The other Paul Ryan plan: $800B in Medicaid cuts

Republican Vice Presidential candidate, Rep. Paul Ryan, R-Wis. talks to supporters during a campaign rally in Lakewood, Colo., Tuesday, Aug. 14, 2012. (AP Photo/Jack Dempsey)

Republican Vice Presidential candidate, Rep. Paul Ryan, R-Wis. talks to supporters during a campaign rally in Lakewood, Colo., Tuesday, Aug. 14, 2012. (AP Photo/Jack Dempsey)

(AP) ? Rep. Paul Ryan's plan for Medicare gets all the attention, but the GOP vice presidential candidate has proposed more fundamental changes to medical care for the poor and disabled.

Under the Wisconsin congressman's Medicaid plan, states would take over the program. Simultaneously, Ryan's proposed budget would reduce projected federal spending by about $800 billion over 10 years, shrinking Medicaid as a share of the overall national economy. The plan has passed the Republican-led House two years in a row.

Ryan would also repeal President Barack Obama's health care law, expected to add at least 11 million more people to Medicaid.

On both proposals, Ryan is in sync with his new boss, Republican presidential candidate Mitt Romney. But such cuts would result in millions of vulnerable people losing health insurance, according to advocates for the poor and some nonpartisan economic analysts.

"Medicaid is already a very lean program," said Edwin Park of the Center on Budget and Policy Priorities, which advocates for low-income people. "It is not a program where you can magically glean huge efficiencies by just devolving it to the states. The only way to compensate for funding reductions of this magnitude would be to institute deep, damaging cuts to beneficiaries and the health care providers who serve them."

Bring it on, says Wisconsin Health Secretary Dennis Smith, who oversees Medicaid in Ryan's home state. Smith, who works for Republican Gov. Scott Walker, says states can cut costs without gutting services by running Medicaid more efficiently.

"Everybody agrees that there is excess cost in the health care system, so by golly, give us the flexibility to address it, and we will," said Smith. "We can serve the people on Medicaid with the adjustments the Ryan budget. We can make that work."

For example, Wisconsin is now charging some low-income adults a modest monthly premium for Medicaid, tapping a new funding source to pay for valuable benefits, Smith said. And the state is looking for ways to help frail elderly people keep living at home, avoiding the costly alternative of a nursing home.

Medicaid serves nearly 60 million people, about 20 percent of Americans, a diverse population brought together by need.

Low-income children and their mothers, people disabled by life-changing injuries or birth defects, as well as elderly nursing home residents would all feel the consequences of the debate.

On average, the federal government pays about 60 percent of Medicaid costs, and states cover the rest. Medicaid has become a big share of state budgets, and since Washington sets many of the rules, the program is a source of constant tension between federal and state governments. The Supreme Court recently gave some latitude to states chafing at Obama's health care law, saying they are free to opt out of its Medicaid expansion.

Obama has largely shielded Medicaid from cuts in budget negotiations with Congress. But his administration has proposed new ways to allocate funding that could be used to dial back the federal share.

Ryan's plan goes beyond tweaking. It would essentially rip up the Medicaid manual and start all over again. States would get a lump sum from Washington, a "block grant" indexed to reflect population growth and inflation. The idea has governors split along party lines.

Ryan's Medicare plan, shifting future retirees to private insurance, would phase in over a decade or more. But the Medicaid changes would come much more rapidly. The proposal has not been fleshed out in detail, leaving many unanswered questions. For example:

?What happens if a state's economy tanks?

Under current law, the federal Medicaid share is pegged to program enrollment, not population growth, said John Holahan, director of the Health Policy Center at the nonpartisan Urban Institute. That means federal funding increases when the Medicaid rolls swell. But under Ryan's plan, "there are no provisions to automatically deal with recessions," said Holahan. "The demand for Medicaid goes up at the same time state revenue is going down."

?Would low-income and disabled people still have a legal right to coverage?

Converting Medicaid into a block grant would end the current right to coverage under federal law, and it remains unclear what rights could be preserved. Most analysts say states would insist on the flexibility to reduce their Medicaid rolls. The Urban Institute estimates that between 14 million and 27 million people would lose coverage because of Ryan's spending restrictions.

?What sorts of safeguards would remain in place for seniors in need of nursing home care?

Although frail elderly people must spend down most of their savings before they can qualify for Medicaid, a federal law shields spouses from becoming impoverished. It's unclear what would take its place.

Supporters of state control say governors and legislatures are closer to the people and would not run roughshod over their own constituents.

Back in Ryan's state, the jury is still out.

