ThinkProgress Logo

Health

Study: Tax Incentives For Living Organ Donors Don’t Increase Donations

People who donate a kidney, part of their liver, or bone marrow for transplant surgeries can receive tax breaks in 17 states; however, a new study finds that incentives did not increase the number of organ donations. That does not mean states should end the tax breaks, the report’s researchers said. Instead, states should focus on improving them, said Dr. Atheendar Venkataramani, a Massachusetts General Hospital resident who led the study. Increasing the amounts could be one change, according to NPR:

Typically states offer a deduction of up to $10,000 from taxable income. For a typical family that translates to less than $1,000 in reduced taxes. But the financial burden for a living kidney donor can range from $907 to $3,089, according to one study.

The tax incentives are intended to defray the organ donor’s cost in medical care, travel and lost wages. By federal statute, it’s illegal to pay someone for the organ itself.

Authors of the new study suggest increasing the value of the tax deductions or converting them into a tax credit, which would lower the donor’s tax bill on a dollar-for-dollar basis. So far only Iowa offers donors a tax credit.

There’s also reason to think that few people in states with tax credits know about them. Study authors found that even organ donation advocate groups were unaware. So were people being evaluated as living donors, including even the most educated and informed prospective donors.

“These tax incentives cost the states very little, so there is no real reason to do away with them,” Venkataramani said.

With more than 100,000 people on waiting lists, officials consider how to increase the number of donations from living donors. At the same time, rising obesity rates could lead to fewer organ donations. More than 60 percent of Americans support the idea of compensating donors with credits for health care needs, but this new report shows that tax breaks will not immediately lead to more organ transplants.

Doctors, Patients Rally In Support Of Obamacare In Tampa On The Last Day Of The RNC

Tampa, Florida — As Republicans gathered for the final day of their national convention here in Tampa, a small but vocal group of doctors, medical students and patients marched in the heat to deliver thousands of petitions in support of the Affordable Care Act.

One of the marchers, Kenya Wheeler, was a grad student last year when he was diagnosed with CNS lymphoma, a form of blood cancer in his brain. Despite being covered through his university’s insurance plan, Wheeler quickly hit the lifetime cap on his coverage. On Thursday, he marched as a representative for thousands of other patients who stand to benefit when the lifetime cap provision of Obamacare goes into effect in 2014.

Another marcher, Dr. Donald Nguyen, is a pediatric urologist in Dayton, Ohio. For much of the march, he helped carry a banner reading “Patients Over Politics”, a mantra shouted out by the participants and plastered on signs, stickers, brochures and disposable paper fans handed out to combat the withering heat.

“I am sincerely sick and tired of the political fighting over patients’ health,” he said. “The Affordable Care Act passed in Congress. It was upheld by the Supreme Court. Now it’s time to focus on making sure patients receive proper care.”

Check out some photos from the rally:

Dr. Robert Luedecke, an anesthesiologist from San Antonio, Texas, spoke at the end of the parade. His 23-year-old son is not eligible for insurance at his current job, but thanks to provisions in Obamacare, he will be able to remain on his father’s plan for three more years.

Luedecke himself stands to benefit from Obamacare, too. A pre-existing condition (a problem with his neck) makes obtaining health insurance incredibly difficult for him. Even though he’s a doctor, he’s had to enroll in his wife’s plan.

“Do you really want to take these benefits away?” he asked. “It’s detestable.”

Justice

GOP Platform Declares Medicaid Unconstitutional

Almost immediately after President Obama took office, many Republican politicians seized upon a distorted vision of the Constitution’s Tenth Amendment that would leave America nearly incapable of governing itself. Indeed, top Republicans — including U.S. Senators, governors and members of Congress — have claimed that everything from Social Security to Medicare to federal disaster relief to national child labor laws all violate the Constitution. A similarly erroneous vision of the Constitution has now infected the GOP’s party platform:

We support the review and examination of all federal agencies to eliminate wasteful spending, operational inefficiencies, or abuse of power to determine whether they are performing functions that are better performed by the States. These functions, as appropriate, should be returned to the States in accordance with the Tenth Amendment of the United States Constitution. We affirm that all legislation, rules, and regulations must conform and public servants must adhere to the U.S. Constitution, as originally intended by the Framers. . . . Scores of entrenched federal programs violate the constitutional mandates of federalism by taking money from the States, laundering it through various federal agencies, only to return to the States shrunken grants with mandates attached. We propose wherever feasible to leave resources where they originate: in the homes and neighborhoods of the taxpayers.

The GOP platform closely echoes a brief filed by GOP mega attorney Paul Clement on behalf of several Republican elected officials challenging the Affordable Care Act in the Supreme Court. According to Clement, because federal revenues are “composed of tax dollars collected from the States’ own residents,” it somehow follows that state governments have a claim on federal revenue. The GOP platform suggests that this claim is so strong that any federal program which grants money to the states is unconstitutional if it also requires the states to comply with certain rules in order to receive that money.

There are many federal programs which fit this description, but the biggest one is Medicaid. Medicaid offers funding to the states to provide health services to the poor. States are free to take this money or to leave it, but they must agree to follow certain rules before they can take the money. In other words, Medicaid is exactly the same kind of grant “with mandates attached” that the GOP finds constitutionally objectionable.

Medicaid also covers more than 62 million Americans, all of whom would lose their health coverage if the GOP’s apparent vision of the Constitution were to prevail.

