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Thursday,
February 5, 2009
- Maryland / Regional
-
Insurance commissioner unveils four bills to aid
consumers
(Daily Record)
-
Maryland family grateful for SCHIP help
(CNN)
-
Obama views children's health bill as step one
(Baltimore Sun)
-
The bill is H.R. 2.
(Associated Press)
-
Patients at Salisbury facility found malnourished
(Daily Record)
-
Surgical Fires Not Often Talked About
(WBAL-TV.com)
-
Governor
O'Malley gets an earful
(Baltimore Sun)
-
Economy on minds of many at governor’s town hall
(Cumberland Times-News)
-
Prostate patients monitoring, not treating, cancer
(Baltimore Examiner)
-
County police join frontlines in mental health
(Montgomery County Gazette)
-
Virginia restaurant smoking ban proposal moves
forward
(Baltimore Sun)
- National / International
-
FDA defends how it handled salmonella outbreak
(Baltimore Sun)
-
Lawmakers to press for food safety overhaul as
peanut recall surpasses 1,000 Products
(Washington Post)
-
Home of man linked to 1982 Tylenol deaths searched
(Frederick News-Post)
- Opinion
-
Health care for all
(Baltimore Sun
Editorial)
-
Good medicine
(Baltimore Sun
Editorial)
-
-
- Maryland / Regional
-
-
Insurance commissioner unveils four bills to aid
consumers
-
- By Danielle Ulman
- Daily Record Business Writer
- Thursday, February 5, 2009
-
- ANNAPOLIS — The state’s insurance commissioner
unveiled a group of legislative proposals Wednesday to
reform insurance industry health care practices that he
said would benefit citizens without affecting Maryland’s
heavily burdened budget.
-
- The most prominent of the bills would require
insurers to spend more money on actual health care costs
through a mandated increase in the medical loss ratio,
or the percentage of each premium dollar that an
insurance carrier spends on paying health care claims,
said Insurance Commissioner Ralph S. Tyler.
-
- An increase in the medical loss ratio would improve
conditions for doctors, who are struggling to cover
their own costs in Maryland under their contracts with
insurers, said Stephen J. Rockower, an orthopedic
surgeon in Rockville and a board member of MedChi, the
state’s medical society.
-
- “The biggest problem is that doctors are
small-business people, too,” he said. “When insurance
companies are not paying for certain services, doctors
are forced to leave insurance plans or leave the state.”
-
- Insurers pay 75 cents out of every dollar for small
group insurance policies, and Tyler is seeking a bump to
85 cents per dollar, or a ratio of 85 percent;
individual policies have a 60 percent loss ratio and
would increase to 80 percent under this legislation. The
ratio has not been updated in more than 15 years.
-
- “It is a question of striking a balance between the
legitimate needs of the insurance carriers to have
sufficient expenses and motivation to earn money to have
operations work, but at the same time being sure that
the maximum amount of dollars possible are going out in
the form of health care coverage,” said John Colmers,
secretary of the Department of Health and Mental
Hygiene.
-
- The bill, sponsored by Del. Heather Mizeur,
D-Montgomery, would phase in the ratio increases,
starting at 80 percent in 2010. If an insurer does not
meet the mandated increase, Tyler can require the
insurer to file lower rates for consumers in the
following year.
-
- Another proposal would limit the amount of time an
insurer can exclude a person’s pre-existing condition
from coverage. Insurers can ask for a health history of
up to seven years and refuse coverage of a pre-existing
condition for two years; the new law would limit
exclusion to one year.
-
- The bill would still protect insurers from those who
only pick up a policy after they get sick, but would
shorten the amount of time a person would have to wait
to get coverage.
-
- Tyler also proposed a law that would put the burden
on insurers to resolve any questions on a policyholder’s
medical history before approving coverage. If a person
fails to answer a question on an application and the
insurer does not request the information, the law would
cancel the insurer’s ability to drop the policy.
Insurers would still have the right to rescind coverage
for anyone who lied on an application.
-
- The final proposal would target association health
care plans that require members to join a group in order
to get coverage and are not subject to Maryland laws for
benefits. The law would require three firms — Golden
Rule Insurance Co., Mega Life Insurance Co. and Time
Insurance Co. — to tell consumers that they are not
protected under state law and offer other options that
would give them the same protections and benefits.
-
- Michael Sullivan, a spokesman for the state’s
largest insurer, CareFirst BlueCross BlueShield, said in
a statement: “We’re reviewing the legislation to
determine how it might affect CareFirst and its
members.”
-
- The House Health and Government Operations Committee
and the Senate Finance Committee are both expected to
meet for hearings on the legislation next week.
-
- Copyright 2009 Daily Record.
-
-
Maryland family grateful for SCHIP help
-
- By Rachel Streitfeld
- CNN
- Thursday, February 5, 2009
-
- PIKESVILLE, Maryland (CNN) -- Isaiah Partlow helps
his parents with his little sister Maya, flipping to her
favorite TV channel and sharing bites of his ham and
cheese Hot Pocket.
-
- Robert and Kia Partlow use Maryland's Children's
Health Insurance Plan.
-
- But when Maya came down with an ear infection, her
parents weren't sure how they'd take care of her. They
struggled to pay for the 2-year-old's health insurance
coverage.
-
- "No matter what happens to me, they're my No. 1
concern, making sure they go to bed healthy every night,
waking up healthy every morning," said Robert Partlow,
who lost his job, along with his health care benefits,
last year.
-
- Partlow soon found a new job, but it pays less and
doesn't offer benefits. So he and his wife, Kia, applied
for their two children to be covered by MCHIP,
Maryland's version of the State Children's Health
Insurance Plan (SCHIP).
-
- President Obama signed changes to SCHIP into law
late Wednesday afternoon, hours after the House of
Representatives voted to pass the bill 290 to 135.
Supporters say the program expansion, which was twice
vetoed by President Bush for being too costly and
unwieldy, will cover almost 11 million children who
don't qualify for Medicaid but whose parents cannot
afford private health insurance.
-
- The bill expands SCHIP by more than $32 billion over
five years.
-
- "The help is definitely needed. At this day and
time, with the economy the way it is, this takes a
burden off of you knowing that at least your kids are
covered," Robert Partlow said. "No matter what happens,
they're covered."
-
- On a busy school morning, Robert and Kia gather in
the living room to share breakfast with the kids. Robert
has just returned home from his job working a security
detail overnight, and Kia is dressed for work.
-
- The family makes about $50,000 a year -- $15,000
less than Robert was making before -- forcing the
Partlows to make some tough decisions.
