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          California’s Universal Health Care Goals Are On Paper. Here Are 21 Bills To Keep An Eye On      Cache   Translate Page      

There are a few ways the state can pay for major changes. Scott Graves, director of research for the nonpartisan California Budget & Policy Center, says policymakers could use revenues from the General Fund without a tax increase, as they did when they expanded Medi-Cal to undocumented children in 2016. Or they can go to revenue sources that generally rise over time, such as a personal income tax, a sales tax or a corporation tax. He says revenue sources that decline over time, such as tobacco taxes, are less effective at funding ongoing costs.

The post California’s Universal Health Care Goals Are On Paper. Here Are 21 Bills To Keep An Eye On appeared first on California Budget & Policy Center.


          Health Care Reform: What Do Americans Want? (Or Think They Want?)      Cache   Translate Page      
On the surface, it seems that American voters have made their will clear.  Poll after poll shows that they are calling for a major overhaul of our health care system. But when you look closer, their responses bristle with contradictions, … Continue reading
          3/12/2019: CANADA: What exactly is Ontario Health?      Cache   Translate Page      

Oh, by the way, the government of Ontario has just turned the province’s health-care system upside down — the most sweeping reform to health care, as it has been described, in 50 years. Only nobody quite knows what’s involved — least of all, it...
          Amazing health care coming to your area soon      Cache   Translate Page      

Studies show good health is all important There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which don't look even slightly believable. If you are going to use a passage of Lorem Ipsum, you need to be sure [...]

The post Amazing health care coming to your area soon appeared first on AC Homecare.


          Ford Health-Care Costs Said to Top $1 Billion      Cache   Translate Page      
The UAW must balance its protection of benefits with the need to keep workers on the job.
          3/12/2019: CANADA: What exactly is Ontario Health?      Cache   Translate Page      
Oh, by the way, the government of Ontario has just turned the province’s health-care system upside down — the most sweeping reform to health care, as it has been described, in 50 years. Only nobody quite knows what’s involved — least of all, it...
          Bye Bye Love. Wonkagenda For Tues., March 12, 2019      Cache   Translate Page      


Morning Wonketariat! Here's some of the things we may be talking about today.


There's so much fuckery in Trump's $4.75 trillion budget, we don't have nearly enough time to go through everything. Politico has a list of some of the winners and losers, the former being his golf buddies and Betsy DeVos, and the latter being poor people, the sick, and the elderly (thanks to massive cuts in Medicare and Medicaid previously sold as TrumpCare). WaPo notes that the administration is living in a complete fantasy believing that the economy is doing fine, counter to the analysis from every math geek who's ever used an abacus. Yesterday, OMB Director Russ Vought told reporters that it wasn't actually the Trump tax cuts (for the super rich) that ballooned the national debt, it was Obama. Earlier in the day, Vought appeared on CNBC to bitch and moan about the Mexican-Muslim taco truck invasion of the southern border, arguing that WALL was more important than sick, old, and/or poor people, and stated, "We're tired of being right." US TOO, BUDDY. Meanwhile, the GOP revolt over Trump's border wall has flipped Congress on its head as members consider measures ranging from overriding Trump's national emergency declaration, to limiting the presidential power to declare national emergencies.

In a bigass profile in WaPo, Nancy Pelosi finally said what's been hinted at for two years -- that she doesn't want to impeach Trump "unless there's something so compelling and overwhelming and bipartisan ... because it divides the country. And he's just not worth it." Some Democrats pushed back strongly on Pelosi's remarks, with Rep. Alexandria Ocasio-Cortez noting Trump met "the Lindsey Graham standard" for impeachment "multiple times." In speaking with Politico, House Oversight Chair Elijah Cummings called impeachment a "political process," and added, "You've got to have bipartisanship. Right now you've got 40 something percent of the country pleased, I guess, with what the president's doing. I think Pelosi realizes this."

Dick Cheney ripped Mike Pence a new asshole at a private meeting in Georgia over the weekend at a forum for a conservative think tank, according to a leaked transcript of the event. The war hawk criticized the Trump administration's foreign policy as being more limpwristed than Obama, complaining that Trump's idea to demand protection money from allies "sounded like a new York state real estate deal." Pence responded by reportedly asking, "Who wrote these softball questions?"

In a rare showing of bipartisan rebuke of the Trump administration, House Speaker Nancy Pelosi and Senate Majority Leader Mitch McConnell have invited the NATO Secretary General Jens Stoltenberg to Washington to address a joint session of Congress later this spring. The invite comes as Trump moves to charge US allies protection money to the tune of "cost plus 50."

Massachusetts Democratic Senator and 2020 candidate Elizabeth Warren suddenly found her ads calling for Facebook to be broken up taken down by Facebook. Facebook issued a statement saying the ads violated their policy of using its logos in advertising. Though the ads were later restored, they kind of proved Warren's point that Facebook is too goddamn big. Politico is stirring the pot this morning with a story about Warren taking money from Silicon Valley employees and selling her books on Amazon ... over the last decade.

Senators Ed Markey and Josh Hawley say they plan introduce a bill to amend the Children's Online Privacy Protection Act (COPPA). The bill would reportedly extend protections of children up to 15-years-old, and bar platforms from targeting ads at kids under 13. Roll Call notes it's unlikely to become a law even though multiple states and the EU have already moved forward with strict data privacy regulations aimed at keeping companies from fiddling with kids' heads. Here's an example of COPPA laws in action.

Democrats have chosen Milwaukee, Wisconsin, for their 2020 nominating convention. In a tweet, the party stated Milwaukee was "more than equipped."

Wayne's World (8/10) Movie CLIP - Alice's History Lesson (1992) HD www.youtube.com

Sen. Kirsten Gillibrand says her office was "thorough and professional" when it "thoroughly and appropriately" investigated sexual harassment allegations from a female staffer against Gillibrand's longtime driver and military adviser. In a brief scrum with reporters, Gillibrand said she has full confidence about the "professional and thorough" investigation that was now "thorough and complete." He must be a good man, and thorough.

Former Democratic Rep. Beto O'Rourke is headed to Iowa to help state Senate candidate Eric Giddens in a special election while simultaneously reaching out to former Obama people and courting activists. Beto hasn't announced #HesRunning (yet), but political wizards think it's just a matter of time.

Former Georgia Democratic gubernatorial candidate Stacey Abrams clarified remarks she made at SXSW stating she hadn't decided if #ShesRunning in 2020, and said the possibility was "on the table." Abrams's initial remarks were that she kept a spreadsheet with gigs she wanted, and 2028 would have been the earliest she would run for president.

According to court records, a Roy Moore supporter pleaded the Fifth 65 TIMES when asked if he had tried to bribe the lawyer representing one of Moore's accusers to drop the client and issue a damning statement to Breitbart. What initially started as a defamation suit has grown to engulf Steve Bannon's rightwing shit rag. SCANDAL!

Those rascally radicals in antifa have dug up racist and anti-Semitic chat logs from from Bennet Bressman, the statewide field director for Nebraska's uber rich Republican Gov. Pete Ricketts. The 22-year-old Bressman says the logs, which date back to last year, were from a long time ago and no longer reflect who he is as a person, though screenshots of Bressman's social media accounts show him teaching people about "chad nationalism," joking about running down Black Lives Matter activists with his white car, dropping n-bombs and racial stereotypes, as well as old fashioned gay-hatin'. [Logs]

Current Florida man and former Maine Republican Gov. Paul LePage started cold calling radio shows (again) to say those damn dirty Democrats get all their money from the JEEWWZZ, and that Rep. Ilhan Omar "completely vindicated" his long history of hate mongering. [Audio]

As British Prime Minister Theresa May faces the rapidly approaching zero for a "no-deal" Brexit scenario, the EU and UK agreed to a changes over the Irish backstop and permanent customs union. HOWEVER, the EU signaled the changes are by no means an end to negotiations just as a number of British MPs sounded off about their reluctance to support May's deal. If you're confused, don't worry, so is everyone else.

A new UN report says North Korea is cleverly avoiding oil, coal, and weapons sanctions, and hacking foreign banks to make some quick cash -- and that's on top of all the shady weapons testing programs they've quietly started back up. The report even includes photos of North Korean ships disguised as trading vessels illegally transferring energy and materials on the high seas, as well as the regime's smuggling of weapons to Iranian-backed Houthi rebels in Yemen, possible gold-mining in the Republic of Congo, and supplying Uganda with military training and weapons.

Lawyers for Roger Stone say they "clumsily" tried to tell the court about Roger Stone's book, and that they'd like to "move ahead without further ado," HOWEVER emails from Stone to his publisher show Stone bitching about a gag order interfering with his book sales, arguing for more money, and demanding fewer copies of the book be printed.

