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Health

Why Faith Leaders Are Teaching Their Communities About Obamacare

(Credit: Flickr)

Faith leaders were an important group pushing red state leaders to accept Obamacare’s Medicaid expansion. And with open enrollment for Medicaid and the law’s insurance marketplaces inching closer, they’ll be crucial to making sure that Americans know how, where, and when to sign up.

To that end, Maryland officials are currently holding a summit with over 150 faith leaders in which they explain the nuances of the law — and urge religious leaders to distribute that information by educating their congregants and communities. Faith leaders are enthusiastic about the plan, since their day-to-day dealings with their communities gives them a unique perspective on Americans’ needs and struggles:

The Rev. Janet Craswell, of the Salem United Methodist Church in Brookeville, described the summit as very helpful. Although her church is in a small Maryland community, Craswell said she has been hearing from a wide variety of people who will be impacted by the overhaul, including families with unemployed and uninsured young adults, people with disabilities and small business owners who are confused and concerned about how the law will impact their businesses.

“We see people every day,” Craswell said. “I mean, we are dealing with people week to week, and we’re also dealing with people at the point of crisis where they’re in hospitals and in hospice and they’re having to deal with major life issues.

In fact, coordinating Obamacare enrollment efforts with faith leaders could be great news for another population that has largely been ignored in all the hubbub and politics of the expansion: Americans who already qualify for the program, but have never enrolled. In a 2006 report, the Commonwealth Fund estimated that 62 percent of Medicaid or CHIP-eligible children were not enrolled in either program, and 66 percent of Medicaid-eligible low-income parents were not enrolled.

Much of that discrepancy has to do with underwhelming state outreach efforts stemming from a lack of adequate funding, as well as the reality that many Medicaid-eligible populations simply don’t know they have the resource available to them. “Even in states that have more of a commitment to bringing new populations in, they don’t have the budget to do outreach and take out ads,” said Melinda Dutton, a partner at a health consulting firm assisting states with Obamacare implementation, in an interview with American Medical News.

But with the renewed national push for Medicaid enrollment ramping up this year, some health advocates hope that these previously unenrolled Americans will get swept up in the effort and “come out of the woodwork.” That’s where faith leaders are crucial to the undertaking, since they have greater access to the rural or isolated communities that Medicaid may have overlooked.

For example, the homeless — or those on the cusp of entering transitional housing programs — often do not enroll in Medicaid due to barriers such as a lack of proper identification or a Social Security card. These populations also tend to distrust government institutions — but faith leaders and community organizations could help walk them through the process in a way that the government can’t, helping secure their medical stability. And with over 25 million Americans expected to gain coverage under Obamacare in the coming decade, state, federal, and public health officials will need all the help that they can get.

Health

Government Threatens To Strip Funding For Nevada Mental Hospital That Dumped The Homeless Onto Buses

(Credit: RT.com)

Federal officials have a clear message for Nevada’s Rawson-Neal mental health facility: Stop mistreating patients, or see your federal Medicare dollars disappear. In a curt letter distributed by the Center for Medicare and Medicaid Services (CMS), the federal agency that oversees major entitlement spending warned the hospital — which has been accused of unceremoniously dumping its homeless patients onto buses — that “If we do not receive an acceptable, timely submission, or if a resurvey finds that the hospital is not complying with any [conditions of participation], we will notify you that we are initiating action to terminate the facility’s Medicare provider agreement.”

The beleaguered hospital gained national attention after reports surfaced that it had systematically been dumping homeless patients with serious mental illnesses onto buses to other states. Doctors allegedly told the patients this was necessary due to a dearth of funding for housing and mental health services in the state, suggesting that they would be better off elsewhere. Rawson-Neal allegedly bused at least 100 patients to California in just one year, despite the fact that Golden State is only marginally better at funding mental health care than Nevada is.

Primary reports focused on a schizophrenic patient named James Flavy Coy Brown, who was discharged and placed onto a Greyhound to California with nothing but light snacks and three days’ medication. A follow-up investigation by the San Francisco Bee found that the behavior was nothing new, leading state and federal officials to slam the alleged patient mistreatment:

The Bee followed with an investigative report that said Rawson-Neal had purchased one-way bus tickets for 1,500 discharged patients over five years, some of whom had been sent to locations where they had no contacts.

The revelations prompted the city attorneys of Los Angeles and San Francisco to announce probes into the matter earlier this week. Rawson-Neal patients were bused to both cities, according to the Bee’s findings.