-
- "That would have been a tossup of would we take them
to the doctor or put gas in the car then go to work. And
we really needed for me to go to work and everything,"
Kia said. "But that was the choice, the tossup."
-
- When Isaiah, 7, and Maya were accepted into the
MCHIP program in November, the notice didn't come a
minute too soon. Maya, who suffers from frequent ear
infections, had been complaining her ear hurt. Her
parents were worried about how they'd pay a doctor's
bill without insurance.
-
- "So it was really a blessing to have. It came right
on time," Kia said. "Because we wouldn't know what to do
if we hadn't been able to afford to take her to the
doctor."
-
- Robert applauded lawmakers who voted for the SCHIP
expansion.
-
- "I sleep easier knowing that my kids are covered by
insurance," Robert said. "And luckily I heard that we
had this kind of program that we could turn to for help.
It actually took a lot of weight off my shoulders,
because I didn't know what I was going to do."
-
- Copyright 2009 CNN.
-
-
Obama views children's health bill as step one
- Associated Press
-
- By Kevin Freking
- Baltimore Sun
- Thursday, February 5, 2009
-
- WASHINGTON -- President Barack Obama sees expansion
of government health insurance to millions of
lower-income children as a first step of several to come
in providing coverage for all Americans.
-
- Ending a two-year effort by Democrats, Obama signed
legislation Wednesday that will allow about 7 million
children to continue coverage through the State
Children's Health Insurance Program and allow an
additional 4 million to sign up.
-
- "The way I see it, providing coverage to 11 million
children through CHIP is a down payment on my commitment
to cover every single American," Obama said at a White
House bill-signing ceremony.
-
- The measure was similar to two bills vetoed by
former President George W. Bush. It was pushed through
both the House and Senate by Democrats eager to give
Obama an early victory on health care.
-
- Most lawmakers and advocacy groups in the health
reform debate acknowledge that the next steps toward
reform will be harder than expanding SCHIP, given the
increasing federal deficit.
-
- More ambitious changes envisioned by Obama will face
entrenched interests in the health care community and
Republicans who oppose expanding government-funded
insurance.
-
- "Republicans are committed to making health care
more affordable, more accessible and offer more options
to American families," said Rep. Roy Blunt, R-Mo.
"Unfortunately, the only options we've seen so far this
Congress would push us to a one-size-fits all
government-run system."
-
- And not all Democrats are on the same page with
Obama. Montana Sen. Max Baucus, who chairs the Senate
Finance Committee, plans to put together a bill that
differs from the president's goal of universal coverage.
-
- Obama acknowledged the difficulties of reforming
health care at Wednesday's bill-signing ceremony "It
won't be easy; it won't happen all at once," the
president said. "But this bill that I'm about to sign,
that wasn't easy either."
-
- Since August 2007, the House voted seven times to
expand the children's health insurance program.
Opposition from Bush helped stiffen Republican resolve
and helped block passage of the measures.
-
- During final debate Wednesday before the bill passed
the House, 290-135, Republicans criticized the cost of
the measure. They also criticized allowing into the
program an estimated 2.4 million children who otherwise
might have access to private insurance.
-
- "This debate is about, do we want a children's
health insurance program that covers every child in
America with state and federal dollars regardless of
their ability to pay?" said Rep. Joe Barton, R-Texas.
"Do we want to freeze out the private sector for health
insurance?"
-
- But supporters said that ensuring children had
access to adequate health care was a matter of
priorities. Rep. Frank Pallone, D-N.J., said an
estimated 4 million people have lost employer-sponsored
insurance in the past year.
-
- "Do they keep their families' health insurance or do
they put food on the table at night? During this
economic recession, these kinds of decisions are
unfortunately becoming more common," Pallone said.
-
- Copyright 2009 Baltimore Sun.
-
-
The bill is H.R. 2.
- Details from children's health insurance bill
-
- By The Associated Press
- Associated Press
- Thursday, February 5, 2009
-
- Key details from the legislation signed into law
Wednesday expanding the State Children's Health
Insurance Program:
-
- *Continues coverage through 2013 for 7 million lower
income children.
-
- *Expands coverage for another 4.1 million uninsured
children.
-
- * Makes 2.4 million children eligible for the
program who otherwise might have access to private
insurance.
-
- * Provides an additional $32.8 billion through Sept.
30, 2013, by increasing federal excise taxes on tobacco
products. The tax on cigarettes will go up 62 cents to
$1.01 a pack.
-
- * Provides $100 million in grants for states, local
governments, schools and others to enroll more eligible
children.
-
- * Requires states to offer a dental benefit.
-
- * Allows states to offer SCHIP dental coverage to
children whose private medical insurance does not cover
dentist visits.
-
- * Allows states to extend SCHIP and Medicaid to
newly arrived legal immigrant children and pregnant
women.
-
- * Allows states to use Social Security numbers to
verify an applicant's citizenship, making it easier to
prove eligibility and enroll in the program.
-
- Copyright 2009 Associated Press.
-
-
Patients at Salisbury facility found malnourished
-
- Associated Press
- Daily Record
- Thursday, February 5, 2009
-
- SALISBURY — Officials at a Salisbury facility for
people with developmental disabilities say they have
corrected problems that caused patients on feeding tubes
to become malnourished.
-
- A routine survey by the Maryland Office of Health
Care Quality uncovered the problems last fall. Director
Wendy Kronmiller says the findings "were extraordinarily
serious."
-
- The facility, the Holly Center, continues to be
closely monitored by state officials and patient
advocates.
-
- The Holly Center was not penalized and Kronmiller
says it is not at risk of losing federal funding.
-
- Copyright 2009 Daily Record.
-
-
Surgical Fires Not Often Talked About
-
- By Kerry Cavanaugh
- WBAL TV.com
- Tuesday, February 3, 2009
-
- BALTIMORE -- WBAL TV 11 News has learned that
surgical fires in which patients actually catch fire in
the operating room are incidents that are rarely talked
about -- but do happen.
-
- Cathy Reuter Lake became a crusader to make people
aware of surgical fires after her mother, Catherine
Darahano Reuter, underwent a tracheotomy on New Year's
Eve in 2002.
-
- Lake said her mother signed the release forms that
explained everything that could go wrong during the
procedure -- bleeding, a heart attack, infection and
death -- but there was one frightening possibility those
papers did not include.
-
- "She went into an operating room, trusting that they
would make things better for her, and instead she came
out burned," Lake told 11 News reporter Kerry Cavanaugh.
-
- Lake said her mother was disfigured by the surgical
fire.
