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Baobab

Baobab's Journal
Baobab's Journal
May 22, 2016

ACA has only reduced the number of uninsured slightly, has not reduced racial disparities

in health as much as needs to be done.

Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage

Thomas C. Buchmueller, PhD, Zachary M. Levinson, MPP, Helen G. Levy, PhD, and Barbara L. Wolfe, PhD

http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2016.303155


CONTRIBUTORS

All authors contributed to the analysis and the writing of the article.

ABSTRACT

Objectives. To document how health insurance coverage changed for White, Black, and Hispanic adults after the Affordable Care Act (ACA) went into effect.

Methods. We used data from the American Community Survey from 2008 to 2014 to examine changes in the percentage of nonelderly adults who were uninsured, covered by Medicaid, or covered by private health insurance. In addition to presenting overall trends by race/ethnicity, we stratified the analysis by income group and state Medicaid expansion status.

Results. In 2013, 40.5% of Hispanics and 25.8% of Blacks were uninsured, compared with 14.8% of Whites. We found a larger gap in private insurance, which was partially offset by higher rates of public coverage among Blacks and Hispanics. After the main ACA provisions went into effect in 2014, coverage disparities declined slightly as the percentage of adults who were uninsured decreased by 7.1 percentage points for Hispanics, 5.1 percentage points for Blacks, and 3 percentage points for Whites. Coverage gains were greater in states that expanded Medicaid programs.

Conclusions. The ACA has reduced racial/ethnic disparities in coverage, although substantial disparities remain.
Further increases in coverage will require Medicaid expansion by more states and improved program take-up in states that have already done so. (Am J Public Health. Published online ahead of print May 19, 2016: e1–e6. doi:10.2105/AJPH.2016.303155)

May 22, 2016

Big pressure from globalization to eliminate preferential carve outs in US needs to be countered

by a push to expand them for Historically Disadvantaged Individuals who are not simply women or minorities. For example, Non Marital Children and Generation Y and possibly gay people.

This is so that firms owned by these groups could get work under the government procurement agreement. Otherwise the benefits of any stimulus might go exclusively to foreign firms because of the US's new membership in the WTO Government Procurement Agreement. There need to be carve outs - in the form of preferential pricing.

I think that this whole thing may be about those carve outs. They don't want people arguing for bigger carve outs. Maybe women and minorities may be about to be thrown under the bus- may be about to lose their carve outs, and don't know it?

See https://www.researchgate.net/publication/228121888

The Limited Case for Permitting SME (Small and Medium Sized Enterprises) Procurement Preferences in the WTO Agreement on Government Procurement.

and

http://www.intracen.org/uploadedFiles/intracenorg/Content/Publications/Women%20procurement%20guide-final-web.pdf

Globalization doesn't have to result in mass unemployment for our indigenous workforce!

US Businesses owned by Historically Disadvantaged Individuals should be able to get business and not be squeezed out by low bidding foreign firms with lower costs and wages.

May 22, 2016

New Law ‘Facilitates Privatization’ of US Water Systems BUT Privatizations often Turn Into Disasters

just as many municipalities are attempting to recapture their once public utilities due to failed privatizations, the US is bucking the trend and embracing a known broken model.

http://www.mintpressnews.com/new-law-facilitates-privatization-us-water-systems/191577/


WASHINGTON — A major piece of legislation funding the development and improvement of water-related infrastructure passed Congress last week for the first time in nearly a decade, and President Barack Obama is expected to sign the bill soon.

Yet public interest groups warn that a key provision in the law would complicate public investment in drinking water and wastewater systems in big cities and small towns alike. The end result, they say, would be to strengthen privately-managed or -owned water systems while leaving the federal government to take on the risk of these investments — essentially subsidizing water privatization.

“This law will facilitate the privatization of water systems and prioritize funding for privatized systems,” Mary Grant, a researcher for the water program at Food & Water Watch, a watchdog group here, told MintPress News.
May 22, 2016

Political Rifts Over Bill Clinton’s Welfare Law Resurface as Aid Shrinks

Political Rifts Over Bill Clinton’s Welfare Law Resurface as Aid Shrinks: Some states are limiting cash benefits for families, rekindling concerns — some on the Democratic campaign trail — about a law signed 20 years ago.

http://www.nytimes.com/2016/05/21/us/politics/welfare-arizona-bill-hillary-clinton.html?ref=todayspaper

May 22, 2016

The Limited Case for Permitting SME Procurement Preferences in the WTO Agreement on Government Procu

The Limited Case for Permitting SME Procurement Preferences in the WTO Agreement on Government Procurement

https://www.researchgate.net/publication/228121888


Women and minority owned businesses may lose their preferential carve outs in government procurement under the new globalization rules.

Additionally, there are other Historically Disadvantaged Individuals who should get help. Otherwise a lot of work that's currently done my Americans will be contracted out at low wages to low low bidding foreign firms.

Debt burdened Americans can't work for such low wages and won't get those jobs.

May 20, 2016

Hillary Clinton says race against Bernie Sanders is 'done'

Source: BBC News

US Democratic presidential candidate Hillary Clinton has said her primary race against Bernie Sanders is effectively over.

"I will be the nominee for my party," she told CNN in an interview. "That is already done, in effect. There is no way that I won't be."

Read more: http://www.bbc.com/news/election-us-2016-36335319

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