Nevada Gov. Brian Sandoval said in a statement that his office had launched three separate investigations and that disciplinary actions had been taken. The governor’s office determined that policies were not followed in at least one instance. The new policy, he said, provides “additional oversight” to ensure the hospital follows proper discharge procedures.

“I take the concerns regarding Rawson-Neal Psychiatric Hospital very seriously and it is not the policy of the state of Nevada to engage in ‘patient dumping,’” he said in a statement.

State officials have also claimed that the problem is limited to Rawson-Neal, and not reflected through other state-operated facilities.

Now that Rawson-Neal’s Medicare dollars are in jeopardy, doctors and hospital administrators might be more eager to take action. But if the facility buckles under the weight of losing its federal funding — in addition to Nevada’s steep cuts to mental health services through its Medicaid program — then other public facilities in the state would be forced to absorb its patient load. Considering the multiple barriers to providing the homeless with mental health treatment, that could end up being a tall order.

Alyssa

‘Veronica Mars’ Television Club: Neptune Family Values

This post discusses the fifth and six episodes of the first season of Veronica Mars.*

Since I started this project, people have been telling me how terrific Veronica Mars is as a depiction of a relationship between parents and children. As someone who followed in my father’s footsteps in a general way professionally, I’ve enjoyed watching Keith and Veronica banter about, but what finally made that section of the show work for me was a scenario where Keith had to be more of a parent to Veronica than a partner, and where Veronica was hurt enough to act more like the teenager that she is than an adult in cargo pants and pigtails. What made this pair of episodes particularly powerful is the examples of bad parenting the tension between Keith and Veronica are juxtaposed against, both of which stem out of the kind of privilege that marks Neptune. Wealth may buy nice cars and gated mansions. But it doesn’t seem particularly capable of purchasing values or emotional connection.

Veronica and Keith run into trouble when both of them overestimate her maturity. Veronica, after hearing Rebecca James, her guidance counselor, leave a voicemail for Keith that makes it clear that the two of them are dating, tries to convince herself that she’s cool with what’s happening. “Next time, could you shoot for an actual teacher, because this has no impact on my grade-point average,” Veronica jokes with her dad. But her feelings about her mother, and the possibility of her mother’s return, remain entirely unresolved. Veronica’s still mailing burners to her mother’s friends, trying to figure out why she was drinking so heavily and acting so terrified. And because her father has treated her more like a partner than a parent, Veronica acts on her conflict in a way that reflects her confusion about their respective roles—by investigating Rebecca.

What made the confrontation between Veronica and Keith so painful was that it was a necessary readjustment for them after eight months of seemingly refusing to adapt to a new normal. “This is what we do,” Veronica told him when Keith reacted with fury to the news of her investigation. “This is how we survive. I was trying to protect you…You have let her into our life like it’s no big deal.” Acting like a private eye has made Veronica feel like she has the tools to handle her mother’s disappearance, and ideas like the burner phones certainly come from spending so much time with Keith. But sorting logistics isn’t the same way as resolving your feelings. And in this case, they’ve made Veronica’s confusion worse because of the contradiction between how hard Keith looks for other people, and how little he’s done to drag Veronica’s mother home for her. “You can find anybody. If she was a criminal, you’d make a couple of grand tracking her down, and you’d find her in a week,” Veronica sobs to her father in Kristen Bell’s most convincing bit of teenaged acting on the show.
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Economy

Washington D.C. Turning Youth Away From Homeless Shelters Despite $400 Million Budget Surplus

Homeless youth in Washington D.C. are being turned away in droves from shelters after the city slashed its budget for homeless children’s services.

In its latest budget, the city enjoys a $417 million budget surplus, yet they cut funding for youth homeless shelters by $700,000 and overall homeless services by $7 million. Mayor Vincent Gray has announced he will keep the surplus in the city’s savings account, which will now total $1.5 billion.

D.C.’s budget cuts are having a disastrous impact on the city’s homeless. As the Washington Post details, many youth are being turned away from shelters who no longer have the budget to accomodate them.

Counselors at one of the city’s largest shelters for homeless youths have had to turn away more than 80 unaccompanied children — some as young as 12 or 13 — who came to them for help in the past six weeks after the city cut more than $700,000 from the shelter’s budget. [...]