-
- "My mom had second- and third-degree burns to the
right side of her face. Both of her eyes were burned,
inside her nose and her mouth and down her back," Lake
said.
-
- Reuter, a diabetic heart patient, declined rapidly,
according to her daughter.
-
- "She couldn't walk. She couldn't eat. She couldn't
talk. Her vision was impaired further. So, I became
literally her voice, eyes, and ears to help her," Lake
said.
-
- Lake had never heard of surgical fires. Sinai
Hospital anesthesiologist Dr. James Pepple told 11 News
that most accidents happen when oxygen is flowing and a
surgical tool, such as a laser, creates a spark that
ignites the flammable items surrounding a patient,
including alcohol-based antiseptics, paper and surgical
drapes. Even a person's hair can catch fire, Pepple
said.
-
- Catherine Darahano Reuter underwent a tracheotomy on
New Year's Eve in 2002.
-
- "Once that happens, it can go to the mask or the
nasal canal and then it becomes a blowtorch, because
you've got this flammable plastic with oxygen flowing
through it," said Pepple said.
-
- Pepple said he has never seen a fire in his 30-year
career but has testified as an expert in a number of
lawsuits.
-
- "People joke about anesthesia being 99 percent
boredom and 1 percent stark terror. The reality is that
there are those moments where we have those awful things
happen, and that's got to be one of the worst," he said.
-
- The Emergency Care Research Institute estimated
there are about 600 surgical fires in the U.S. annually
-- a tiny percentage of the 50 million operations
performed every year. The actual number could be
considerably higher because many states don't require
hospitals to report fires in the operating room,
Cavanaugh reported.
-
- "I hear this, 'Oh, they're rare, they rarely
happen.' Well, you know, that may be true. But I never
in my wildest dreams thought it would be my mother that
was set on fire. That's how rare they are -- until it's
you," Lake said.
-
- Surgical fires are most common in head and neck
surgeries because all three fire elements -- air, heat
and fuel -- are in close proximity, according to Pepple.
-
- There are simple ways to cut your risk. The
Emergency Care Research Institute recommends that you
talk with your doctor about fire prevention, which may
include using less oxygen or no oxygen during the
procedure. You can also request a non-alcohol-based skin
prep, like betadyne.
-
- "The more informed you are, the better off you are.
If you can raise the awareness of the physicians and the
nurses in the room, that's your best prevention," Pepple
said.
-
- "I didn't have the knowledge to ask those questions,
and had I asked, maybe somebody in the OR would have
said, 'Oh, wait. Let's make sure and double check
this,'" Lake said. "People joke about anesthesia being
99 percent boredom and 1 percent stark terror. The
reality is that there are those moments where we have
those awful things happen, and that's got to be one of
the worst."
- - Sinai Hospital anesthesiologist Dr. James Pepple
-
- Reuter died two years after her ordeal began. Her
daughter reached a legal settlement with the D.C.
hospital involved and launched surgicalfire.org to raise
awareness in memory of her mother, Cavanaugh reported.
-
- "This is just something that nobody wanted to talk
about. And to me, personally, it's a dirty little secret
that people don't want to talk about," Lake said.
-
- 11 News asked more than a dozen local hospitals if
their surgical consent forms alert patients to the
possibility of a fire. The only facility that responded
did not include that information. Pepple said it would
be too time consuming to detail every potential side
effect in the pre-operative paperwork.
-
- Maryland requires hospitals to report serious
surgical fires; however, Wendy Kronmiller, director of
the Maryland Office of Health Care Quality, told 11 News
she believes they are under reported.
-
- To learn more about surgical fires and to watch
extended portions of our interviews with Pepple and
Lake, click on the links above.
-
- Copyright 2009 by wbaltv.com. All rights reserved.
-
-
Governor
O'Malley gets an earful
- Marylanders share their troubles — and their
grievances
-
- By Laura Smitherman
- Baltimore Sun
- Thursday, February 5, 2009
-
- FROSTBURG – Cheryl Haberkam became despondent after
losing her job as a dispatcher for a moving company late
last year. The Baltimore resident had no income and no
savings, and unemployment benefits had not kicked in.
She didn't know where to turn.
-
- So she e-mailed Gov. Martin O'Malley.
-
- "I know you probably can't help me," she wrote, "but
I think just saying this might help. Thank you for your
time."
-
- As the economy slid into recession, an increasing
number of residents have apparently wanted to share
their troubles - and their grievances - with the
governor. In turn, O'Malley has shown a willingness to
give them a greater forum, not only via the Internet but
also through a series of town hall meetings, the first
of which was held in Frostburg last night.
-
- O'Malley, a Democrat, has said he wants to hear
directly from Maryland's families, and he plans to take
his Cabinet to the forums so residents can learn about
state services. But the roadshow could also have
political benefits by giving the governor the chance to
interact with voters as he pushes his agenda in the
General Assembly and gears up for re-election next year.
-
- "It's good governance because he should be out there
listening to what voters have to say," said Michael
Cain, chairman of the political science department at
St. Mary's College. "But there's certainly a political
dimension to this as we're starting to get into the next
season of elections."
-
- Several hundred people attended the town hall at
Mountain Ridge High School in Frostburg last night.
O'Malley compared the event to a shareholders meeting,
gesturing to Lt. Gov. Anthony G. Brown and department
secretaries and calling them "your state government."
-
- Wendy Atkinson and her daughter Ali, a sophomore at
the school, attended the forum. Wendy, a Democrat, said
she was inspired to get involved in politics after
President Barack Obama's election and that she rarely
hears much about O'Malley in the Republican stronghold
of Western Maryland.
-
- "I wanted to know more about what's going on with
him," she said, adding that another draw was the
governor's status as "a hottie."
-
- Trips outside Annapolis ensure that O'Malley "breaks
out of the bubble," said Herbert C. Smith, a political
science professor at McDaniel College in Westminster,
adding that face-to-face interactions with voters are
invariably beneficial. "It puts a personal face on the
object of talk-radio scorn."
-
- O'Malley has much to explain to voters, political
observers say. His approval rating took a hit last year
after he pushed to raise taxes by $1.3 billion during a
special session of the General Assembly. And though his
rating has risen to 49 percent in a January poll from
Gonzales Research & Marketing Strategies from a low of
37 percent last year, the governor still faces a $2
billion budget shortfall, and he has proposed cutting
local aid and laying off state workers.
-
- As governor, O'Malley has traveled around the state
to places he has dubbed "capital for a day," and as
Baltimore mayor he held "mayor's night out" forums.
