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Health

High Health Care Costs Force Many To Crowd Source Medical Bills

While politicians clash over the details of health policy and President Obama’s landmark health reform law, social media often serves to cut through the political rhetoric and reveal the human impact of what’s at stake in this debate. When a musician tweeted about her experience going without insurance and received a flood of personal 140-character stories about the struggle to afford health care in response, it became clear that Internet tools can provide a platform for Americans to communicate the way that insurance — or the lack thereof — has changed their lives.

And NPR points out another corner of the Internet that reveals how much underinsured Americans are struggling to pay their health care costs: crowd funding sites like Kickstarter or GoFundMe. Although most Americans associate those sites with raising revenue for creative projects, there has also been an increase in the people who use them to raise money for their health care that they cannot otherwise afford:

One site that’s capitalized on personal-cause crowd funding is GoFundMe. CEO Brad Damphousse says in 2012 alone, the site’s users have raised more than $6 million for medical causes, and Medical, Illness & Healing is the site’s most popular category, attracting 17 percent of the site’s total donations.

In exchange for help with creating a donation Web page and making it easy to share it on social media, GoFundMe takes a 5 percent cut from all money raised. GiveForward and YouCaring are two other sites in the business of medical crowd funding (GiveForward charges a 7 percent fee on money raised), and they also attract millions in donations.

Some GoFundMe campaigns in the medical category range from modest requests for $1,000 to cover gas cards for parents to visit their baby son in the NICU, to ambitious goals to raise $200,000 for a medical trust fund (for one of the survivors of the Aurora theater shootings).

For the Americans who cannot afford insurance at some point in their lives, such as Aurora theater shooting victim Caleb Medley, just one unintended hospital visit can be catastrophic. Medley racked up nearly $2 million in medical bills after he was shot in the eye and slipped into a coma. And even the Americans who have insurance can accumulate charges they struggle to pay off in full, like the medical student who exceeded his insurance cap under his university health plan and turned to Twitter to raise the money for the rest of his bills.

Once Obamacare is fully implemented in 2014, the law will help address some of these cost barriers to care — particularly when it eliminates lifetime limits on health care plans, so Americans with chronic conditions don’t rack up costs that their insurance providers refuse to cover. But the soaring cost of health care still remains an issue for the millions of Americans who are uninsured and underinsured, and must turn to online tools when the rest of their options run out.

Justice

How A Loophole Allowed A Mass Murderer To Obtain His Murder Weapon Without A Background Check

Radcliffe Haughton, the man who reportedly killed three people and wounded four others at a Wisconsin day spa before taking his own life, should not have been able to legally obtain a firearm. Three days before Haughton’s mass killing, his estranged wife obtained a restraining order against him and he was ordered to turn over all of his firearms. Haughton’s wife was one of his victims.

Federal law prohibits possession of firearms by most people who are the subject of a domestic violence restraining order, yet Haughton was able to buy the firearm he used in his mass shooting thanks to a loophole that enables gun sales over the Internet without a background check. Worse, Haughton is far from the only person able to take advantage of this loophole:

In its “Point, Click, Fire” investigation of illegal online gun sales, NYC investigators found that 62 percent of private gun sellers, most of them online, agreed to sell a gun to a customer who admitted he probably couldn’t pass a background check. . . . The report found a number of high-powered rifles, like a Ruger Mini 14 assault rifle, for sale on Armslist.com . . . .

Armslist.com boasted 54,745 active listings as of Thursday. In Wisconsin alone, the site is advertising Rugers, a Bushmaster AR-15 and a Remington 7600 pump 270.

In one case documented by the New York investigation, an undercover investigator asked a seller if he was “one of those licensed guys” and said he couldn’t pass a background check. The seller responded with a laugh and said “no, I just take cash, and there you go!”

Climate Progress

Did Climate Change Help Create ‘Frankenstorm’?

As the East Coast braces for a possible direct hit from Hurricane Sandy, meteorologists are closely watching the storm’s “freak” formation. They’re calling it “unprecedented and bizarre,” a “perfect storm,” and a “frankenstorm” that could cause historic storm surges, last for multiple days, and cause over a billion dollars in damage.

