AHCCCS a model for nation : Matt Heinz

As a physician legislator, I have the opportunity to scrutinize almost every program that Arizona funds. One of the largest is our state Medicaid program, AHCCCS. In the hospital, I treat many AHCCCS patients, but the more I learn about the program in the Legislature, the more impressed I am with it. Arizona may be sitting on the solution to our national health-reform debate.

Public-private partnership

The Arizona Health Care Cost Containment System was created in the 1980s to serve as our state Medicaid program. The last state to establish such a program, Arizona used a new model that had not been previously attempted: managed care instead of fee-for-service.

This setup relies on a partnership between the state and private health plans. The health plans have a profit cap and voluntarily bid for contracts. The winning bidder receives a large guaranteed pool of patients.

AHCCCS-eligible patients get to choose an available health plan in their region and a primary-care provider. More than 80 percent of the primary-care doctors in Arizona are contracted. Prescription-drug coverage is broad and low-cost. Members can go to just about any hospital when needed. About 1.3 million Arizonans, 20 percent of our population, rely on AHCCCS for their health coverage.

Quality, efficiency

Unfortunately, some people assume care provided through AHCCCS is of low quality. That assumption is absolutely wrong. AHCCCS covers Arizonans with a remarkable degree of quality and efficiency. In fact, the benefit package for AHCCCS members is as good as or better than most private plans.

Furthermore, AHCCCS requires contracted health plans to focus on prevention, including weight management, immunizations, cancer screenings, blood pressure, cholesterol and diabetes checks. This keeps patients out of the hospital, saving money in the long run.

Most efficient in U.S.

The Kaiser Family Foundation recently ranked AHCCCS as the least expensive to operate of all 50 state Medicaid programs, citing the low cost per member per month. Combined with the impressive set of benefits AHCCCS provides, Arizona taxpayers get the most bang for their buck. Overhead costs are among the lowest in the nation at only 3.3 percent, and provider-reimbursement rates are surprisingly competitive.

We have in AHCCCS an efficient government program that provides excellent coverage to qualified families through a public-private partnership within a health-insurance exchange that has won national recognition for its success.

AHCCCS has been working well for the people of Arizona for more than two decades. This model for health-care delivery works. Health-reform proponents would be well served to closely examine AHCCCS and learn from its accomplishments.

Focus on the people

One of my patients recently shared his thoughts about health reform from his hospital bed saying, “It’s time for the human family to come together and take care of itself.” I appreciated the compassion and civility in his words as he assessed our ongoing efforts. If we truly are committed to resolving the problems facing our health system in a meaningful way, we will keep the focus on patients and people, and we will come to a solution. I suggest that we look to AHCCCS as a proven, efficient model for national health reform.

Rep. Matt Heinz, a Dem

Chad
http://www.articlesbase.com/insurance-articles/ahcccs-a-model-for-nation-matt-heinz-1258461.html

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New Stimulus Package to Include Billions for Health Insurance

Next year’s stimulus package will include large investments in health care and health insurance reform, according to the Washington Post. The package could top $500 billion. There are a few major financial assistance health care programs slated to get a significant funding boost. Here are the programs in question:

SCHIP The successful State’s Children’s Health Insurance Program will likely play a big role in the upcoming health reform plan. SCHIP has been widely regarded as a very successful, but costly, program to get children the health insurance they need. Already Congress has supported the expansion of SCHIP to include more children, and it looks like it will happen under Obama.

COBRA U.S. Representative Pete Stark from California is calling for an expansion of COBRA, which allows unemployed people to continue their previous employer’s group health insurance coverage. But because COBRA coverage is expensive, Congressman Stark proposes providing subsidies to help the unemployed pay for the plan.

MEDICAID The Federal health coverage program for low income Americans is scheduled to receive up to $40 billion in the next two years as part of the Obama stimulus plan.

One of Obama’s campaign goals was to streamline medical recordkeeping process by automating it into computers. The stimulus package is likely to include at least $10 billion as assistance to health care providers and facilities to implement the plan. When the bill comes before Congress, there is certain to be plenty of debate over its final content.

Too many of us don’t have adequate <a href=”http://www.gohealthinsurance.com”>health insurance</a>, if any at all. And researching to find he best <a href=”http://www.gohealthinsurance.com/plan-finder.html”>health insurance plans</a> can be a chore many are just not up to. There’s a general website I’ve recently discovered at www.gohealthinsurance.com which offers more answers and information in one place that you will find anywhere. Check it out.

Ethan Kalvin
http://www.articlesbase.com/insurance-articles/new-stimulus-package-to-include-billions-for-health-insurance-704945.html

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Obama Health Care – The real story

How Obama Health Care  Legislation Will Impact Individuals and Employers

Immediately

Individuals and employer group plans that wish to keep their current policy on a grandfathered basis can only do so if the only plan changes made are to add or delete new employees and any new dependents. In addition, an exception is made for employers that have scheduled plan changes as a result of a collective bargaining agreement. Once a plan loses its grandfathered status, it will be subject to all of the market reforms in the legislation when they take effect, regardless of where coverage is purchased (either through an exchange or outside of an exchange). However, most of the market -reform provisions slated to take effect in the next six months will apply to all plans, whether or not they hold grandfathered status.

Eligible small businesses (those that have no more than 25 FTEs, pay average annual wages of less than $50,000 and provide qualified coverage) are eligible for phase one of the small business premium tax credit. Small employers will receive a maximum credit, based on number of employees, of up to 50% of premiums for up to two years if the employer contributes at least 50% of the total premium cost.

Employers that provide a Medicare Part D subsidy to retirees will have to account for the future loss of the deductibility of this subsidy in 2013 on liability and income statements. While the elimination of the deductibility does not take effect until 2013, there could be an immediate accounting impact.

In 2010

Temporary reinsurance program for employers that provide retiree health coverage for employees over age 55 begins within 90 days of enactment.

Temporary high -risk pool program for people who cannot obtain individual coverage due to preexisting conditions begins within 90 days of enactment. Employers are prohibited from sending individuals to the high -risk pool, with associated fines.

Group plans will be required to comply with the Internal Revenue Section 105(h) rules that prohibit discrimination in favor of highly compensated individuals (which currently apply to self-insure plans) within six months of enactment.

Lifetime limits on the dollar value of benefits for any participant or beneficiary for all fully insured and self -insured groups and individual plans, including grandfathered plans, are prohibited by current law within six months of enactment. Annual limits will be allowed only through plan years beginning prior to January 1, 2014, only on HHS defined non -essential benefits, and after that be prohibited.

All group and individual plans, including self -insured plans and grandfathered plans, within six months of enactment, will have to cover dependents up to age 26 under current law. Dependents can be married and will also be eligible for the group health insurance income tax exclusion. However, through 2014, grandfathered group plans will only have to cover dependents who do not have another source of employer -sponsored coverage.

All group and individual health plans, including self -insured plans, will have to cover preexisting conditions for children 19 and under for plan years beginning on or after six months after date of enactment. Grandfathered status applies for group health plans.

Health coverage rescissions, within six months of enactment, will be prohibited for all health insurance markets, including self -insured plans and grandfathered plans, except for cases of fraud or intentional misrepresentation.

All group and individual plans, including self -insured plans and grandfathered plans, will have to cover specific preventive care services with no cost -sharing. They also will have to cover emergency services at the in -network level regardless of provider, allow enrollees to designate any in -network doctor as their primary care physician (if they require a primary care physician designation already) and have a coverage appeal process.

Federal grant program for small employers providing wellness programs to their employees will take effect.

In 2011

All employers must include on W2s the aggregate cost of employer -sponsored health benefits, for informational purposes. If an employee receives health insurance coverage under multiple plans, the employer must disclose the aggregate value of all such health coverage, but exclude all contributions to HSAs and Archer MSAs and salary -reduction contributions to FSAs. Applies to benefits provided during taxable years after December 31, 2010.

The tax on distributions from a Health Savings Account that are not used for qualified medical expenses increases from 10% to 20%.

OTC drugs will no longer be reimbursable under HSAs, medical FSAS, HRAs and Archer MSAs unless they are prescribed by a doctor.

Small employers (less than 100 lives) will be allowed to adopt new “simple cafeteria plans.”

All employers would be required to enroll employees in a new national public long -term care program, unless the employee opted out.

All business owners will be subject to new expanded federal income tax requirements on payments of fixed or determinable income or compensation.

The Department of Labor will begin annual studies on self -insured plans using data collected from Form 5500.

In 2012

All group plans and group and individual health insurers (including self -insured plans) will have to provide a summary of benefits and a coverage explanation that meets specified criteria to all enrollees when they apply for coverage, when they enroll or reenroll in coverage, when the policy is delivered and id any material modification is made to the terms of their coverage. The summary and explanation will require substantially more information than current summary plan descriptions and can be provided electronically or in written form. It must be no more than four pages in length with print no smaller than 12 – point font written in a culturally linguistically appropriate manner. There is a $1,000 -per -enrollee fine for willful failure to provide the information.