Former Gov. Robert L. Ehrlich Jr., a Republican, made
similar trips. The coming town hall meetings, though,
are expected to elicit a deeper level of anxiety from
those who attend as the economy has worsened.
-
- That distress has increasingly come across in
e-mails, aides said. The governor typically receives
hundreds a week, a sampling of which are periodically
included in reading materials prepared for him. His
administration has also launched the "problem solver"
Web site that directs needy families to state services,
and his campaign Web site has been revamped to ask for
feedback on the current legislative session.
-
- The e-mails, some of which were provided to The
Baltimore Sun, frequently refer to financial struggles.
Some writers urged O'Malley not to cut funding for
programs that help the elderly and poor; others offered
suggestions for tackling the budget shortfall. And some
were critical of his policies. One woman wrote that "the
economic crisis has ruined me, in case he wants to
know."
-
- Haberkam, for one, was happy that she e-mailed the
governor after getting angry that her unemployment check
had not arrived. She said she received a phone call from
a state supervisor within hours and that her check came
a few days later. She also received a letter from Labor
Secretary Thomas E. Perez.
-
- "I never expected a response because I'm sure they
get thousands of e-mails, but I did it anyway because I
got upset and I wanted to tell someone how I felt," said
Haberkam, who is still looking for employment. "I was
really overwhelmed that they called me, and they seemed
concerned about me."
-
- Copyright 2009 Baltimore Sun.
-
-
Economy on minds of many at governor’s town hall
-
- By Kevin Spradlin
- Cumberland Times-News
- Thursday, February 5, 2009
-
- FROSTBURG — Maryland Gov. Martin O’Malley had dinner
at the Princess Restaurant and met with members of the
current Leadership Allegany class at Mountain Ridge High
School before kicking off a series of town hall meetings
to discuss education and economics.
-
- The visit to Frostburg was the first stop in an
effort, O’Malley said, to relate statewide how issues
decided in Annapolis relate to everyone in the state.
The initiative is billed as the Governor’s Town Hall on
Public Education and Our Economy and began on Wednesday
in Frostburg.
-
- O’Malley presented a condensed version of last
week’s State of the State address in Annapolis, during
which he touted the state public school system’s No. 1
ranking by a national industry publication. He called
the night’s event “a report to the bosses,” referring to
the residents and officials from Maryland’s four
westernmost counties of Garrett, Allegany, Washington
and Frederick in attendance.
-
- Before digging into more serious matters, O’Malley
paid tribute to the Pittsburgh Steelers’ Super Bowl
victory on Sunday and noted there’s “black and gold in
the Maryland flag, too.” Steelers fans, donning black
and gold in an extended victory celebration, cheered.
-
- O’Malley said his administration is raising
education funding to historic levels and that investing
in education and secondary education guarantees a
“highly skilled work force.”
-
- It’s not merely an investment in people now,
O’Malley said, but ensures “better job opportunities for
the future.”
-
- One former Frostburg resident indicated she hoped
the future arrives sooner rather than later. A senior at
Randolph-Macon College in Ashland, Va., the political
science major said she hoped to secure a job working in
state or local government. But current economic
conditions leave government entities with slim pickings
for job seekers.
-
- Throughout the evening, O’Malley seemed to rest hope
on President Barack Obama’s economic stimulus plan. The
$900 billion plan could bring nearly $3.5 billion to
Maryland and open up immediate job opportunities in and
out of government.
-
- One man asked O’Malley what it would take for him to
reconsider laying off some 700 state employees.
-
- He questioned O’Malley’s capital expense of some $11
million for a vocational rehabilitation facility at a
state prison complex.
-
- “Take that $11 million and put it where people could
use it most,” the man said, referring to the 700 jobs.
-
- O’Malley said the budget issues weren’t capital
project-related but operations-related. Again, he
deferred to Obama’s plan.
-
- If Obama’s economic stimulus package passes, “one of
the very first announcements I’ll make will be, ‘we’re
not laying off 700 people in the middle ... of a
recession,’” O’Malley said.
-
- A number of people spoke in an attempt to curry
favor of the governor or to get the attention of the
state cabinet members, all of whom were in attendance.
DeCorsey Bolden, of Garrett Citizens for Smart Growth,
left his turn at the podium very pleased.
-
- “We want to defer and delete funding for the (U.S.
Route) 219 bypass” through Oakland, Bolden said, citing
a projection of increased traffic around Deep Creek
Lake.
-
- O’Malley was able to say that funding already has
been deleted and “we don’t have plans to restore” monies
to that project.
-
- While Bolden was happy, “I just lost 20 other
votes,” O’Malley said.
-
- Contact Kevin Spradlin at
kspradlin@times-news.com.
-
- Copyright 2009 Cumberland Times-News.
-
-
Prostate patients monitoring, not treating, cancer
-
- By Sara Michael
- Baltimore Examiner
- Thursday, February 5, 2009
-
- A prostate cancer diagnosis should immediately be
treated with surgery or chemotherapy, right?
-
- Wrong, according to doctors at Johns Hopkins who say
some patients are better off not treating the disease.
-
- "It's cancer, so either you cut it out or you cook
it -- that has been the dogma," said Dr. Alan Partin, a
professor and director of the Brady Urological Institute
at Johns Hopkins School of Medicine.
-
- However, between 15 percent and 40 percent of the
nearly 250,000 men diagnosed each year with prostate
cancer won't feel any side effects from the disease, he
said.
-
- Now, Partin and colleague Dr. H. Ballentine Carter
are offering men an option called active surveillance,
also known as watchful waiting, where the cancer is
closely monitored for changes and left alone for as long
as possible.
-
- The approach has been gaining support in the past
several years and proving men can live longer without
the side effects of treatment, such as impotence and
urinary problems.
-
- "The practice is still far from traditional, because
patients and physicians fear losing that window of
opportunity to treat the cancer," said Carter, a
professor of urology and oncology at Johns Hopkins
Medicine.
-
- Unlike other cancers such as ovarian or lung,
prostate cancer is slow-growing. More advanced and
widespread screening has prompted more diagnoses, but as
many as half of the patients would never have known they
had cancer, Carter said.
-
- Yet more than 90 percent of American men who are
diagnosed undergo treatment, he said.
-
- "A proportion of people who get detected are
overdiagnosed and overtreated," Carter said.
-
- In the past decade, Hopkins doctors have cared for
about 700 men who have opted for active surveillance --
some for a year, others for 10, Partin said.
-
- The surveillance approach is only appropriate for a
select group of men, such as those over 65 who have
smaller and less aggressive cancers, as determined by
tests and biopsies.
