NEWS
Dems push Medicaid expansion for left-behind rural Georgia
Published
2 years agoon
ARLINGTON, Ga. (AP) — Nine years after the hospital closed in the southwest Georgia town of Arlington, the worry about health care lurks. Health insurance premiums are high, many residents report poor health and there’s no guarantee Calhoun County’s sole ambulance will arrive promptly if it’s taking a patient to a distant hospital.
“If it’s out on a call, you might as well throw them in the truck then and try to get somewhere,” said resident Sam Robinson.
Arlington, population 1,209, reflects the health care struggles of rural Georgia.
Democrats, including their nominee for governor, Stacey Abrams, are showcasing those problems as they run for office this year, pushing for Georgia to join 38 other states in expanding the Medicaid health insurance program to cover all able-bodied adults.
Abrams opened her campaign to unseat Republican Brian Kemp at a hospital that closed in nearby Cuthbert, underlining an issue that was a centerpiece of her narrow loss to Kemp in 2018.
“We’re talking about someone who goes in for a checkup and is told that they have stage one pancreatic cancer,” Abrams told reporters in a video news conference this month. “In Georgia, they are not entitled to a follow-up visit unless they can pay out of pocket.”
Experts project more than 450,000 uninsured Georgians would gain coverage if Medicaid were broadened. Many do not usually qualify for subsidies to buy individual policies, leaving them in what experts call the “coverage gap.”
Medicaid expansion is also an issue elsewhere this year.
In South Dakota, voters will decide a referendum on expansion that is opposed by Republican Gov. Kristi Noem. In Kansas and Wisconsin, Democratic governors are seeking reelection after failing to persuade Republican legislatures to broaden coverage.
In Georgia, Kemp has refused calls for expansion, instead proposing coverage for a smaller group of people who meet work, education or volunteering requirements. In an Oct. 11 letter to Georgia’s Democratic members of Congress, Kemp called full Medicaid expansion as “failed one-size-fit-none” policy.
But that refusal stings in Arlington, once home to the 25-bed Calhoun Memorial Hospital. It had been decades since babies were delivered at Calhoun Memorial and the facility struggled to afford the newest technologies. Although services were limited, local residents relied on it for emergencies.
“I used the emergency room with my son,” said Pam Conner. “He was like 4 years old when he got his first very first wasp sting. It put him into anaphylaxis. I don’t know what we would have done without a hospital.”
Conner chairs the county hospital board, nine years after the facility closed and laid off 99 employees. With many uninsured patients, Conner said the hospital was providing more than $2 million yearly in uncompensated care when it shut down.
The county government borrowed for a new roof in 2008, and it’s a sore point locally that taxpayers still owe nearly $500,000 on the building, now leased to a drug and alcohol rehabilitation facility. Local officials declined to raise property taxes to cover hospital deficits, unlike some Georgia counties. The hospital sold its nursing home, raising money but darkening long-term financial prospects. Finally, officials decided to close, joining eight other rural hospitals in Georgia since 2008.
Now, Arlington residents rely on the county’s one ambulance, based 12 miles away in Morgan. Calhoun County projects it will spend $537,000 to provide emergency medical services this year, more than one-eighth of its $4.2 million budget.
Health care problems run deeper in southwest Georgia, though. Private health insurance is so expensive that Conner, whose family owns an insurance agency, instead buys coverage through the federal health insurance marketplace. Robinson said he and his wife once paid a combined $1,000 a month for insurance.
Kemp has succeeded in reducing insurance rates and encouraging more insurers to offer coverage outside metro Atlanta with subsidies. But premiums remain high in southwest Georgia, with one large hospital in Albany dominating the market and residents often in poor health. Calhoun County has high rates of diabetes, obesity and births by teenagers, according to data from County Health Rankings. Black residents are much more likely to have preventable hospitals stays.
Sherrell Byrd of SOWEGA Rising, which tries to improve well-being in southwest Georgia, said COVID-19 highlighted the region’s poor health and rickety health care system. In early 2020, southwest Georgia drew national attention with one of the highest death rates from the respiratory virus.