All group plans (including self -insured plans) and all individual and group carriers will have to annually submit reports to the HHS secretary on whether or not the benefits provided under their plans meet criteria to be established by HHS on improving health outcomes, preventing hospital readmissions, improving patient safety and reducing medical errors, including wellness and health promotion activities. This report also must be provided to all plan participants during the annual open enrollment period and HHS will make the reports publicly available through the Internet. The secretary of HHS can also create and impose fines for noncompliance by employers and plans.

In 2013

New federal premium tax on fully insured and self -insured group health plans to fund comparative effectiveness research program begins. It imposes an annual fee on private insurance plans equal to two dollars for each individual covered.

FSA contributions for medical expenses will be limited to $2500 per year, with the cap annually indexed for inflation.

The Medicare payroll tax increase of 0.9% on self -employed individuals and employees with respect to earnings and wages received during the year above $200,000 for individuals and above $250,000 for joint filers will go into effect. The income eligibility levels for the tax are not indexed for inflation. The new tax does not change the employer’s tax obligations, but self -employed individuals are not permitted to deduct any portion of the additional tax. In addition, there will be a new 3.8% Medicare contribution on certain unearned income from individuals with AGI over $200,000 ($250,000 for joint filers).

For those who itemize their federal income taxes, the threshold for deducting unreimbursed medical expenses will increase from 7.5% of AGI to 10% of AGI. The increase would be waived for those ages 65 and older through 2016.

All employers must provide notice to their employees informing them of the existence of the state -based exchanges.

In 2014

The individual mandate requirement to purchase health insurance for all citizens and legal residents takes effect. There are specified exceptions and under current law and violators will be subject to a phased -in excise tax penalty for noncompliance of either a flat -dollar amount per person or a percentage of the individual’s income, whichever is higher. In 2014, the percentage of income determining the fine amount would be one percent, then two percent in 2015, with the maximum fine of 2.5% of taxable (gross) household income capped at the average family bronze -level insurance premium. The alternative is a fixed -dollar amount that begins at $325 per person in 2015 and goes to $695 in 2016.

The employer responsibility requirements take effect for companies that employ more than 50 FTEs (with an exemption for seasonal workers). If an employer does not provide coverage to its FTEs (30 hours or more) and one or more the employees receive a premium -assistance tax credit to buy coverage through the exchange, the employer must pay a fine of $2,000 per year for each full -time employee. However, the legislation exempts the first 30 employees from the fine calculation (i.e., if the employer has 51 employees and doesn’t provide coverage, the employer pays the fine for 21 employees).

Coverage must meet the essential benefits requirements in order to be considered compliant with the mandate.

An employer with more than 50 employees that does offer qualified coverage but has at least one FTE receiving the premium assistance tax credit will pay the lesser of $3,000 for each of those employees receiving a tax credit, or $2,000 for each of its full -time employees total.

An individual with family income up to 400% of FPL is eligible for a premium assistance tax credit if the actuarial value of the employer’s coverage is less than 60% or the employer requires the employee to contribute more than 9.5% of the employee’s family income toward the cost of coverage.

When determining whether an employer has 50 employees, both for the purposes of the fine and the responsibility requirements generally, part -time employees must be taken into consideration based on aggregate number of hours of service. Part -time employees do not have to be offered coverage, but they will be partially included in the calculation to determine whether or not these provisions apply to a particular employer.

For employers that have a waiting period for coverage for new employees, waiting periods of more than 90 days are prohibited for all plans, including grandfathered plans.

All of the market reforms for all individual market and fully insured group markets take effect. All plans must be offered on a guaranteed -issue basis, preexisting condition limitations will be prohibited, annual and lifetime limits will be fully prohibited, including for grandfathered plans, and the size of a small -employer group will be redefined to one to 100 employees (although states may elect to keep the size of a small groups at 50 employees until 2016). In addition, all fully insured individual and small groups up to 100 employees (and any larger groups purchasing coverage through an exchange) will have to abide by strict modified community rating standards with premium variations only allowed for age (3:1), tobacco use (1.5:1), family composition and geographic regions ,to be defined by the states, and experience rating would be prohibited. Wellness discounts will be allowed for group plans under specific circumstances.

States are required to have their exchanges up and running. Each state can have a separate exchange for employers and individuals, or merge their exchanges to include both markets. States can also apply for a waiver on their exchange design from HHS, and currently operational state exchanges (UT and MA) are exempt. The standards for qualified coverage, which will apply to all fully insured group and individual products to be sold both inside and outside the exchanges, begin. The essential benefit standards will also used to determine if large employer coverage is sufficient enough relative to the employer responsibility requirements. The essential benefit standards include specific mandated benefits, cost -sharing requirements, out of – pocket limits and a minimum actuarial value of 60%. They also allow for catastrophic only policies for those 30 and younger.

The employee free choice voucher program takes effect. It requires employers that provide and contribute to health coverage to give vouchers to each employee who is required to contribute between eight percent and 9.8% of their household income (indexed to the premium growth rate) toward the cost of coverage, if such employee’s household income is less than 400% of FPL and the employee does not enroll in a health plan sponsored by the employer. The value of vouchers would be adjusted for age, and the vouchers would be used in the exchanges to purchase coverage that would otherwise be unsubsidized. The employee can also keep amounts of the voucher in excess of the cost of coverage elected in an exchange without being taxed on the excess amount. The amount of the voucher must be equal to the amount the employer would have provided toward such employee’s coverage (individual vs. family based on the coverage the employee elects through the exchange) with respect to the plan to which the employer pays the largest portion of the cost.

Employers of 200 or more employees will have to auto -enroll all new employees into any available employer -sponsored health insurance plan. Waiting periods in existing law can apply. Employees may opt out if they have another source of coverage. Important note: The effective date of this provision is unclear and may be determined via regulation to take effect earlier.

Premium taxes on most private health insurers based on premium volume take effect, which can be passed directly down to fully insured plan consumers. This tax WILL NOT apply to self -insured plans, nonprofit insurers that receive over 80% of their gross revenues from government programs like Medicare, Medicaid and CHIP, and voluntary employee benefit associations that are established by non -employers. Certain tax-exempt health plans would also pay less because they will calculate the fee based on only 50% of their premiums. The amount of the total assessed tax on the industry will start at $8 billion in 2014, rise to $11.3 billion in 2015 and 2016, $13.9 billion in 2017, and $14.3 billion in 2018. After 2018, the fee would be indexed to the annual amount of premium growth in subsequent years.

Employer -sponsored wellness program rules for all employer group plans under HIPAA improve and employers can increase the value of workplace wellness incentives up to 30% of premiums, with HHS discretion to increase the incentives to 50%. In addition, a 10 – state pilot program to extend wellness programs to the individual market begins, with the potential expansion to the entire individual market in 2017.

Cooperative plans will be allowed to be sold. Multistate national plans will be offered to individual and small employers through the state – based exchanges. Premium assistance tax credits for individuals and families making up to 400% of FPL begin. These subsidies are available only for individual coverage purchased through the exchange, not employer – sponsored coverage.

Expansion of the Medicaid program for all individuals, including childless adults, making up to 133% of the FPL begins. Mandatory state -by -state employer premium -assistance programs begin for those eligible individuals who have access to qualified employer sponsored coverage.States can also create a separate non -Medicaid plan for those with incomes between 133% and 200% of FPL that do not have access to employer sponsored coverage.

In 2015

The Children’s Health Insurance Program must be reauthorized.

In 2017

States may elect to allow large employers (more than 100 employees) to purchase coverage through their exchanges.

In 2018

Cadillac tax goes into effect for all group plans, including self -insured plans. The tax would be paid by the insurer in the case of a fully insured group or the TPA in a self-insured arrangement, but would be passed on directly to the employer. The new law establishes a 40% excise tax on plans with values that exceed $10,200 for individual coverage and $27,500 for family coverage, with higher thresholds for retirees over age 55 and employees in certain high -risk professions. Transition relief would be provided for 17 identified high -cost states. The tax would be indexed annually for inflation using the consumer price index, not medical inflation standards. When determining the values of health plans, reimbursements from FSAs, HRAs and employer contributions to HSAs will be included. The value of stand -alone vision and dental plans will be excluded. In addition, the excise tax will not apply to accident, disability, long -term care and after-tax indemnity or specified disease coverage.

Printed in its entirety on http://www.obama-health-care.org

National Association of Health Underwriters · 2000 N. 14th Street, Suite 450 · Arlington, VA · 22201 · (703) 276-0220 · www.nahu.org

PLEASE NOTE: The information presented in this analysis is the exclusive property of the National Association of Health Underwriters (NAHU). It was prepared as an informational resource for NAHU members, state and federal policymakers and other interested parties. It is not to be duplicated, copied or taken out of context. Any omission or inclusion of incorrect data is unintentional. If you have any questions about the information presented in this document, please contact Jessica Waltman, senior vice president of government affairs, at 703 -276 -3817 or jwaltman@nahu.org.

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Transformational Parenting

…delayed due to server problem with my system.

Barack Obama, against all odds and all things remaining equal as they seemed to have been all this while, emerged victorious, and will today, at exactly 6pm Nigerian time and 12 noon American time, be sworn-in as the 44th president of the United States. A no mean achievement, no doubt.

