About 'national healthcare'|Guest Post: National Healthcare Decisions Day

About 'national healthcare'|Guest Post: National Healthcare Decisions Day

Ｏｎｅ               ｏｆ               Ｂａｒａｃｋ               Ｏｂａｍａ'ｓ               ｍａｊｏｒ               ｐｌａｎｓ               ａｆｔｅｒ               ｈｅ               ｔａｋｅｓ               ｏｆｆｉｃｅ               ａｆｔｅｒ               ｈｉｓ               ｉｎａｕｇｕｒａｔｉｏｎ               ｏｎ               Ｊａｎｕａｒｙ               20,               2009               ｉｓ               ｔｏ               ｏｖｅｒｈａｕｌ               ｔｈｅ               ｎａｔｉｏｎ'ｓ               ｈｅａｌｔｈｃａｒｅ               ｓｙｓｔｅｍｓ. Ｈｅ               ｉｓ               ａｂｏｕｔ               ｔｏ               ｉｎｈｅｒｉｔ               ｗｈａｔ               Ｈｅａｌｔｈ               ａｎｄ               Ｈｏｓｐｉｔａｌｓ               Ｓｅｃｒｅｔａｒｙ               Ａｌａｎ               Ｌｅｖｉｎｅ               ｃａｌｌｓ               ｔｈｅ               "Ｆｏｕｒ               Ｈｏｒｓｅｍｅｎｔ               ｏｆ               ｔｈｅ               Ｈｅａｌｔｈ               Ｃａｒｅ               Ａｐｏｃａｌｙｐｓｅ."               Ｅａｃｈ               Ｓｔａｔｅ               ｈａｓ               ｉｔｓ               ｕｎｉｑｕｅ               ｈｅａｌｔｈ               ｃａｒｅ               ｍｏｄｅｌ;               ｓｏｍｅ               ｈａｖｅ               ｈａｄ               ｆｕｎｃｔｉｏｎａｌ               ｏｎｅｓ               ｆｏｒ               ｍａｎｙ               ｙｅａｒｓ,               ｓｕｃｈ               ａｓ               Ｈａｗａｉｉ,               ｗｈｉｃｈ               Ｈｉｌｌａｒｙ               Ｃｌｉｎｔｏｎ               ｔａｌｋｅｄ               ａｂｏｕｔ               ａｓ               ｔｈｅ               ｔｙｐｅ               ｏｆ               ｓｙｓｔｅｍ               ｓｈｅ               ｂｅｌｉｅｖｅｄ               ｃｏｕｌｄ               ｓｅｒｖｅ               ａｓ               ａ               ｐｒｏｔｏｔｙｐｅ               ｆｏｒ               ｔｈｅ               ｒｅｓｔ               ｏｆ               ｔｈｅ               ｎａｔｉｏｎ. Ｍａｎｙ               Ｓｔａｔｅｓ,               ｈｏｗｅｖｅｒ,               ａｒｅ               ｉｎ               ｔｈｅ               ｍｉｄｓｔ               ｏｆ               ａ               ｓｅｒｉｏｕｓ               ｈｅａｌｔｈｃａｒｅ               ｃｒｉｓｉｓ               ａｎｄ               ａｒｅ               ｈａｖｉｎｇ               ｔｏ               ｒｅｔｈｉｎｋ               ａｎｄ               ｒｅｓｔｒｕｃｔｕｒｅ               ｔｈｅｉｒ               ｐｒｏｇｒａｍｓ. Ｔｈｏｓｅ               ｗｉｔｈｏｕｔ               ｊｏｂｓ,               ｗｈｏ               ａｒｅ               ｔｏｔａｌｌｙ               ｄｉｓａｂｌｅｄ               ａｎｄ               ｗｉｔｈｏｕｔ               ａｎｙ               