LAPD was not threatening the protesters with arrest, only the Walmart workers, seeming to be more of an  attempt to suppress worker solidarity with any movement that dares to unite people behind pro-worker programs- living wage, right to organize, right to strike to name a few. Had Walmart succeeded in forming the Grass Roots Union they sought, management wouldn’t have been so quick to suppress what could have been interpreted as a walkout.

Walker summed up her experience this way. ” It’s inspirational that Occupy Providence got to participate in a national coordinated day of action against ALEC. The bottom line: retailers, for-profit prisons and pharmaceuticals are writing legislation, and paying legislators to get it passed. The prisons are writing the laws? Really?  It’s not OK. “

By Robert Malin & Susan Walker

My Pre-Existing Condition: The Price of Being Female

Will I get pregnant one day?  I don’t know for sure, but you know who thinks they do . . . health insurance companies?   I didn’t think it possible for an insurer to know whether I was going to get pregnant before I did, but remarkably, insurance companies seem to believe they know best.  And because of this future and hypothetical baby that I might have, insurance companies are allowed to charge me a higher premium than my male counterparts.

Rhode Island law currently permits insurance companies to charge higher premiums to women over males – a common industry accepted practice known as gender rating.  Insurance companies would argue that women are more expensive to cover due to their unique medical needs like mammograms, pap smears, and maternity costs.  Yet, women can’t choose to have breasts or ovaries, but driving recklessly, abusing alcohol, and eating unhealthily are all choices that can negatively affect health among both men and women.  Even so, women still pay higher premiums in the individual health insurance market (never mind the fact it’s been illegal in the group market for decades).

Still doesn’t make sense, right?  Soon, under President Obama’s health care reform law, the Affordable Care Act, this discriminatory practice will be banned federally when most major components of the law go into effect.  (Phew!)  Yet… what about the next two years during which women of Rhode Island will continue to be charged higher rates?  I think Rhode Island can do better – and I’m not the only one.

I suppose if we want to talk about the cost-benefit analysis of covering women who may become pregnant, it would make sense to take steps to prevent unplanned pregnancy and reduce those so-called ancillary costs to insurance providers.  Following this logic, the HHS ruling late last month that requires all employers and health insurance plans provide birth control with no co-pays as a basic, preventative health measure really was one giant leap for woman kind to break the cycle of gender rating in insurance coverage.

Just last week, Brown University released a new public poll that found 56.8 percent of Rhode Islanders support birth control coverage with no co-pays.  Meanwhile, Rhode Islanders are almost evenly split on Mr. Obama’s recently issued requirement that church-related organizations such as colleges and hospitals to cover birth control in their employee insurance coverage.  The survey found 47.5 percent in favor of the policy and 47 opposed.  Might this public approval around contraception and empowering women to plan their parenthood, be a strong sway towards equality between genders on issues of health care?  One might hope.  Eliminating gender rating in health care coverage and providing birth control as preventative, basic health care seems like progress.

The tides are shifting – women’s health care under a bright, if not glaring, national spotlight, and as Rhode Islanders, we have a unique opportunity to show our support.  The reality, in terms of insurance premiums, is that each sex has their own unique set of health complications and risk factors – merely being female is not one of them.  Just like over 40 years ago when the insurance industry voluntarily abandoned the practice of using race as a rating factor, so too should it abandon gender as a means of determining insurance premiums.

Unfortunately, Rhode Island is behind the curve on this issue.  Nearly all of New England, with the exception of CT, has gender rating bans and regulations.  We have an opportunity to use the public spotlight that has been placed on women’s health to show that Rhode Island stands for equal rights among women and men.  It’s a no brainer.  Women in seven surrounding states are already protected from this practice; it’s time for the Ocean State to do the same.

If you want to get involved, and advocate for Rhode Island to erase gender rating right out of RI health insurance, I encourage you to come to the RI State House this Wednesday & Thursday “at the rise” to participate in the following hearings:

Tuesday February 28 at the Rise (around 4:30 pm) Hearing Room 203  – House Committee on Corporations hearing on House Bill 71751, to eliminate gender rating in health insurance, sponsored by Rep. Donna Walsh.

Wednesday February 29 at the Rise (around 4:30pm) Hearing Room 212 – Senate Committee on Health & Human Services hearing on Senate Bill 2208, to eliminate gender rating in health insurance, sponsored by Senator Sue Sosnowski.

 

Cutting low income dental care costs as much as it saves


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LInda Katz, the executive director of the Economic Progress Institute, at a recent conference.

Making budget cuts to low income dental care may sound like a good way to save money but it will actually cost the state slightly more than it will save, says Linda Katz, the executive director of the newly named Economic Progress Institute.