However, the issues that have rather kept the mind agitated since his emergence from that historic election remains this. Exactly what, was it that made it possible for him to have succeeded where other equally great and charismatic leaders of coloured origin scarcely made a dent? How did he develop that uncommon confidence in his own ability against a very “experienced” opponent? Why was his intelligence and personality so electrifying, to the extent as to cause majority of the voting public in America to cast their lots and that of the greatest nation on earth with him, as attested to by the votes?

The answer to all of the above questions can be summed up in just two words, made up of twenty five alphabets- transformational parenting. He, unlike most of his contemporaries in public life, got a kind of training that enabled the psychological balancing of his personality.

So, rather than the defeatist approach to life of most African-Americans which sees them always locating the reasons for their failures to excel in life outside of self, he confronted the challenges of life with the winner attitude, believing that any loss thereof would not be because, he is of lesser intelligence nor of the unlikely skin colouration required for such, but be due to the probabilities that is always attached to any worthy enterprise, after all probable contingencies has been planned for.

Mentally, man is proved to be composed of many complexes, each striving to gain complete dominance over the others and consequently, him. The only fact to be feared here is that, should any of the complexes gain complete and permanent control over us, we become everything but complete and wanted humans.

But this is not in any way suggesting that we would be better off without them; no! In fact, it is most supremely desirable in man. For without it, he would be as empty as computer hardware- just potentially useful. These complexes, which are constantly in a kind of “survival of the fittest” relationship with one another becomes destructive only where any one of them is unconsciously allowed to on a permanent basis, dominate the other and us. However, there is always one by whose outward manifestation our personality, is perceived, so, we are described as, stubborn, gentle, bad, good etc by the manifestation of this complex depending on what it represents.

To understand the importance of complexes, we just x-ray the fear complex. At its balanced level, it serves to help us preserve our lives by taking only calculated risk but at its extreme, it paralyzes us and stops us from doing anything and becoming nothing.

In Obama’s case, different circumstances and environment where he found himself helped to bring out the best of the complexes in him as the dominant one. This accounts for why, the media did not get tired of describing him as charismatic and charming unlike his main rival who tried so late in life to alter his dominant traits with the unintended application of the wrong defence mechanism-displacement.

The best time to alter complexes-both those inherited from our parents and those we picked up by accident of the environment we found ourselves- to bring out the best of our personality is in the mornings of our lives and not in the afternoon nor evenings! Old habit they say die-hard and besides, you cannot hope to teach an old man new manners with ease. Once filled with information from both our parents and the environment, the soul or mind cannot be, easily altered. The mind filters information as it receives it and pass on only those that corresponds with our aspirations.

So, the duties of parents and intending ones today, is to research about complexes and how to help the young to become the best he/she can become. can you do that? yes you can! Don’t know how to go about it or Time? Well, just ask me! I will be glad to help you to help somebody become a leader, today!

Ilobi Austin is the author of several e-materials on diverse topics like finance, relationship and health that are readily available @Ebube Dike plaza.

By Edward Sanford Martin

Within my, earthly temple, there is a crowd;

There is one of us that is humble, one that is proud;

There is one that is broken-hearted for his sins,

There is one that unrepentant, sits and grins,

There is one that loves his neighbour as himself,

And one that cares for naught but fame and pelf,

From such corroding, should I be free,

If I could once, determine which is me.

ilobi austin
http://www.articlesbase.com/parenting-articles/transformational-parenting-731677.html

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The Black Jesus and the Old, ‘new Deal ‘ to ‘create’ 2.5 Million Jobs!

O Believers!

The new Messiah. His divinity is all about change, hoping for change and changing for the hope – not to mention coolness and hype. So what is the second coming of Jesus doing ? In the name of progressive change the divine one has reappointed 28 former Clinton advisers to his ‘shadow government’, named Tim Geithner an insider from the New York Central Bank and someone who is partially responsible for the current economic mess as Treasury Secretary [bad choice]; and now his holiness has announced that HE and HIS government [not markets you understand], will create 2.5 million jobs. Right out of thin air! Or maybe just by adding holy water ? Note to the Messianic genius – governments cannot create anything. Maybe his divinity can read the history of the 1930s and the failure of the New Deal to re-educate his Harvard trained mind before he wipes out the US economy ‘creating’ 2.5 million eco-jobs with welfare money.

O Believers!

The great one, the new prophet and savior of mankind, truly believes that HE [with divine approval?] will save the US economy and ‘manufacture’ jobs. Listen to what his Harvard trained eminence, with the ancient prophets smiling from above no doubt, had to say about HE and HIS team’s plan to solving the government created economic crisis: “..this plan is big enough to meet the challenges we face. … We’ll be working out the details in the weeks ahead, but it will be a two-year, nationwide effort to jump-start job creation in America and lay the foundation for a strong and growing economy.”

O Believers!

Blessed be the prophet Obama. The new messiah’s plan in his own words [are they divine?], “will mean 2.5 million more jobs by January of 2011.” Saving, creating, – a national effort ! personal and communal meaning ! Maybe we can call this the new ‘Volksgemeinschaft’ or the O’Messiah’s state-individual community agreement ? His divine being has proclaimed that the US will be engaged in a 2 year national socialist effort at inventing jobs – how communal, patriotic and heart warming. Tears well up in sundry eyes, as hearts throb to the messianic beat. But there is a slight problem for the holy messiah and the true believers – governments don’t create jobs.

O Believers!

But the kool-aid drinking media and the frenzied and brainwashed [but they hate Christians remember] O’Messiah cult, too busy to read, to get educated, and too disdainful of human skill and ingenuity, will wildly applaud and believe the Black Jesus and his commandments that ‘we shall create and save 2.5 million jobs!’ That would be the 11th commandment along with the other 10 that no one in today’s highly educated world can name. Markets will no doubt rise, female media correspondents faint, and Oprah and friends, along with the racist Trinity Church in Chicago will scream and dance.

O Believers!

The only problem is that government does not create anything. Government does not have independent revenue sources. Government does not have private capital. Government does not create private markets, private contracts, supply and demand and price points. Government does not expand anything other than state power which crowds out and destroys private capital. By destroying private markets in ‘creating’ welfare programs all a government will do is increase debt and actually increase real unemployment over a longer period of time.

Apparently basic economic knowledge is not a requirement to be President or a messiah.

O Believers!

The O’Messiah is simply imitating the failed policies of FDR in the 1930s – one of the great statists and socialists of all time and much beloved by students, professors, and the media. FDR’s statist deal apparently ‘created’ 5 million jobs in the US during the 1930s. Roads, bridges, stadia, public gardens and parks were all ‘created’ by FDR’s autocratic government. However in 1939 25-35 million men were still unemployed – the same number as in 1932. So over a 7 year period nothing changed. FDR did not create jobs, he did not stimulate the economy. In fact he raised taxes, increased government spending by 3 times, increased the Federal debt by 10 times, and after 7 years of hyper-active government interventionism the result was the same – mass unemployment.

Henry Morgenthau was Treasury Secretary during this period and was the man responsible for writing the cheques. In 1939 he admitted the entire New Deal program was a colossal failure: “We have tried spending money. We are spending more than we have ever spent before and it does not work. And I have just one interest, and now if I am wrong somebody else can have my job. I want to see this country prosper. I want to see people get a job. I want to see people get enough to eat. We have never made good on our promises. I say after eight years of this administration, we have just as much unemployment as when we started. And enormous debt to boot.”

You will never see such quotes or facts in history books, classrooms or in the media. FDR like the O’Messiah is a saint like figure. FDR ‘saved’ America during the Great Depression. Actually no, he and his policies and that of the preceding Hoover administration caused the Great Depression. The dirty thirties were a government creation not a market failure. High taxes, protectionism, reduced credit, massive regulation and an orgy of spending and governmental interference created and deepened the Depression. Far from saving anything, FDR actually destroyed not only millions of jobs, but millions of ordinary lives.

O Believers!

And for that FDR is a hero.

Now fast forward the new O’Messiah. HE and HIS government, like FDR’s, will create or save 2.5 million jobs. This is rather disappointing since the great socialist FDR created or saved at least 5 million. One would expect more from a divine being. But no matter. Like FDR the Black Jesus will create public works programs targeted at ‘infrastructure’ since according to his holiness only public money can ‘save’ the US’ decrepit infrastructural system. However we have the added bonus of hundreds if not thousands of Greenie programs which will be added. Apparently since the state is the only actor which can build a road, it must de facto be the only actor who can love and nurture Mother Earth. So not only will the adoring and publicly paid legions of O’Messiah supporters be busy repairing roads, bridges and sewers, they will also be engaged in trimming bushes, planting flowers, hugging trees, and tenderly cleaning up rivers and streams. We should expect that the welfare created armies of the new Messiah, during the GlobaloneyWarmed summer months of massive climate change will be dancing naked and gaily in the pristine forests and meadows that they have ‘saved’.

Not only will his holiness ‘save and create 2.5 million jobs’, he will also save Mother Earth!

O Believers!

It is enough to make one drop to his knees, crying and driveling snot and thanking the divine presence for his prescience and massive intelligence in saving us from ourselves! Blessed be the new Jesus !