ｉｎｃｏｍｅ,               ｃａｎ               ｑｕａｌｉｆｙ               ｆｏｒ               Ｍｅｄｉｃａｒｅ               ｏｒ               Ｍｅｄｉｃａｉｄ. Ｉｔ               ｉｓ               ｔｈｅ               ｗｏｒｋｉｎｇ               ｐｏｏｒ,               ｈｏｗｅｖｅｒ,               ｗｈｏ               ｓｕｆｆｅｒ               ｓｕｂｓｔａｎｔｉａｌｌｙ               ｂｅｃａｕｓｅ               ｉｎｃｏｍｅｓ               ａｒｅ               ｏｆｔｅｎ               ｓｏ               ｌｉｔｔｌｅ               ｔｈａｔ               ｔｈｅｙ               ａｒｅ               ｕｎａｂｌｅ               ｔｏ               ａｆｆｏｒｄ               ｅｖｅｎ               ｔｈｅ               ｓｍａｌｌｅｓｔ               ｐａｙｍｅｎｔ               ｆｏｒ               ｍｅｄｉｃａｌ               ｃａｒｅ               ａｎｄ               ｇｏ               ｏｎ               ｗｉｔｈｏｕｔ               ｕｎｔｉｌ               ｔｈｅｒｅ               ｉｓ               ａ               ｃｒｉｓｉｓ,               ａｔ               ｗｈｉｃｈ               ｔｉｍｅ               ｔｈｅｙ               ｅｎｄ               ｕｐ               ｉｎ               ｔｈｅ               ｅｍｅｒｇｅｎｃｙ               ｓｅｃｔｉｏｎ               ｏｆ               ａ               ｈｏｓｐｉｔａｌ.                Ｌｏｕｉｓｉａｎａ               ｉｓ               ｐａｒｔｉｃｕｌａｒｌｙ               ｉｎ               ａｎ               ｅｍｅｒｇｅｎｃｙ. Ｇｏｖｅｒｎｏｒ               Ｂｏｂｂｙ               Ｊｉｎｄａｌ               ｗａｓ               ｅｌｅｃｔｅｄ               ｉｎ               2007               ｗｉｔｈ               ｔｈｅ               ｈｏｐｅ               ｏｆ               ｔｈｅ               ｃｉｔｉｚｅｎｒｙ               ｏｆ               ｔｈｅ               Ｓｔａｔｅ               ｔｈａｔ               ｈｅ               ｗｏｕｌｄ               ｅｌｉｍｉｎａｔｅ               ｔｈｅ               ｗａｓｔｅ               ａｎｄ               ｃｏｒｒｕｐｔｉｏｎ               ｔｈａｔ               ｆｏｒ               ｓｏ               ｌｏｎｇ               ｈａｓ               ｂｅｅｎ               ｉｄｅｎｔｉｆｉｅｄ               ｗｉｔｈ               Ｌｏｕｉｓｉａｎａ. 2008               ｗａｓ               ｓｐｅｎｔ               ｅｌｉｍｉｎａｔｉｎｇ               ｕｎｎｅｃｅｓｓａｒｙ               ｐｒｏｊｅｃｔｓ               ａｎｄ               ｐｌａｃｉｎｇ               ｏｖｅｒｓｉｇｈｔ               ｍｅｃｈａｎｉｓｍｓ               ｉｎｔｏ               ｔｈｅ               ｐｏｌｉｔｉｃａｌ               ｓｙｓｔｅｍ               ｔｏ               ｈｅｌｐ               ｏｖｅｒｃｏｍｅ               ｔｈｅ               ｐｏｗｅｒｂｒｏｋｅｒｓ               ｗｈｏ               ｕｓｅｄ               ｃｏｎｎｅｃｔｉｏｎｓ               ａｎｄ               ｆａｍｉｌｙ               ｎａｍｅｓ               ｔｏ               ｍａｉｎｔａｉｎ               ｃｏｎｔｒｏｌ               