The Senate Intel Committee met with Simona Mangiante, the wife of George Papadopoulos, to ask about her old boss, ALLEGED Russian spy Joseph Mifsud. Mangiante told WaPo that she was "happy to provide information," emphatically adding, "Definitely not because I am a Russian spy." [No, she said that!]

Tucker Carlson refused to apologize for sexist and misogynist comments made to a shock jock's radio show unearthed by Media Matters. Tucker likened the campaign to have him and Jeanine Pirro "You're Fired" to a "mob" in a defiant monologue, and stated he planned to "fight it" while crying on the shoulder of Sean Hannity. Media Matters later released MORE damning audio of Tucker where he claims "white men" were responsible for "creating civilization," waxes philosophical about THE BLACKNESS of the Obamas, and whines that Iraqi people aren't "human beings" because they "don't use toilet paper or forks," and that they're actually, "semiliterate primitive monkeys," Shortly after Tucker's monologue, Fox News host Brit Hume tweeted, "Doing well is the best revenge," and linked to Tucker's TV ratings. Meanwhile, Variety's Brian Steinberg noted Tucker didn't have many ads during his show, and that's not a good sign (for him).

Two of the most prominent NRA board members tell the New York Times that NRATV's hard-right turn into fear mongering of apocalyptic race riots, ALLEGED grift, and shady Russian fuckery has forced them to reconsider what the hell they're all doing. Apparently Dana Loesch putting Thomas the Tank in a KKK hood was a little too much, even for gun fetishists chumming red meat.

After the Westboro Baptist Church decided to take a field trip to the Virginia state capitol and protest the state's first and only openly transgender lawmaker, Del. Danica Roem, the lead singer of heavy metal band Lamb of God organized a counter-protest with free kazoos. Several hundred people turned out in support of Roem, who herself fronts a local heavy metal band, and chased out the hate group out within 30 minutes.

And here's your morning Nice Time! A KIWI CHICK!

Second Kiwi Chick of 2019 Hatches at Smithsonian Conservation Biology Institute www.youtube.com

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          The Small Business Health Care Tax Credit      Cache   Translate Page      

If you’re a small business owner with fewer than 25 full-time equivalent employees you may be eligible for the small business health care credit. What is the Small Business Health Care Credit? The small business health care tax credit, part of the Patient Protection and Affordable Care Act enacted in 2010, is specifically targeted to […]

The post The Small Business Health Care Tax Credit appeared first on Montgomery Community Media.


          One America News Host: Criminal-Justice Reform Is ‘Fascist Left’ Plot      Cache   Translate Page      

Because we watch Trumpland TV so you don't have to, today we learned that the First Step Act—the bipartisan bill lauded by Donald Trump in his State of the Union address as one of his major accomplishments—is actually part of a “fascist left” scheme to destroy civil society, according to One America News host Graham Ledger.

Ledger also pooh-poohed criticism of this nation’s health-care system—the status quo of which Trump has declared a “nightmare”—in the closing segment of his eponymous television program:

What, exactly, is a “human assault vehicle”?

Read more at The Daily Beast.


          Trump Budget Would Cut Food And Health Care For Millions      Cache   Translate Page      

Health care advocates like the Federation of American Hospitals said Trump's proposed budget would have a "devastating" impact on seniors.

The post Trump Budget Would Cut Food And Health Care For Millions appeared first on The National Memo.


          Health Care Select Sector SPDR: Pivot points      Cache   Translate Page      
See the rest of the story here.

Theflyonthewall.com provides the latest financial news as it breaks. Known as a leader in market intelligence, The Fly's real-time, streaming news feed keeps individual investors, professional money managers, active traders, and corporate executives informed on what's moving stocks. Sign up for a free trial at theflyonthewall.com to see what Wall Street is buzzing about.
           Gov Tech Giant CentralSquare Announces New Leadership Team       Cache   Translate Page      

Eight months after the merger of three companies created CentralSquare, the gov tech giant has finalized its new executive leadership team, including five Superion alumni and one each from Ellucian, CA Technologies and TriTech Software Systems.

Superion and TriTech no longer exist as separate entities, as they were two of three cornerstone companies that merged in July 2018 to create CentralSquare, along with Aptean’s public-sector and health-care business. A fourth brand associated with CentralSquare, Zuercher Technologies, was a subsidiary of TriTech prior to the merger. CentralSquare also acquired Lucity, a company that makes asset management software, in January.

The announcement of former Superion CEO Simon Angove as chief executive officer of CentralSquare came with news about the merger last year, before the new company had a name. Earlier in his career, Angove was a senior executive at cybersecurity software company Verint and started a number of companies involved with video analytics and cloud computing.

According to a news release last week, seven executive leadership positions around Angove have now been filled to include:

Chief Financial Officer Brad Surminski, who previously held that title at Superion, D+H and ADP Canada Chief Operating Officer Jeff Davison, who has experience with cloud software deployment as former vice president of professional services at Ellucian Tom Amburgey, senior VP and general manager of CentralSquare’s Public Administration business unit, who held similar titles at Superion and has been CIO of the Florida municipalities of Wellington and Hallandale Beach Steve Seoane, executive VP and general manager of CentralSquare’s Public Safety business unit, who previously led product development at TriTech Chief Technology Officer John Pulling, who held the same title at Superion and previously led technology operations at Lanyon and BigMachines, and product management for strategic applications at Infor Chief Marketing Officer Jatin Atre, who held that title at Superion and was senior VP of marketing at Applied Predictive Technologies, a business analytics software company in Washington, D.C. Chief Revenue Officer Chris Schwartz, who helped built the market strategy for CA Technologies’ major SaaS platform for agile management

“The skills and expertise of this leadership team exemplify the core values that define our company culture,” Angove said in the statement. “Driven by a passion for innovation, growth, community and agility, the team will ensure we take the lead in innovating and delivering truly compelling technology solutions for building safer and smarter communities.”

Since it announced the foundational merger last year, CentralSquare has been one of the largest companies in the gov tech space, serving more than 7,500 agencies large and small across the U.S. and Canada — agencies that purportedly cover three-quarters of the population of those nations. The scope of its software products includes public safety, finance, human capital management, payroll, utility billing, citizen engagement, asset management, regulatory compliance, community development and hospital recordkeeping and compliance.

The company recently announced a push to hire 400 new employees at centers of excellence across the U.S. and Canada.


          Analyst pitches an ‘Apple healthcare subscription’ utilizing Apple Watch and AirPods data      Cache   Translate Page      

Tim Cook has touted that Apple’s “greatest contribution to mankind” will be health-related, and it’s clear the company has an ever-increasing interest in the health industry. Today, Loup Ventures is out with a closer look at how Apple’s wearable business and heath features will affect its long-term business, while also pitching an Apple healthcare subscription.

more…

The post Analyst pitches an ‘Apple healthcare subscription’ utilizing Apple Watch and AirPods data appeared first on 9to5Mac.


          Distracted : how regulations are destroying the practice of medicine and preventing true health-care reform by Hahn, Matthew (Physician), author.      Cache   Translate Page      
"After the many bureaucratic changes that followed the passing of the Affordable Care Act (Obamacare) and other legislation, patient care has become secondary to satisfying the whims of government and giant insurance company administrators, who are in total control. The result is a web of complicated rules and misguided programs whose chief effect has been to distract doctors and nurses from their proper focus on patient care. Access to health care now depends on the ability of patients, doctors
          Medicare Cuts      Cache   Translate Page      
In Defying the Odds, we discuss the tax issue in the 2016 campaign.  The 2017 tax legislation is greatingly expand the deficit, which puts social security and Medicare at risk The update  -- just published --includes a chapter on the 2018 midterms.



Toluse Olorunnipa and Sean Sullivan at WP:
A new proposal by President Trump to slash Medicare spending puts Republicans in a political bind ahead of the 2020 election as Democrats are pitching an expansion of the popular health-care program for all Americans.
Trump’s 10-year budget unveiled Monday calls for more than $845 billion in reductions for Medicare, aiming to cut “waste, fraud and abuse” in the federal program that gives insurance to older Americans. It’s part of a broader proposed belt-tightening effort after deficits soared during the president’s first two years in office in part due to massive tax cuts for the wealthy.
The move immediately tees up a potential messaging battle between Democratic proposals for Medicare-for-all — castigated by Republicans as a socialist boondoggle — and a kind of Medicare-for-less approach. focused on cutting back on spending, from the GOP.
Democrats, including some seeking to challenge Trump in 2020, seized on the proposed Medicare cuts Monday as an example of the GOP seeking to balance the budget on the backs of the elderly and the poor after giving broad tax breaks to the wealthy.
“Make no mistake about it: Trump’s budget is a massive transfer of wealth from the working class to the wealthiest people and most profitable corporations in America,” Sen. Bernie Sanders (I-Vt.), a Democratic presidential candidate, said in a Monday tweet that highlighted Medicare cuts.
During his 2016 campaign, Trump broke from Republican orthodoxy by promising not to cut Medicare, Medicaid or Social Security. His budget, by contrast, calls for scaling back all three programs.

