By Beth Clayton
Alabama Political Reporter
MONTGOMERY–Jefferson County residents looking for health care answers met at the Vestavia Hills Library earlier this week to discuss the state of Cooper Green Hospital and the Jefferson County indigent care fund.
Panelists included Mickey Trimm, an associate professor of healthcare management at the University of Alabama at Birmingham and a consultant for the Jefferson County Commission, and Dr. Mark Wilson, the healthcare officer for Jefferson County and the Jefferson County Department of Health CEO.
County manager Tony Petelos and all members of the Jefferson County Public Commission were invited to attend, but none were present to answer questions.
The conversation centered around the dire situation of Cooper Green Mercy Hopsital and the need to develop a functional plan to deal with indigent care in Jefferson County.
Currently, Jefferson County has been spending an additional $10 million each year above the $43 million in taxes earmarked for indigent care each year. Jefferson County is one of the few counties who has an indigent care fund earmarked in the budget and is one of the few counties that supports its own hospital.
One solution to the problem that was discussed at Tuesday night’s meeting is to develop a Jefferson County Healthcare Authority to “allow for a structure for the board of trustees, who are business people, who have healthcare experience and who have only an interest in the operations of that organization,” Trimm said.
The county commission would have to approve the creation of a healthcare authority, which is holding the process up currently.
Vickii Howell, the organizer and moderator of the Cooper Green forum, explained that the forum took place in Vestavia rather than in downtown Birmingham so that the forum would be in the district of one county commissioner who is not supportive of the plan.
“This really affects everybody, and at the end of the day this will have an impact on all of us financially. This is not something you can just say is just Birmingham’s problem. This is our problem,” Howell said.
Several elected officials, including Representatives John Rogers and Mary Moore (D-Birmingham) are suggesting that UAB should buy Cooper Green from the county.
Currently, Cooper Green’s 24-hour walk-in facility is operating as an urgent care facility rather than an emergency facility, which means that the hospital has to contract out with UAB for CT scans, ultrasounds and other testing.
UAB has agreed to work at Medicaid rates, however the rate is hardly enough to cover the cost of care without additional subsidy.
The panel also discussed the need for Governor Bentley to expand Medicaid, which would bring in federal money for pennies on the dollar and help resolve some of the healthcare crisis for the uninsured.
“We are going to have to improve and get much more efficient than we were in the past,” Trimm said. “We are fighting a battle with one arm tied behind our back.”
Alabama women to Ivey: Support fair processes
Last week, Ivey co-authored a letter of support for Barrett and released it to media outlets.
A letter signed by a bipartisan group of about a thousand Alabama women takes issue with Gov. Kay Ivey’s recent support of Republican Supreme Court nominee Amy Coney Barrett, and it encourages Ivey and other state officials to instead support fair processes.
Last week, Ivey co-authored a letter of support for Barrett and released it to media outlets. In response, the letter from Alabama women calls the process to nominate Barrett, which is occurring after more than 50 million votes have been cast and in a Senate that is predicted to change from Republican to Democratic control, unfair and “anti-democratic.”
The letter, which doesn’t criticize Ivey or request that she rescind her endorsement of Barrett, asks instead that Ivey and other state leaders honor women by implementing and following fair processes that provide women with equal opportunities.
The full letter is below:
Dear Governor Ivey,
We are a group of women. We are current and future mothers, grandmothers, caregivers, leaders and champions of all citizens of our great state. We are moderates, progressives and conservatives. When we agree with our leaders, we say so, as we have in your support for education, workforce development, and sensible mask policies.
We also speak up when we do not agree. Thus, we want to respond to your letter in support of Amy Coney Barrett because it does not represent our views.
Like you and Judge Barrett’s father, we want to tell all young girls that they can do anything their male counterparts can do and they can be anything and everything they want to be. We want it to be a truth, not just a signal “that the most qualified individual will get the job”. In addition to those things, we want them to know and believe that the process will be fair, because no matter the job, the process should be fair. And our children and young people (boys or girls) should be able to trust that democracy works and can be counted on. How can we assure them when this process has been so rushed and undemocratic?
We are women who oppose Judge Barrett’s confirmation, because confirming her at this time, when 50 million Americans have already cast their votes, is anti-democratic. Regardless of what ways she does or does not think or talk like us, what matters is that a confirmation should not take place after the election is underway.
We do not expect you to rescind your support of Judge Barrett. However, we urge you and the other women leaders who have advanced to top positions in our government to stand with us in asking for a fair process that takes place after the election. A process that helps us to believe that our voices and our votes matter because the American people should have the right to choose who nominates the next Supreme Court Justice.
|Emily Hess Levine|
|Ronne M. Hess|
|Cindi Cassis Branham|
|Anna Brantley Fry|
|Joellyn M. Beckham|
|Alexandra Ruthann Bullock McElroy|
The letter is signed by more than 800 women. The full list of signatures was sent to APR with the letter. We have chosen to list only the first 10 for the sake of brevity.
Study: COVID-19 infection rates more than double without lockdowns
Infection and fatality rates would have been higher without stay-at-home orders, a new UAB study found.
New research from the University of Alabama at Birmingham says that if there had been no stay-at-home orders issued in the U.S. in response to the coronavirus pandemic, the country would have experienced a 220 percent higher rate of infection and a 22 percent higher fatality rate than if such orders were implemented nationwide.
Seven states never imposed stay-at-home orders, or SAHOs. The study analyzed daily positive case rates by state against the presence or absence of statewide SAHOs between March 1 and May 4, the period when such orders began to be implemented. Twelve states lifted their SAHOs before May 4.