For workers on the ground, the effect of lost — or redirected — money has been clear and immediate. One counselor at Sasha Bruce House recalled trying to counsel a sobbing teen seeking a place to sleep after her mother lost the family apartment, and being able to do little to help.

“To not be able to help somebody and know there is not any other option for them — it’s heartbreaking, it’s awful,” said Gina Bulett, the primary counselor. The program now just has five emergency beds, down from 16 last year, but houses dozens more in apartments.

The city’s cuts to homeless services come at a particular inopportune time as the number of people living on the streets continues to increase. A survey last year found 6,954 homeless people in our nation’s capital, a 6 percent increase from the year prior. It’s no surprise then, with increased demand and less funding for shelter beds, that the end result is scores of homeless individuals being turned away from shelters. One notable exception was two months ago when D.C. kept its shelters open throughout inauguration weekend, perhaps in an attempt to hide its homeless population from hundreds of thousands of revelers in town.

Charles M., a soft-spoken middle-aged man living in Washington D.C., was troubled by the budget cuts. “The daily struggle to get rest supersedes schooling, work, and even most health concerns,” he told ThinkProgress. Charles would know. When he was a young man, he founded a homeless shelter in Rhode Island. Now, decades later, Charles, who fell on hard times during the recent financial crisis, finds himself presently homeless. “Without a safe place to sleep,” he notes, “most other needs cannot be addressed, either by service providers or by the homeless person themselves.”

When money’s tight, services for homeless people are often the first items axed from a city’s budget. So what’s D.C.’s excuse now that times are good?

LGBT

Why The Sequester Is (Still) A Bad Idea For LGBT Americans

If Americans thought the “fiscal showdown” was over, they should think again. Tomorrow, a series of automatic across-the-board spending cuts—a process known as “sequestration”—is set to begin. This series of cuts calls for a devastating $85 billion reduction in spending on federal programs by the end of the year.

These broad spending cuts were originally intended to force both parties to agree on an alternative deficit-reduction plan out of a mutual desire to avoid swallowing such a painful pill. Now at the eleventh hour, it seems increasing unlikely that Congress will reach a deficit reduction compromise.

Millions of hardworking Americans, however, once again find themselves at the precipice of a fiscal showdown that, if left unresolved, will impose real and significant financial harm on them and their families. Among those Americans who will be hit hardest by sequestration are LGBT Americans.

As the Center for American Progress and the National Gay and Lesbian Task Force outlined last November in the midst of the last fiscal showdown, sequestration would cut federal programs that are vital to the health, wellness, and livelihood of LGBT Americans and their families.

The sequester was a bad idea then. And it’s a bad idea now. Here are six ways sequestration would impose real and significant harm on LGBT Americans:

  • Sequestration will hurt LGBT workers. LGBT Americans face extraordinarily high rates of discrimination in the workplace and it is still perfectly legal in a majority of states and under federal law to be fired for being LGBT. Sequestration would exacerbate this situation by, for example, reducing the Equal Employment Opportunity Commission’s ability to investigate claims of discrimination against LGBT workers.
  • Sequestration will compromise LGBT health and safety. Sequestration will cut funding to a number of federal programs—like programs suicide and bullying prevention—that are in place to support the physical and mental health of LGBT Americans, a population that disproportionately lack access to health insurance and culturally competent health care services, and suffers from a host of health disparities.
  • Sequestration will exacerbate homelessness among LGBT youth. Already facing higher rates of homelessness compared to the general population—LGBT youth comprise 5 percent to 7 percent of all youth and 40 percent of all homeless youth—sequestration will exacerbate LGBT youth homelessness by reducing grant funds to community organizations working to addressing the issue and homelessness shelters that house the LGBT homeless.
  • Sequestration will make higher education less accessible for LGBT students. Furthering inequality gaps in accessing higher education, sequestration will result in significant cuts to federal work-study programs for LGBT students and a reduction in supplemental educational opportunity grants for low-income LGBT students.
  • Sequestration will limit the ability to prevent violence against LGBT people. Sequestration will reduce the funding that supports the government’s ability to tackle the disproportionate levels of abuse, harassment, and violent crime suffered by LGBT Americans. It will also limit resources available to investigate, prosecute, and prevent hate crimes.
  • Sequestration will limit U.S. capacity to protect the human rights of LGBT people worldwide. The Department of State has become the world leader in promoting a comprehensive human-rights agenda aimed at protecting all human rights of LGBT people. Sequestration will deal a blow to worldwide LGBT equality by cutting funds to federal agencies and thereby limiting public diplomacy efforts conducted by U.S. embassies

Our guest bloggers are Chris Frost, intern, and Crosby Burns, Research Associate, with the LGBT Research and Communications Project at the Center for American Progress.