          Analyst pitches an ‘Apple healthcare subscription’ utilizing Apple Watch and AirPods data      Cache   Translate Page      

Tim Cook has touted that Apple’s “greatest contribution to mankind” will be health-related, and it’s clear the company has an ever-increasing interest in the health industry. Today, Loup Ventures is out with a closer look at how Apple’s wearable business and heath features will affect its long-term business, while also pitching an Apple healthcare subscription.

more…

The post Analyst pitches an ‘Apple healthcare subscription’ utilizing Apple Watch and AirPods data appeared first on 9to5Mac.


          Health-care Reform Christian Louboutin-pgd-426      Cache   Translate Page      
Arts-and-Entertainment [Photograph]: Orszag and the president meet daily to review the budget, economic news, health-care reform, and a raft of other administration initiatives. Here, in the Oval Office, January 26, 2009. christian louboutin [Photograph]: ILLUSTRATION BY THOMAS POROSTOCKY Wool-and-cashmere coat ($2,595) and two-button wool suit ($1,695) by Ralph Lauren Black Label; cotton shirt ($145) and […]
          Healthy opposition: Locals, pols rally against proposed cuts to state Medicare system      Cache   Translate Page      

See this story at BrooklynPaper.com.

By Natallie Rocha

Hundreds of Brooklynites rallied outside a Brownsville hospital to protest proposed multi-million-dollar cuts to the state’s Medicaid system.

Locals, staff at Brookdale Hospital, and members of health-care workers’ union 1199 SEIU gathered outside the medical center to demand Gov. Cuomo keep his hands off the more than $550 million he may siphon from the system, in order to balance a state-budget deficit created after President Trump and other Republican politicians in Washington, DC, rewrote the federal tax code in 2017.

“We can’t put a price on people’s health,” said Khari Edwards, Brookdale Hospital’s vice president of external affairs. “Our rallying cry was: ‘No more cuts! No cuts!’”

Edwards joined roughly 1,140 demonstrators at the rally outside the hospital near Rockaway Parkway and Linden Boulevard, including Borough President Adams, New York City Comptroller Scott Stringer, Councilwoman Alicka Ampry-Samuel (D–East Flatbush), and the head of the Greater New York Hospital Association, who warned Cuomo’s proposed cuts would slash medical services offered to some of the borough’s most vulnerable residents, and potentially force some care providers to shutter.

“Our message is simple: no health-care cuts,” said Kenneth Raske. “New York’s safety-net hospitals have already been cut to the bone, and cannot absorb them. If these cuts happen, many hospitals would curtail vital services — and some would close their doors for good. Tens of thousands of health-care workers would lose their jobs.”

Some of the local demonstrators will take their campaign to Albany on March 19, in an attempt to convince Cuomo to strike the cuts from the executive budget he must sign by April 1, according to Edwards, who warned the proposals, if passed, will affect more than just health-care workers.

“This is not a health-care workers issue — it is literally a community issue,” he said. “I may be overstating it, but for us, the more cuts that happen, the more people that will die in the streets.”

Comment on this story.


          VNA Inpatient Hospice To Be Repurposed      Cache   Translate Page      

The VNA Inpatient Hospice Unit is set to be re-positioned in the upcoming months. The Executive Director of VNA in Western PA Margie Walsh said the move is a result of growing needs in the current health-care environment. VNA Inpatient Hospice is a division of Lutheran Senior Life—who is overseeing the re-positioning. “The building is […]

The post VNA Inpatient Hospice To Be Repurposed appeared first on 977 Rocks 97.7 FM - Butler PA.


          There’s no difference between Fox’s so-called “news” and “opinion” sides on anti-abortion misinformation      Cache   Translate Page      


Melissa Joskow / Media Matters

There are many reasons that Fox News’ false dichotomy between the network’s so-called “news” and “opinion” divisions is laughable, but there is perhaps no clearer indication than the sheer amount of anti-abortion misinformation spread by both "opinion" and “straight news” personalities alike.

After the Democratic National Committee announced that Fox News would not be hosting any of this year’s Democratic presidential primary debates, backlash from Fox’s senior leadership was swift, with officials imploring the DNC to “reconsider its decision” on account of the “ultimate journalistic integrity and professionalism” reportedly shown by some of the network’s hosts. As Variety previously reported, the network had already rolled out a messaging campaign to reassure wary advertisers about the outlet’s legitimacy, extolling the virtues of the network’s news hosts. This messaging campaign is merely a repackaging of the same inaccurate story Fox has been telling for years: Viewers and critics shouldn’t hold the blatant xenophobia, sexism, racism, and lies of the opinion side against the allegedly objective news team. But this recycled talking point further falls apart when it comes to anti-abortion misinformation spread by the network’s hosts.

In January, abortion rights measures in New York and Virginia sent Fox News and broader conservative media into a frenzy. Although both measures were attempts to protect abortion access should the Supreme Court overturn or weaken Roe v. Wade, Fox News hosts across the network’s news and opinion programs seized on the opportunity to spread sensationalized misinformation and attack Democrats for allegedly supporting “infanticide” or so-called abortions “up until birth.” Despite these inaccurate characterizations, Fox News devoted over six and half hours of coverage before the 2019 State of the Union address to falsely claiming that these state measures allowed “infanticide” -- a talking point that ultimately appeared in President Donald Trump’s remarks. In fact, Trump and Republican lawmakers are reportedly banking on using anti-abortion extremism to rally voters for the 2020 elections -- a strategy that was on full display during the most recent Conservative Political Action Conference.

It’s no secret that Tucker Carlson, Laura Ingraham, and Sean Hannity -- each a part of Fox’s volatile and increasingly bad-for-business prime-time lineup -- are all frequent anti-abortion misinformers. Although Fox has attempted to distinguish the work of Bret Baier, Martha MacCallum, Shannon Bream, and Chris Wallace from their colleagues, these "news"-side hosts have all pushed their share of lies, distortions, and misinformation about abortion and reproductive rights.

Bret Baier

Although Fox clearly has a profit motive in portraying Baier as a straight news host, there is little to distinguish him from his colleagues on the opinion side when it comes to his abortion-related reporting. In Media Matters’ annual study of abortion-related coverage on evening prime-time cable news programs, Baier and his program Special Report have consistently been dominated by anti-choice talking points and inaccurate statements about abortion and reproductive rights.

Notably, Baier hosted a 2016 town hall with Democratic presidential candidates and used the platform to recycle misleading right-wing anti-abortion talking points. On his program, in the same year, Baier inaccurately described a common abortion procedure as “dismemberment abortion” and misled viewers that a Supreme Court case involving access to contraceptives was actually about abortion rights. Baier previously invoked a longstanding right-wing media talking point comparing legally operating abortion providers to convicted murderer Kermit Gosnell. In 2009, Baier even went so far as to falsely assert that the Obama administration would allow doctors to be jailed for refusing to perform abortions. 

Martha MacCallum

Beyond frequently hosting anti-choice guests such as Live Action founder Lila Rose and Students for Life of America President Kristan Hawkins, MacCallum seemingly makes little secret of her personal views on abortion and will often use sensationalized rhetoric when discussing the topic.

Even before MacCallum became a staple of Fox’s evening lineup, she was already a serial anti-abortion misinformer. In 2015, MacCallum attacked Planned Parenthood for allegedly using taxpayer money to support abortion care (the organization does not, as the Hyde Amendment bars the use of federal funds for abortion services). Like Baier, MacCallum also used a 2016 presidential primary forum as an opportunity to spread anti-abortion misinformation sourced from the anti-choice group Center for Medical Progress’ (CMP) deceptive videos attacking Planned Parenthood. Since MacCallum began hosting her own program, she has consistently promoted anti-abortion talking points about later abortion and Planned Parenthood. In 2017, MacCallum pushed several myths about the existence of so-called “sex-selective” abortion practices, even demanding a guest on her program explain whether it was acceptable “for someone to decide because they don’t like the sex of their baby to abort it at eight months.”

Shannon Bream

Whether appearing as a correspondent on Special Report or hosting her own program, Fox News @ Night, Bream has been a frequent source of anti-abortion misinformation on Fox. Despite representing the network’s so-called “straight news” contingent, Bream’s promotion to host her own program was celebrated by anti-abortion leaders.

