Back to Basics

Under the title of Public Health & Workforce Development are a number of grants, scholarships and other programs, providing training, services and a whole new array of studies relating to health care – a lot of money being spent to support the expansion of government, special interests, illegal immigrants and labor unions, but little to help solve the health care issues.

The first expansion is the establishment of the Public Health Investment Fund, which requires deposits from the revenues of the Treasury in the amount of $88,700,000,000 over 10 years. This money is authorized to be appropriated by the Committee on Appropriations of the House and Senate for carrying out the activities under the designated public health provisions. These areas include Community Health Centers, National Health Service Corps Program, National Health Service Corps Scholarship and Loan Repayment Programs, Primary Care Loan Funds, Primary Care Education Programs, Nursing Workforce Development, The National Center for Health Statistics and the Agency For Healthcare Research and Quality.

To make these programs even more appealing is the stipulation that “Amounts appropriated under this section, and outlays flowing from such appropriations, shall not be taken into account for purposes of any budget enforcement procedures including allocations under section 302(a) and (b) of the Balanced Budget and Emergency Deficit Control Act and budget solutions for fiscal years during which appropriations are made from the fund.” More spending without any concern for balancing the budget or controlling the country’s deficit. We don’t have it, but let’s spend it!

The first program – Community Health Centers – will obtain increased funding in the amount of $38,800,000,000.

The National Health Service Corps is being amended allowing the Secretary to issue waivers to individuals who enter into a contract for obligated service to pay for their education. It further raises the loan repayment amount from $35,000 to $50,000 and will be adjusted thereafter to reflect inflation. Additional appropriated funds for this program are $796,000,000 over the next 10 years. Additional funding is authorized in the amount of $3,171,000,000 over 10 years to cover the National Health Corps Scholarship and Loan Repayment Programs.

The Frontline Health Providers Loan Repayment Program will be established to address unmet health care needs in certain areas, populations, or facilities as designated by the Secretary. Individuals participating in this program must agree to serve for a period of 2 years in a health professional needs area specified in the program. This program has a clause that if there are an insufficient number of applicants for the program, then all excess funds from the program will be transferred to the National Health Service Corps to recruit more people to take advantage of this fund.

The Secretary shall establish a primary care training and capacity building program consisting of grants and contracts to plan, develop, operate or participate in accredited professional training in the field of family medicine, general internal medicine, general pediatrics or geriatrics. Funds for this program are from the Public Health Investment Fund in the amount of $3,023,000,000 for 10 years and will include the following:

• Capacity Building in Primary Care – grants to specialties of family medicine, general internal medicine, general pediatrics or geriatrics, with preference given to entities that train individuals who are from underrepresented minority groups or disadvantaged backgrounds.
• Training of Medical Residents in Community-Based Setting – a program established for the training of medical residents in community-based settings, with preferences given to entities that support teaching programs addressing the health care needs of vulnerable populations or are a Federally qualified health center or rural health clinic, as well as preference to those training individuals from underrepresented minority groups or disadvantaged background.

• Training for General, Pediatric or Public Health Dentists and Dental Hygienists – grants and contracts to plan, develop, operate or participate in an accredited professional training program or oral health professionals, with preference given to individuals who are from underrepresented minority groups or disadvantaged backgrounds.

Grants for Health Professionals Education – Advanced Education Nursing Grants is being amended, including increases in dollar amounts for the Nurse Faculty Loan Program. Funding for this program is $1, 450,000,000 over 10 years.

The Public Health Workforce Corps is being amended and expanded by the following: Creating the Public Health Workforce Scholarship Program, Public Health Workforce Loan Repayment Program, Enhancing the Public Health Workforce, and Preventive Medicine and Public Health Training Grant Program. Appropriations for these programs total $642,000,000 over 10 years. The Enhancing the Public Health Workforce even includes provisions for veterinary medicine! I’m not sure how veterinarians will provide quality health care to people or decrease health care costs, but it’s nice to see even our animals will be included in the grant programs.

Under the Subtitle “Adapting Workforce to Evolving Health System Needs” there are a number of grants and programs including:

• Health Professionals Training for Diversity, which includes scholarships for disadvantaged students, loan repayments and fellowships regarding faculty positions, and educational assistant in health professions regarding individuals from disadvantaged background.

• The Nursing Workforce Diversity Grants is being amended and adding the Coordination of Diversity and Cultural Competency Programs.

• The Secretary will establish a cultural and linguistic competency training program for health care professionals, including nurses, consisting of grants and contracts to develop and implement models of cultural and linguistic competency training. Preference will be given to entities that address cultural and linguistic needs of the population and health disparities, and placing health professionals in regions experiencing significant changes in the cultural and linguistic demographics of populations, including communities along the United States-Mexico border. Obviously this program will benefit all the illegal immigrants coming from Mexico to obtain free health care.

Appropriations for these programs total $1,138,000,000 over 10 years.

Grants and contracts are given to develop training programs to promote the delivery of health services through interdisciplinary and team-based models, with preferences given to entities that demonstrated training to the greatest number of health professionals who serve in underserved communities.

Five surgeons are discussing who makes the best patients to operate on. The first surgeon says, “I like to see accountants on my operating table, because when you open them up, everything inside is numbered.”

The second responds, “Yeah, but you should try electricians! Everything inside them is color coded.”

The third surgeon says, “No, I really think librarians are the best; everything inside them is in alphabetical order.”

The fourth surgeon chimes in: “You know, I like pipefitters …those guys always understand when you have a few parts left over at the end, and when the job takes longer than you said it would.”

But the fifth surgeon shut them all up when he observed: “You’re all wrong. Politicians are the easiest to operate on. There’s no guts, no heart, and no spine, and the head and butt are interchangeable.”

Just a little humor to brighten your day!

Health Care Reform – Back to the Basics

All this talk and debate over healthcare reform, government taking over – what next?  If we get back to basics it could be simple.

1. Remove all the illegal immigrants from getting free or subsidized services.  If they don’t like it then they can go back to where they came from.  If they need medical treatment they pay for it.

2. Offer affordable healthcare insurance to every legal American.  Make the healthcare packages the same as those offered to large corporations, and at a competitive price so everyone can get the same type of coverage.

3. Put all government employees and elected officials on the same medical plan.  If it is good enough for the general public it should be good enough for them!

4. Give tax incentives to those people who do not have employer paid plans to help offset the cost of purchasing healthcare insurance.  Give incentives to those employers who do offer insurance coverage and pay or help pay the premiums.

5. Do not make it mandatory for everyone to have to purchase insurance, but if an individual does not have insurance they must pay for their medical treatment.

6. Have all doctors, hospitals, etc. accept all insurance policies.  There is no reason a consumer must shop around to find what doctor is covered under their plan.  Then if their company changes plans they may have to shop around again.  Make it simple – if you have insurance it is accepted – period!

7. Alternative medicine should be accepted by all insurance companies.  This includes chiropractors, naturopathic doctors, midwives, etc.  Anyone with a medical license should be covered by the insurance without special limitations.  Sometimes the least invasive procedure is the best and more often costs less.  Why spend thousands of dollars for expensive medical treatment when a natural remedy may do better, with less side affects and lower costs.

8. Let the patient and their doctor decide what is best.  Insurance companies and government should not have a say in your treatment.