Economy

Is Washington DC Trying To Hide Its Homeless Population During Inauguration?

This weekend, as many as 800,000 people will show up in downtown Washington D.C. to watch President Obama’s second inauguration. What they won’t see, however, is D.C.’s homeless population.

That’s because on Thursday, the city issued a special order requiring homeless shelters, which normally close during the day, to remain open on Sunday and Monday. As a result, many of the city’s homeless people will be indoors on inauguration weekend, out of public sight.

In and of itself, giving homeless people a refuge during the day is laudable. Doing so solely on the two days when world’s eyes will be on D.C. raises questions about whether the city is simply trying to hide its homeless residents.

On a typical day, shelters open in the afternoon or evening and accept people who need a place to sleep. Everyone must then leave early the following morning. The only times shelters are required to stay open during the day is during a hypothermia alert when the temperature dips below 32 degrees Fahrenheit.

However, as confirmed to ThinkProgress by phone Friday, the city has already made a special declaration because of the inauguration that all shelters shall remain open during the day on Sunday and Monday, regardless of the weather. There is currently a high of 47 degrees on Sunday during the day, though it will be cold with wind chill.

Willis Johnson, a 53-year-old man who has spent time in the DC shelter system after moving here last year, didn’t take kindly to the city’s move, but he understood their motivation. “D.C. wants to look good for visitors,” Johnson told ThinkProgress. “Its an unfortunate means to an end.” He went on to call it a “band-aid measure to a neglected ongoing social challenge.”

Indeed, the District’s homeless population is growing. In 2012, 6,954 homeless people in Washington D.C., a 6 percent increase from the year before.

Another man currently living in a shelter, Charlie, told ThinkProgress he didn’t necessarily take umbrage at the city’s move, saying that perhaps it’s necessary for security. He was looking forward to being able to stay inside over the weekend.

It’s hard to criticize the District for devoting more resources to helping homeless people get shelter this weekend. But the question is are they willing to be as generous when the cameras are off and the city isn’t the center of attention? Last year’s city budget, which cut homeless services by $7 million even as the District enjoyed a $140 million surplus, might be an indication.

Economy

INFOGRAPHIC: We Could End Homelessness With The Money Americans Spend On Christmas Decorations

The latest annual report from the Department of Housing and Urban Development shows that the national homeless population held steady from 2011 to 2012, hardly good news but perhaps better than expected given the relatively weak economic climate.

Progress is being made within the veteran community, with homeless rates falling by 17 percent since 2009, and among the chronically homeless, with 17 percent fewer people living on the streets as in 2007. But in the fight to end homelessness by the year 2020 — the stated mission of the United States Interagency Council on Homelessness in their 2010 plan — progress isn’t happening fast enough:

“[The United States Interagency Council on Homelessness] have set ambitious goals for themselves, but I don’t think those are goals that aren’t doable,” said Nan Roman, the president of the National Alliance to End Homelessness. “But not at the rate that we’re going.”

What is needed, says Mark Johnston, the acting assistant housing secretary for community planning and development, is a ten-fold increase in HUD’s $1.9 billion budget to address the crisis. By any measure $20 billion is a lot of money, but the figure is far less daunting when placed in context:

LGBT

Hurricane Sandy Devastates LGBT Homeless Youth Drop-In Center

The Ali Forney Center in New York City is one of the nation’s largest shelters for homeless LGBT youth, with various health resources and emergency beds to help serve the thousands of young people on the streets, often because their families have rejected them for having a queer identity. It seems that Hurricane Sandy “decimated” the shelter’s drop-in center with four feet of storm surge water, destroying the building’s electricity infrastructure, floors, computers, phones, files, furniture, and essentially everything in the facility. The center’s executive director, Carl Siciliano, offered this message to supporters:

This is a terrible tragedy for the homeless LGBT youth we serve there. This space was dedicated to our most vulnerable kids, the thousands stranded on the streets without shelter, and was a place where they received food, showers, clothing, medical care, HIV testing and treatment, and mental health and substance abuse services. Basically a lifeline for LGBT kids whose lives are in danger. [...]