Bream was a frequent promoter of CMP’s deceptive videos, even hosting the Fox News “special” promoting the group’s claims in 2015. In 2016, Bream touted “exclusively obtained” copies of letters from a House investigation based on CMP’s allegations -- letters received a full day before they were publicly released or shared with Democratic members of the investigative panel, in direct violation of congressional rules. Since then, Bream has repeatedly signal-boosted anti-abortion talking points and myths by spreading misinformation about abortion safety, letting guests make inaccurate allegations about Planned Parenthood without pushback, and citing polls commissioned by anti-abortion groups without necessary context to suggest a lack of public support for abortion. If there’s a talking point circulating around anti-abortion media and personalities online, it’s more likely than not that it will eventually surface on Bream’s program.

Chris Wallace

Although Chris Wallace does not discuss abortion as frequently as some of his Fox colleagues, his invocation of so-called “partial-birth” abortion during the final debate of the 2016 presidential election is more than enough to disqualify the anchor from consideration as a fair and balanced voice on abortion-related issues. Wallace’s inaccurate and sensationalized question was then picked up by other right-wing media outlets and has since re-emerged in Trump’s current talking points about abortion. Wallace has also shown a propensity for repeating right-wing smears against Planned Parenthood, citing anti-choice videos attacking the organization well before CMP’s campaign of deception began.

It doesn’t matter whether viewers watch so-called "news" or "opinion" programming: Both are likely to contain sensationalism, outright lies, and harmful characterizations about abortion patients, providers, and procedures -- seemingly no matter the potential consequences.


          Krebs to guide students opting to go directly into health care from high school      Cache   Translate Page      
The Sioux Falls Argus Leader is reporting this evening that Shantel Krebs has found a new job after her departure from the Secretary of State office, after her losing bid to be South Dakota’s lone representative in Congress: Avera Health has named Shantel Krebs the administrator of Avera Academy, a new dual-credit program expected to launch next school year. The district announced the program in February. and.. The new Avera partnership is a “beginning pathway” Continue Reading →
          What to Know About Your 2-Year-Old Dog      Cache   Translate Page      

The post What to Know About Your 2-Year-Old Dog by Audrey Pavia appeared first on Dogster. Copying over entire articles infringes on copyright laws. You may not be aware of it, but all of these articles were assigned, contracted and paid for, so they aren't considered public domain. However, we appreciate that you like the article and would love it if you continued sharing just the first paragraph of an article, then linking out to the rest of the piece on Dogster.com.

What can you expect, physically and emotionally, once your dog hits 2 years old? Find out why 2 is a pretty fun age for dogs!

The post What to Know About Your 2-Year-Old Dog by Audrey Pavia appeared first on Dogster. Copying over entire articles infringes on copyright laws. You may not be aware of it, but all of these articles were assigned, contracted and paid for, so they aren't considered public domain. However, we appreciate that you like the article and would love it if you continued sharing just the first paragraph of an article, then linking out to the rest of the piece on Dogster.com.


          Members of Congress Take Bold Step Towards Ending Discriminatory Bans on Abortion Coverage      Cache   Translate Page      
A new bill would end the Hyde Amendment and other related bans on insurance coverage of abortion.

Members of Congress on Tuesday took a bold step toward making the right to abortion a reality for everyone. The EACH Woman Act was reintroduced in the House — and introduced in the Senate for the first time ever. 

This trailblazing legislation would end the Hyde Amendment and related bans on insurance coverage of abortion, which for over four decades have pushed abortion care out of reach for those enrolled in Medicaid and other government health insurance plans and programs. 

As a result of these bans, poor women, and particularly poor women of color, have far too often been forced to choose between paying for the care they need and paying for rent, bills, food, and other necessities. And one in four Medicaid-eligible women who seek an abortion have been denied care altogether, forcing them to carry an unwanted pregnancy to term and leaving their families in poverty as a result. 

The devastating impact of these bans is no accident: Cutting off access to safe, legal abortion care is exactly what anti-abortion politicians intend to do. Congressman Henry Hyde said so himself when he first introduced his amendment in 1976: “I certainly would like to prevent, if I could legally, anybody having an abortion, a rich woman, a middle-class woman, or a poor woman. Unfortunately, the only vehicle available is the…Medicaid bill.” 

In the decades since, a patchwork of state laws dictating abortion coverage have cropped up around the country, so that today your ability to afford an abortion varies dramatically depending on where you live and what type of insurance you have. In many places, the right to an abortion is a reality only for those privileged enough to afford out-of-pocket care. 

But with today’s bill introduction, members of Congress, led by Reps. Lee (D-Calif.), Schakowsky (D-Ill.), and DeGette (D-Colo.), and Sen. Duckworth (D-Ill.), are saying  that’s it time to put an end to this injustice. 

Not only would the EACH Woman Act lift bans on abortion coverage in government insurance programs, it would also put an end to severe political interference in private insurance markets by prohibiting federal, state, and local politicians from meddling with insurance companies that choose to cover abortion. This is especially important given the Trump administration’s recent actions aimed at eliminating abortion coverage in the Affordable Care Act’s health insurance marketplace through burdensome and unnecessary requirements.  

It’s just one of the many ways that access to abortion is under attack at the federal level — from a president who has called for punishing women who have abortions to a Senate that has already voted twice on bills that would restrict abortion access to a Supreme Court newly tipped against abortion rights. 

That’s why the EACH Woman Act is so critical and so remarkable in this moment. Even as the right to safe, legal abortion recognized in Roe v. Wade is under relentless attack, the sponsors of EACH are advancing a clear, bold vision for not just protecting but expanding access. If they’re successful, they will make the promise of Roe a reality for all.    

Voters are with them — a majority agree that it is time to lift the Hyde amendment and stop politicians from interfering in personal medical decision making. And as Congress debates ways to improve and reform the health care system and presidential candidates begin to present their own health care plans, EACH is a powerful reminder that abortion care is health care and that abortion coverage must be a central part of any conversation about health care reform.

The EACH Woman Act presents a hopeful vision for the future, and it’s also cause to celebrate today.


          Southwestern Health Resources (SWHR)      Cache   Translate Page      
Southwestern Health Resources (SWHR) ben.silverman Thu, 03/07/2019 - 13:54
Southwestern Health Resources (SWHR)
Southwestern Health Resources (SWHR) had a complex website with disparate content requirements and marketing goals. Isobar helped create a new digital presence using Drupal and Acquia Lift.
SWHR had a complex website with disparate content and marketing goals. Isobar helped create a new digital presence using Drupal and Acquia Lift.

The Client

Southwestern Health Resources (SWHR) blends the strengths of two of the state’s largest health care providers — Texas Health Resources and UT Southwestern Medical Center. The resulting SWHR aims to better serve patients by offering the complete continuum of care. In their own words, SWHR is “on a mission, simply put, to make healthcare better – from primary care to the most advanced treatments available for complex health needs.”

The Situation

Southwestern Health Resources’ website is a far more complex site than a casual visitor may suspect; a B2B and B2C site, its target audiences include physicians, employers, brokers, and healthcare organizations, each with different content requirements and marketing goals. The project’s tight timelines and the disparate data systems and sources presented challenges, and the site needed an effective way to allow visitors to search and connect with the network’s 4,000 physicians at more than 1,000 different locations.

The Challenge

The formation of SWHR was a win for the people of North Texas, but its website didn’t accurately reflect its many advantages. SWHR brought in Isobar to revamp and implement a new digital presence that quickly and effectively delivered benefits and proof points to the three distinct audiences it serves.

swhr-computer

The Solution

Building the site on Drupal, Isobar led the SWHR redesign, focusing the site on few vital calls-to-action and messages and letting the network’s story shine through in a way that is genuine, approachable and most importantly, human. Additionally, Isobar created a robust search application whose datasets change on a daily basis.

The Results

The SWHR site has experienced unparalleled success since the launch of the new site. Organic traffic is up a whopping 472 percent, and 6.5 percent of users click to make an appointment, a conversion stat which SWHR team members believe will improve further as additional personalized content is added to the site via Acquia Lift.

Dive deeper into Acquia's products

Southttp://www.drupal.com/
SWHR blends the strengths of two of the state’s largest health care providers — Texas Health Resources and UT Southwestern Medical Center "to make healthcare better – from primary care to the most advanced treatments available for complex health needs.”
2018

Southwestern Health Resources

Southwestern Health Resources’ website targets physicians, employers, brokers, and healthcare organizations, each with different content requirements and marketing goals.