So let’s see. The Black Jesus will hire 2.5 million good little statists. He will pay them by either raising taxes on others, or by incurring more debt by selling debt instruments to largely foreign buyers [if any remain]; or he will simply print the money. So the 2.5 million ‘created’ jobs are not actually jobs per se but a massive welfare program paid by taxes, future obligations with interest, or through a devalued currency and hence a living standard reduction for all taxpayers. Nice.

Would it be any different if his holiness asked every American to go outside and dig holes for 6 months ? He could then claim to have created 300 million jobs overnight and saved the US economy. He could repay the labor of digging holes, by granting every American a welfare cheque for this ‘work’. This payment would come from sur taxation or debt. Is increasing taxes and debt creating jobs? Does an economy flourish when incentives to produce product and make a profit are diminished? Does real GDP actually grow when you print money or sell debt and hand over the proceeds in welfare payments?

O Believers!

The O’Messiah’s plan is plainly stupid. It is FDR statism. New Deals have always failed. Nazi Germany contrary to popular myth was a bankrupt state in 1939 thanks to nationalist socialist engineering. War in 1939 was inevitable. The Russian empire imploded as ‘New Deals’ destroyed capital, jobs and even morality. Now we have the Black Jesus, whom the media chants is ‘gonna save us’ [so eloquent] proffering the same nonsense. HE will create or save 2.5 million jobs? No he won’t. Like FDR he will destroy millions of jobs and with it millions of lives. And like FDR being an elitist Ivy league snot he won’t care a whit and will use deception and lies to justify big government and the expansion of state power.

C. Read
http://www.articlesbase.com/news-and-society-articles/the-black-jesus-and-the-old-new-deal-to-create-25-million-jobs-675184.html

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Kanye West Tickets – Locking Down Love For Obama

Hip-hop heavyweight Kanye West has publically shown his support for president-elect Barack Obama ever since the senator from Illinois announced his decision to run for president earlier this year, and West is nothing but floored coming out of Obama’s victorious campaign this week. Paying tribute to the Obama campaign, West wrote the words “Hi Mom, Obama Won!” on his website’s blog, a touching move from the rapper whose mother Donda passed away less than a year ago after complications with surgery.

Other fervent Obama supporters in the hip-hop community include artists Will.i.am, Sean “Diddy” Combs, Stevie Wonder, Will Smith, Q-Tip, John Legend, Jay-Z, Talib Kweli, Ludacris, Common, Mos Def, Ne-Yo, Nas, Young Jeezy, the Game, Herbie Hancock, Usher and more. Chicago talk show guru Oprah Winfrey has also been a supporting figure in the Obama campaign, and she was in attendance at Grant Park in Chicago Tuesday night as Barack Obama made his historic election speech. Brad Pitt was also in the crowd, and several other public figures celebrated Obama’s victory on television programs, websites and interviews as the presidential election concluded. Kanye West’s declaration on his website was one of many, but the shout-out to his late mother was one of the most memorable notes of Obama excitement.

West, a Chicago, Illinois native, has been incredibly involved in the presidential campaign this year, but before he was dominating the music (and now, political) scene, the fresh rapper was blazing through the Midwest with his hip-hop talent and unrelenting perseverance. West first burst on the music scene in the late ’90s and early ’00s, getting his foot in the door by appearing on Jay-Z’s Blueprint album. West’s 2004 album The College Dropout was the massive success the rapper had been waiting for, and songs like “Jesus Walks” and “Slow Jamz” placed the name Kanye West among the big dogs in the hip-hop industry.

Since 2004, Kanye West has recorded and released several number ones on the Billboard charts ranging from “Gold Digger” and “Good Life” to “Stronger,” also garnering eight Grammy Awards in the wake of his musical peak. The rapper’s confident feel-good anthems have dominated radio waves and television channels for several years now, and he’s been rocking out live performances to everyone with Kanye West tickets just as long. If you haven’t heard West’s live rendition of “Stronger” in concert, head over to http://www.stubhub.com/kanye-west-tickets/ and discover the Kanye West magic for yourself.

Aside from producing some of the most powerful hip-hop music on the scene these days, West has also become a fearless public icon in the media for anything and everything he believes in. The rapper has been tapped on camera saying that George Bush doesn’t care about black people in the wake of the Hurricane Katrina disaster, also depicted as Jesus Christ on the cover of Rolling Stone magazine, and now his strong support for president-elect Barack Obama has earned him some time in the spotlight, as well. West is still busy performing and supporting his new album 808s & Heartbreak, and the rapper hasn’t shown any signs of a slowdown.

Jenna Jay
http://www.articlesbase.com/art-and-entertainment-articles/kanye-west-tickets-locking-down-love-for-obama-684283.html

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Anti Poverty

                       

Anti Poverty in USA

                  

                          Even the wealthiest nation in the world like the United States does not escape the problem of poverty. This paper takes a critical look at poverty and anti-poverty policies in the United States. In this paper, I have argued that poverty is caused by several factors. This paper also discusses the liberal and conservative perspectives for reducing poverty in America. The conservatives have focused on individual factors such as wide wage gaps, breakdown of family, racial factors and other reasons while the liberals have focused on the structural transformation of the American economy to explain the persistence of poverty.  Since 1960, both the federal and state governments have been responding with policies that address the problem with mixed results. In this paper, I have analyzed the policies and have also recommended the possible ways to deal with this intractable nature of poverty.

                   According to Sen (1981), ‘the poor are those people whose consumption standards fall short of the norms, or whose income lie below that line’. The word "poverty" suggests destitution, an inability to provide a family with nutritious food, clothing, and reasonable shelter. Over thirty-six million Americans live below the official U.S. poverty line (Blank, 2007). This means a family of three earns less than less than $ 16,000 or a single individual earns $10,300 per annum (Blank, 2007, p. 17). Millions more struggle each month to pay for basic necessities, or run out of savings when they lose jobs or face health emergencies. Job cuts, high rates of unemployment, foreclosures and high food and gas prices continue to stimulate policy formulation designed to improve the condition of the poor.

                     Poverty is integrally associated with misery and suffering. The lost potential of children in poor households and the lower productivity and earnings of poor adults are all intertwined with poor health, increased crime and broken neighborhoods. Childhood poverty typically leads to poor health care and high crime neighborhoods. Persistent childhood poverty is estimated to cost the United States $500 billion each year, or about 4% of the nation’s gross domestic product (Blank, 2007, p.1).

                    One in eight Americans lives in poverty and poverty in the United States is far higher than in many developed nations (Rebecca Blank, 2007, p1). Inequality has reached record high. The richest 1 percent of Americans in 2005 held the largest share of the nation’s income (19%) since 1929 (Rebecca Blank, 2007, p. 2). At the same time the poorest 20% of Americans held only 3.4% of the nation’s income (Rebecca Blank, 2007, p.2).

                    Colorado in spite of being surrounded by the beautiful Rocky Mountains and experiencing a cool, mountain climate has many homeless people. Scholars have identified that, a growing number of single parent households, a shortage of jobs for lower wage workers and a low rate of high school graduation have contributed to the growth of poverty in Colorado. The Colorado poverty rate has increased from 9.2% in 2000-2001 to 10.6% in 2005-2006 while the poverty rate of United States has increased from 11.5% in 2000-2001 to 12.5 % in 2005-2006 (Center on Law and Policy, 2006, p.1).  Most of these ill-fated poor people suffer from mental and health problems. 

Causes of Poverty

                        Policy analysts are trying to explore numerous perceived direct and indirect causes of poverty in the United States to formulate effective policies to alleviate poverty. The work of scholars such as Corley (2003), Sowell ( 2004), Iceland (2006), Jencks (1992), James Tobin (1993) and others have shown that the intractable nature of poverty is a result of not any one factor but of the interaction of a variety of causes. The breakdown of family and other social causes as well as the structural changes in the economy, have all contributed to society’s failure to eradicate poverty inspite of ardent efforts by policy analysts.

                   Individual Explanation of poverty mainly stresses the attitudinal or motivational factors and human capital factors. Thus lack of motivation among indigents causes poverty. Generous welfare programs sometimes affect the mind-set of recipients and they prefer to stay at home and enjoy the benefits rather than work outside. Murray (1984) argues that individuals prefer to remain on welfare because of insufficient motivation to come out from public welfare programs.

                  Formulation and proliferation of policies to alleviate poverty has been a major concern of the United States Government since 1960. Educational attainment is necessary to get a high paying job. Elementary school education, as well as lack of adequate skills and motivation among indigents to come out of the situation is the major causes of poverty. People well equipped with technical skills get high salaried jobs while people who are school drop outs get low pay on an hourly basis. During the 1960s when the then- President of United States Lyndon Johnson began to implement the United States ‘war on poverty’, he placed great emphasis on education (Jencks, 1992). The Lyndon Johnson administration even invested in programs like Head Start and occupational training to upgrade the skills of the poor and also to prevent future generations from working in low-paying jobs. Scholars like Sowell (2004) and Corley (2003) have emphasized individual level factors as the central causes of poverty. They argue that a person’s compensation is based on his or her educational qualification and marketable skills. Sowell (2004) argues that the lack of appropriate skills has affected the ability of many indigents to climb out of poverty. He also argues that there has been an increase in the poverty rate of unskilled Americans, who have lost jobs to Asian immigrants. Corley (2003) also supports the above argument and regards ‘lack of educational attainment’ as one of the entrenched sources of poverty. Low quality education from poorly funded inner-city schools results in few marketable skills which leads to low-wage jobs and other miseries associated with it such as less ability to pay for housing, food, clothing, medical care, bad neighborhoods, funding problems for schools, and increased risk of serious illness (Corley, 2003). 