-
- The men are monitored closely with blood tests and
exams every six months and annual biopsies.
-
- No men in the program have died of prostate cancer,
Carter said, suggesting that for those who do opt for
treatment, it wasn't too late.
-
- "They did not miss that window of treatment," Partin
said.
-
- One patient, who asked to be only identified as
Phillip D., said he has a "sliver of reservation," about
waiting too long, but feels comfortable with the
decision to monitor his prostate.
-
- Five years after his first biopsy revealed cancer,
he said he is relieved he didn't have his prostate
removed.
-
- Although the program has gained support, the
treatment approach goes against conventional wisdom for
dealing with cancer.
-
- "It flies in the face of the 'Big C' cancer
response," said Dr. Howard Sandler, a prostate
specialist at Cedars-Sinai Medical Center in California
and a spokesman for the American Society of Clinical
Oncology.
-
- "For those who are good candidates, who are very
sanguine and ready to come in for periodic checkups, I
think it's a reasonable option," he said.
-
- Sandler said there is still a slight possibility
that doctors could miss the window, so patients must be
carefully selected.
-
- "This is not something that is done casually," said
Howard Soule, executive vice president and chief science
officer of the Prostate Cancer Foundation.
-
- "What we will learn is who needs to be treated and
when, and who doesn't."
-
- Copyright 2009 Baltimore Examiner.
-
-
County police join frontlines in mental health
- With reduced access to treatment, more calls to
officers are over psychiatric issues
-
- By Andrew Ujifusa
- Montgomery County Gazette
- Wednesday, February 4, 2009
-
- On New Year's Day 2008, 19-year-old Maxwell Crocker
was awakened by seven Montgomery County police officers
at his parents' Kensington home who handcuffed him and
drove him to Suburban Hospital.
-
- Crocker had committed no crime. But based on
statements from his ex-girlfriend and postings on his
personal Web page, authorities were worried he might.
So, using a state law that allows police intervention in
cases of possible danger, they took him into custody and
delivered him to the Bethesda hospital for psychiatric
evaluations.
-
- Crocker, who has a history of mental illness, was
released 24 hours later with a hefty bill. He was never
charged by police.
-
- What happened to Crocker, observers say, is
happening more and more as access to mental health
treatment is dwindling in the face of rising costs and
government budget cuts, forcing police officers to join
frontline health care workers in dealing with mental
illness.
-
- Esther Kaleko-Kravitz, executive director of the
National Alliance on Mental Illness (NAMI) in Montgomery
County, said lack of affordable housing and higher
prescription costs mean more mental health patients are
living with relatives instead of at facilities, and are
unable to get the treatment they need, precipitating
many crises.
-
- "There are more calls to police from families who
say, ‘I can't control my loved one,'" she said.
-
- In 1995, there were 3,494 beds in Maryland for the
state's mental health patients at acute-care hospitals,
private psychiatric facilities and state hospitals, with
303 of them in Montgomery County, according to Pam
Barclay, director of the Center for Hospital Services at
the Maryland Health Care Commission. In 2008, the
statewide number had dropped to 2,404 beds, with
Montgomery County's total decreasing to 186.
-
- Holy Cross Hospital in Silver Spring closed its
psychiatric unit in 1999, while Chestnut Lodge, a
private psychiatric facility in Rockville, shut its
doors in 2000.
-
- Kaleko-Kravitz said the jail has become one of the
county's largest providers of mental health services.
-
- About 35 percent of Montgomery County Police's
patrol officers have undergone extra training in dealing
with people with mental illness, according to Officer
Joan Logan, the department's crisis intervention
coordinator. The 40-hour training involves visits with
mental health patients, and testing officers' ability to
recognize certain mental illnesses and deal with mental
health scenarios.
-
- It also involves having officers wear iPods for
extended periods, listening to tracks that simulate the
voices that some schizophrenics deal with on a daily
basis.
-
- "They learn what it's like to do routine things when
you're suffering from a thought disorder, when you're
hearing voices," Logan said.
-
- The training, which officers volunteer to take,
began in 2000.
-
- Mental illness was cited in about 3,500 calls to
police for assistance last year, up nearly 1,000 in two
years, according to county police records.
-
- Logan said 1,850 of the calls resulted in a formal
police report, with a majority requiring transport to a
mental health facility. That number was 1,550 in 2007
and 1,200 in 2006. Suicides or attempted suicides are
not included in those counts.
-
- Suicides in the county peaked in 2007at 64, and were
down by a few last year at 61.
-
- Logan said the higher number of mental health calls
has put more stress on members of the police's Mobile
Crisis Team, which is specifically assigned to deal with
mental health crises.
-
- "I don't know who would do it if we didn't do it,"
she said.
-
- The Montgomery County Crisis Center, located in
Rockville, deals with 5,000 people face-to-face and
50,000 calls annually and tries to stabilize people with
mental health crises in the short-term and release them
within 60 hours, according to the center's director
Dudley Warner.
-
- "In other jurisdictions, without Montgomery County's
resources, it would just be the police," Warner said.
-
- But Logan said in general, the process for getting
mental health patients connected to resources to help
can be confusing.
-
- "If I had a mental illness, I don't think I would
find this system easy to navigate. I would find it very
frustrating," Logan said.
-
- Crocker was the subject of a Maryland Emergency
Petition, which allows an individual with a mental
disorder who "presents a danger to the life or safety of
the individual or of others" to be admitted for
evaluation with or without consent. Law enforcement
officials and mental health professionals can petition
for emergency evaluations without the approval of a
judge, although any interested person can petition for
an evaluation through a District Court judge.
-
- Crocker, allegedly made threats against his
ex-girlfriend's new boyfriend at the end of 2007,
according to a police incident report obtained through
the Maryland Public Information Act. At the time,
Crocker had been diagnosed with a bipolar disorder and
was taking the prescription drugs Lexapro and lithium.
-
- A subsequent police search of his MySpace and
Facebook accounts turned up violent language and general
references to a school shooting, prompting the police
intervention, according to the report.
-
- The emergency petition law was loosened in 2003,
dropping language that required an individual present an
"imminent" danger. State Sen. Jennie M. Forehand
(D-Dist. 17) of Rockville said the change was made at
the request of families and mental health advocacy
groups who were worried about ongoing situations where
the threat was not immediate or absolutely clear.
-
- Kaleko-Kravitz also said the change has allowed more
people who truly need psychiatric evaluations to get
them, and that generally she thinks emergency petitions
are a useful tool.