After hitting Jamaica and heading toward the Bahamas, experts say it’s likely that Sandy could swing into the Northeast and hit the coast somewhere between Washington, DC and Boston, impacting people all along the Atlantic seaboard. Projections for Sandy’s path are still uncertain, but models show that the threat is increasing.

A confluence of factors are coming together to make the storm unprecedented. As Sandy moves through the Atlantic, it is expected to combine with an early winter storm from the continental U.S., causing pressure to drop — potentially reaching pressure levels of a category 3 or 4 hurricane with winds over 115 miles per hour.

Brian Norcross of the Weather Channel described the storm this way on his facebook page: “This is a beyond-strange situation. It’s unprecedented and bizarre.

Another factor under consideration is climate change. Like a baseball player on steroids, our climate system is breaking records at an unnatural pace. And like a baseball player on steroids, it’s the wrong question to ask whether a given home run is “caused” by steroids.

As Kevin Trenberth, former head of the Climate Analysis Section at the U.S. National Center for Atmospheric Research, has writtenall superstorms “are affected by climate change”:

The air is on average warmer and moister than it was prior to about 1970 and in turn has likely led to a 5–10 % effect on precipitation and storms that is greatly amplified in extremes. The warm moist air is readily advected onto land and caught up in weather systems as part of the hydrological cycle, where it contributes to more intense precipitation events that are widely observed to be occurring.

Read more

LGBT

Gay Broadway Actor Tells Facebook Romney Supporters To Defriend Him

Actor Max von Essen is currently playing the role of Magaldi in the Broadway revival of Evita, and this week he published openly a letter he wrote to a friend on Facebook who had expressed his support for Mitt Romney. Von Essen is gay, and so he wanted those connected to him to know that by supporting Romney, they are opposing him, his life, and his ability to love a partner and raise a family, so they should just go ahead and remove themselves as a “friend”:

I know there are important issues involved in this campaign. I know people are suffering and the economy has not improved at a rate we all wish it would. Yes, people are suffering but the gay and lesbian community has been suffering for hundreds of years and I am so tired of it. So tired of feeling that I am less than. So tired of knowing I have friends on here who will vote for someone who will keep me a second class citizen for my entire lifetime. I have already spent half a lifetime hiding, half a lifetime conforming. It is exhausting, demeaning and I am worn out. I want to love myself full out.  I want a president who can look me in the eye and say ‘You are equal!’ ‘You are equal to everyone else in this country and I will fight for your rights. The time is now and it is long overdue.’ Romney and Ryan could not look me in the eye and say that and I feel sorry for every gay and questioning child who might have to listen to a president who believes that he/she is not equal. Children will take their lives. It is the WORST form of trickle down bullying and it absolutely splits my heart in half. When the president says you are less than, it gives permission to every authority figure, every politician, every teacher, every bully on the playground to push you around and bully you and treat you less than. It is dangerous and lives will be lost.

If this is not important to you, please remove me from your friends list. I need people in my life who love me and consider me 100% equal.

Read Max’s full response on his Tumblr. (HT: Towleroad.)

Economy

‘Anti-Business’ Obama Is Best President For Corporate Profits Since 1900

Since he came into office, Republicans have consistently attacked President Obama for supposedly being anti-business. As ThinkProgress noted last week, the data shows that this charge is nonsense.

In fact, as the financial website Motley Fool noted today, President Obama is far and away the best president for corporate profits since 1900:

Even if corporate profits under Obama are compared to the 2008 peak — in order to erase the effect of the financial crisis — “average annual corporate profit growth under President Obama is 6.8%,” or nearly three times as large as it was under President Reagan. Both Presidents Bush actually oversaw corporate profit declines during their terms. Meanwhile, real GDP growth per capita is far higher under Obama than it was under either Bush administration.

Climate Progress

As ‘Frankenstorm’ Barrels Towards East Coast, Newspaper Coverage Ignores Connection To Climate Change


Media have dubbed the hurricane barreling toward the mid-Atlantic and northeast a “Frankenstorm.” But despite the hysteria surrounding Hurricane Sandy, not one major newspaper has reported the scientifically established link that carbon pollution fuels more extreme weather.