                          Many scholars have argued that structural changes are the primary reason for the persistence of poverty in the United States. Structuralists emphasize issues such as joblessness, discrimination in education, institutional racism and economic transformations in explaining the causes of poverty. Scholars argue that the inability to provide decent paying jobs for some American families and the ineffectiveness of American public policy to reduce poverty are basically the result of structural failures and processes. Poverty is rooted in the structure of American society. Rank, 2004 supports the above view and argues that lack of human capital tends to place individuals in a vulnerable state when events and crises occur. The incidence of these events like loss of a job, family break-up and ill-health often result in poverty. These ill-fated people unable to handle these situations often end up in paying more. Scholars also argue that the acquisition of human capital is strongly influenced by the impact of social class on this process (Rank, 2004). Apart from poor family, race and gender also play a role in the acquisition of human capital (Mark Robert Rank, 2004).

                          Globalization, the expansion of credit markets leading to greater indebtness and foreclosures leading to recession in 2008 all point to the growth of poverty.  Iceland (2006) primarily focused on economic factors and has argued that poverty is also the product of deindustrialization. As the U.S. shifts from a manufacturing, industrial society to a service-oriented, high-tech society, many of the blue-collar jobs that required little education but paid well are disappearing or are being outsourced. Rural areas, such as Appalachia, suffer losses of mining jobs, and cities such as Detroit lose many manufacturing jobs to automation or overseas factories. Some people are unable to follow the jobs or commute to work are left in neighborhoods without employment or tax-basis to support needed social functions, such as schools, public transportation, police departments, and so forth. Others simply cannot find jobs because of the shift towards a service-based economy; in economic terms these people are structurally unemployed due to the changing skills needed. Tobin (1993) supports the above viewpoint and emphasizes on the disappearance of jobs in the 1900s as the main reason for the country’s failure to eradicate poverty. Recent employment data shows that the US housing slump and the crisis in America’s credit markets are threatening to increase poverty levels. Isidore (2008) mentions that the job losses  are widespread, with the battered construction sector losing 51,000 jobs and manufacturing employment falling by 48,000 in the year 2008 . Retail employment dropped by 12,000 jobs, and business and professional service employers cut staff by 35,000. The unemployment rate jumped to 6.1% in September from 4.9 % in January (Bureau of Labor Statistics, 2008).

                         Kelso (1994), argues that over the last forty years, there has been a major shift of American firms first to the west and then to the south. Part of this shift was due to the rise of the Cold War and the decision of the government to enlarge U.S. military power (kelso, 1994). He argues that as America elected to invest more in defense and in the aerospace industry, cities like Seattle and Los Angeles on the West Coast began to boom while the growth of a high technology and information based technology led to the growing affluence of California and the San Francisco Bay area. Later with the expansion of inter-state highway system and growth of jobs, markets were created in the south.

                         Iceland (2006) also argues that although the service sector of the economy has generated millions of jobs, but again polarized earning distribution based on educational attainment separates better paying jobs from poorer paying jobs. He supports a Marxian analysis of class conflict and exploitation and emphasizes on business owners favor hiring inexpensive labor to maximize profit. This also accounts for the inflow of cheap labor to the United States from Mexico and other countries. Greater access to credit has put cars, computers, credit cards, and even homes within reach for many more of the working poor. But this remaking of the marketplace for low-income consumers has a dark side. Roubini notes that, "Having access to credit should be helping low-income individuals, but instead of becoming an opportunity for upward social and economic mobility, it becomes a debt trap for many trying to move up (Grow and Epstein, 2007).

                          Inspite of public assistance and wide initiatives taken by both Federal and State governments, poverty still exists. Meticulous analysis of the situation and effective formulation of policies is needed to solve the problem of poverty in the United States. Scholars like Rank (2004), Blank (2007) and others have shown that the United States Government spends fewer funds addressed towards poverty than any other industrialized country. Thus a major structural failure is found at the political level (Rank, 2004). Most European countries provide a wide range of insurance programs, unemployment assistance, and wide universal health coverage along with considerable support for child care (Rank, 2004). Such social programs are far more generous than those in the United States (Rank, 2004). While, low-income families in the United States work more than those in other countries, they are still not able to make up for lower governmental income support relative to their European counterparts (Blank, 2007, 141-142).

                          The gross disparities among impoverished people in the United States along racial lines have led many scholars to speculate that institutional racism is responsible for much of the poverty in the United States. Racial discrimination in employment and   education contribute to the growth of poverty. Some scholars like Massey and Denton (1993) interpret the statistics in terms of institutional racism while others like Kelso (1994) interpret the statistics as evidence of deficiencies and suffering of blacks.   In spite of efforts to remove racism, slavery and Jim Crow segregation, Massey and Denton (1993) argue that racial segregation still exists and that the fundamental cause of poverty among African Americans is segregation. They argue that segregation has created and perpetuated a black underclass by limiting educational and employment opportunities. Massey and Denton (1993) have shown that Blacks were shown homes in racially mixed areas or areas adjacent to predominantly black areas.

                           Also, changing patterns of family formation are more pronounced among racial and ethnic groups. Family patterns are also one of the causes of poverty in the United States. There is a wide gender gap in wages. In 2004 the median income of FTYR male workers was $40,798, compared to $31,223 for FTYR female workers (DeNavas-Walt et al, 2005) Pearce (1978) argues that ‘poverty is rapidly becoming a female problem’. Iceland (2006) supports this statement and showed that in 2000, the female poverty rate (12.5%) was 26% higher than the male poverty rate (9.9%) (Iceland, 2006). According to Iceland, women have fewer economic resources than men, and they are more likely to be the head of single- parent families. It also leads to the greater likehood that single, divorced or widowed women will be poorer than their male counterparts because of less social security income or other retirement income in addition to higher female life expectancies. Women’s lower wages, lower retirement benefits and the increasing number of single mothers have led some scholars to talk about the “Feminization of Poverty.”

Federal policies

                       After the Second World War, by 1963, creation of jobs by President John F. Kennedy’s tax policies could not remove the problem of poverty. Poverty was still recognized as a major national problem. President Lyndon B. Johnson’s War on Poverty led to a host of programs that included Medicare, Medicaid, Food Stamps, Aid to Families with Dependent Children, and others. These entitlements eventually consumed half the federal budget and could not alleviate poverty. The U.S. economy had been devastated by the recession of 1979-83 when the United Statess manufacturing infrastructure was shattered by the Federal Reserve’s skyrocketing interest rates causing unemployment to shoot up by sixty-five percent in four years (Cook, 2007). By the end of the 1980s the economy was in another recession, leading to the election of Bill Clinton who in 1992 replaced the incumbent George H.W. Bush. The investment boom of the 1990s was fueled by foreign capital lured in by the Treasury’s strong dollar policies. Jobs were created as the dot.com bubble expanded, trade barriers fell, and utility trading giants like Enron took off. NAFTA was enacted to promote free trade, welfare-to-work brought low-income women into the job market, and the Earned Income Tax Credit was extended. The party ended when the stock market crashed in December 2000 and millions of people lost their retirement savings and other investments. Recession was returning even as George W. Bush was being declared president by the U.S. Supreme Court in December 2000. The economic crisis deepened after the September 11, 2001 attacks when $1.4 trillion in wealth vanished during the worst five days of the stock market since the Great Depression (Cook, 2007). Cook (2007) argues that today, poverty is becoming a national catastrophe. Cook (2007) argues that from 2002 through 2006 the economy was floated by the housing bubble, with many lower income people getting into homes of their own through the proliferation of sub prime mortgages. With the financial woes in late 2008, many American citizens are left with inflated home prices and no way to pay for them.

                      The 1960’s policy initiatives and declaration of ‘unconditional war on poverty’ by the then president Lyndon Johnson marked a discrete change in the federal government’s willingness to intervene for the purpose of improving the economic situation of poor Americans. Despite the billions of dollars spent on programs like CETA (Comprehensive Employment Training Act), The Manpower Development and Training Act, Head Start, and the Elementary and Secondary Education Act, the government efforts to deal with the origins of poverty have met with minimal success. During this period, implementation of the Social Security old-age program insured virtually all retired workers against the risk of outliving their savings. The Social Security Act of 1935 sought to protect the incomes of those who did not work because of age or a poor economy by establishing a federal framework for unemployment insurance, old-age benefits, and assistance to women. In early 1964, the two most pressing priorities of President Johnson’s antipoverty agenda involved passing a massive tax cut designed to stimulate the economy and organizing a task force to shape the ‘War on Poverty’. The Economic opportunity Act (EOA) signed by Johnson created a long list of programs designed to help individuals develop marketable skills, political power, and civic aptitude. But this anti-poverty legislation oversaw other programs like Community Action Program, Job Corps, VISTA, Head Start (1965), Legal Services (1965) which were not included in its framework. While extensive programs like the Food Stamp Program, Medicare for elderly, Medicaid applied to qualified poor residents, the Elementary and Secondary Education Act for poor students overshadowed the EOA. The Higher Education Act eased the financial burdens of millions of college students. The Civil Rights Act opened up new spaces in the American marketplace, while the Voting Rights Act did the same for the political marketplace. The Fair Housing Act established an important base of law to combat housing discrimination. As a result the EOA slowly lost importance. Again, Murray (1984) argues that welfare benefits had soared so high so as to make living in poverty a meaningful option for the poor. Even Burton (1992) has supported the above viewpoint and argues that the programs have done more to cause poverty than to alleviate it.