-
- Logan said the change has made police officers' job
easier, because it eliminates the need for a subjective
judgment of "imminent" danger.
-
- Crocker, who said he was on probation from Albert
Einstein High School in Kensington for mental health
issues when he was taken to Suburban, explained in a
December interview that his 2007 writings were artistic
and not directed at anyone.
-
- But he also said his reference to a school shooting
"crossed the line."
-
- No weapons were found when police searched his
parents' home on Jan. 1, 2008.
-
- "Maxwell's a volatile personality," said his father
Steve Crocker, "but I never thought he was remotely
dangerous."
-
- Crocker said after roughly 24 hours of evaluation
and observation by a physician and mental health
professionals, he was discharged and told only that he
should be given a lower dose of his medication.
-
- "I was distraught that I was there," he said in
December. "I felt like a criminal. I looked like a
criminal."
-
- He also said he was awakened to sign a form stating
he had been admitted voluntarily, which he did, though
now he says he would have never agreed to do so if he
had been thinking clearly.
-
- Individuals brought to hospitals on emergency
petitions are asked to declare whether they are there
voluntarily or involuntarily. The answer can change who
is responsible for paying the bill.
-
- Representatives of Suburban Hospital declined to
discuss the specifics of Crocker's case citing privacy
laws, but said a patient would not have been asked to
sign paperwork in the manner Crocker described.
-
- Maryland law says the state will provide
reimbursement for involuntary admissions from emergency
petitions. Voluntary admissions are not specifically
mentioned in the law.
-
- Since he was on a probationary period for mental
health expenses at the time, Crocker's insurance company
will not pay his $2,000 bill from Suburban Hospital.
-
- Problems associated with paying the bills for
evaluations done by emergency petitions are not
uncommon, according to Lynn Albizo, executive director
of the Maryland chapter of NAMI. But she said there is
often little people can do.
-
- "I feel for them, and I think there's unfairness.
You shouldn't have to go bankrupt over health care
costs," she said.
-
- Crocker lives with his mother in Silver Spring after
his parents divorced, and works at a pizza restaurant in
Washington, D.C. He said his credit has been wrecked by
the process of fighting the hospital bill. He said he
believes he should not pay for something he believes was
ultimately involuntary on his part, and is preparing to
file a grievance with the Maryland Attorney General's
office about the bill.
-
- "I absolutely will not pay for it. I will not pay
for it given the principle of the matter," he said.
-
- Copyright 2009 The Gazette.
-
-
Virginia restaurant smoking ban proposal moves forward
-
- Associated Press
- By Bob Lewis
- Baltimore Sun
- Thursday, February 5, 2009
-
- RICHMOND, Va. - Gov. Tim Kaine and House Speaker
Bill Howell have announced a deal on a bill curbing
smoking in Virginia restaurants and bars.
-
- The compromise announced today blends the Democratic
governor's support for an outright ban on smoking in
bars and opposition among Republicans to any mandatory
restrictions.
-
- It would ban smoking except in private clubs and in
areas of restaurants walled off from nonsmoking areas
with separate ventilation systems.
-
- The measure will be taken up this afternoon in a
House committee and is expected to reach the floor for a
vote.
-
- Copyright 2009 Baltimore Sun.
-
- National / International
-
-
FDA defends how it handled salmonella outbreak
-
- Associated Press
- By Ricardo Alonso-Zaldivar and Brett J. Blackledge
- Baltimore Sun
- Thursday, February 5, 2009
-
- WASHINGTON - Federal health officials are defending
their handling of the nationwide salmonella outbreak,
telling Congress they had been hot on the trail of a
Georgia processor even before they were certain that
peanuts were to blame for hundreds of illnesses.
-
- The Food and Drug Administration "began its
investigation prior to having a strong epidemiological
link to a particular food," Stephen Sundlof, head of the
agency's food safety center, said in testimony prepared
for delivery to the Senate Agriculture Committee.
-
- The first signs of the outbreak were detected in
November by the Centers for Disease Control and
Prevention. But disease detectives initially suspected
chicken was the culprit in clusters of salmonella
infections that states were reporting.
-
- On Jan. 7 and 8, after discussions between federal
and Minnesota authorities, peanut butter was added to
the short list of suspects when some people who had
gotten sick reported eating peanut butter in nursing
homes and at an elementary school. On Jan. 8, the FDA
visited an Ohio distributor for Peanut Corp. of America.
-
- The next day federal inspectors were at the
company's Blakely, Ga. facility, which ultimately was
identified as the source of the food poisoning. That
same day, Jan. 9, Minnesota health officials found
salmonella in an open container of peanut butter made at
the plant. On Jan. 10, Minnesota made a positive match
to the salmonella strain that caused the outbreak.
-
- Lawmakers, however, may not be reassured. They are
concerned about the state of the national food safety
system, a collaboration between the FDA, CDC and
authorities in each state. As the list of recalled items
containing peanut products surpasses 1,000, lawmakers
are vowing to press for stronger food safety laws and
more money for inspections.
-
- "To say that food safety in this country is a
patchwork system is giving it too much credit. It is a
hit or miss gamble, and that is truly frightening," said
Agriculture Committee Chairman Sen. Tom Harkin, D-Iowa.
"It's time to find the gaps in the system and remedy
them."
-
- The salmonella outbreak has sickened at least 550
people in 43 states, eight of whom have died. New cases
are being reported, although the outbreak is slowing.
-
- The Peanut Corp. plant in Blakely, Ga., which
produces a tiny share of U.S. peanut products, is being
blamed. Authorities say the facility shipped peanut
butter, paste and other products that had tested
positive for salmonella. The company retested, got a
negative reading, and shipped the products.
-
- A criminal investigation is under way. The company
has denied any wrongdoing and said Wednesday that its
Blakely plant had received regular visits and
inspections from state and federal authorities in 2008
and had gotten a "superior" rating from an independent
inspection.
-
- As the list of recall list grows, Assistant Surgeon
General Ali Khan said it's a textbook example of an
ingredient-driven outbreak.
-
- "The event illustrates how a large and widespread
outbreak can occur from distribution of a single item to
hundreds of foods," Khan said in his prepared testimony.
-
- Meanwhile, lawmakers are dusting off food safety
legislation that went nowhere under administration of
former President George W. Bush and are hoping for
better luck under President Barack Obama, who has
criticized the FDA's handling of the outbreak.
-
- But it remains unclear whether Congress can deliver
major improvements in food safety this year, given the
press of critical issues such as the shaky economy and a
ballooning federal deficit.