Medicaid covers nearly 1 in 5 Wisconsin residents, and hospitals have a major stake in the outcome. But Joanne Alig, senior vice president for policy with the Wisconsin Hospital Association, says they would need to know more about the plan to reach conclusions.

"While I think we are supportive of looking at alternatives to the Medicaid status quo, the devil's in the details," she said.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/89ae8247abe8493fae24405546e9a1aa/Article_2012-08-15-US-Ryan-Medicaid/id-ff63e24dcb194aaa8ec43f09cc13ced1

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Article by Vita Li

Early menopause is when the final menstrual period occurs before the age of forty five. Premature menopause is when the final menstrual period occurs before the age of forty, affecting about one percent of women. Early or premature menopause may: occur spontaneously because of early failure of the ovaries to produce their normal hormones including oestrogen; be caused surgically when a woman has her ovaries removed either alone or with a hysterectomy; be caused chemically by chemotherapy or radiotherapy for cancer treatment.Symptoms experienced during menopause are essentially the same at any age; although they can be more severe in younger women and due to the long-term effects of lack of oestrogen the risks of developing osteoporosis or heart disease are higher than for women reaching menopause at the expected age. For this reason, it is important that management advice is sought from your doctor for menopause. Regular assessment by your health practitioner will determine appropriate treatment and management options for you.Hot flushes are the most common symptom of menopause, however women may also experience one or more of the following symptoms: aches and pains, depression, headaches, irritability, low self esteem, night sweats, tiredness, urinary frequency, or vaginal dryness. Menopause symptoms experienced are unique to each woman and may vary from very mild to severe symptoms that can affect quality of life. Premature loss of female hormones after menopause may lead to the earlier onset of osteoporosis, or an increase in the risk of heart disease.Maintaining a healthy and balanced diet containing lots of fresh foods may help reduce menopause symptoms. Aim for thirty minutes of moderate intensity physical activity on all or most days of the week. Advantages of regular physical activity include: maintains heart health as well as general health; as you age there is a decrease in metabolic rate, so exercise is important to stop weight gain; weight bearing exercise helps to keep bones healthy and reduce bone loss; provides a feeling of relaxation and wellbeing; helps us to cope better with stress in our everyday lives.The diagnosis of an early menopause can be devastating and bring many changes and challenges. Take action to deal with mood changes if you need to so try talking, writing in a journal, physical activity or even things like art therapy and meditation. If you need help for depression, anxiety or low self-esteem it can be valuable to talk to someone, there are many effective treatments available. Taking action and seeking help can enable you to feel more informed, more in control, and more able to find strategies to help you cope with the changes of an early menopause.Have fans throughout the house and always carry a little hand fan; you can use air conditioning in your home to cool your environment; use a water facial spray when experiencing a hot flush; have cool drinks available when experiencing flushes; wear layers of clothing, so you can take off as much as you need when hot; quitting smoking reduces many health risks. Treatment for menopause is usually long-term hormone replacement therapy, with the possible risks, including breast cancer, similar to women of the same age group.It is thus clear that western medicines cause serious harm to the body at the time of dealing with animal diseases. The toxicity issue of western medicines is an increasing concern. On the contrary, plant Medicine has significant effect with little side effect and thus is very popular. Clinical studies conclude that the constituents in plant medicine for menopause can balance female hormones and counteract estrogen overproduction. Using plant medicine for menopause adds balance and can relieve these symptoms completely.When the lipophilic plant extracts in plant medicine for menopause are applied the critical balance between progesterone and estrogen is re-established. These extracts demonstrate a therapeutic effect by their direct influence on the pituitary gland, which in turn generates systemic re-balance of estrogen and progesterone with minimal adverse reactions. Safe and fast-acting, plant medicine is the completely organic to relieve hot flashes, mood swings, insomnia and vaginal dryness associated with menopause. To learn more, please go to http://www.fonworld.org.

About the Author

staff of Forces of Nature, which is a network company dedicated to promoting customers? websites and developing software. You can go to the following websites to learn more about our natural organic products. http://www.fonworld.org

Use and distribution of this article is subject to our Publisher Guidelines
whereby the original author?s information and copyright must be included.

staff of Forces of Nature, which is a network company dedicated to promoting customers? websites and developing software. You can go to the following websites to learn more about our natural organic products. http://www.fonworld.org












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Conference at Webster University to help nonprofits build cross ...