SWHR’s website wasn’t accurately reflecting its many advantages. They brought in Isobar to revamp and implement a new digital presence that quickly and effectively delivered benefits to the distinct audiences it serves.

Isobar led SWHR’s Drupal redesign, focusing on letting the network’s story shine through in a genuine, human way, and creating a robust search application whose datasets change on a daily basis.

Organic traffic is up 472 percent, and 6.5 percent of users click to make an appointment, a stat which SWHR believes will improve as more personalized content is added via Acquia Lift.

SWHR and Isobar won the 2018 Lightning in a Bottle Acquia Engage Award for this project.


          Understanding the President’s Budget Proposal      Cache   Translate Page      

     On Monday, March 11, President Trump released his proposal for the last meaningful budget of his first term.  It will cover the period from October 1, 2019, until five weeks before the 2020 presidential election.  To avoid either a pre-election government shutdown or embarrassing pre-election concessions, the President and Congress will almost certainly agree to a continuing resolution to cover the pre-election period, with the final 2021 budget’s contours determined by the election’s victors.  This is, therefore, President Trump’s final opportunity to insert his priorities into law during this term.

     The popular media has done a fair job of capturing the broad themes:  large increases in defense spending, making upper-income 2017 tax cuts permanent, and a partial offset of those costs with dramatic cuts in programs assisting low- and moderate-income people.  President Trump also manages, in one document, to breach all three parts of his campaign promisenot to support cuts in Social Security, Medicare, and Medicaid.  The purpose of this post is to provide a few specifics and to discuss what comes next, procedurally and politically. 

     The Congressional Budget Act makes the President’s submission of a budget proposal the de facto start of the annual budgeting process.  It was due in early February, but the partial federal government shutdown made that impossible as budget proposals build on the current year’s budget, which was still unresolved.  Historically, presidents’ budget proposals have been a mix of serious proposals for the more mundane “housekeeping” parts of the federal budget and aspirational proposals that the President knows Congress is unlikely to accept as-is.  The mix between practical and ideological proposals has shifted over the years. 

     A few customary ground rules have applied to presidential budget proposals, although some of these norms are becoming quite frayed.  The president’s budget proposal is typically the high water mark for his party’s initiatives:  the opposing party cites the president’s budget much as trial lawyers cite party admissions to reject out of hand any proposals going farther.  This practice has discouraged realistic presidential budget proposals.  Thus, during the Clinton and Obama Administrations, congressional Democrats could expect no traction for social initiatives not in that year’s presidential budget proposal.  President Trump has not felt bound by this tradition:  his proposals for a border wall, for example, evolved repeatedly from last year’s budget proposal. 

     Presidents also express their aspirations for overall fiscal effects – the size of deficits or surpluses and the division of funds between defense and non-defense programs – in their budget.  The seriousness of these aspirations can be assessed by the degree to which the budget depends on accounting gimmicks or proposals that obviously lack congressional support. 

     Since the Budget Control Act of 2011, presidential budgets also have had to take a position on whether they will adhere to the draconian caps on annual appropriations (“discretionary spending”) that that law and its subsequent sequestration imposed.  No president or Congress since then has found a palatable way to operate the federal government within those funding constraints.  As a result, Congress has passed and presidents have signed a series of bipartisan deals increasing those caps for two years at a time, offsetting part of the cost with cuts in domestic entitlement programs.  The most recent such deal, signed by President Trump, expires at the end of the current fiscal year. 

     Even by the standards of recent presidential budgets, President Trump’s proposal is quite extreme.  He does not propose new legislation raising the caps on discretionary spending, which would force Congress to write appropriations bills to fit within the “sequestration” limits.  This would meanan 11% average cut in non-defense discretionary (NDD) spending in 2020 below the current year’s levels after adjusting for inflation.  Because he proposes large increases for the Department of Homeland Security, which falls within the NDD category, the actual cut he would require from other programs would be even greater.  The President’s budget assumes further reductions in NDD spending in future years:  by 2021, it would be the smallest share of the economy since the Hoover Administration and over ten years it would drop 40% after adjusting for inflation.  Apparently recognizing that these cuts are politically untenable, the Administration is claimingthat they are much smaller than they are. 

     Although President Trump’s budget purports also to apply the comparably severe caps on defense spending, it evades the effect of those caps with a giant accounting gimmick.  It transfers substantial amounts of regular Pentagon spending into a special category, Overseas Contingency Operations (OCO), that is exempt from the caps.  OCO was intended to pay the special costs of the wars in Afghanistan and Iraq on an emergency basis.  The Pentagon has long reclassified parts of its regular operating budget as OCO, but President Trump’s converts this stream of extra Pentagon funding into a raging torrent:  defense spending designated as OCO would jump from $69 billion to $165 billion in a single year.  This obliterates the Budget Control Act’s commitment to have defense and non-defense spending subject to parallel constraints.  Both Mick Mulvaney, the President’s Chief of Staff and former budget director, and former House Speaker Paul Ryan harshlycriticizedmuch more moderate abuses of the OCO device when they were in Congress. 

     Even the President’s proposals for non-defense discretionary spending do not appear designed to be taken seriously.  For example, he would cut$5 billion from the National Instituted of Health, which enjoy broad bipartisan support.  He would terminate low-income energy assistance and the Community Services Block Grant, which funds the remnants of War on Poverty service programs.  Even Republican Congresses have ignored deep cuts proposed for these programs in the past.  He would slashthe Job Corps and dislocated worker programs serving the very people for whom he claims his trade war is being fought.  Few in Congress will want to be associated with those cuts.

     Most of the President’s supposed domestic initiatives in the budget also are gimmicks.  He boasts of a new fund of money for infrastructure but appears to cut transportation and housing funds by even more, resulting in a net reduction in federal infrastructure spending.  He claims to be launching major efforts against the opioid epidemic and HIV, but he would deeply cut Medicaid – the primary source of treatment funding for many fighting addition and HIV infection – with the result that fewer total resources would be available. 

     Critics are no doubt correct that this budget proposal will be “dead on arrival” in Congress:  almost all presidential budget proposals are.  It nonetheless remains significant for several reasons.  First, it provides a comprehensive statement of this Administration’s values and priorities.  It makes the 2017 upper-income tax cuts permanent – at a costof $275 billion in 2028 alone – at the same time it would impose30% reductions in food stamps as well as deep cuts in Social Security Disability Insurance, Supplemental Security Income for the elderly and disabled, Medicaid, and family income support. 

     Second, the President’s proposal to replace the Affordable Care Act with an inadequately funded block grant – along with his proposed Medicare cuts – confirms that the Act has now become firmly entrenched.  Republicans will continue to condemn the Act, but few will want to run on this proposal in the 2020 elections.  Even if Republicans win, they will have no mandate to launch another effort to repeal the Act.  The Act’s entrenchment has important broader implications for U.S. public law.

     Finally, the budget proposal’s insistence on adhering to the sequestration spending caps, however disingenuous, suggests that the Administration will resist negotiating a new bipartisan agreement to raise those caps.  Neither party’s appropriators are likely to want to vote for bills containing such draconian cuts.  The House likely will pass a “deeming resolution” waiving points of order against considering bills over the caps.  Senator McConnell likely will be reluctant to do the same so the Senate may be unable to bring appropriations bills to the floor.  In any event, neither chamber probably can pass appropriations bills at the sequestration levels, and without such legislation appropriations above that will result in new automatic across-the-board budget cuts. 

     Postponing all the complex, contentious decisions that appropriations entail to the last minute will greatly increase the chance that a snag will trigger another federal government shutdown.  That is already a significantlikelihoodbecause Democrats and some Republicans will want to insulate appropriations accounts from “emergency” transfers to build the President’s proposed border wall. 

          Haul iHerb III      Cache   Translate Page      
¡¡¡Hola!!!

Esta semana dedico mi entrada a las compras que me llegaron el mes pasado y este de iHerb. Más adelante cada producto tendrá su propia entrada :-)




Empezamos con el pedido de Junio
  • Nature's Gate, Tea Tree Shampoo, Calming

Breve descripción: limpia suavemente el cuero cabelludo irritado y con caspa. Contiene aceite del árbol de té, que ayuda a calmar los picores. 

Primera impresión: Me gusta. En cuento lo abres ya huele a aceite de árbol de té (un aroma tirando a medicinal). El pelo me queda muy limpio y de momento obtengo los mismos resultado que con el H&S antipicores. 

Precio: 5€, 532ml. Aquí


  • Nubian Heritage, Lemongrass & Tea Tree Soap, With Orange Peel

Breve descripción: jabón purificante, con propiedades curativas y antibacteriano. Para pieles mixtas-grasas y con problemas.

