Hispanics and African Americans are more vulnerable to poor health because they have more families without health insurance than white Americans.Now what in the fuck is this supposed to mean??? Medical home? Sound like some psycho-babble bullshit, doesn't it. Follows the best definition I can find on the Web for the critter: A medical home is not a building, but rather a team approach to providing comprehensive primary health care services in a high-quality and cost-effective manner. And it seems to be the only definition. Still reads like bullshit to me. And notice the emphasis on individuals selecting their own health care, obviously a sop to both free market fundamentalists and the insurance industry.
The Commonwealth Fund reported earlier this summer that among adults ages 18 to 64, nearly half of Hispanics (49 percent) and more than one in four African Americans (28 percent) were uninsured compared to 21 percent of whites and 18 percent Asian Americans. Children are covered under Medicaid and Hawk-I and seniors are covered under Medicare.
As a result of limited health insurance, Hispanics and African Americans also have differential access to a regular doctor or sources of care, with Hispanics particularly at risk. As many as 43 percent of Hispanics and 21 percent of African Americans report they have no regular doctor or source of care, compared with 15 percent of whites and 16 percent of Asian Americans.
This year, the Iowa Legislature created the Health Care Reform Commission to address how we can develop a system that provides coverage to the 271,000 Iowans who don’t have health insurance. Last month, the Commission, which I co-chair with State Representative Ro Foege, made a historic recommendation at its meeting in Mason City. It approved a series of guiding principles as the basis for restructuring of Iowa’s health care system.
Most significant to eliminating the health care disparity between minority and white Iowans is the principle that “everyone should have a medical home(emphasis added).” A medical home is a health care setting that provides patients with timely, well-organized care and enhanced access to providers. It emphasizes preventive care, especially in managing and eliminating chronic diseases and ethnic disparities in medical care. Individuals should be able to select their own health care (again emphasis added).
The report from the Commonwealth Fund (founded in 1918 by Anna Harkness (wife of one of the original Standard Oil investors, Stephen Harkness, ES) indicates that the concept of a “Medical Home” shows promise for promoting equity in health care and addressing racial and ethnic disparities. According to the report, “When adults have a medical home, their access to care and rates of preventive screenings improve substantially… and when minorities have a medical home, racial and ethnic differences in terms of access to medical care DISAPPEAR.”O.K., you may ask, what the Hell's wrong with that? Yeah, it's true what Smiling Jack writes about medical care and private health care insurance ownership rates for African Americans and Hispanics . I don't dispute that fact. And Wayne Ford's my state representative and Ako Abdul-Samad seems like an good guy, from the little I've personally had to deal with him. But why are they swallowing this crap? But let's read on:
This is good news for political leaders, like State Representatives Wayne Ford and Ako Abdul-Samad who have been working with me to promote greater collaborations within the health care system. We believe equity will not come without restructuring our health care system here in Iowa and nationally. And that is where we are heading with our Iowa Health Care Reform Commission.
In the months ahead, we will hold three public hearings chaired by former Governors Vilsack and Branstad. For those of you in the Des Moines area who may want to participate, there will be hearing at Simpson College in Indianola on Sept, 26 at 6 p.m. The Commission will also hold meetings in Iowa City, Sioux City, Dubuque and Des Moines in the coming months.Tom Vilsuck and Terry Brainsdead!!! Holy shit! There's a pair of jokers to draw to. Branstad's on the board of Iowa Health System-- an ostensibly "nonprofit" chain of hospitals and clinics whose CEO pulls down $1.3 million a year!--and president of Des Moines University the second oldest osteopathic college in the country. Talk about the foxes watching the chickens!
As co-chair of this commission, eliminating the disparity between minority and white Iowans is one of my top priorities. Time will tell if our political and business leaders are truly committed to the health care of ALL Iowans (weasel words, ES), but I have faith in this Commission and in my colleagues that we will not debate health care reform without addressing this issue.Smiling Jack's emphasis on minorities is a surefire method to ensure backlash. I mean this isn't going to set well with the white rednecks who are getting raped by high monthly premiums and co-pays in what passes for health insurance from their employers. I don't think Smiling Jack is this stupid. He so wants to look like he's doing something but...when those evil Republicans in the Iowa Senate shoot this initiative down...well it ain't gonna Smiling Jack's fault.