In the last week, Sandy has been mentioned in at least 94 stories in major newspapers. Yet a Nexis search found that zero of these stories mentioned “climate change,” “global warming,” or even “extreme weather.”

For example, a New York Times article reported, “forecasters say, the storm could become, to use a technical term from meteorology, a whopper.” The Washington Post writes “It has the makings of a rare breed of storm, a confluence of things over a densely populated swath of America that may never have seen weather arrive with quite the same force or threaten to linger so long.” Tens of dozens of other Sandy reports don’t include even a passing mention that climate change makes this “whopper” more likely.

While a growing majority of Americans believe climate change is caused by humans, there is still a gulf between public understanding and the scientific consensus (and an even wider gulf on the need for action). There are a few reasons at work. The presidential candidates have been notoriously silent on climate change this election cycle, and left the issue untouched in the debates for the first time since 1988. Coordinated climate denial campaigns from groups like Heartland Institute also seek to undermine the science. However, the journalist habit of “false balance” only serves to elevate climate deniers’ platform.

Scientific studies show that global warming fuels deadlier storms and more flooding. Without action to cut carbon pollution, climate change means these storms are no longer “unprecedented” events.

Update

Politico made the climate connection in an article on Wednesday, “Hurricane Sandy: The next climate wake-up call?”.

Alyssa

Rethinking The NFL’s Pink Breast Cancer Campaign

From the pros to college to high school, football players across the country have donned pink uniform accessories (and sometimes even pink uniforms) to honor Breast Cancer Awareness Month. In the National Football League, players are required to wear pink accessories for the first week of October, and the gloves, towels, and wristbands are optional for the remainder of the month. Most of the gear is then auctioned off to raise money for breast cancer programs.

But in Corbin, Kentucky, a high school football player who wore pink gloves and a pink towel during one game says he was disciplined by his coach and school for doing so:

A Corbin High School football player is upset because he was disciplined for wearing pink gloves on the field and using a pink towel during a recent game.

School officials say pink gloves go against their uniform policy.

“My best friend’s mother died. She had cancer,” said sophomore Austin O’Neill, the starting cornerback for the Corbin Redhounds.

O’Neill didn’t wear pink because he wanted to look cool or show off. He wore it because he wanted to highlight the terrible effect breast cancer had on the life of his best friend’s mother. And because he wore the gloves (and because the school punished him for it), his personal story is getting out in a way it otherwise wouldn’t have. The NFL can learn from that. There are countless stories like O’Neill’s in the NFL too, like that of Larry Fitzgerald, the Arizona Cardinals’ wide receiver who lost his mother to breast cancer and started a foundation to fight it.

But the average fan tuning in on Sunday afternoons won’t hear stories like Fitzgerald or O’Neill’s. Fields are flooded with pink gear, pink ribbons, and even pink penalty flags. But all of that serves as one big dose of ambiguity, since for the average fan, the meaning of “awareness” is unclear. So too, is how much money the campaign generates for awareness, prevention, and research. I watch football every Sunday, but until I dug around the NFL’s pink web site and found quotes from NFL officials in other news stories, I had no idea what specifically the NFL’s campaign was meant to achieve or how it was doing it. To be honest, I’m still not quite sure.

The pink campaigns also seem to paper over what exactly we need to be aware of. The disease itself, after all, is well known. What we need to be aware of is the fact that mammograms are hard to get for uninsured women, that cheap providers like Planned Parenthood are being shut down, that for all the “awareness” we see, there still isn’t a cure and there is still a long way to go in the fight to find one. Seeing pink gloves and pink towels on a football field isn’t enough to make any of that clear.

The NFL deserves credit for highlighting and fighting the disease. But it could afford some clarity in its mission to help the American Cancer Society provide breast cancer screenings in underserved areas (again, a fact that isn’t clear to the average viewer) and its overall fight against the disease. It could afford even more clarity in how much money it donates to research and prevention, and why it doesn’t donate more. The league runs advertisements throughout the year highlighting its charity work with United Way, but while it has public service announcements from players like Fitzgerald on its web site, similar ads about what its breast cancer campaign is doing don’t seem to exist.