ｏｖｅｒ               ｇｏｖｅｒｎｍｅｎｔ               ｏｆｆｉｃｅｓ               ａｎｄ               ｃｏｒｐｏｒａｔｉｏｎｓ. Ｎｏｗｈｅｒｅ               ｈａｄ               ｔｈａｔ               ｂｅｅｎ               ｍｏｒｅ               ｏｂｖｉｏｕｓ               ｔｈａｎ               ｉｎ               ｔｈｅ               ａｃｔｕａｌ               ｇｏｖｅｒｎｍｅｎｔ               ｏｆ               Ｌｏｕｉｓｉａｎａ,               ａｃｃｏｒｄｉｎｇ               ｔｏ               ｔｈｅ               ｐｏｌｉｔｉｃａｌ               ｐｕｎｄｉｔｓ,               ｓｏ               Ｂｏｂｂｙ               Ｊｉｎｄａｌ'ｓ               ｇｏａｌ               ｗａｓ               ｔｏ               ｒｏｏｔ               ｏｕｔ               ｃｏｒｒｕｐｔｉｏｎ               ａｔ               ｅｖｅｒｙ               ｌｅｖｅｌ. Ｉｎ               2009               ｈｅ               ｉｓ               ｐｏｉｓｅｄ               ｔｏ               ｏｖｅｒｈａｕｌ               ｔｈｅ               ｈｅａｌｔｈｃａｒｅ               ｓｙｓｔｅｍ               ｗｉｔｈ               ａ               ｍｅｄｉｃａｌ               ｈｏｍｅ               ｍｏｄｅｌ               ｗｈｅｒｅ               ａｌｌ               ｃａｒｅ,               ｉｎｃｌｕｄｉｎｇ               ｐｈｙｓｉｃａｌ,               ｍｅｎｔａｌ               ａｎｄ               ｄｅｎｔａｌ,               ｗｉｌｌ               ｂｅ               ｐａｒｔ               ｏｆ               ａ               ｏｎｅ               ｓｔｏｐ               ｓｈｏｐ,               ｗｈｅｒｅ               ｔｈｅ               ｗｏｒｋｉｎｇ               ｐｏｏｒ               ｃａｎ               ｒｅｃｅｉｖｅ               ｈｅａｌｔｈ               ｃａｒｅ               ｗｉｔｈｏｕｔ               ｃｈａｒｇｅ               ｕｎｄｅｒ               Ｍｅｄｉｃａｉｄ. Ｂｕｔ               ｈｏｗ               ｃａｎ               ｔｈｉｓ               ｂｅ               ｄｏｎｅ               ｗｉｔｈ               ｆｕｎｄｉｎｇ               ｇａｐｓ,               ｄｉｓａｌｌｏｗｅｄ               ｒｅｉｍｂｕｒｓｅｍｅｎｔｓ               ｆｒｏｍ               ｔｈｅ               Ｆｅｄｅｒａｌ               ｇｏｖｅｒｎｍｅｎｔ               ｔｈａｔ               ｔｈｅ               ｓｔａｔｅ               ｉｓ               ｒｅｑｕｉｒｅｄ               ｔｏ               ｐａｙ               ｂａｃｋ,               ａｎｄ               ｓｈｏｒｔｆａｌｌｓ               ｗｈｉｌｅ               ｐｕｂｌｉｃ               ｈｅａｌｔｈｃａｒｅ               ｃｏｓｔｓ               ｈａｖｅ               ｓｋｙｒｏｃｋｅｔｅｄ? Ｔｈｅｓｅ               ｃｏｎｃｅｒｎｓ               ａｒｅ               ｃｒｉｔｉｃａｌ               ａｓ               ｗｅｌｌ               ａｓ               ｐｈｙｓｉｃｉａｎ               ｃｏｍｐｌａｉｎｔｓ               ａｂｏｕｔ               ｍａｎａｇｅｄ               ｃａｒｅ               ｔｈａｔ               ｔｈｅｙ               ｂｅｌｉｅｖｅ               ｗｉｌｌ               ｎｅｇａｔｉｖｅｌｙ               ｉｍｐａｃｔ               ｐａｔｉｅｎｔ               ｃａｒｅ               ａｎｄ               ｔｈｅ               ｆｉｎａｎｃｉａｌ               ｕｎｄｅｒｐｉｎｎｉｎｇｓ               ｏｆ               ｔｈｅ               ｓｙｓｔｅｍ.                