We have been deluged with kind offers from people who wish to volunteer and donate goods. Unfortunately, we will have to provide our services in the time being in much smaller spaces that won’t accommodate volunteers or allow for much storage space. The best way people can reach out to help in this very challenging time is by making monetary donations. Please go to our website at www.aliforneycenter.org/hurricanesandy

It is heartbreaking to see this space come to such a sad end. For the past seven years it has been a place of refuge to thousands of kids reeling from being thrown away by their parents for being LGBT. For many of these kids coming to our drop-in center provided  their first encounter with a loving and affirming LGBT community. I thank all of you for your care and support in a most difficult time.

Joe.My.God. has the details about how to make a donation, including a new PayPal option to make supporting LGBT homeless youth as convenient as possible.

Alyssa

Justin Timberlake and Jessica Biel’s Friend Confirms Horrible Rich People Stereotypes In Awful Wedding Video

The genius of the schtick of Billionaires for Bush, a media campaign and street theater group that came into being during President George W. Bush’s administration, was that they turned subtext into text. Most people who are possessed of a billion or more dollars would not actually be caught saying something like “For much of the 20th century, democratic notions like ‘opportunity for all’ and ‘public services’ dominated American public policy, seriously threatening the privileges of wealth all Billionaires depend on.” Though to be fair, there are always people like Gina Rinehart, the Australian mining heiress who sallied forth earlier this year to declare: “If you’re jealous of those with more money, don’t just sit there and complain. Do something to make more money yourself — spend less time drinking or smoking and socialising, and more time working.” But those moments when the facade drops, and people with ugly ideas or worldviews say or act on what they actually believe about people less fortunate them, are rare, and revealing.

Such it apparently was at Jessica Biel and Justin Timberlake’s wedding, which apparently featured this video, obtained by Gawker’s John Cook made for them by Justin Huchel, a Los Angeles realtor, in which Huchel asks people who appear to be in such dire economic straights as to be homeless, to pretend to be friends of the couple and to send them congratulations on their wedding, which was held in Italy. There’s no way I can think of to read this video that isn’t horrifying. Is it meant to be mocking the people who appear in it for believing they’re friends with, or have an emotional connection to the famous couple? Is it a riff on the idea that Biel and Timberlake would lower themselves to friendship with people who are poor, intoxicated, or mentally ill? Is it simply that the idea that the juxtaposition of very poor people with the lavish setting of the wedding is uproarious? And this is before we get to the questions of whether the people in the video are actually indigent, and if so, were they paid, and if not, why Huchel thought it was hilarious to pay people to play homeless?

Huchel’s attorney, Michael J. Saltz, sent a takedown notice to Cook, telling him that “Mr. Huchel made a video to be used and exhibited privately at Justin Timberlake’s wedding as a private joke without Mr. Timberlake’s knowledge.” It’s a nice attempt to protect his more famous friend, but it doesn’t actually help all that much. What does it say about Timberlake that Huchel thinks he’s the kind of person who would find this video funny, and not just funny, but funny as part of a celebration of his wedding?

I don’t pretend to know Timberlake, Biel, or Huchel’s hearts. I don’t begrudge them what sounds like it was a pretty fun week-long wedding celebration in Italy (though I have All The Thoughts on Biel’s pink wedding dress). And I have no problem with rich people spending their money on silly things. But unlike a lot of extremely rich people, who can get away with being cheerfully and publicly horrible a la Rinehart, both Timberlake and Biel’s careers depend on people finding them generally endearing, and on audiences developing enough of an attachment to both of them to buy their products. This incident is ugly, but it’s a useful reminder that there’s a gap between the personas both of them sell us, and who they actually are. And that if your subtext would be awfully awkward if it were to turn into text, that maybe it’s time to reevaluate some of your private values.

Justice

Police Awake Homeless Man With Beating At Brooklyn Jewish Youth Center

Two Brooklyn police officers were captured on video Monday beating up a young homeless man at a Jewish youth center, just minutes after waking him from sleep.

The incident began when a volunteer security guard found the man, identified as Ehud Halevi, asleep and apparently intoxicated.

Though the New York Daily News later confirmed that the man had been given permission to sleep, police tried to arrest Halevi. When he fought back a bit, the beating began:

According to CrownHeights.info, police are charging Halevi with trespassing, resisting arrest, harassment, and assaulting a police officer.

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