Breast cancer “awareness” is important, but it’s also ambiguous. By using players who have been personally affected, who are wearing pink because it means something personal and not just because it’s cool or required, to clarify and publicize its mission, the NFL could go a long way in making the campaign more effective — and more aware — than it already is.

NEWS FLASH

Medicaid Spending Growth Dropped This Year | A new report notes that this year’s Medicaid spending growth slowed to 2 percent, in what health policy analysts are praising as a sign that national Medicaid costs are coming under control as the economy continues to stabilize. In 2011, Medicaid spending rose to 10 percent. The current drop is partially driven by the past three consecutive years of slowing enrollment numbers in the program, as well as state-level efforts to rein in costs. Vernon Smith, one of the authors of the study, noted that this represents the second slowest growth in the history of the Medicaid program. “States are working very hard to improve value and slow the rate of growth of Medicaid,” he said, and the health care reform law will continue to encourage them to do so.

Security

Former Israeli Intelligence Official Says U.S.-Iran Talks Would Be ‘Positive’ For Israel

Amos Yadlin (Photo: Haaretz)

Amos Yadlin, a former high-level Israeli military intelligence official, said in a paper he co-wrote and published yesterday that bilateral negotiations between the United States and Iran would be “a positive development” for Israel. Yadlin’s report comes on the heals of a New York Times report that Iran and the U.S. had agreed to bilateral negotiations on Iran’s nuclear program after the election. The White House and Iran have denied the Times’ report.

Israeli government officials have said they are unaware of any agreement; Michael Oren, Israeli ambassador to the U.S., said “we do not think Iran should be rewarded with direct talks.” But an anonymous “senior Israeli official” told the New York Times that “the Israelis were aware of the effort toward bilateral talks and were open to it.” Another Israeli official, Moshe Ya’alon, told Israeli radio that Israel had “no objections” and knew about the talks in advance.

In the paper, Yadlin and co-author Avner Golov say that negotiations could signify a productive shift in diplomacy with Iran:

“This degree of backpedalling, a complete U-turn from its official policy, is indicative of the effectiveness of the pressure exerted on Iran, and a signal of its capacity to bring about real change in the country’s policy.”

According to Haaretz, Yadlin and Golov say one-on-one talks between Iran and the U.S. would be a welcome alternative to “extreme options that are currently on the table: ‘a[n Iranian] bomb or a [Western or Israeli] bombardment’,” adding, “If the negotiations fail, the argument that all other options have been exhausted will be stronger, and there’s no way to prevent Iran’s nuclearization except a military strike.”

Yadlin, according to Haaretz was from 2006 to 2010: “the national assessor who played a central role in managing the overt and covert campaign against the Iranian uranium enrichment centrifuges in Natanz and Fordow.” In September, Yadlin spoke up for the first time against an early attack on Iran, saying: “They say that time has almost run out, but I say there still is time. The decisive year is not 2012 but 2013. Maybe even early 2014.” Yadlin also added: “I still think we should wait and see whether the heavy sanctions imposed in July 2012 will bring about a change, but up to now the change has not happened.”

Believing that an Iran with a nuclear weapon is a threat, the Obama administration and its European allies have implemented several rounds of crippling sanctions aimed at finding a diplomatic solution. The Congressional Research Service said in an October 15 report that the sanctions could be expected to produce a solution quickly: “Many judge that Iran might soon decide it needs a nuclear compromise to produce an easing of sanctions.” The report also finds that sanctions have resulted in a loss of nearly 1.5 million barrels of oil per day. Oil sales, according to the CRS, “provide about 70% of Iran’s government revenues.” Iran has also watched its currency spiral as a result of sanctions; according to the New York Times, the Iranian rial has “lost 40 percent of its value against the dollar.”

NEWS FLASH

POLL: Minnesota Inequality Amendment Could Lose With Full Majority | Advocates have been optimistic that Minnesota’s proposed constitutional amendment banning same-sex marriage will fall short of the full 50 percent of yes votes required to pass, but a new poll suggests it might lose outright. According to a St. Cloud State University Survey, 51 percent of likely voters plan to vote no, while 44 percent support it. An additional 3 percent said they will not vote on the question, which further hurts its chances of passing, with little help to be expected from the 2 percent who “Don’t know.” (HT: Joe.My.God.)

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