Ｉｎ               Ｎａｔｃｈｉｔｏｃｈｅｓ,               Ｌｏｕｉｓｉａｎａ               ｔｈｅ               Ｏｕｔｒｅａｃｈ               Ｍｅｄｉｃａｌ               Ｃｅｎｔｅｒ               ｉｓ               ｆｕｎｄｅｄ               ｂｙ               Ｍｅｄｉｃａｉｄ,               Ｍｅｄｉｃａｒｅ,               ｐｒｉｖａｔｅ               ｉｎｓｕｒａｎｃｅ               ａｎｄ               ｆｅｄｅｒａｌ               ｆｕｎｄｓ. 40%               ｏｆ               ｔｈｅ               ｐｏｐｕｌａｔｉｏｎ               ｓｅｒｖｅｄ               ｂｙ               ｔｈｅ               Ｃｅｎｔｅｒ               ｉｓ               ｗｏｒｋｉｎｇ               ｐｏｏｒ. Ｔｈｅ               ｇｏａｌ               ｉｓ               ｔｏ               ｈａｖｅ               ａ               ｃｏｍｍｕｎｉｔｙ               ｈｅａｌｔｈ               ｃｅｎｔｅｒ               ｉｎ               ｅｖｅｒｙ               ｐａｒｉｓｈ               ｉｎ               ｔｈｅ               ｓｔａｔｅ               ｏｆ               Ｌｏｕｉｓｉａｎａ. Ｔｈｅ               Ｓｔａｔｅ               ｏｆ               Ｌｏｕｉｓｉａｎａ               ｇａｖｅ               ｔｈｅ               Ｌｏｕｉｓｉａｎａ               Ｐｒｉｍａｒｙ               Ｃａｒｅ               Ａｓｓｏｃｉａｔｉｏｎ,               $41.5               ｍｉｌｌｉｏｎ. Ｔｈｒｏｕｇｈ               ｎｅｗ               ｍａｒｋｅｔ               ｔａｘ               ｃｒｅｄｉｔｓ               ｔｈｅ               ｈｅａｌｔｈ               ｃｅｎｔｅｒｓ               ａｒｅ               ｔａｋｉｎｇ               ｔｈｉｓ               ｔｏ               ｂａｎｋｓ               ａｎｄ               ｌｅｎｄｅｒｓ               ｗｈｏ               ｐａｒｔｉｃｉｐａｔｅ               ｉｎ               ｎｅｗ               ｔａｘ               ｃｒｅｄｉｔｓ               ａｎｄ               ｈｏｐｅ               ｔｏ               ｐａｒｌａｙ               ｔｈａｔ               ｍｏｎｅｙ               ｉｎｔｏ               ｔｈｒｅｅ               ｔｉｍｅｓ               ｔｈａｔ               41.5               ｍｉｌｌｉｏｎ. Ｔｈｅｙ               ｉｎｔｅｎｄ               ｔｏ               ｂｏｒｒｏｗ               ａｄｄｉｔｉｏｎａｌ               ｆｕｎｄｓ               ｕｓｉｎｇ               ｔｈｅ               $41.5               ｍｉｌｌｉｏｎ               ａｓ               ｃｏｌｌａｔｅｒａｌ               ｔｏ               ｅｘｐａｎｄ               ｃｅｎｔｅｒｓ               ａｎｄ               ｓｅｒｖｉｃｅｓ. Ｔｈｉｓ               ｗｉｌｌ               ｈｅｌｐ               ｃｏｎｓｏｌｉｄａｔｅ               ｍｅｄｉｃａｌ               ｃａｒｅ               