?Cross-Cultural Engagement: Building a Diverse and Dynamic Community,? a conference sponsored by Gitana Productions, Inc. and the Regional Arts Commission (RAC), will be held at Webster University on October 11 and 12. Registration is $45 and includes lunch; scholarships are available. Register online at www.stlcross-culturalengagement.org or call (314) 721-6556. ?Nonprofit arts, social services, educational and community organizations will learn strategies and tools to engage new and underserved communities, develop lasting cross-cultural relationships and improve internal diversity.?

The conference features leading diversity training consultant Howard J. Ross as the keynote speaker and an experiential workshop by the performance ensemble Urban Bush Women Leadership Institute of New York. Session topics include immigrants in St. Louis; interpersonal skills for developing diversity; Hispanic and Asian diversity; local models of cross cultural engagement; engaging people with disabilities; race, class and racism in St. Louis; diversity and inclusion in the arts; finding common ground; and a poverty simulation.

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If you are doing a home improvement project that involves demolition, slow down and take your time. It may be exciting to smash that wall open, but you could damage structural supports, plumbing, or electrical connections. The same is true of pulling down cabinets and other fixtures. Once you?ve demolished it, it can?t be put back, so pay attention to what you?re doing.

Creating a utility room in your original home design is a very smart idea. In this way you can put all of your utility appliances in one place. If you can keep your heating and cooling system, water heater, and electrical panel all in one conveniently located area, it will be easier to service them, and you will avoid wasting a lot of storage space by having them in separate areas of your home.

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There are a few electric repair in Sandy Springs tasks that a non-expert can do around the home. One is replacing a light switch. After you turn off the electricity and remove the cover plate, detach the wires on the old switch and replace them in the same order on the new switch.

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Detroits Historic And Spiritual Areas ? News and Society ...

Regardless of the town or community you live in or visit during travels, religion is always present. Religion is among the contributing factors that divide folk but also combine them on occasion. During travels, it?s a cool place to start your journey as the feel and ambiance to it is actually unique.

Assumption of the Blessed Virgin Mary Church

This religious landmark is situated on Gratiot Avenue in Detroit. It is currently known as the Presumption Grotto Church, which was designated as a Michigan State Important Site during 1990 and was registered on the National Register of Historical Places in 1991. The Assumption of the Blessed Virgin Mary Church comprises a myriad of structures, including the main church, convent, cemetery, grotto and a service boiler facility.This church is a beautful example of a traditional Catholic Church and if you are interested in religious sites, is a must see.

Cass Avenue Methodist Episcopal Church

Found inside Cass Avenue in Detroit, the Cass Avenue Methodist Church was listed as one of the National Register of Historical Places in 1982 and has been appointed as a Michigan State Historical Site since 1985. The Cass Avenue Methodist Episcopal Church was established in 1880 and was given a complete refresh with the addition of another church on the side of Cass Avenue and Selden in 1883.

Christ Church Chapel

Found in a suburban community in Detroit, Christ Church Chapel is a religious facility that's located on Grosse Pointe Road in Grosse Pointe Farms, Michigan. It was allotted as a Michigan State Significant Site in 1992 and has been enrolled on the Nation's Register of Significant Places since 1993. This Neo-Gothic non secular facility is made in a Latin cross configuration with a 50-ft tower at one side.

St. Mary?s Church Complex Historic District

This important district is situated in the junction of Elm Avenue and North Monroe Street in Monroe Town. This consequential non secular place has remained untouched from when it was completed in 1839 till 1903 when it was expanded. The complex consists of four facilities.

Congregation Shaarey Zedek

This spiritual place is classed as a conservative synagogue located on Bell Road, in one of the suburbs of Detroit, named Southfield. The congregation was established in 1861, during which time Jews were fleeing from the Temple Beth El. The facility was a serious part of the Conservative United Synagogue of America in 1913.

Karen Helman has been fascinated by Detroit Religious Landmarks for a number of years. She has written op-eds and editorial pieces for many online publications. For the details about landmarks in Detroit please visit her site.

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Source: http://newsandsociety.woodriverhall.com/uncategorized/detroits-historic-and-spiritual-areas/

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Egypt military source "six terrorists" arrested in Sinai: TV

CAIRO (Reuters) - An Egyptian military source said on Friday that the armed forces had arrested six "terrorists" in the Sinai region, after an attack on a police station in the area earlier this week which killed 16 border guards, state television reported

Egypt poured troops into North Sinai on Thursday to tackle militants in the Israeli border region. Army commanders said as many as 20 people it considered terrorists were killed in the offensive.

Lawlessness has been growing in North Sinai, a region awash with guns and bristling with resentment against Cairo, since the overthrow of former President Hosni Mubarak in February last year.

(Reporting by Ahmed Tolba; Writing by Shaimaa Fayed; Editing by Robin Pomeroy)

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