“It really exposed how bad our health is,” Byrd said. “We had so many comorbidities here.”
Medicaid has also flared as an issue in Atlanta, where the WellStar system closed a hospital in suburban East Point and will by Nov. 1 close the 532-bed Atlanta Medical Center. That’s one of only five top-level trauma centers in Georgia. WellStar says Atlanta Medical Center was losing so much money that Medicaid expansion wouldn’t have helped, but Democrats persist in saying it could have made a difference over the long term.
Having states provide Medicaid coverage to residents with incomes of up to 138% of the federal poverty line was envisioned in President Barack Obama’s 2010 health care overhaul. But the U.S. Supreme Court ruled in 2012 that the federal government could not force states to act, and many Republican-led states balked.
President Joe Biden’s administration has been trying to block Kemp’s plan for a partial Medicaid expansion, but a judge in August ruled Georgia could proceed with the work requirement. Kemp calls his approach a “far better approach to increasing health care coverage than ‘full’ Medicaid expansion.”
Kemp notes Medicaid expansion would force some people now eligible for private health insurance subsidies onto Medicaid. Because Georgia has set low Medicaid payments and some doctors don’t take Medicaid, Kemp argues that would leave those people worse off while increasing competition for current Medicaid patients to find a doctor.
The governor also notes 600,000 more Georgians are on Medicaid now than when he took office, basically arguing Medicaid expansion has already happened. Many people, however, are covered because the federal government has blocked states from dropping people from Medicaid during the COVID-19 pandemic. They could be removed once the federal public health emergency ends.
Democratic Sen. Raphael Warnock has tried to sweeten the deal, enticing lawmakers last year to boost the federal share of funding from 90% to 95% for the first two years of any new state Medicaid expansion. Warnock, seeking reelection on Nov. 8, has long called for broader coverage. He was arrested during protests over the issue at the Georgia Capitol in 2014 and the U.S. Capitol in 2017 before becoming a senator.
“Unfortunately, the state left that money on the table and left hundreds of thousands of working Georgians in the coverage gap,” Warnock said Oct. 12 in Atlanta. “And I intend to keep fighting for them.”
Warnock’s opponent, Republican Herschel Walker, said last month that he opposes expansion.
“Right now, Medicaid has not been good,” he told reporters. “Right now, the expansion is going to continue to bankrupt us. Everyone knows that.”
A key question underlying the debate is to what degree the government is obligated to provide health care and seek improved health outcomes. Democrats now largely believe health care is a human right and collective responsibility. Many Republicans still believe it’s an individual responsibility.
In Arlington, Conner says what actually existed was a mismatch — with hospitals legally required to provide emergency care, but not guaranteed payment.
“It makes me say that universal health care might actually be a right of our citizens,” Conner. “It’s a right for them to go to the emergency room whether they can pay for it or not. But it’s not a right for the hospital to get the money to pay for it.”
You may like
-
Israeli president comments on Lebanon pager attacks
-
German central bank issues warning on economy
-
China is raising its retirement age, now among the youngest in the world’s major economies
-
Gold price soars to all-time high
-
Russia warns NATO of ‘direct war’ over Ukraine
-
Thousands of EU automotive jobs at risk
NEWS
China is raising its retirement age, now among the youngest in the world’s major economies
Published
3 months agoon
September 14, 2024Starting next year, China will raise its retirement age for workers, which is now among the youngest in the world’s major economies, in an effort to address its shrinking population and aging work force.
The Standing Committee of the National People’s Congress, the country’s legislature, passed the new policy Friday after a sudden announcement earlier in the week that it was reviewing the measure, state broadcaster CCTV announced.
The policy change will be carried out over 15 years, with the retirement age for men raised to 63 years, and for women to 55 or 58 years depending on their jobs. The current retirement age is 60 for men and 50 for women in blue-collar jobs and 55 for women doing white-collar work.
“We have more people coming into the retirement age, and so the pension fund is (facing) high pressure. That’s why I think it’s now time to act seriously,” said Xiujian Peng, a senior research fellow at Victoria University in Australia who studies China’s population and its ties to the economy.
The previous retirement ages were set in the 1950’s, when life expectancy was only around 40 years, Peng said.