ａｎｄ               ｃｏｓｔｓ               ｗｈｉｌｅ               ａｌｌｏｗｉｎｇ               ｔｈｅ               ｃｅｎｔｅｒｓ               ｔｏ               ｈａｖｅ               ａ               ｐｏｒｔｉｏｎ               ｏｆ               ｔｈｅ               Ｆｅｄｅｒａｌ               ｌｏａｎ               ｆｏｒｇｉｖｅｎ               ｂｅｃａｕｓｅ               ｏｆ               ａ               ｔａｘ               ｃｒｅｄｉｔ               ｐｒｏｖｉｓｉｏｎ               ｔｈａｔ               ａｆｔｅｒ               ｓｅｖｅｎ               ｙｅａｒｓ,               ｉｆ               ｔｈｅ               ｍｏｎｅｙ               ｉｓ               ｕｓｅｄ               ｆｏｒ               ｅｘｐａｎｓｉｏｎ,               ｉｔ               ｗｉｌｌ               ｂｅ               ｆｏｒｇｉｖｅｎ. Ｔｈｉｓ               ｍｏｎｅｙ               ｗｉｌｌ               ｂｅ               ｕｓｅｄ               ｔｏ               ｅｘｐａｎｄ               ｈｅａｌｔｈ               ｃａｒｅ               ｆｏｒ               ｔｈｅ               ｗｏｒｋｉｎｇ               ｐｏｏｒ               ｂｅｃａｕｓｅ               ｐｕｂｌｉｃ               ｈｅａｌｔｈ               ｃａｒｅ               ｉｓ               ｐｒｏｊｅｃｔｅｄ               ｔｏ               ｏｃｃｕｐｙ               21%               ｏｆ               ｔｈｅ               ｈｅａｌｔｈｃａｒｅ               ｓｅｒｖｉｃｅ               ｂｕｄｇｅｔ. Ｔｈｒｏｕｇｈ               ａｎ               ｏｒｇａｎｉｚａｔｉｏｎ               ｃａｌｌｅｄ               Ｃａｐｉｔａｌ               Ｌｉｎｋｓ               ｔｈｅ               Ｌｏｕｉｓｉａｎａ               Ｐｒｉｍａｒｙ               Ｃａｒｅ               Ａｓｓｏｃｉａｔｉｏｎ               ａｎｔｉｃｉｐａｔｅｓ               ｇｅｔｔｉｎｇ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｏｒｇａｎｉｚｅｄ,               ｄｅｖｅｌｏｐｅｄ               ａｎｄ               ｉｎ               ｏｐｅｒａｔｉｏｎ. Ｂｏｂｂｙ               Ｊｉｎｄａｌ               ｓｕｐｐｏｒｔｓ               ｔｈｅ               ｐｒｏｊｅｃｔ               ｂｅｃａｕｓｅ               ｏｆ               ｔｈｅ               ｓｅｒｉｏｕｓ               ｃｏｓｔｓ               ｆａｃｉｎｇ               ｔｈｅ               Ｓｔａｔｅ               ｂｕｄｇｅｔ. Ｊｏｈｎ               Ｗｉｎｓｔｏｎ,               Ｃｈｉｅｆ               Ｅｘｅｃｕｔｉｖｅ               Ｏｆｆｉｃｅｒ               ｏｆ               Ｏｕｔｒｅａｃｈ               Ｍｅｄｉｃａｌ               Ｃｅｎｔｅｒ               ｔｈａｔ               ｓｅｒｖｅｓ               ｔｈｒｅｅ               ｐｏｐｕｌａｔｉｏｎ               ａｒｅａｓ               ｉｎ               Ｌｏｕｉｓｉａｎａ,               ｉｓ               ｏｐｔｉｍｉｓｔｉｃ               ｔｈａｔ               ｔｈｅ               ｐｌａｎ               ｗｉｌｌ               ｂｅ               ｅｆｆｅｃｔｉｖｅ.                .

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