That’s because, she said, for every dollar the state spends on low income medical assistance the federal government provides matching funds.

So while the state would save $2.6 million by cutting low income dental care for the tens of thousands of Rhode Islanders who make use of this program, the Department of Human Services would actually lose more than $5.2 million in funding. More than $5.2 million because the feds actually match $.52 on the dollar, Katz said.

“It’s easy to talk about raw numbers,” she said. “But you have to understand what is behind those numbers.”

At a presentation last week, Katz said for the last few budget cycles those on the right have talked about making cuts health and human services spending because it has gone up 72 percent over the past decade while the overall state budget has only increase by about 40 percent.

While that’s true, much of that increase to health and human services comes in the form of federal dollars.

Consider food stamps, for example. Yes, the state distributes some $298 million worth of food stamps, but 99 percent of those dollars comes from the federal government, Katz said.

Given that food stamp spending has gone up some 368.5 percent over the past ten years, according to her presentation, it accounts for a significant increase in the health and human services spending in Rhode Island, but almost all of it comes from the federal government, rather than directly from Rhode Island taxes.

Of course, the vast majority of the increases to health service spending has been in providing medical benefits. But this increase has mirrored the increases in the private sector, Katz said. Citing a Kaiser study, she said family medical coverage has increased 11 percent over the past ten years.

“The same factors that are driving up costs in the private sector are driving up costs in the public sector as well,” she said.

These increased costs should be something that Rhode Island is willing to absorb.

“Certainly everybody should have access to high quality affordable health care,” she said.

‘Utter Chaos’ on Compassion Centers Less Chaotic Than It Appears


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Gov. Lincoln Chafee

Rolling Stone recently published a story about President Barack Obama’s policy about face on medical cannabis which has inaugurated Bush-style crackdowns and raids. In it, Rhode Island’s own Governor Chafee is quoted as calling the results of the shift “utter chaos.”  Ted Nesi published a quick overview of the issue on his blog, Nesi’s Notes along with many links on the issue. Mr. Chafee has signed a joint petition along with fellow governor Christine Gregoire of Washington asking the DEA to reclassify cannabis as a Schedule II drug; one that has a legitimate medical use. That petition was delivered in November, and though it meets federal requirements, no one expects the Federal Government to get around to changing the rules any time soon.

It’s surprising to see the Governor coming out so forcefully against federal policy in the pages of Rolling Stone, since here in Rhode Island he’s faced local opposition after blocking the dispensaries/compassion centers from going ahead. Christine Hunsinger, the Governor’s press secretary said that the Governor was pursuing the “dual paths” of pushing for federal reclassification while also looking to tweak state law as to prevent incurring federal wrath. There’s some fear on the part of the State that larger amounts of cannabis and money could trigger a raid, one that would potentially involve state employees. An April 2011 letter from United States Attorney Peter Neronha to the Governor never specifically mentions state employees, but does say that “others who knowingly facilitate [dispensaries]… should also know that their conduct violates federal law.”

JoAnne Leppanen, the executive director of the Rhode Island Patient Advocacy Coalition (RIPAC), doesn’t think that fear is legitimate. Though a letter similar to Mr. Neronha’s was delivered to Governor Gregoire in Washington which did threaten state employees with felony charges, Ms. Leppanen says this may have something to do with the nuances of Washington law. Ms. Leppanen says an attempt by the Governor of Arizona to not follow that state’s law regarding medical cannabis on the grounds of protecting state employees was tossed out by federal courts, and state courts forced compliance.

Regardless, Ms. Leppanen says RIPAC has no immediate plans to sue the state. Indeed, she says the patients, many of whom have turned to cannabis as a remedy of last resort, have no desire to “be at odds” with Governor Chafee. She says that RIPAC supports the tweaks, and believes that the law’s driving force, state Senator Rhoda Perry (D – Providence) is receptive to making changes intended to keep the federal government away from any particular compassion center. Ms. Hunsinger says that the Governor understands the importance the dispensaries. Both Ms. Hunsinger and Ms. Leppanen aren’t optimistic that the federal government will reclassify cannabis any time soon.

There seems to be agreement between both sides as how to proceed. As Ms. Leppanen says, “everyone wants to see these open. Let’s just do it.”

“Since Roe”: the decision that made all the difference still needs support

On January 22, 1973 the U.S. Supreme Court handed down its ruling in the landmark Roe v. Wade case. The decision ensured that the right to privacy in the U.S. Constitution permits a woman to choose whether to continue a pregnancy or to have a safe and legal abortion.  This historic ruling recognizes that women and their families, not politicians, should have the right to make their own medical decisions.

