０００９…Pennsylvania to Purchase Private Care for Its Poor…
①４２２７… Purchase Private Care for Its Poor…
2014/08/29 12:00
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Pennsylvania to Purchase Private Care for Its Poor
By ABBY GOODNOUGH
August 28, 2014
WASHINGTON Pennsylvania will become the 27th state to expand Medicaid under the Affordable Care Act, the Obama administration announced Thursday, using federal funds to buy private health insurance for about 500,000 low-income residents starting next year.
Gov. Tom Corbett, a Republican, had proposed the plan as an alternative to expanding traditional Medicaid under the health care law, which he opposes. Now that federal officials have signed off, Pennsylvania will join Arkansas and Iowa in using Medicaid funds to buy private coverage for the poor.
The Republican governor of Indiana, Mike Pence, has proposed a similar plan but has not yet received approval from the Obama administration. The so-called private option has increasingly appealed to some conservatives as a free-market alternative to traditional Medicaid, a government-run program that critics say has out-of-control costs.
Pennsylvania’s plan includes requirements for the Medicaid expansion population that go beyond the traditional program. For example, people with annual incomes above the poverty level $11,670 for an individual will have to pay premiums equaling up to 2 percent of their household income starting in 2016.
Gov. Tom Corbett
Matt Rourke / Associated Press
Most states have already received the federal government’s permission to charge premiums to some of their Medicaid enrollees, according to the Kaiser Family Foundation, a health care research group.
Mr. Corbett had initially wanted to charge premiums to people earning as little as half the poverty level, but federal officials pushed back. He also tried unsuccessfully to require adults who worked fewer than 20 hours a week to search for jobs as a condition of eligibility.
“From the beginning, I said we needed a plan that was created in Pennsylvania for Pennsylvania a plan that would allow us to reform a financially unsustainable Medicaid program and increase access to health care for eligible individuals through the private market,” Mr. Corbett said in a statement.
Joan Alker, executive director of the Georgetown University Center for Children and Families, said Pennsylvania’s plan was different from Arkansas’s and Iowa’s because the newly eligible Medicaid population would not choose private plans through the new online insurance marketplace. Instead, Ms. Alker said, they will enroll in managed-care plans offered by private insurance companies outside the exchange.
“To me it’s a lot of rhetoric,” she said. “The majority of Medicaid beneficiaries in Pennsylvania already get their services through managed care, from private insurance companies that the Medicaid program contracts with. So he’s really just adding a layer of complexity here.”
Eight other Republican governors have already expanded Medicaid under the new law, including some who did so over the protests of Republican legislators. The law allows states to extend Medicaid to people who earn up to 138 percent of the poverty level up to $16,105 for an individual or $32,913 for a family of four with the federal government paying the entire cost through 2016. From that point on, the law requires the federal government to pay 90 percent of the cost.
Many states not participating in the expansion sharply limit who qualifies for Medicaid, which has traditionally been financed jointly by states and the federal government.
Mr. Corbett is running for re-election but faces low approval ratings and poll numbers. His Democratic opponent, Tom Wolf, has said he would support expanding traditional Medicaid, as most states that have embraced expansion have done.
Health advocacy groups hailed the announcement as good news, particularly for Pennsylvania residents who fell into the so-called coverage gap: those who did not qualify for Medicaid without the expanded program, but who earned too little to qualify for federal subsidies created to help people with incomes above the poverty level buy private insurance.
“There never should have been a coverage gap in Pennsylvania,” said Antoinette Kraus, director of the Pennsylvania Health Access Network, “and we share the relief of hundreds of thousands of uninsured Pennsylvanians in knowing it’s finally on track to close.”
But Ms. Kraus said she remained worried about changes to the state’s traditional Medicaid program. The waiver that the state received from the Obama administration to pursue a private option for newly eligible Medicaid enrollees also allows it to put most working-age adults in the traditional program in a “low risk” health plan with basic benefits. People with complex health problems would qualify for a “high risk” plan with more benefits.
②
真詮寺掲示板
浜松市白脇小学校の人権侵害事件について
下記のこの方『気ままに備忘録 and TIPS』さんの意見が普通正常ではありませんか。
浜松市教育委員会は、人権軽視人種差別憎悪発言を得意満面にする教員を単なる戒告処分で済ませました。
大日本帝国時代の植民地・信託統治領流の帝国教育が、いまだに生きているのではありませんか。
日本はいまだに民主主義国家ではないですね。
こんな軽い処分で済ますようでは、児童生徒間での虐めや人種差別は未来永劫に防げません。
閉鎖環境である校内にて、護るすべなき児童の基本的人権を護るべき義務ある教員の立場に於て、護るどころか、蹂躙した人種差別主義者である教員は懲戒解雇で当たり前です。
こんな人種差別主義者の教員は、学校に不法侵入したり学校周辺道路上にて、人種差別主義者どもが憎悪演説すれば、一緒になって、憎悪発言したり、児童生徒間で人種差別事件が発生すれば、憎悪発言する側を応援するに決まっています。
極右ブラックファシスト晋三・太郎政権は、外国人労働者をドシドシ日本に招き働いて貰うなどと、主張していますが、外国人労働者が家族連れで日本に来ればその子供たちを待ち構えているのは、上記の人種差別主義者である教育委員会・教員なのです。
極右ブラックファシスト晋三・太郎政権の無計画な外国人労働者日本大量招致など、根底から、簡単に覆されるでしょうね。
浜松市教育委員会委員や教員が、外国人の両親は自分たちの子供が学校で憎悪の対象とされ教員にも罵声あびせられていても、その両親が有り難がるのだ、とでも思うとすれば精神異常者集団でしかありません。
日本国憲法を遵守する意識皆無の政令指定都市浜松市教育委員会全委員並びに欠格教員を、速やかに、全て排除しなければ、日本の明日は暗黒となります。
以上掲示板
気ままに備忘録 and TIPS
【静岡】小学校教師、暴言・差別発言・暴行で”謝罪のみ”
2014.08.14
１４日、「時事通信」の取材により、浜松市南区の市立白脇小学校で７月、担任の男性教師（41才）が、
自分の指示に従わなかった２年生の男子児童に
「生きる気はないのか？ないなら窓から飛び降りるか？」
などと怒鳴った上、腕をつかんで窓際に突き飛ばし、転ばせていたことがわかりました。
その際、近くにいた女子児童にもぶつかり、全治２日間のケガも負わせました。
教師は同月、電話と校長付き添いによる自宅訪問で、保護者に
「指導が行過ぎていた」
と謝罪。
しかし、４月にも別の外国籍の児童に
「国へ帰れ！」
などと差別発言をし、頭を平手で叩くなどの行為も発覚。
教師は謝罪のほかに処分は受けておらず、現在市の教育委員会が処分を検討しています。
よくクビにならないものですね・・ [画像]
このような問題教師の下で教育を受ける児童がかわいそうです。
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【小学校】朝礼「スーパーハッピー」「ツイてる！ツイてる！」騒動で謝罪【動画】
小学校校長、「覚せい剤」所持の疑いで逮捕
「いじめられっ子」かばった女子、代わりに「いじめ」受ける
ｶﾃｺﾞﾘ:社会ニュース
タグ :教育
