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Friday, Jun 8 2018

Full Issue

Parsing Policy: Stop Ignoring Impending Funding Shortfalls For Medicare; New Birth Control Rules Defy Majority Of Women's Needs

Editorial pages look at these and other health policies.

Trustees overseeing Social Security and Medicare issued yet more warnings this week about the worsening financial health of the programs. In response, Treasury Secretary Steven T. Mnuchin told Americans not to worry 鈥 the rip-roaring economic growth the Trump administration is whipping up will take care of everything! Except that it won鈥檛, and pretending that the looming funding shortfalls will magically fix themselves is irresponsible and cowardly. (6/8)

One fact is indisputable: Going forward, Medicare and Social Security taxes will not be sufficient 鈥 not even close 鈥 to pay for the benefits Americans have been promised for decades. It鈥檚 time for politicians to act like statesmen and address the looming entitlement catastrophe that they and their predecessors have so blithely created and ignored. (6/7)

The Trump administration's emphasis on natural family planning methods guts the core mission of Title X 鈥 to help women (and men) plan their families by providing the full range of birth control methods.聽Title X funds should not be used to further聽religious or ideological objections to certain types of birth control, but instead should be used to help all women get the effective methods of birth control that they want. (Katherine Strandberg and Kristine Hopkins, 6/7)

The Supreme Court's refusal to hear a challenge of an Arkansas law governing medication abortion had immediate effects. Women en route to appointments to receive the pills used in the procedure were forced to go home with no backup plan. Two clinics offering only medication abortions had to tell women they could no longer provide this service, leaving the state with just one health center that performed surgical abortions. No doubt the law鈥檚 framers were pleased with having accomplished their goal of limiting access to abortion. But, for the sake of the health needs of Arkansas women, their victory ought to be short-lived. (6/6)

Today, in the midst of a revived Poor People鈥檚 Campaign, physicians and medical students are again pressuring the AMA to be more responsive to the needs of the nation鈥檚 uninsured and underinsured. At the AMA鈥檚 House of Our wildly inefficient system is currently dominated by private insurance companies, a health care model spearheaded by the AMA. It produces some of the worst health outcomes in the industrialized world 鈥 the U.S. has the highest infant mortality rate and the highest number of avoidable deaths 鈥 and devours an ever-increasing share of our economy, with health spending accounting for a whopping 17.9 percent of our gross domestic product. (Jonathan Michels, Robertha Barnes and Sydney Russell Leed, 6/8)

During a recent gubernatorial debate, Democratic candidates all said they supported repealing the privatization of Iowa鈥檚 Medicaid program. They also advocated exercising caution in bringing it back under state control. One called it a 鈥減rocess鈥 that should involve lawmakers. Another suggested it could take as long as three years.鈥淚鈥檓 not going to do what the Republican governors have done聽and do something behind closed doors and do it instantaneously and without a plan," said candidate Ross Wilburn. While such聽prudence seems reasonable, overthinking a transition back to state-controlled Medicaid could cause unnecessary delays. It will not take years unless a new governor hems and haws. Iowa already has a clear 鈥減lan鈥 to provide health insurance to 600,000 low-income and disabled Iowans. (6/7)

Aside from the obvious moral implications of adopting an approach certain to significantly reduce the number of insured Kentuckians, Gov.聽Matt Bevin鈥檚 work requirements for Medicaid recipients will produce a new bureaucracy that is costly, intrusive and doomed to fail. (Adam Edelen, 6/7)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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