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POLICY: What about a fair shake for home care workers? by Mary Kay Henry, SEIU

SeiuMary Kay Henry is an Executive Vice President of the SEIU, the nation’s largest health care
union where she’s the head of the union’s Health Systems Division. The SEIU has been very active in health care generally, not least in their “alliance” with Wal-Mart and others on national reform. But there are other issues too that they care about. Here’s another issue that concerns her and probably given where we’re going we should all be concerned about them. What about fair share for the poorest care givers—home care aides?

Seventy-three-year-old Evelyn Coke worked for 20 years as a home care attendant for the elderly for sometimes as many as 24 hours a day, four days a week,. She occasionally even slept overnight at her clients’ homes so she could be there for them if they needed her. Unfortunately, because of the “companionship exemption” under the Fair Labor Standards Act, she rarely ever received overtime pay for the extended hours she put in. Today Evelyn stands alone as the sole plaintiff awaiting a Supreme Court decision. How the justices rule on Long Island Care at Home Ltd v. Coke might mean larger paychecks, overtime coverage, and ultimately a reduction in high turnover, which could go a long way to reducing shortages in one of the nation’s fastest growing occupations — home care workers.

As SEIU continues promoting new health care solutions, we must
remember the contributions of health care industry workers — especially
in the midst of a looming “care gap” and an aging elderly population
expected to grow 40% by 2030. This “care gap” is present in nursing
homes, assisted living facilities, and home and community-based care
across the country. As the number of elderly Americans increases
dramatically, the long-term care industry is not keeping pace. We are
barreling toward a crisis, and it is going to take some innovative
thinking and some radically different ways of doing things to avert
what could be a disaster for a generation of Baby Boomers who will all
too soon hit their “golden years.”

Continue reading…

POLICY/POLITICS: The cautious approach

I have another of my occasional pieces up at the Guardian’s Comment is Free site, trying to make sense of American health care for an international audience. I take aim at how the cautious nature of the main Democratic front-runners health care proposals doesn’t match their fiery rhetoric — Comment is free: The cautious approach.

Even though Iraq seems to have sucked all the oxygen out of American
political life at the moment – even Cindy Sheehan has given up and gone
home – healthcare does remain the largest domestic issue.

Several weeks have passed since the Democratic candidates for
president had a debate about healthcare. It’s interesting that despite
an attempt by probable Republican candidate Fred Thompson to take on

documentary filmmaker Michael Moore over the topic, none of the front
runners on the Republican side have made much mention of healthcare at
all. This is doubly curious as one of them, former Massachusetts
Governor Mitt Romney, left office having at least partially helped
make his state the most advanced healthcare reform " laboratory" of
them all. But apparently among the conservatives and evangelicals who
dominate the Republican primaries, the issue of universal healthcare is
not seen as a great vote-getter – a worldview the Republicans might
come to regret. 
Continue. 

THCB Reader mail

In response to our post announcing Health 2.0 San Francisco, Matt Guldin writes:

Regardless of whether or not we go to a single-payer system, move to a
consumer-directed health care world, or stay pretty much status quo,
the administrative and clinical tools & infrastructure that are
being generated as part of "Health 2.0" will be here to stay.

Chad Markson liked the podcast interview with AthenaHealth CEO Jonathan Bush. He had this to say:

"This guy is a rock star – just what are industry needs. What a great
interview – took a while to get going but what a great exchange. I
think Bush nailed the current market dynamics. Will be interesting to
see how things play out."

 NDDB responds to this week’s post on the physician rating site’s
spat
with Revolution Health:

 “Please don’t play this off as a competition squabble. Like
I said, NDDB is not the only site out there, RateMDs and many others are as
well, and I think they all do a great job. I’ve not seen one I had a problem
with. They do what they say they are doing, they don’t make outrageous claims,
and they don’t claim to be "revolutionary," even though some of them
could.”