-
- All the reform proposals would give the FDA
authority to order recalls, which are now voluntary.
-
- Reformers also agree that food processing plants
should be required to have a safety plan and document
their compliance. And there is widespread agreement that
standards for imported foods must be upgraded.
-
- There's also consensus that inspections should be
carried out according to common requirements, but
legislators differ on how frequently checks should be
performed.
-
- There's agreement on the need for standards for
fresh produce, but there are differences over setting up
a tracking system to find foods implicated in an
outbreak.
-
- One of the bills calls for taking food safety away
from the FDA, where it is sometimes seen as a
bureaucratic stepchild, and setting up a new Food Safety
Administration within the Health and Human Services
Department.
-
- William Hubbard, a former FDA associate
commissioner, said no reforms can succeed without more
money. He says Congress must double the FDA's food
safety budget to about $1 billion a year.
-
- But even with that, Hubbard warned, the agency would
not be able to regularly inspect some 150,000 facilities
that produce, ship and store foods. He says the answer
is a food safety system in which the FDA sets rules that
all players in the food industry must comply with and
that states help to enforce.
-
- Copyright 2009 Baltimore Sun.
-
-
Lawmakers to press for food safety overhaul as peanut
recall surpasses 1,000 products
-
- Associated Press
- By Ricardo Alonso-Zaldivar and Brett J. Blackledge
- Washington Post
- Thursday, February 5, 2009
-
- WASHINGTON (AP) — Lawmakers are looking into the
national salmonella outbreak and vowing to press for
stronger food safety laws and more money for
inspections.
-
- "To say that food safety in this country is a
patchwork system is giving it too much credit. It is a
hit or miss gamble, and that is truly frightening," said
Sen. Tom Harkin, D-Iowa, chairman of the Senate
Agriculture Committee, which was holding a hearing on
the outbreak Thursday. "It's time to find the gaps in
the system and remedy them."
-
- Meanwhile, more peanut products are being added to a
recall list that surpasses 1,000 items — from ice cream
to crackers to granola bars. Independent experts say it
appears to be a record number of products for a recall
involving foods consumed by humans.
-
- In Congress, lawmakers are dusting off legislation
that went nowhere under the previous administration and
hoping for better luck under President Barack Obama, who
has criticized the Food and Drug Administration's
handling of the outbreak.
-
- But it remains unclear whether Congress can deliver
major improvements in food safety this year, given the
press of critical issues such as the shaky economy and a
ballooning federal deficit.
-
- The salmonella outbreak has sickened at least 550
people, eight of whom have died. A Blakely, Ga.,
peanut-processing plant that produces just 1 percent of
U.S. peanut products is being blamed.
-
- Authorities say Peanut Corp. of America shipped
peanut butter, paste and other products that had tested
positive for salmonella. The company retested, got a
negative reading, and shipped the products. A criminal
investigation is under way. The Lynchburg, Va.-based
company denies any wrongdoing and said Wednesday that
the Blakely plant received regular visits and
inspections from state and federal authorities in 2008.
-
- "Independent audit and food safety firms also
conducted customary unannounced inspections of the
Blakely facility in 2008. One gave the plant an overall
'superior' rating, and the other rated the plant as
'meet or exceeds audit expectations
(acceptable-excellent)' ratings," the company said in a
statement.
-
- In the House, Reps. John Dingell, D-Mich., Diana
DeGette, D-Colo., and Rosa DeLauro, D-Conn., are
pursuing reform bills that have many similarities and
some key differences.
-
- In the Senate, Illinois Democrat Dick Durbin is
preparing to reintroduce a bipartisan bill.
-
- All the reform proposals would give the FDA
authority to order recalls, which are now voluntary.
-
- Reformers also agree that food processing plants
should be required to have a safety plan and document
their compliance. And there is widespread agreement that
standards for imported foods must be upgraded.
-
- There's also consensus that inspections should be
carried out according to common requirements, but
legislators differ on how frequently checks should be
performed.
-
- There's agreement on the need for standards for
fresh produce, but there are differences over setting up
a tracking system to find foods implicated in an
outbreak.
-
- DeLauro's bill calls for taking food safety away
from the FDA, where it is sometimes seen as a
bureaucratic stepchild, and setting up a new Food Safety
Administration within the Health and Human Services
Department.
-
- William Hubbard, a former FDA associate
commissioner, said no reforms can succeed without more
money. He says Congress must double the FDA's food
safety budget to about $1 billion a year.
-
- But even with that, Hubbard warned, the agency would
not be able to regularly inspect some 150,000 facilities
that produce, ship and store foods. He says the answer
is a food safety system in which the FDA sets rules that
all players in the food industry must comply with and
that states help to enforce.
-
- "I think there is so much public anxiety about food
safety that there is a good chance for action," Hubbard
said.
-
- But he quickly added a cautionary note: "Congress,"
he said, "is a slow-moving beast."
-
- On the Net:
- The FDA's recall page:
http://tinyurl.com/8srctw
-
- Copyright 2009 Washington Post.
-
-
Home of man linked to 1982 Tylenol deaths searched
-
- Associated Press
- By Russell Contreras
- Frederick News-Post
- Thursday, February 5, 2009
-
- CAMBRIDGE, Mass. (AP) -- Federal agents taking a
second look at the murders of seven people who swallowed
tainted Tylenol capsules in 1982 have searched the home
of a one-time leading suspect in the still-unsolved
case.
-
- FBI agents from Boston and Chicago were seen
Wednesday removing boxes and a computer from the
condominium owned by James W. Lewis, who served more
than 12 years in prison for trying to extort $1 million
from the painkiller's manufacturers.
-
- No one was ever charged with the deaths of the seven
people who took cyanide-laced drugs in the Chicago area
26 years ago, leading to dramatic changes in the way
food and medical products are packaged.
-
- The FBI's Chicago office cited "advances in forensic
technology" in a statement Wednesday announcing that it,
along with Illinois State Police and local departments,
was conducting a "complete review of all evidence
developed in connection with the 1982 Tylenol murders."
-
- The review began in part because of publicity and
tips that arrived after the 25th anniversary of the
deaths in 2007, according to the FBI. It has not
resulted in any criminal charges.
-
- "All of these tips have been or will be thoroughly
investigated in an effort to solve this crime and bring
some measure of closure to the families of the victims,"
the statement said.
-
- The FBI would not confirm that searches at both
Lewis' apartment and at a storage facility in Cambridge
were related to the Tylenol case, only that it was part
of an ongoing investigation.