                          When Nixon assumed power, he tried to deal with poverty in a more direct way than emphasizing social programs. . Although President Nixon expressed dislike for much of the War on Poverty, his administration responded to public pressure by maintaining most programs and by expanding the welfare state through the liberalization of the Food Stamp program, the indexing of Social Security to inflation, and the passage of the Supplemental Security Income (SSI) program for disabled Americans (Rank, 2004). The Nixon administration also endorsed a “New Federalism” in which the federal government shifted more authority over social welfare enterprises to state and local governments. His plan to implement the ‘Family Assistance Plan’ (FAP) consisted of various income provisions, work provisions, and training provisions for those below the poverty line (Rank, 2004). It failed to pass the Senate much like the ‘Programs for Better Jobs and Income’ initiated by President Carter in later years.                                       Welfare reform continued as a focus of federal policy debates even after the legislative defeat of FAP. Even though a cash ‘Negative income Tax’ (NIT) for all poor persons never passed, the Food Stamp program provided a national benefit in food coupons that varied by family size, regardless of state of residence or living arrangements or marital status. The number of AFDC recipients increased from about 6 million to 11 million and the number of food stamp recipients, from about 1 million to 19 million during the Nixon administration (Danziger, 1999, p. 8). Danziger (1999) also argues that as higher cash and in-kind benefits became available to a larger percentage of poor people, the work disincentives and high budgetary costs of welfare programs were increasingly challenged. The public and policy makers came to view increased welfare recipients as evidence that the programs were subsidizing dependency and encouraging idleness.

                        Despite the failure to enact a guaranteed income program, both the number of recipients and the amount of money spent on welfare programs increased substantially during the 1970’s (Rank, 2004). Rank (2004) has given an overview of Reagan’s policies and noted that Reagan emphasized individual action unhampered by government interference, rejected the social engineering of the 1960’s and also supported federalism, that is, returning power to the states rather than centralizing them within the federal government. Reagan tried to address the problem and set the tone for welfare reform that occurred in 1990 during his successor’s administration. The Reagan administration thought eligibility for welfare benefits had increased so much, that many persons who were not “truly needy” were receiving benefits. The Reagan Administration opposed simultaneous receipt of wages and welfare benefits. Rather, it proposed that welfare become a safety net, providing cash assistance only for those unable to secure jobs.

                    The Earned Income Tax Credit (EITC), enacted in 1975, provides families of the working poor with a refundable income tax credit (i.e., the family receives a payment from the Internal Revenue Service if the credit due exceeds the income tax owed). Thus the EITC raises the effective wage of low-income families, is available to both one- and two-parent families, and does not require them to apply for welfare. The maximum EITC for a poor family was $400 in 1975 and rose to $550 by 1986 (Danziger, 1999, p. 14). The 1986 Tax Reform Act increased the EITC so that by 1990 a low-income working parent received a maximum credit of $953 (Danziger, 1999, p. 14). The number of families receiving credits increased from between 5 and 7.5 million families a year between 1975 and 1986 to more than 11 million by 1988 (Danziger, 1999, p. 14). Danziger, 1999 argues that as the expanded EITC supplements low earnings, it became easier for policy makers to emphasize welfare reform policies that could place recipients into any job, rather than training them for “good jobs.” Thus he argues that if a nonworking recipient took a low-wage job, a substantial EITC could make work pay as much as a higher-wage job would have paid in the absence of an EITC.

                         The Family Support Act (FSA) of 1988 expanded the scope of the AFDC program for two-parent families, instituted transitional child care and Medicaid for recipients leaving welfare for work, and added funds and required states to establish programs to move greater numbers of welfare recipients into employment. When the welfare rolls jumped in the late-1980s and early-1990s, from about 11 to about 14 million recipients, dissatisfaction with welfare again increased ( Danziger, 1999).    

                        President Nixon identified the two main economic problems, inflation and unemployment, that justify the need for economic recovery to the American worker. Reagan has emphasized despair caused by unemployment combined with high inflation. Reagan’s rhetorical construction of welfare recipients and the welfare system was aimed at reducing anxiety among Americans caused by increasing taxes, inflation and the continuous fear of losing jobs. To end this victimization, Reagan proposed a plan for economic recovery (Rank, 2004). Apart from cutting government spending, specifically spending on social programs, Reagan also proposed to have State governments assume control of Aid to Families with Dependent Children (AFDC) and the food stamps program in exchange for the Federal Government control of Medicaid. Although this proposal failed to reach the Congressional floor, his presentation of the proposal to exchange AFDC and food stamp program with Medicaid made poverty a local concern (Mark Robert Rank, 2004).  

                       Liberals and conservatives still disagreed on other goals of welfare-to-work programs. Liberals thought welfare reform should expand opportunities for welfare mothers to receive training and work experiences that would help them raise their families’ living standards by working more and at higher wages. Conservatives emphasized work requirements, obligations welfare mothers owed in return for government support whether or not their families’ incomes increased (Mead, 1992). 

                       In later years President Clinton’s approach also emphasized empowerment as a way of helping welfare recipients and to accumulate more savings without being penalized and expanding the earned income tax credit (Blank, 2007). By the mid-1990s, the focus of policy concern shifted from fighting poverty to reducing welfare dependence. President Clinton’s signing of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (the PRWORA) ended the entitlement to cash assistance and dramatically changed the nature of the social safety net. The Act created the Temporary Assistance to Needy Families Program (TANF). TANF began on July 1, 1997, provides cash assistance to indigent American families with dependent children through the United States Department of Health and Human Services (The Center for American Progress Task Force on Poverty, 2007).  Danziger, 1999 argues that each state can now decide which families to assist, subject only to a requirement that they receive “fair and equitable treatment.”  In instituting a block grant program, the PRWORA granted states the ability to design their own systems, as long as states met a set of basic federal requirements. The bill’s emphasis on ending welfare as an entitlement program, places a lifetime limit of five years on benefits paid by federal funds, and also aims to encourage two-parent families and discourages out-of-wedlock births. In granting states wider latitude for designing their own programs, some states have decided to place additional requirements on recipients. Although the law placed a time limit for benefits supported by federal funds of no more than 2 consecutive years and no more than 5 years over a lifetime, some states have enacted more stringent limits. All states, however, have allowed exceptions with the intent of not punishing children because their parents have gone over the time limit. Federal requirements have ensured some measure of uniformity across states, but the block grant approach has led individual states to distribute federal money in different ways. Certain states more actively encourage education, others use the money to help fund private enterprises helping job seekers. The PRWORA offers no opportunity to work in exchange for welfare benefits when a recipient reaches her lifetime limit of 60 months of federally-supported cash assistance. But the reform has certain limits. States may not use federal block grant funds to provide more than a cumulative lifetime total of 60 months of cash assistance to any welfare recipient, no matter how willing she might be to work for her benefits, and they have the option to set shorter time limits. States can grant exceptions to the lifetime limit and continue to use federal funds for up to 20 percent of the caseload. The extent of work expectations has also been increased. Single-parent recipients with no children under age one will be expected to work at least 30 hours per week by FY 2002 in order to maintain eligibility for cash assistance (Danziger, 1999, p 20). States can require participation in work or work-related activities regardless of the age of the youngest child. Thus PRWORA emerged from research that sought both to reduce poverty and welfare dependency (Danziger, 1999).  In the 1990s, following Clinton’s call to “end welfare as we know it,” policy makers escalated their demands for recipients to work and reduced government obligations toward and funds to serve them (Danziger, 1999).

                     When Bush took office in 2001, the U.S. was experiencing a national surplus, unemployment and poverty had been on the decline for years, and the economy was booming. Now, almost six years later, poverty is on the rise, healthcare coverage is on the decline, and the country is faced with the largest national deficit in history. Lower middle class families are slowly slipping below the poverty line and the poorest are becoming even more destitute. Most of these families are headed by women.

                      President Bush has extended the TANF. There has been a general economic stimulus policy initiative during the Bush administration but nothing targeting low income Americans has been enacted. President Bush signed the economic stimulus package (H.R. 5140) into law with the hope that it will provide a much-needed boost to the lagging economy. The package includes tax rebates for individuals, tax breaks for businesses, and a temporary increase of the Federal Housing Administration loans from $417,000 to $729,750 (White House report, 2008). More than 130 million people are expected to get tax rebates ranging from $300 to $1,200 per household for individuals earning $75,000 or less and couples earning up to $150,000 (White House report, 2008). While the stimulus package will provide much needed financial help to millions of people, it fails to target those most in need as it will not include an extension of unemployment benefits, energy assistance, food stamp benefits, or fiscal relief to states for Medicaid.                       