 Thomas Goetz, the author of the New York Times op-ed on WorldVista, had
a reaction to yesterday’s   "Put this one down in the somewhat bizarre
category"
critiquing his piece on the open source system.  He writes:

“Sounds like you didn’t quite read the piece – the whole
point is that WorldVista has been certified as ready for the market, meaning
it’s available now. Not sure why you think a 2 year old story disproves that…”

To which Matthew responds:

“Yeah but … WorldVista isn’t ready for prime-time for a physician’s office.
There isn’t really a support network to put it in place, and as I mentioned the
office-ready version isn’t — unless it snuck by me somehow.  AND the biggest cost of the ambulatory EMR is
not the software, it’s getting it up and running. Which is harder with these
open source models.

I am with you in spirit (honestly! whatever my other commenters think). I
just think we need to pay and force doctors to use the EMR. Telling them to get
on VistA isn’t going to do it."

In response to the debate set off by Healthcare Partners of Southern California’s recent decision to
publish prices for certain procedures, frequent contributor Dr. Eric Novack writes in to say:

Many physicians have recoiled against the idea of insurance companies
publishing contracted rates for services.  I disagree.  As I believe I stated at THCB previously, once
all rates are truly transparent, a remarkable thing will happen: Doctors no
longer need to be a part of insurance plans. They can just publish their own
rates, eliminate much of their billing staff, and go simply assist patients in
filing claims when the dollars amount is high enough to warrant it.And the
total cost of healthcare would decrease.

Lastly, in response to an earlier post on the Edwards plan,
Ryan writes: “Americans pay more per person for healthcare than socialized
countries. Sadly, many of our increased costs are because the rest of the world
is socialized.”

 

THCB Sponsorships

AND NOW … A word from our wonderful sponsors! Just a reminder that it would be impossible for us to publish THCB without the kind assistance of our advertisers. Putting out regular email updates, organizing podcasts, patrolling the bulletin boards for spam and dealing with the inevitable technical issues that arise when you are running a website (dealing with dodgy web hosts, fighting off legions of evil hackers etc. etc. etc.) all require significant time and effort. Not to mention real money. So we’d like to thank our corporate sponsors for their kind support. Particularly platinum sponsor Silverlink, gold sponsor Orion Health, and silver sponsor CDW-Healthcare. If you’d like to help support the site, take a minute to go visit CDW’s online shop and have a look at their cool selection of hand helds, medical monitors and nifty wireless gadgetry designed for the healthcare marketplace.

TECH/HEALTH2.0: Healthcamp2

I was sick on Saturday plus had had certain domestic issues arise after telling my fiancee that I was planning on abandoning her for work on a Saturday that was, err, unpaid. So I missed HealthCamp2. But it looked pretty interesting.

CONSUMERS: Diabetes Mine: Would You Believe… Doug Burns Going to Trial? WITH UPDATE

#1 healthcare blogger Amy Tenderich is hopping mad about a diabetic arrested for being hypoglycemic, and she’s rallying the Type 1 diabetics to the cause. Go over and read it —  Diabetes Mine: Would You Believe… Doug Burns Going to Trial?. It’s another case of the police being boneheaded and a DA too scared to admit that they’re wrong–presumably in the police associations pocket come reelection time. But to force this to trial? Idiotic.

I have a great friend at college who went hypoglycemic and ended up falling into a river, and nearly drowned — until a medical student figured out what was happening and gave her some coke. I read a book by a Brit called “Metal jam” which showed the experiences of a Type 1 Diabetic going hypo. The rough answer is to figure out what’s up and get them sugar OR insulin (depending on whether they’ve had too much insulin or not enough!) But it’s a very dangerous situation that not enough people know about. Here’s Amy on one nasty time it very nearly happened to her.

And here’s Amy on ways to help Doug. I am very interested to see the power of the social networking in this case. And good luck to Doug.

UPDATE: I guess the Redwood City DA didn’t fancy having Amy sic a few hundred mad diabetics on him, so the charges have been dropped.

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