Primera impresión: lo utilizo cada mañana en cuanto me despierto. Me deja la cara super limpia y sin la grasilla que se acumula sobre todo ahora en verano por la noche.

Precio: 2,50€, 141g. Aquí

  •  European Clay Powder

Breve descripción: mascarilla en polvo de arcilla europea.Esta mascarilla ayuda a extraer las impurezas de los poros y a eliminar la suciedad que hay debajo de la piel, disminuyendo el tamaño de los poros y mejorando el tono de la piel.
Como viene en polvo, nosotr@s tenemos que mezclar este polvo con agua, obteniendo así la mascarilla. Se le pueden añadir aceites que ayuden a los problemas que tengamos en la piel.

Primera impresión: me gusta mucho; en mi caso añado aceite de árbol de té y aceite de uva.

Precio: 3,50€, 170g. Aquí

  • Tea tree oil (aceite de árbol de té) 

Breve descripción: es un aceite esencial natural con cualidades antisépticas. 

Primera impresión: me encanta! si me sale un granito, le aplico una gota (tiene un olor bastante fuerte) y a la mañana siguiente ni rastro. Además lo añado a la mascarilla de arcilla, y la sensación final es de frescor y limpieza.

Precio: 5,50€, 60ml. Aquí

  • Sierra bees de tea tree y Tamanu orgánico (gratis) 


Y a continuación el pedido que me llego la semana pasada
  • Alba Botanica, Hawaiian Sunscreen, SPF 45


Breve descripción: protector solar con té verde, de amplio espectro, resistente al agua 80 min, sin parabenos y 100% ingredientes vegetales.

Primera impresión: aún no he tenido tiempo de probarlo, puesto que lo quiero para la playa y no para uso diario (pero huele muy bien).

Precio:5,70€, 113g. Aquí

  • Aceite de citronella 

Breve descripción: tiene diferentes usos, pero a mi me interesa por ser repelente de mosquitos tigre (imagino que también de mosquitos en general)

Primera impresión: el olor es un pelin fuerte y desagradable (pero te acostumbras); desde que lo tengo no me ha picado ningún mosquito osea que....

Precio: 2,50€, 30ml. Aquí

  • Aceite de semilla de uva 

Breve descripción: contiene altos niveles de polifenoles antioxidantes. Eficaz para restaurar y acondicionar la piel seca, dañada o irritada. 

Primera impresión: lo utilizo dos veces por semana como contorno de ojos (aprovecho las dos noches que utilizo la mascarilla de vino de Holika Holika ), por su poder antioxidante y nutritivo. También añado unas gotas de aceite de uva a la mascarilla de arcilla. Me gusta.

Precio: 3€, 118ml. Aquí

  • Jabón antimicrobial en seco 

Breve descripción: jabón de manos en seco, que no reseca la piel y que elimina el 99% de los gérmenes.

Primer impresión: pues igual a cualquier otro, aunque me gusta su aroma a limón (tengo uno de primark del que no soporto el aroma)

Precio: 1,90€. 118ml. Aquí

  • Freebies

- Una cápsula de aceite de salmón
- Un mini subrrallador
-  Lib balm de Sierra Bees de Cacao. Aquí

¿Qué os parecen las compras? ¿Tenéis alguno de los productos? ¿Se os antoja algún otro?

Recordad que tenéis 5$ o 10$ de descuento en vuestra primera compra introduciendo el código siguiente: BLG203



Anteriores pedidos de iHerb:






          Calls Intensify for Repeal of Florida’s Health-Care Provider ‘Certificate of Need’ Process      Cache   Translate Page      

The House Heath Market Reform Subcommittee unanimously passed a proposed repeal of Florida’s certificate-of-need review program, which critics say allows hospitals, nursing homes and other health care providers to restrict patients’ access to competitively-priced medical services.

The post Calls Intensify for Repeal of Florida’s Health-Care Provider ‘Certificate of Need’ Process appeared first on Washington Free Beacon.


          3/13/2019: CITY + REGION: App data suggests many people will face longer drive time to mega-hospital      Cache   Translate Page      
A new online app has revealed that most people in Essex County will have a longer drive to reach the proposed mega-hospital than the region’s existing health-care facilities, according to the developers. “Better data produces better debate,” Doug...
          Mobile Computing Device by AMobile - PD470      Cache   Translate Page      
Added: Mar 13, 2019
By: itgindia
Views: 1
The PD470 is an industrial-grade device that runs on Android. It has a lightweight design for everyday use in industries. It is suitable for work in field applications such as retail, health-care, logistics, and more. For more visit: https://www.itgindia.com/product/pd470/

          Is Dog Burping Normal?      Cache   Translate Page      

The post Is Dog Burping Normal? by Sassafras Lowrey appeared first on Dogster. Copying over entire articles infringes on copyright laws. You may not be aware of it, but all of these articles were assigned, contracted and paid for, so they aren't considered public domain. However, we appreciate that you like the article and would love it if you continued sharing just the first paragraph of an article, then linking out to the rest of the piece on Dogster.com.

Do dogs burp? If dogs do burp, does dog burping sound similar to human burping and does dog burping happen for the same reasons?

The post Is Dog Burping Normal? by Sassafras Lowrey appeared first on Dogster. Copying over entire articles infringes on copyright laws. You may not be aware of it, but all of these articles were assigned, contracted and paid for, so they aren't considered public domain. However, we appreciate that you like the article and would love it if you continued sharing just the first paragraph of an article, then linking out to the rest of the piece on Dogster.com.


           Loft Apartment 260m at O west fro Orascom at 6th of October       Cache   Translate Page      
O West Loft for sale at O-west Orascom development 260m + private garden Double Hieght -Price: 4,420,000 -Down payment: 442,000 -Instalments over 7 years -Delivery 4 years The Loft Consists of: Reception, 3 master Bedrooms with dressing, 1 Nany room, 4 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace. Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west October featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West October From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
           Dupliex with garden for sale at Owest from Orascom,6th of October city       Cache   Translate Page      
O West Villa for sale at O-west Orascom development Bua: 238m + Private Garden -Price: 4,046,000 -Down payment: 404,600 -Instalments over 7 years -Delivery 4 years The Dupliex Consists of: Reception, 3 Bedrooms, 1 Nany room, 3 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace + Private Garden Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
          RN Case Manager – Home Health Care      Cache   Translate Page      

Our mission is about creating relationships that make a meaningful difference in people’s lives

Join Recover Health and our team of individuals who are inspired by the same beliefs and values and embody our mission to create relationships that make a difference in the lives of those we care for, work with, and encounter in our business activities.

Position Summary:

It’s an exciting time to be a part of the Recover Health’s Home Health Care program – we are growing in every community we serve. We offer extensive training, flexible scheduling, and a wide array of opportunities for continued education. Your skills will be put into action to:

• Focus on the unique needs of our clients and their families

• Make a difference together using skill, hard work, and an affinity for learning, laughter, and goodwill

• Make everyday living easier and more comfortable for our clients

• Help allow our clients to remain in their home longer and gain independence

What you will do:

• Develop a plan of care through physician orders, client input and nursing assessment to include medical interventions and measurable goals and outcomes

• Provide services in accordance with the plan of care, licensing guidelines, professional medical standards, and agency policies & procedures

• Educate clients and their family members and properly orient, train primary care givers to insure most optimal functioning level for each client

• Coordinate the continuum of client care through the timely completion of accurate and comprehensive documentation and timely communication with the client's physician and other care givers.

• Apply exceptional organizational and time management skills to assess and document client services during the home visit

• Continuously measure the effectiveness of services to reach the maximum client rehab potential

• Investigate and take appropriate actions on client or employee concerns/complaints

Requirements

• Associate RN degree or higher and active RN License in the state of application

• One year (RN) Home Health Care experience is preferred

• Oasis and ICD9/10 knowledge/experience is preferred

• Effective communication, interpersonal and critical thinking skills

• Ability to work autonomously

The post RN Case Manager – Home Health Care appeared first on North Iowa Area Community College.


          California's Universal Health Care Goals Are On Paper. Here Are 21 Bills To Keep An Eye On - Capital Public Radio News      Cache   Translate Page      
California's Universal Health Care Goals Are On Paper. Here Are 21 Bills To Keep An Eye On  Capital Public Radio News

Karen, a San Diego immigration activist who declined to give her last name because she is a DACA recipient, speaks at a news conference calling for universal ...


          US Again Cuts Women from State Department’s Human Rights Reports      Cache   Translate Page      

Once again, the Trump administration has cut most mentions of key human rights abuses that disproportionately impact women and girls around the world from the US State Department’s annual human rights reports.