The policy will be implemented starting in January, according to the announcement from China’s legislature. The change will take effect progressively based on people’s birthdates.
For example, a man born in January 1971 could retire at the age of 61 years and 7 months in August 2032, according to a chart released along with the policy. A man born in May 1971 could retire at the age of 61 years and 8 months in January 2033.
Demographic pressures made the move long overdue, experts say. By the end of 2023, China counted nearly 300 million people over the age of 60. By 2035, that figure is projected to be 400 million, larger than the population of the U.S. The Chinese Academy of Social Sciences had previously projected that the public pension fund will run out of money by that year.
Pressure on social benefits such as pensions and social security is hardly a China-specific problem. The U.S. also faces the issue as analysis shows that currently, the Social Security fund won’t be able to pay out full benefits to people by 2033.
“This is happening everywhere,” said Yanzhong Huang, senior fellow for global health at the Council on Foreign Relations. “But in China with its large elderly population, the challenge is much larger.”
That is on top of fewer births, as younger people opt out of having children, citing high costs. In 2022, China’s National Bureau of Statistics reported that for the first time the country had 850,000 fewer people at the end of the year than the previous year , a turning point from population growth to decline. In 2023, the population shrank further, by 2 million people.
What that means is that the burden of funding elderly people’s pensions will be divided among a smaller group of younger workers, as pension payments are largely funded by deductions from people who are currently working.
Researchers measure that pressure by looking at a number called the dependency ratio, which counts the number of people over the age of 65 compared to the number of workers under 65. That number was 21.8% in 2022, according to government statistics, meaning that roughly five workers would support one retiree. The percentage is expected to rise, meaning fewer workers will be shouldering the burden of one retiree.
The necessary course correction will cause short-term pain, experts say, coming at a time of already high youth unemployment and a soft economy.
A 52-year-old Beijing resident, who gave his family name as Lu and will now retire at age 61 instead of 60, was positive about the change. “I view this as a good thing, because our society’s getting older, and in developed countries, the retirement age is higher,” he said.
Li Bin, 35, who works in the event planning industry, said she was a bit sad.
“It’s three years less of play time. I had originally planned to travel around after retirement,” she said. But she said it was better than expected because the retirement age was only raised three years for women in white-collar jobs.
Some of the comments on social media when the policy review was announced earlier in the week reflected anxiety.
But of the 13,000 comments on the Xinhua news post announcing the news, only a few dozen were visible, suggesting that many others had been censored.
Moscow’s envoy to the UN has reiterated where the Kremlin’s red line is
Granting Kiev permission to use Western-supplied long-range weapons would constitute direct involvement in the Ukraine conflict by NATO, Russia’s envoy to the UN, Vassily Nebenzia, has said.
Moscow will treat any such attack as coming from the US and its allies directly, Russian President Vladimir Putin said on Thursday, explaining that long-range weapons rely on Western intelligence and targeting solutions, neither of which Ukraine is capable of.
NATO countries would “start an open war” with Russia if they allow Ukraine to use long-range weapons, Nebenzia told the UN Security Council on Friday.
“If such a decision is made, that means NATO countries are starting an open war against Russia,” Moscow’s envoy said. “In that case, we will obviously be forced to make certain decisions, with all the attendant consequences for Western aggressors.”
Putin issues new warning to NATO
“Our Western colleagues will not be able to dodge responsibility and blame Kiev for everything,” Nebenzia added. “Only NATO troops can program the flight solutions for those missile systems. Ukraine doesn’t have that capability. This is not about allowing Kiev to strike Russia with long-range weapons, but about the West making the targeting decisions.”
Russia considers it irrelevant that Ukrainian nationalists would technically be the ones pulling the trigger, Nebenzia explained. “NATO would become directly involved in military action against a nuclear power. I don’t think I have to explain what consequences that would have,” he said.
The US and its allies placed some restrictions on the use of their weapons, so they could claim not to be directly involved in the conflict with Russia, while arming Ukraine to the tune of $200 billion.