                  From the above analysis, the question arises whether poor are responsible for their own condition. The above analysis implies that recipients become dependent and lethargic due to vast welfare measures. Scholars such as Murray (1984) and Kilty and Segal (2006) have emphasized on individual factors. They argue that welfare measures and lack of spirit and motivation among indigents contribute poverty. Danziger, 1999 argues that during the Nixon era increased welfare measures encouraged idleness. Kilty and Segal, 2006 also argues that poor people can come out into a state of self-sufficiency from dependency by learning proper work attitude and skills. Kilty and Segal, 2006 argue the importance of welfare reform and a ‘tough love’ approach would ultimately help the poor by making them conscious of their condition and forcing them to take their own responsibility. Bill Clinton’s emphasis on ‘personal responsibility’ and measures to ‘end welfare as we know it’ in 1992 all supports the above argument.

                     Due to the implementation of TANF, the numbers of people on welfare have decreased. As a result more funds are accumulated. In 1996 the number of ADFC recipients was 12,644,076 while in 2001, the number of TANF recipients was 5,91, 811 and the poverty rate also reduced from 13.7 to 11.3 ( Kilty and Segal, 2006) and while in 2008 it is 1,628,422  ( US Dept of Health and Human Services). The share of single mothers on welfare (based on administrative caseload counts divided by population numbers) rose from 38 percent in 1969 to 48 percent in 1980, but had fallen to 30 percent by 1998 ( Kilty and Segal, 2006). These caseload changes are widespread, with every state in the country experiencing substantial caseload decline. This decline has been widely hailed by politicians as an indication that policies designed to reduce dependence on public assistance and move less-skilled adults into the labor market have been extremely effective ( Blank, 2007). But however Blank argues that declines in welfare do not affect the poverty rate. The poverty rate in 2007 was 12.5 percent, increasing slightly from its level of 12.3 percent in 2006. The poverty rate increased for four straight years from 2000 to 2004. In 2007, the poverty rate was 1.2 percentage points higher than it was in 2000 (Blank, 2007).     

States welfare initiatives

                      Most states took a significant decision about reform, and this decision was sensible in light of state goals and experience. A few states did not seriously make reform policy. New York was so deeply divided that it took no serious decisions about AFDC (Mead, 2002). Alabama and Missouri were pushed into reform by federal action and appeared to have little welfare policy of their own (Mead, 2002). In several other Southern states (Florida, North Carolina), policymaking appeared to be casual and personalized, with the governor or legislators offering reform plans with, apparently, little inquiry or evidence behind them( Mead, 2002) . Texas policymaking was incoherent as the state claimed to pursue work first but based its policy on an experimental program and focused far more on education and training (Mead, 2002). States have always emphasized on reform. But sometimes lower contribution towards these plans result in total failure of the program. Mead (2002) argues that in Florida and Georgia, however, officialdom was dragged into reform but showed little commitment to it. In Arizona and California, the agency or major localities had been heavily committed to a skills-oriented approach to welfare and resisted the shift toward work first. In Texas, welfare reform was a lower priority to administrators than rebuilding non-welfare employment programs and other initiatives. In Colorado and New Jersey, local agencies had a history of defiance toward the state government, and this prevented them from fully endorsing reforms decided in the capital. Mead (2002) argues that inspite of establishment of Employment Service (ES), a federally-funded job placement agency, and training programs under the federal Job Training Partnership Act (JTPA), poverty rate did not improve. After national welfare work programs were first enacted in 1967, the ES engaged in welfare practices. But because the ES’s routine stressed serving job seekers who came to it voluntarily, it generally performed poorly with welfare clients (Mead, 2002). These jobseekers came to it on a mandatory basis, as a condition of receiving aid. To succeed with them, the agency had to enforce work but also support employment with special services. The ES often found both these roles uncongenial (Mead, 2002). The ES was denoted to the role of contractor to welfare and later in 1988 the Workforce Investment Act (WIA) merged the ES, JTPA, and other non-welfare work programs. But this merging also created confusion. The problems included lack of clear procedures to refer clients to WIA, to serve them there, or to report results back to welfare. The states that lacked coordination and inadequate management information systems (MIS) were Massachusetts, Rhode Island, Tennessee, Washington, West Virginia, Florida, Georgia, and Tennessee.      

                         Colorado’s public reform has been associated with decline in poverty rate. By the close of 2000, Colorado’s unemployment rate dropped to 2.6 percent, personal income showed steady gains, state welfare cases declined dramatically, and State legislators wrestled with an estimated $833 million revenue surplus (Colorado Fiscal Policy Institute, 2001). But inspite of all the above facts poverty still persists as expenses like child care, out-of-pocket medical expenses and geo-graphic differences in housing costs increased. The increases occurred even after adjusting for income support such as tax relief, food stamps and school lunch programs, housing subsidies and energy assistance. A report published in 2001 by the Colorado Fiscal Policy Institute determined that a single parent with two small children living in Denver County would need to earn an annual salary of approximately $39,924 in order to meet their basic needs such as housing, food, health care, childcare and transportation without public or private assistance. Even child poverty rate is high in Colorado. About 180,000 children, 15.7 percent of the state total was living in poverty in Colorado in 2006, a 73 percent increase since 2000 (Frosch, 2008). The state of Colorado purchases childcare for income eligible families through the Colorado Child Care Assistance Program (CCCAP). The state allows individual counties to set the purchase price of childcare and make payments to providers from a combination of parental fees and federal, state and county funds. However, the Colorado Office of Resource and Referral Agencies (CORRA) found in a 2001 study that the average county payment fell below 75 percent of market value (Colorado Fiscal Policy Institute, 2001, pp 9). As a result counties forced providers to subsidize the cost of service to low-income families, which many were simply unwilling to do when limited slots could be filled with families that could afford to pay full rates. Other providers that chose not to simply refuse service to CCCAP families saved money by limiting the number of children on CCCAP that they would accept, cutting programs, or reducing workers’ wages. All of these actions limited availability and sacrificed quality of care to low-income children. Poverty still exists in Colorado despite initiatives to alleviate poverty as too many working families lives with incomes below the poverty line and more families earn wages simply too low to afford their basic needs. The Colorado government started the Common Good Caucus in 2007 to develop a 2009 agenda, emphasizing on K-12 education and determined to bring technologies out of the laboratory and into the marketplace by investing $4.5 million dollars in bioscience industry, supporting the Clean Energy fund to reduce high family utility costs , creating the Colorado Solar Incentive Program with $2 million to provide rebates for photovoltaic and solar thermal systems to help Coloradans join the new energy economy and cut their utility bills ( State Rep. Kerr Andy, 2008). Poor people cannot pay the full cost of heating and lighting their homes. Governments and social service agencies have long assisted low-income ratepayers in paying their bills through such programs as the Low Income Home Energy Assistance Program (LIHEAP), charitable fuel funds, levelized billing, discounts, home weatherization, energy efficiency, energy usage education and debt management. If all Americans live in weatherized and energy efficient homes and have the income to pay their full share of utility bills, all other ratepayers would save nearly $6 billion in poverty costs, including fuel assistance, lifeline and other rate assistance, weatherization and efficiency costs, the costs of late payments and service disconnections (Oppenheim and MacGregor, 2007).      

                                      

Recommendations  

              From the above analysis it is clear that poverty remains pervasive due to the economic system, social stratification and welfare measures. According to Iceland (2003) on one hand, economic growth and technological changes contribute to increase in wages and overall standard of living. Economic growth accompanied by rising education levels improves the condition of people. On the other hand, the market economy often exerts a contrary effect on poverty levels (Iceland, 2003). To maximize profits, businesses usually seek to pay low wage to workers which increase inequality and poverty. Again policy may increase or decrease the harmful effects of inequality. Combining the factors emphasized by both liberals and conservatives, poverty is multifaceted. I believe that a strong national effort would alleviate poverty. Employment opportunities for all so that that worker and their families can avoid poverty, meet basic needs and save for the future. Increasing hourly wages would definitely improve the condition of these people. A smaller share of unemployed low-wage workers, receive unemployment insurance benefits. I believe that states (with federal help) should reform “monetary eligibility” rules that screen out low-wage workers, broaden eligibility for part-time workers and workers who have lost employment as a result of compelling family circumstances. Workers should use this period of unemployment and the money received from the Unemployment Insurance System and upgrade their skills and qualifications. Thus adults should have opportunities throughout their lives to connect to work, get more education, and live in a good neighborhood and move up in the workforce.

                         Child care assistance to low-income families and emphasis on K 12 education would definitely reduce the rate of poverty in the United States.                          Low-income youth hardly attend college than their higher income peers. Pell Grants play a crucial role for lower-income students. Simplification of the Pell grant application process, and encouragement of institutions to do more to raise student completion rates would definitely improve the condition. Expansion of Pell Grants would make higher education accessible to residents of each state. The states at the same time should also develop strategies to make postsecondary education affordable for all residents. Expansion of the Saver’s Credit would encourage saving for education, homeownership, and retirement. As a result all Americans would have assets that would allow them to weather periods of volatility and to have the resources that may be essential for upward economic mobility. Apart from Saver’s credit, expansion of Earned Income Tax Credit would raise incomes and helps families build assets. Thus there should be opportunity for all so that children grow up in conditions that maximize their opportunities for success.