In the reports released today, March 13th, 2019, the State Department decided to remove analysis of women’s reproductive health and rights, including country-level analysis of maternal mortality and unmet contraceptive needs.

Women’s rights are often undermined at the individual level, but aggregate data, which was previously included in these reports, can reveal terrible trends of discrimination and neglect by the state. It took decades for the human rights movement and governments to realize this, but for at least 25 years there has been broad recognition that enabling women’s reproductive rights can positively impact their other fundamental human rights. The reverse is true as well.

Maternal mortality is a great example. What was long understood as a family tragedy or a public health crisis has now slowly been recognized to be a failure of human rights obligations. Human rights investigations of maternal death have revealed that when women die from preventable pregnancy-related causes, there are likely to be policies, practices, and laws that created an environment in which their life was not valued. Too often, no one is held accountable for their death.

Yet, the Trump administration doubled down on its decision to edit these types of abuses out of the annual human rights reports, and it did so at a time when the US has adopted its own draconian policy, the Global Gag Rule, that limits assistance to foreign organizations playing a role in  providing access to women’s comprehensive reproductive health services.

Congress can and should serve as a check on the administration’s dangerous policies. Earlier this month, Senator Jeanne Shaheen (D-NH) and Representative Nita Lowey (D-NY) introduced the Global Health, Empowerment, and Rights (HER) Act, a bipartisan and bicameral piece of legislation that would permanently repeal the Global Gag Rule.

The Reproductive Rights are Human Rights Act, another piece of legislation introduced on March 7, would ensure that reproductive rights are included in State Department reports. Congress mandated that the State Department release these annual reports, and Congress can mandate that they include women’s rights around reproductive health. It should move to pass these important bills.


          The WHO Africa Health Forum to shape next steps in universal health care on the continent - World - ReliefWeb      Cache   Translate Page      
The WHO Africa Health Forum to shape next steps in universal health care on the continent - World  ReliefWeb

English News and Press Release on World about Health; published on 13 Mar 2019 by WHO.


           Loft Apartment 260m at O west fro Orascom at 6th of October       Cache   Translate Page      
O West Loft for sale at O-west Orascom development 260m + private garden Double Hieght -Price: 4,420,000 -Down payment: 442,000 -Instalments over 7 years -Delivery 4 years The Loft Consists of: Reception, 3 master Bedrooms with dressing, 1 Nany room, 4 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace. Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west October featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West October From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
           Dupliex with garden for sale at Owest from Orascom,6th of October city       Cache   Translate Page      
O West Villa for sale at O-west Orascom development Bua: 238m + Private Garden -Price: 4,046,000 -Down payment: 404,600 -Instalments over 7 years -Delivery 4 years The Dupliex Consists of: Reception, 3 Bedrooms, 1 Nany room, 3 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace + Private Garden Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
           Loft Apartment 260m at O west fro Orascom at 6th of October       Cache   Translate Page      
O West Loft for sale at O-west Orascom development 260m + private garden Double Hieght -Price: 4,420,000 -Down payment: 442,000 -Instalments over 7 years -Delivery 4 years The Loft Consists of: Reception, 3 master Bedrooms with dressing, 1 Nany room, 4 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace. Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west October featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West October From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
           Dupliex with garden for sale at Owest from Orascom,6th of October city       Cache   Translate Page      
O West Villa for sale at O-west Orascom development Bua: 238m + Private Garden -Price: 4,046,000 -Down payment: 404,600 -Instalments over 7 years -Delivery 4 years The Dupliex Consists of: Reception, 3 Bedrooms, 1 Nany room, 3 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace + Private Garden Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
          Health Care Select Sector SPDR: Pivot points      Cache   Translate Page      
See the rest of the story here.

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          An environmental cleaning bundle and health-care-associated infections in hospitals (REACH): a multicentre, randomised trial.      Cache   Translate Page      
Icon for Elsevier Science Related Articles

An environmental cleaning bundle and health-care-associated infections in hospitals (REACH): a multicentre, randomised trial.

Lancet Infect Dis. 2019 Mar 08;:

Authors: Mitchell BG, Hall L, White N, Barnett AG, Halton K, Paterson DL, Riley TV, Gardner A, Page K, Farrington A, Gericke CA, Graves N

Abstract
BACKGROUND: The hospital environment is a reservoir for the transmission of microorganisms. The effect of improved cleaning on patient-centred outcomes remains unclear. We aimed to evaluate the effectiveness of an environmental cleaning bundle to reduce health care-associated infections in hospitals.
METHODS: The REACH study was a pragmatic, multicentre, randomised trial done in 11 acute care hospitals in Australia. Eligible hospitals had an intensive care unit, were classified by the National Health Performance Authority as a major hospital (public hospitals) or having more than 200 inpatient beds (private hospitals), and had a health-care-associated infection surveillance programme. The stepped-wedge design meant intervention periods varied from 20 weeks to 50 weeks. We introduced the REACH cleaning bundle, a multimodal intervention, focusing on optimising product use, technique, staff training, auditing with feedback, and communication, for routine cleaning. The primary outcomes were incidences of health-care-associated Staphylococcus aureus bacteraemia, Clostridium difficile infection, and vancomycin-resistant enterococci infection. The secondary outcome was the thoroughness of cleaning of frequent touch points, assessed by a fluorescent marking gel. This study is registered with the Australian and New Zealand Clinical Trial Registry, number ACTRN12615000325505.
FINDINGS: Between May 9, 2016, and July 30, 2017, we implemented the cleaning bundle in 11 hospitals. In the pre-intervention phase, there were 230 cases of vancomycin-resistant enterococci infection, 362 of S aureus bacteraemia, and 968 C difficile infections, for 3 534 439 occupied bed-days. During intervention, there were 50 cases of vancomycin-resistant enterococci infection, 109 of S aureus bacteraemia, and 278 C difficile infections, for 1 267 134 occupied bed-days. After the intervention, vancomycin-resistant enterococci infections reduced from 0·35 to 0·22 per 10 000 occupied bed-days (relative risk 0·63, 95% CI 0·41-0·97, p=0·0340). The incidences of S aureus bacteraemia (0·97 to 0·80 per 10 000 occupied bed-days; 0·82, 0·60-1·12, p=0·2180) and C difficile infections (2·34 to 2·52 per 10 000 occupied bed-days; 1·07, 0·88-1·30, p=0·4655) did not change significantly. The intervention increased the percentage of frequent touch points cleaned in bathrooms from 55% to 76% (odds ratio 2·07, 1·83-2·34, p<0·0001) and bedrooms from 64% to 86% (1·87, 1·68-2·09, p<0·0001).
INTERPRETATION: The REACH cleaning bundle was successful at improving cleaning thoroughness and showed great promise in reducing vancomycin-resistant enterococci infections. Our work will inform hospital cleaning policy and practice, highlighting the value of investment in both routine and discharge cleaning practice.
FUNDING: National Health and Medical Research Council (Australia).

PMID: 30858014 [PubMed - as supplied by publisher]


           Loft Apartment 260m at O west fro Orascom at 6th of October       Cache   Translate Page      
O West Loft for sale at O-west Orascom development 260m + private garden Double Hieght -Price: 4,420,000 -Down payment: 442,000 -Instalments over 7 years -Delivery 4 years The Loft Consists of: Reception, 3 master Bedrooms with dressing, 1 Nany room, 4 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace. Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west October featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West October From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
           Dupliex with garden for sale at Owest from Orascom,6th of October city       Cache   Translate Page      
O West Villa for sale at O-west Orascom development Bua: 238m + Private Garden -Price: 4,046,000 -Down payment: 404,600 -Instalments over 7 years -Delivery 4 years The Dupliex Consists of: Reception, 3 Bedrooms, 1 Nany room, 3 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace + Private Garden Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
          Pelosi Was Almost Entirely Correct On Impeachment       Cache   Translate Page      

I don’t often disagree with Greg Sargent, but I don’t think he’s got the right take on Nancy Pelosi’s decision to announce that she’s not for impeaching the president. If I can briefly summarize Sargent’s position, he doesn’t think Pelosi is completely out of her tree, but he does think she went unnecessarily far in her remarks.  For context, here is what Pelosi said:

“I’m not for impeachment. This is news. I’m going to give you some news right now because I haven’t said this to any press person before. But since you asked, and I’ve been thinking about this: Impeachment is so divisive to the country that unless there’s something so compelling and overwhelming and bipartisan, I don’t think we should go down that path, because it divides the country. And he’s just not worth it.”

For a little fuller context, she added this later in the interview:

You said earlier you don’t feel it’s worth it to pursue impeachment. Do you believe he’s fit to be president?