-
- In a space of three days beginning Sept. 29, 1982,
seven people who took cyanide-laced Tylenol in Chicago
and four suburbs died. That triggered a national scare,
prompting an untold number of people to throw medicine
away and stores nationwide to pull Tylenol from their
shelves.
-
- Lewis served more than 12 years in prison for
sending an extortion note to Johnson & Johnson demanding
$1 million to "stop the killing."
-
- Lewis was arrested in December 1982 after a
nationwide manhunt. At the time, he gave investigators a
detailed account of how the killer might have operated
and described how someone could buy medicine, use a
special method to add cyanide to the capsules and return
them to store shelves.
-
- Lewis later admitted sending the extortion letter
but said he never intended to collect it. He said he
wanted to embarrass his wife's former employer by having
the money sent to the employer's bank account.
-
- In a 1992 interview with The Associated Press, Lewis
explained that the account he gave authorities was
simply his way of explaining the killer's actions.
-
- "I was doing like I would have done for a corporate
client, making a list of possible scenarios," said
Lewis, who maintained his innocence. He called the
killer "a heinous, cold-blooded killer, a cruel
monster."
-
- Lewis also served two years of a 10-year sentence
for tax fraud. In 1978, he was charged in Kansas City
with the dismemberment murder of Raymond West, 72, who
had hired Lewis as an accountant. The charges were
dismissed because West's cause of death was not
determined and some evidence had been illegally
obtained.
-
- In 2004, Lewis was charged with rape, kidnapping and
other offenses for an alleged attack on a woman in
Cambridge. He was jailed for three years while awaiting
trial, but prosecutors dismissed the charges on the day
his trial was scheduled to begin after the victim
refused to testify, according to the office of Middlesex
District Attorney Gerry Leone.
-
- In 2007, Lewis was interviewed on a local-access
television show, "The Cambridge Rag," by host Roger
Nicholson. In segments available online, Lewis asserted
his innocence in the Tylenol and West cases. He turned
aside Nicholson's suggestion that he take a lie-detector
test, saying they are unreliable and unscientific.
-
- Lewis moved to the Boston area after getting out of
prison in 1995 and is listed as a partner in a Web
design and programming company called Cyberlewis. On its
Web site, which lists the location searched Wednesday as
the company's address, there is a tab labeled "Tylenol"
with a written message and audio link in which a voice
refers to himself as "Tylenol Man" and complains about
"the curse of being labeled the Tylenol Man."
-
- Messages left at phone numbers listed to Lewis'
wife, Leanne, and the company were not immediately
returned. There was no answer Wednesday night at an
accounting business listing Leanne Lewis as director and
no immediate response to an e-mail to the business.
-
- The 1982 poisonings led to the introduction of
tamperproof packaging that is now standard. Bottles of
the pain reliever were triple-sealed and warnings
against taking capsules from damaged packages
prominently displayed. Johnson & Johnson also sealed the
bottle caps to the neck with a tight, plastic band and
stretched a tough foil membrane over the bottle's mouth.
-
- In 2007, 25 years after the deaths, survivors of the
victims said they remained haunted by what happened and
frustrated that nobody was convicted.
-
- "I will never get past this because this guy is out
there, living his life, however miserable it might be,"
said Michelle Rosen, who was 8 when her mother, Mary
Reiner, collapsed in front of her after taking Tylenol
for post-labor pains.
-
- Associated Press writers Denise Lavoie in Boston,
Mike Robinson, Don Babwin and Karen Hawkins in Chicago
and Devlin Barrett in Washington contributed to this
report.
-
- © 2009 The Associated Press. All rights reserved.
-
- Opinion
-
-
Health care for all
- Our view: Governor O'Malley's move to cover same-sex
partners is a smart change in policy
-
- Baltimore Sun Editorial
- Thursday, February 5, 2009
-
- Cost shouldn't be the primary consideration when
deciding whether Maryland should extend health insurance
benefits to same-sex domestic partners. Fairness should
be, and so should self-interest: If the public sector
wants to attract the best and the brightest employees,
it's wise not to discriminate against millions of
Americans.
-
- Gov. Martin O'Malley's recent decision to push for
this broadening of health insurance coverage is a bit
overdue, but welcome news nonetheless. He made the same
regulatory change for city employees when he was mayor.
At least 15 states, including Maine and Montana, provide
health insurance for same-sex domestic partners, as do a
majority of Fortune 500 companies.
-
- This isn't a free perk. It will likely cost about $3
million at a time when state government is cutting jobs
and spending in the face of a serious economic
recession. But if the state needs to trim employee
health care costs, this isn't the place to start.
-
- Efforts to promote equality for gay and lesbian
couples in this country suffered a real setback last
year when Californians voted to eliminate the rights of
same-sex couples to marry, a highly controversial
proposition now under review by the state's highest
court. Maryland has such a law on the books, and
prospects for overturning the ban in the General
Assembly are not good.
-
- Under these circumstances, the least that lawmakers
can do is not stand in the way of this opportunity to
reassure the gay community that it is respected and
valued. It may help only a modest number of families,
but the symbolic value is just as important.
-
- Providing full health care benefits to only
heterosexual couples amounts to a form of workplace
discrimination. Taxpayer dollars are far too valuable to
underwrite such inequities or to keep state government
from attracting and retaining the best possible work
force.
-
- Copyright 2009 Baltimore Sun..
-
-
Good medicine
- Our view: New SCHIP law is a prescription for better
health care for kids
-
- Baltimore Sun Editorial
- Thursday, February 5, 2009
-
- Monday was a particularly embarrassing day for
President Barack Obama. His nominee for health care
czar, Tom Daschle, withdrew from consideration after a
tax problem, a dust-up that forced a first presidential
"I messed up."
-
- Yesterday, President Obama had the chance to improve
the lives of millions of low-income children in this
country. He signed into law a bill that will extend
health care insurance to kids whose families can't
afford it. That should count as a particularly
satisfying day.
-
- The State Children's Health Insurance Program (SCHIP)
was twice vetoed by President George W. Bush. As a
senator, Mr. Obama supported the bill, which will fund
health care for an additional 4 million children who are
not now enrolled in the program. It's a tangible example
of how a change in the White House has brought about
meaningful change for America's most vulnerable
citizens.
-
- Maryland children - about 110,000 enrolled in the
state's version of the program and an additional 42,800
who will now be eligible - can be assured of health
care.
-
- Reform of the nation's health care system will be a
long, arduous endeavor. In the interim, however, the
children's health program will be one way to bridge the
gap for many in need.
-
- Copyright 2009 Baltimore Sun.
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