Multiple Western outlets have reported that the limitations might be lifted this week, as US Secretary of State Antony Blinken and British Foreign Secretary David Lammy visited Kiev. Russia has repeatedly warned the West against such a course of action.
‼️🇷🇺🏴☠️ President's Response on the Potential Use of NATO Long-Range Weapons Against Russia
"This would mean that NATO countries, the United States, and European nations are at war with Russia. And if that is the case, considering the fundamental shift in the nature of this… pic.twitter.com/UO03dRUl44
— Zlatti71 (@Zlatti_71) September 12, 2024
NEWS
China makes its move in Africa. Should the West be worried?
Published
3 months agoon
September 11, 2024Beijing maintains a conservative economic agenda in its relations with the continent, while finding it increasingly difficult to avoid a political confrontation with the West
The ninth forum on China-Africa Cooperation (FOCAC) and the FOCAC summit held in Beijing on September 4-6 marked a significant phase in Africa’s relations with its global partners in the post-Covid era. China is the last major partner to hold a summit with African nations following the end of the pandemic; Africa summits were held by the EU and the US in 2022, and by Russia in 2023. The pandemic, coupled with rising global tensions, macroeconomic shifts, and a series of crises, underlined Africa’s growing role in the global economy and politics – something that China, which has undergone major changes (both internal and external) as a result of the pandemic, is well aware of.
It is clear that the relationship between China and Africa is entering a new phase. China is no longer just a preferential economic partner for Africa, as it had been in the first two decades of the 21st century. It has become a key political and military ally for many African countries. This is evident from China’s increasing role in training African civil servants and sharing expertise with them, as well as from several initiatives announced at the summit, including military-technical cooperation: officer training programs, mine clearing efforts, and over $100 million which China will provide to support the armed forces of African nations.
In the political arena, however, Beijing is proceeding very cautiously and the above-mentioned initiatives should be seen as the first tentative attempts rather than a systematic strategy.
While China strives to avoid political confrontation with the West in Africa and even closely cooperates with it on certain issues, it is becoming increasingly difficult to do so. Washington is determined to pursue a policy of confrontation with Beijing in Africa – this is evident both from US rhetoric and its strategic documents.
Dirty tactics: How the US tries to break China’s soft power in Africa
A “divorce” between China and the West is almost inevitable. This means that Chinese companies may lose contracts with Western corporations and won’t have access to transportation and logistics infrastructure. Consequently, China will need to develop its own comprehensive approach to Africa, either independently or in collaboration with other global power centers.
An important sign of the growing confrontation between the US and China in Africa was the signing of a trilateral memorandum of understanding between China, Tanzania, and Zambia regarding the reconstruction of the Tanzania-Zambia Railway (TAZARA), which was originally built by China in the 1970s. If it is expanded, electrified, and modernized, TAZARA has the potential to become a viable alternative to one of the key US investment projects in the region: the Lobito Corridor, which aims to enhance logistics infrastructure for exporting minerals (copper and cobalt) from the Democratic Republic of the Congo and Zambia by modernizing the railway from the DR Congo to the Angolan port of Lobito.
In inland regions such as Eastern Congo, transportation infrastructure plays a crucial role in the process of mineral extraction. Considering the region’s shortage of rail and road networks, even a single non-electrified railway line leading to a port in the Atlantic or Indian Ocean can significantly boost the operation of the mining sector and permanently tie the extraction and processing regions to specific markets.
It appears that China’s initiative holds greater promise compared to the US one, particularly because Chinese companies control major mines both in the Democratic Republic of the Congo and Zambia. This gives them a clear advantage in working with Chinese operators and equipment, facilitating the export of minerals through East African ports. Overall, this indicates that East Africa will maintain its role as the economic leader on the continent and one of the most integrated and rapidly developing regions for imports.
A former colonial European power returns to Africa. What is it after now?
The highlight of the summit was China’s pledge to provide $50 billion to African countries over the next three years (by 2027). This figure echoes the $55 billion commitment to China made by the US (for 3 years) at the 2022 US-Africa Summit and the $170 billion that the EU promised to provide over seven years back in 2021. Consequently, leading global players allocate approximately $15-20 billion annually to Africa.