          

  

                           

                       

                                   

                            

                            

                      

                             

References:

Blank Rebecca (2007); Poverty to Prosperity; Center for American task force on Poverty;

www.americanprogress.org/issues/2007/04/pdf/poverty_report.pdf – Similar pages

Colorado Statewide Homeless Count (2007), School of Public Affairs, University of Colorado, denver.www.dola.state.co.us/cdh/Publications/Winter_2007_Statewide_PIT.pdf – Similar pages

Cook Richard (2007), Poverty in America

www.globalresearch.ca/index.php?context=va&aid=5905 – 61k – Cached – Similar pages

Corley Mary Ann (2003); Poverty, Racism and Literacy; ERIC Clearinghouse on Adult Career and Vocational Education

Danziger Sheldon (1999), Welfare Reform Policy from Nixon to Clinton, Institute for  for Social Research, University of Michigan.

De Navas-Walt, et al., “Income, Poverty and Health Insurance in the United States: 2005.

Diana Pearce Diana Pearce (1978) "The Feminization of Poverty: Women, Work, and Welfare," Urban and Social Change Review.

Iceland John (2006); Poverty in America; University of California Press

Isidore Chris (2008); the Trillion-Dollar Mortgage Bomb,

money.cnn.com/2008/04/21/news/economy/fannie_freddie/?postversion=2008042103 – 66k –

James Tobin (1993); Poverty in Relation to macroeconomic Trends, Cycles and Policies; Cowles foundation discussion paper.

                  

Garima Dasgupta
http://www.articlesbase.com/politics-articles/anti-poverty-688499.html

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Marketsmonitor Releases Report on Saudi Arabian Healthcare Market Forecast to 2012

According to a new report, “Saudi Arabian Healthcare Market Forecast to 2012”, the Saudi Arabian healthcare market is witnessing rapid growth and will continue to expand exponentially in future. The country’s rapidly increasing population, due to which demand is outpacing supply, can be regarded as the main push for the market. And as the incidences of a number of lifestyle diseases, such as obesity, diabetes and hypertension, in the country amongst the highest in the world, these will significantly boost the healthcare spending in future.

Government plays a central role in providing healthcare services in the kingdom, accounting for around 75% of the total healthcare spending in the country. The government accounted for 67% of the total hospitals and 77% of the total hospital beds in the country in 2006. The government expenditure on healthcare, however, is increasing faster than its total income; as a result, government may resort to cost cutting measures in future.

The report says that due to increasing pressure on the public healthcare system, the government is rapidly promoting the involvement of private healthcare in the country. So big investment will be seen from the private sector in the forecasted period, and according to our estimates, the private sector will account for 62% for all new beds installed during 2006-2012.

However, slump in crude oil prices due to economic recession can hit the nation’s economy. But the fast diversification of the country’s economy into other sectors will provide it a buffer against the severe impact of economic turmoil. Despite some challenges such as shortage of skilled workers, dependency on oil and bureaucratic issues, the market’s future will remain bright with all three sectors – hospital services, pharmaceuticals and medicals devices – expected to show sustained growth.

“Saudi Arabian Healthcare Market Forecast to 2012” gives an extensive and objective analysis on the Saudi Arabian healthcare market. It has segmented the healthcare industry into hospital services, pharmaceuticals and medical devices. It provides analytical and statistical information on these segments, including their market size, demand, supply, segmentation and key players. It also features an analysis on the future directions, supplemented with facts and figures. Thus, the report serves as a useful guide for healthcare companies, government officials, consultants and investors who are planning to enter the Saudi Arab healthcare market.

Our report provides forecast on

- Macroeconomic indicators
- Demographic and healthcare indicators
- Healthcare spending
- Demand for hospital beds
- Pharmaceutical market
- Medical devices market

Key questions answered in the report

- Which factors are driving the Saudi Arabia healthcare market?
- What is the past and present size of the healthcare market?
- What is the role of public and private sectors in providing healthcare?
- What is the total supply and demand for hospital services in Saudi Arab?
- What will be the demand, investment and infrastructure scenario in the hospital services market?
- What is the total size and future outlook of the pharmaceutical market?
- Who are the key players operating in the pharmaceutical market?
- What is the total size and future outlook of the medical devices market?
- What are the key challenges faced by the Saudi Arabia healthcare market?

For More detail Please Visit :- http://www.marketsmonitor.com/Report/IM173.htm

Marketsmonitor
http://www.articlesbase.com/health-articles/marketsmonitor-releases-report-on-saudi-arabian-healthcare-market-forecast-to-2012-717775.html

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The Difficulties of Affording Healthcare With Rising Costs

Healthcare is expensive! If you are not fortunate enough to have a job with health insurance provided, then you know that you have a large extra expense waiting for you every month. Insurance, expensive as it seems, is nothing compared to the bills you might see if you need to make an emergency trip to the hospital. You have to pay for the ambulance fee, the hospital bed and medical equipment usage, and all the care you received while in the health care center. Depending on the health problem, treatments, and length of the hospital stay, the bill can be over $50,000. That is why insurance is so important! You never know when you will need the extra care.

Regular check-ups and routine exams are more common medical costs. However, these expenses only increase as you grow older because you have a greater chance for illness or injury. Seniors who have already retired from their jobs, however, do have a program in place that helps them pay for these expenses. Medicare is the United State’s program that provides health care for individuals age 65 years old and over. It is also available for individuals who fulfill special criteria no matter what age they are, such as those with Amyotrophic Lateral Sclerosis (ALS- Lou Gehrig’s disease).  President Lyndon B. Johnson signed this program into law on July 30, 1965. It has since provided health insurance for millions of Americans.

Medicare provides funding for a long list of medical equipment. Which items this program is obligated to pay for is listed in Title XVII of the Social Security Act and the term given to describe these items is durable medical equipment. These items include everything from wheelchairs, hospital beds, iron lungs, and oxygen tents. It also provides funding for those with diabetes and pays for items such as blood testing strips and blood glucose.

If you are interested in finding out more about Medicare, ask your health care professional or search related websites online. If you are already receiving Medicare and want to know if the medical supplies you pay for are considered durable medical equipment and therefore are covered expenses, check as soon as you can! You might be able to save much more money!

Jane Worthington
http://www.articlesbase.com/medicine-articles/the-difficulties-of-affording-healthcare-with-rising-costs-736134.html

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Pediatricians In Texas Concerned About HDHPs

According to a March 5, 2007, Reuters newswire story, pediatricians throughout Texas and the U.S. are warning that new high-deductible health plans (HDHPs) are compromising patient care, especially among poorer children, with the unintended consequence of increasing medical costs.

The HDHPs, called “consumer-directed” plans by supporters, encourage people to take a more active role in their medical care.

But the American Academy of Pediatrics has joined other plan critics who fear high deductibles in the plans will lead patients to skip preventive care, most importantly immunizations and annual physicals for children. And this could lead to costlier treatment down the road, for example, if a patient winds up in an emergency room.

“Faced with difficult choices, families may seek to ‘load up’ on a scheduled visit to save money or delay care until after the deductible is met,” the group wrote in the March issue of Pediatrics, the official journal of the American Academy of Pediatrics,. The Academy represents 60,000 physicians in the United States specializing in treating children.

The report comes as the share of U.S. employers offering health insurance has been slipping, according to the nonprofit Kaiser Family Foundation. Roughly 60 percent offered health coverage during 2005, down from 69 percent in 2000. Health insurance reform has become a national issue as the ranks of the uninsured rises steadily, now at 46.6 million, or 17 percent of the U.S. population.

In 2005, in lieu of dropping health coverage, about 30 percent of large and midsize corporations offered the high-deductible plans. These plans are typically are coupled with a pre-tax Health Savings Accounts (HSAs) used to pay for health costs. That compares with seven percent of companies polled by employee benefits consultant Watson Wyatt in 2004.

The nation’s biggest health insurance companies, such as UnitedHealth Group and WellPoint Inc., have touted high-deductible plans to employers as a way to rein in medical costs, by encouraging better health-care choices.

The plans are able to exempt preventive services from the deductible requirement, and about 30 percent of the existing plans do so, according to the pediatricians’ group. It recommends changing the tax code to compel the plans to exempt preventive care, in other words to not require a deductible. Deductible would, however, still apply to minor illnesses that can balloon to major illnesses without proper treatment.

The pediatrician’s group also worries that high-deductible plans will lead to a “destabilization” of employer-sponsored health insurance.

Some high-deductible plan critics also say patients with these plans are more likely than those with traditional insurance to skip prescriptions and fail to follow up with their doctors.

There are High Deductible Health Plans on the market that encourage customers to focus on preventive care.

Melih Oztalay
http://www.articlesbase.com/non-fiction-articles/pediatricians-in-texas-concerned-about-hdhps-124057.html

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