NEWS FLASH

Majority Of U.S. Schools Unprepared For Pandemic | Less than half of U.S. schools have plans in place to prevent or address a widespread pandemic, according to a study published in the new issue of the American Journal of Infection Control. Just 40 percent of schools have updated their plans since the widespread outbreak of H1N1, or swine flu, in 2009. Despite the fact that the H1N1 pandemic disproportionately affected school-age children, the lead author of the study explained that “findings from this study suggest that most schools are even less prepared for an infectious disease disaster, such as a pandemic, compared to a natural disaster or other type of event.” Over the past few months, the country has seen an uptick in the spread of whooping cough, but state budget cuts have hampered public officials’ response to outbreaks.

Politics

9 Important Omissions From Romney’s Convention Speech

Mitt Romney’s acceptance speech at the Republican Convention was long on biography but short on policy. The former Massachusetts governor reminded the national audience about his family’s background and business career, reiterated his critique of President Obama, and promised a better future.

But for a candidate who chose Paul Ryan as his running mate to signal a willingness to take on big challenges, Romney spent precious few — if any — words discussing some of the country’s most pressing problems and even less time explaining how a Romney/Ryan administration would solve them:

– 0 mentions of Financial Reform: Even as millions of Americans struggle with the effects of the Great Recession caused by Wall Street malfeasance and scores of others continue to deal with the fallout of the foreclosure fraud scandal, Romney has said that he will repeal the 2010 Dodd-Frank financial reform law, but has yet to detail what, if anything, he would put in its place.

— 0 mentions of Climate Change: “President Obama promised to begin to slow the rise of the oceans and heal the planet,” Romney said to loud laughter. It’s too bad that he and most of the GOP delegates don’t believe in the very real threat of global warming.

– 0 mentions of Immigration: “We are a nation of immigrants,” Romney said, without explaining how he would help the 12 million undocumented immigrants in the United States. Romney has not said if he would rescind Obama’s temporary directive permitting young undocumented immigrants to work in the country, though his advisers have suggested that he would.

– 0 mentions of Romneycare: The convention speakers didn’t tackle Romney’s greatest accomplishment as governor, the enactment of universal health care coverage in Massachusetts. Romney promised to repeal Obamacare, but did not say what he would replace it with.

– 0 mentions of Afghanistan or Syria: Romney did not mention how he planned to address the nation’s largest ongoing wars or one of the most important ongoing humanitarian crises on Earth. This may be because the Romney campaign has been unable to meaningfully distinguish its policies from those of the Obama administration on either of these crucial issues.

– 0 mentions of Social Security: Romney’s running mate, Paul Ryan, has proposed Social Security privatization schemes that would have cost retirees dearly if they had been in place during the financial crisis.

– 0 mentions of Veterans: Unfortunately, this isn’t the first time Romney has ignored veterans issues. After he spoke to the Veterans of Foreign Wars last month, veteran advocates said they were “still waiting for Romney to spell out how he would do better than his opponent.” “We haven’t … heard any specific plans yet from Governor Romney or his campaign,” said Bob Wallace, executive director at the Washington office of the Veterans of Foreign Wars, echoing the sentiment of many advocates.”

– 1 mention of Medicare: Romney criticized Obama for cutting $716 billion from Medicare — reductions that are also included in Paul Ryan’s budget. But he did not explain his own controversial reforms or mention that the “premium support” plan would force seniors to spend significantly more for health care.

– 1 mention of Housing: Romney did say, “when the realtor told you that to sell your house you’d have to take a big loss” — but that’s all. The Federal Reserve bank of New York anticipates that millions of Americans will face foreclosure this year and next, but Romney has yet to release a housing plan, beyond telling homeowners in foreclosure-battered Las Vegas “don’t try and stop the foreclosure process,” just “let it run its course and hit the bottom.”

Louisiana Nursing Homes Recovering From Hurricane Isaac’s Damage

Residents were evacuated from Riverbend Nursing Center as Isaac intensified on Wednesday

Hurricane Isaac tore through Louisiana this week, flooding sections of the state and leaving hundreds of thousands of residents without power. Isaac came right on the anniversary of Hurricane Katrina, the storm that devastated New Orleans seven years ago, but fortunately did not impact the region with the same magnitude. As the Times-Picayune points out, though, Louisiana’s health care system is still struggling to recover from the damage wreaked by this week’s storm:

Overall, 21.5 percent of the state’s nursing homes were operating on generator power after losing electrical service, state officials said. Across the state on Thursday, at least 59 nursing homes housing 6,366 residents, along with 36 hospitals, were operating on generator power.Officials were planning to evacuate six more nursing homes across the state that were endangered by floodwaters. [...]

Another concern for health officials was what to do about residents who rely on home medical equipment, many of whom did not evacuate the city and lost power during the storm. A medical special needs shelter was set up in New Orleans on Thursday to provide electricity and support with the help of federal disaster medical teams.

City officials worked well into the night Wednesday for a third night to help bring back a range of healthcare assets that, [New Orleans' health commissioner] said, “often get forgotten.” Those included dialysis units, psychiatric hospitals, and substance abuse and mental health living programs.

The city’s emergency rooms saw an influx of patients over the past few days, and medical professionals had to pool their resources to cope with evacuations, blackouts, and compromised facilities. One hospital CEO noted that the public health sector in Louisiana is able to be resourceful partly because they are already accustomed to dealing with shortages and budget cuts.

While Isaac was hitting the Gulf Coast, Republicans were gathering at their national convention in Tampa, focusing most of their time on decrying government assistance’s role in bolstering the success of American individuals and programs. However, Louisiana Gov. Bobby Jindal (R) adopted somewhat of a different attitude after contending with the hurricane’s effect on his state — he reached out to President Obama for more federal aid to provide emergency disaster relief services for his constituents. His party has endorsed a budget that would slash these very funds.

Switch to Mobile
ThinkProgress Signup Overlay Skip and Continue to ThinkProgress Skip and Continue to ThinkProgress

Sign Up