In recent years, there has been noticeable growth in such promises. Nearly every nation is eager to promise Africa something – for example, Italy has pledged $1 billion annually. However, these large packages of so-called “financial aid” often have little in common with actual assistance, since they are typically commercial loans or corporate investments. Moreover, a significant portion of these funds is spent in the donor countries (e.g. on the procurement and production of goods), which means that they contribute to the economic growth of African nations in a minimal way.
As for China, it will provide about $11 billion in genuine aid. This is a substantial amount which will be used for developing healthcare and agriculture in Africa. Another $30 billion will come in the form of loans (roughly $10 billion per year) and a further $10 billion as investments.
The overall financial framework allows us to make certain conclusions, though it’s important to note that the methodology for calculating these figures is unclear, and the line between loans, humanitarian aid, and investments remains blurred. In terms of investments (averaging around $3 billion per year), Beijing plans to maintain its previous levels of activity – in recent years, China’s foreign direct investments (FDI) have ranged from $2 billion to $5 billion annually. Financial and humanitarian aid could nearly double (from the current $1.5 billion-$2 billion per year) while lending is expected to return to pre-pandemic levels (which would still be below the peak years of 2012-2018).
Can Africa seize control of its own energy?
China’s economic plan for Africa seems to be quite conservative. It’s no surprise that debt issues took center stage during the summit. During the Covid-19 pandemic, macroeconomic stability in African countries deteriorated, which led to challenges in debt repayments and forced Africa to initiate debt restructuring processes assisted by the IMF and the G20. Starting in 2020, a combination of internal and external factors led China to significantly cut its lending to African countries – from about $10-15 billion down to $2-3 billion. This reduction in funding has triggered economic reforms in several African countries (e.g. Ghana, Kenya, and Nigeria), which have shifted toward stricter tax and monetary policies. While promises to increase lending may seem like good news for African nations, it’s likely that much of this funding will go toward interest payments on existing obligations and debt restructuring, since China wants to ensure that its loans are repaid.
Despite China’s cautious approach to Africa, its interaction with the continent will develop as a result of external and internal changes affecting both Africa and China. Africa will gradually become more industrialized and will reduce imports while the demand for investments and local production will increase. China will face demographic challenges, and its workforce will decrease. This may encourage bilateral cooperation as some production facilities may move from China to Africa. This will most likely concern East African countries such as Ethiopia and Tanzania, considering China’s current investments in their energy and transportation infrastructure. Additionally, with Africa’s population on the rise and China’s population declining, Beijing is expected to attract more African migrant workers to help address labor shortages.
Study and Schengen Visa in Europe! Discover everything you need to know to plan and complete higher education studies in Europe.
Israeli president comments on Lebanon pager attacks
German central bank issues warning on economy
China is raising its retirement age, now among the youngest in the world’s major economies
Gold price soars to all-time high
Russia warns NATO of ‘direct war’ over Ukraine
In Spotify, music listens to you: streaming platform wins patent to surveil users’ emotions to recommend music
How much YouTube pays for 1 million views, according to creators
Pentagon well aware of Ukraine’s corruption problem
Most Americans want to move on from Biden and Trump – poll
Finland officially joins NATO
Turkish minister escapes fire blast (VIDEO)
Trump savages pop star’s Super Bowl performance
Alec Baldwin sued by Ukrainian family of slain cinematographer
Duran Duran stumbles, Dolly Parton rolls into Rock Hall
Sweden probes possible plot behind Russian pipeline leaks
Study and Schengen Visa in Europe! Discover everything you need to know to plan and complete higher education studies in Europe.
Trending
-
NEWS3 months ago
China makes its move in Africa. Should the West be worried?
-
NEWS3 months ago
China is raising its retirement age, now among the youngest in the world’s major economies
-
NEWS3 months ago
Russia warns NATO of ‘direct war’ over Ukraine
-
WAR3 months ago
Israeli president comments on Lebanon pager attacks
-
FINANCE3 months ago
German central bank issues warning on economy
-
INVESTMENTS3 months ago
Gold price soars to all-time high
-
FINANCE3 months ago
Thousands of EU automotive jobs at risk