Are we talking ethically? Intellectually? Politically? What are we talking here?

All —

All of the above. No. No. I don’t think he is. I mean, ethically unfit. Intellectually unfit. Curiosity-wise unfit. No, I don’t think he’s fit to be president of the United States.

Sargent is clear that he doesn’t think Pelosi should support impeachment hearings right now but he argues that her “suggestion that impeachment hearings can proceed only with “bipartisan” support is also unnecessarily self-constraining.” But, for starters, she didn’t specifically mention anything about impeachment “hearings,” which are a preliminary step to an actual vote on impeachment in the House.  There’s no logic that says an inquiry must lead to a vote. If we look at what she said very literally, she only precluded having a vote to impeach unless there is something new revealed that is “so compelling and overwhelming” that it creates some bipartisan consensus that the president must be removed.

As for inquiries, the House is already working on several of them which are likely to slice Trump up like a ripe watermelon.  Pelosi has encouraged this, and there’s really no reason to stop what the Way & Means, Financial Services, and Oversight committees are doing prematurely and put all their work under the jurisdiction of the Judiciary Committee that would have responsibility for voting out articles of impeachment.

To really judge Pelosi’s comments, we have to look at what she was trying to accomplish, and I think she succeeded in every area save one.

She wants the Democrats to stay on message with their positive agenda for the American people. This becomes very clear in another part of the interview when she catches herself for spending too much time criticizing the president.

And that’s up to us to make the contrast to show that this president — while he may be appealing to you on your insecurity and therefore your xenophobia, whether it’s globalization or immigrants — is fighting clean air for your children to breathe, clean water for them to drink, food safety, every good thing that we should be doing that people can’t do for themselves. You know, I have five kids, and I think I can do everything for them, but I can’t control the air they breathe, the water that they drink. You depend on the public sector to do certain things for the health and well-being of your family, and he is counter to that.

But again, this is coming across too negatively. I don’t usually talk about him this much. This is the most I’ve probably talked about him. I hardly ever talk about him. You know, it’s not about him. It’s about what we can do for the people to lower health-care costs, bigger paychecks, cleaner government.

If the Democrats are talking about the president, they’re not talking about health care, jobs, and better government, and Pelosi’s main concern is not to be off-message. It’s the same strategy the Democrats used in the midterm elections, and it was very successful. Now that those successful candidates are members of Congress, it’s fitting that their leader is helping them keep the focus on the things they ran on rather than the things that might obsess Democratic partisans.

I believe this motivation explains about 80 percent of why Pelosi “made news” in this interview on the impeachment issue.

But she also understands that impeaching the president is of limited value and will even be harmful in some ways if he isn’t convicted by the Senate, which is controlled by the Republicans. The more partisan she seems, the more partisan the reaction will be. The more reluctant she sounds to impeach the president, the more it will seem like the facts have overwhelmed her natural aversion to impeachment. For the same reason President Obama eventually concluded that if he wanted something to pass through Congress he should be as invisible on the issue as possible, Pelosi understands that if she acts like she wants something, that alone will make her less likely to get it.

In any case, while impeachment is a political process and not like any ordinary trial, some things remain the same. We don’t like it when a judge indicates a belief in guilt before any of the prosecution’s evidence has been presented. That makes us doubt the fairness of the proceedings. This is why Sargent would have approved if Pelosi had simply said it was too premature to talk about impeachment rather than going farther and suggesting that some bipartisan consensus would be required. Either way, though, she’s sending the message that she isn’t prejudging the case, and that’s important not just for Republican audiences. It’s important for anyone who hasn’t already made up their mind.

So, Pelosi accomplished several things with her remarks, all of them completely sensible and defensible. There’s even another benefit that Sargent mentions that could have been a consideration.

Politico’s savvy reporters speculate that Pelosi did this to create a holding pattern for Democrats, temporarily insulating them from unceasing questioning on this topic from activists by allowing them to blame Pelosi’s opposition.

I actually consider that factor as a subset of the staying-on-message strategy, but if she’s willing to take some heat to spare others, that’s part of her job as party leader.

There’s only one real downside to her remarks, and that is that she sent a morally weak message. By saying that impeachment should be reserved for things that produce bipartisan outrage, she gave some control to the Republicans and their moral compass. That’s why Rep. Jamie Raskin of Maryland criticized her remarks, saying it’s not about whether Trump is “worth it,” but about “whether the republic is worth it.” It’s why Rep. David Cicilline of Rhode Island recoiled, arguing in response that, “If the facts require us to initiate removing the president, we are obligated to do it.”

It’s close to impossible to take a political action that has 100 percent upside and no downside, and in this case there was no way for Pelosi to hit every mark. But she did very well for herself and for the party and country. She made it so people understand that she’s not going to impeach Trump come hell or high water, and if the facts that come in from Mueller are underwhelming or her own inquiries fail to produce significant bipartisan outrage that she’s not going to bull ahead on a process that will lead nowhere. But she also made is so damning facts that do come out will be more impactful. If she reverses herself on impeachment later, it will be seen as a meaningful indicator of the seriousness of the charges. She avoided getting the Republicans in a defensive crouch and didn’t undermine the credibility of future proceedings by appearing to prejudge their outcome. She took the heat on herself in the service of keeping the other members on message.

She’s a skilled operator and it’s pleasure to watch her navigate our nation’s choppy political waters. And I say this as someone who has been making a moral and factual case for impeachment since the month Trump took office.

Discuss


          Do I Have What it takes for a Career in the Health Care Industry?      Cache   Translate Page      

There are plenty of reasons a career in the health care industry may seem appealing to you. It’s a growth industry, with rewarding jobs that often have flexible scheduling options. Salaries for healthcare jobs are competitive, and there are positions available at virtually every level of education. Before you decide to pursue a career in […]

The post Do I Have What it takes for a Career in the Health Care Industry? appeared first on ABC Training Center.


          Health Care Law      Cache   Translate Page      

If you haven’t signed up for health insurance this year, do so now and avoid or reduce any penalty you might be subject to. Depending on your income, you may be able to claim the premium tax credit that reduces...

The post Health Care Law appeared first on Robert Borish CPA Inc..


          Veterans health care town halls planned in Petersburg, Wrangell      Cache   Translate Page      

Officials with the Veterans Affairs health care system will be holding town halls in Petersburg and Wrangell this week.

The post Veterans health care town halls planned in Petersburg, Wrangell appeared first on KFSK.


          NIHCM Health Care Digital Media Award: the Finalists.      Cache   Translate Page      
Thanks to NIHCM for including “Obamacare’s Victims” parts 1 and 2 on the list (see below for a brief description of this two-part post) , and congratulations to all of the finalists. The award recognizes excellence in digital media that … Continue reading
           Loft Apartment 260m at O west fro Orascom at 6th of October       Cache   Translate Page      
O West Loft for sale at O-west Orascom development 260m + private garden Double Hieght -Price: 4,420,000 -Down payment: 442,000 -Instalments over 7 years -Delivery 4 years The Loft Consists of: Reception, 3 master Bedrooms with dressing, 1 Nany room, 4 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace. Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west October featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West October From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
           Dupliex with garden for sale at Owest from Orascom,6th of October city       Cache   Translate Page      
O West Villa for sale at O-west Orascom development Bua: 238m + Private Garden -Price: 4,046,000 -Down payment: 404,600 -Instalments over 7 years -Delivery 4 years The Dupliex Consists of: Reception, 3 Bedrooms, 1 Nany room, 3 Bathroom, 1 Nany bathroom, Living room, Kitchen, Terrace + Private Garden Location: Orascom O west Project Location strategic position is: • In close proximity to Wahat Road • 2 km from Mall of Egypt Facilities - Community centres & service - Green initiatives & sustainable architecture - Town and facility management - Connectivity walk ability - Education geared for next generation - Sporting facilities and green fingers - Medical care and specialized clinics - Business district O West is Orascom Development’s latest addition to its integrated towns portfolio. Situated in West Cairo, the development occupies 4.2 million square meters with direct access to major highways and roads. O West is set to become Orascom Development’s flagship project in the capital, Compound O west featuring its coveted signature lifestyle. Home to residences, leisure & entertainment, education, health-care and business. O West From Orascom Developments is coming soon to change everything you’ve come to know about integrated developments in West Cairo.
          3/13/2019: SBJ: Ford expects staff health-care costs to top $1 billion in 2020      Cache   Translate Page      
Ford Motor Co. expects the cost of health insurance for its 56,000 hourly workers in the U.S. to top $1 billion (U.S.) for the first time next year, according to a person familiar with the situation, highlighting a growing expense for automakers even...


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