Now, 39 years later, Planned Parenthood remains strongly in support of the Roe decision as it survives persistent attack from opponents.  In 2011, elected officials at every level of government and in many states launched an unprecedented assault on women’s health care and the rights secured by Roe. Similarly, 2012 is expected to be a year of contentious battles.   Extreme bills are likely to be introduced as lawmakers use women’s health as a diversion from the real problems facing Americans.

We’ve already seen bills designed to strip Planned Parenthood of public funding for family planning services. In Mississippi, voters defeated a ballot measure in November declaring a fertilized egg a person, language that could result in outlawing birth control, stem cell research, and In Vitro Fertilization, as well as abortion.  Despite this failure, “personhood” legislation will be introduced in other states this year.

Here in Rhode Island, the health reform process nearly ground to a halt last spring over baseless claims that public dollars would pay for abortions within the health care exchange. Congress has clearly stated that federal dollars cannot cover abortion, and Rhode Island has the same longstanding policy with regard to state dollars. Women will benefit enormously from health care reform, and finally will have coverage for preventive care and the birth control methods that nearly all sexually active women use during their reproductive years.  Using abortion politics as a roadblock to health reform is a threat to the health of all Rhode Islanders.

A majority of Americans support and respect the decision each woman must make about her own pregnancy.  On Sunday January 22nd, let’s each mark the 39th anniversary of Roe v Wade by recommitting ourselves to protecting a woman’s right to choose a safe and legal abortion.

Join Planned Parenthood’s online Since Roe campaign to remind Americans of the crucial difference the decision has made in women’s lives. Twitter supporters may use the hashtag #becauseofroe to provide their own reasons, and #roe for general tweets around the anniversary. We encourage friends of Planned Parenthood to join the Trust Women virtual march running from Jan. 20-27th:  grab a sign and participate to show your support for the decision that’s made all the difference!

RI Choice Coalition Recognizes Pro-Choice Leaders and Works to Ensure Health Care Access for all Rhode Islanders


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It was a fitting day for the Rhode Island Choice Coalition to rally support for health care access considering the White House Report that was just released recognizing the state for being the top recipient of federal support totaling $64 Million for establishing a health care exchange.  

The main theme however, was a commemoration for the 39th anniversary of the U.S. Supreme Court decision, Roe vs. Wade.    Senator Josh Miller, Representative Edith Ajello, Representative Teresa Tanzi, Larry Valencia and other supportive legislators and leaders from community organizations recognized the ongoing impact of the Roe v. Wade decision and called for continued protection for access to reproductive health care.

Speakers focused on accessible medical services for Rhode Island citizens as the state health care exchange continues to develop this spring. They praised Governor Chafee for establishing the health care exchange despite strong opposition in the State Senate.

“As we commemorate this anniversary, lawmakers across the country – including right here in Rhode Island – are lining up to attack a woman’s right to access basic reproductive health care,” reminded Judy Tabar, the President and CEO of Planned Parenthood Of Southern New England (PPSNE). “PPSNE is proud to stand here today alongside our coalition partners, in opposition to these attacks,” Tabar continued.

Choice Coalition leaders acknowledged the threat to women’s health services as a national trend. Over 62,000 women in Rhode Island need publicly funded contraceptive services but 16% of Rhode Island women aged 15-44 are uninsured.

Senator Josh Miller (D-3) stated “no legislature should be in the business of micromanaging a woman’s body. Ensuring health care is available to 140,000 impoverished Rhode Islanders is what we need to focus on.” Edith Ajello added she and other lawmakers will “continue to work to broaden, not limit, health care options for men and women.  Ensuring women get access to life saving cancer screenings and are counseled about all their options is too important to ignore in short sighted legislation.”

“With more than a dozen groups represented here today and the thousands of supporters and voters among our ranks, we can influence the state legislature to do the right thing. Rhode Island can do better,” echoed Narragansett Representative Teresa Tanzi (D-34).

“A woman’s right to make her own decisions about her body, about her future, and about her health are in very real danger,” stated First Lady Chafee, in a separate statement. “We must be vigilant in protecting these rights and ensuring that they are guaranteed. All of us who believe in these fundamental rights must continue to support the Choice Coalition and work to make sure that we don’t go back to a time when a woman was unable to make decisions for herself.”

Title X federal funding for preventive and contraceptive services supports health centers in Rhode Island, like Planned Parenthood, and helps women avoid 3,500 unintended pregnancies annually. Title X funding saves Rhode Island taxpayers approximately $13 million per year.

 


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