The researchers defined SAHOs as being in effect when a state’s governor issued an order for residents of the entire state to leave home only for essential activities and when schools and nonessential businesses were closed.
“During March and April, most states in the United States imposed shutdowns and enacted SAHOs in an effort to control the disease,” said Bisakha Sen, the study’s senior author. “However, mixed messages from political authorities on the usefulness of SAHOs, popular pressure and concerns about the economic fallout led some states to lift the restrictions before public health experts considered it advisable.”
The research also sought to determine if the proportion of a state’s Black residents was associated with its number of positive cases. It found that there was.
“This finding adds to evidence from existing studies using county-level data on racial disparities in COVID-19 infection rates and underlines the urgency of better understanding and addressing these disparities,” said study co-author Vidya Sagar Hanumanthu.
The research can help advance a greater understanding of racial disparities in the health care system as a whole, and help leaders make future decisions about shutdowns as the virus continues to spread, Sen said.
“While the high economic cost makes SAHOs unsustainable as a long-term policy, our findings could help inform federal, state and local policymakers in weighing the costs and benefits of different short-term options to combat the pandemic,” she said.
The study was published Friday in JAMA Network Open.
Jones to attend Auburn student forum, Tuberville hasn’t yet responded to invitation
Jones has agreed to attend the forum, but it was unclear whether Tuberville planned to attend.
The College Democrats at Auburn University and the College Republicans at Auburn University have asked U.S. Senator Doug Jones, D-Alabama, and his Republican opponent, Tommy Tuberville, to attend a student forum on Wednesday.
“We are excited to invite the candidates running for our U.S. Senate seat and provide this opportunity for any Auburn student to hear directly from them, and we hope it will inform our student bodies’ decisions with the November 3rd election only days away,” said Carsten Grove, president of the College Democrats at Auburn University, in a statement.
Jones has agreed to attend the forum, Auburn University College Democrats confirmed for APR on Sunday, but it was unclear whether Tuberville planned to attend. The student organization was still awaiting a response from Tuberville’s campaign.
Jones has for months requested Tuberville join him in a debate, but Tuberville has declined.
“AUCR takes great pleasure in coming together with AUCD to co-host the Alabama Senate candidates in this forum. We are looking forward to a very informative and constructive event,” said Lydia Maxwell, president of the College Republicans at Auburn University.
Dr. Ryan Williamson, assistant professor of political science, is to emcee the forum, which will be open to all Auburn University students in the Mell Classroom Building at 6 p.m., according to a press release from the College Democrats at Auburn University.
Students will be permitted 30 seconds to ask a question of either candidate, and each candidate will have two minutes to answer, according to the release.
Capacity at the forum will be limited and precautions taken due to COVID-19. Any student with an Auburn ID is welcome and attendance will be first come, first served.
122,000 Alabamians could lose health coverage if ACA is overturned, study finds
President Donald Trump’s administration and 18 states, including Alabama, are asking the country’s highest court to strike down the law.
At least 122,000 Alabamians and 21.1 million in the U.S. overall would lose health coverage if the U.S. Supreme Court strikes down the Affordable Care Act, according to a recent study.
The Washington D.C.-based think tank Urban Institute’s analysis found that Alabama’s uninsured rate would increase by 25 percent if the court strikes down the Affordable Care Act. Oral arguments in a case against the landmark health care law are to begin on Nov. 10.
President Donald Trump’s administration and 18 states, including Alabama, are asking the country’s highest court to strike down the entire ACA.
Trump, speaking to CBS News’s Lesley Stahl in a recent interview, said he would like the Supreme Court to end the ACA. There’s concern among many that Trump’s pick to replace the late Justice Ruth Bader Ginsburg on the court, conservative Judge Amy Coney Barrett, could be a deciding factor in the repeal of the ACA when the Supreme Court hears the case just after the Nov. 3 election.
“I hope that they end it. It’ll be so good if they end it,” Trump told Stahl.
“Repealing the ACA would throw our health care system into chaos in the middle of a pandemic and a deep recession,” Alabama Arise executive director Robyn Hyden said in a statement. “Tens of thousands of Alabamians would lose health coverage when they need it most. And hundreds of thousands would pay more for coverage or lose protections for their preexisting conditions.”
Health care coverage losses could be even larger next year, as the COVID-19 pandemic and recession likely still will be ongoing, according to the study.
“The ACA has been a health lifeline for many Alabamians during the pandemic,” Hyden said. “It provides coverage options for people who have lost their jobs or seen sharp reductions in their income. And it ensures people aren’t denied insurance just because they got sick.”
Ending the ACA would also reverse gains made in reducing racial disparities in health care coverage, researchers in the study found, noting that overturning the ACA would strip health coverage from nearly one in 10 Black and Latino Americans under age 65, and more than one in 10 Native Americans nationwide would lose health insurance.
People with pre-existing conditions would be charged higher insurance rates, or have their coverage dropped altogether, if the ACA is struck down, according to the study, which also found that the law’s repeal would harm people who have health insurance through their jobs.
Those who have health insurance from an employer could see their plans reintroduce annual and lifetime coverage limits, and requirements for plans to cover essential benefits and provide free preventive services would disappear, according to the study, as would the requirement for insurers to allow young adults to be covered through their parents’ plans.
While millions would lose health care if the law is repealed, the country’s top earners would receive tax cuts, according to a study by the Center on Budget and Policy Priorities, which found that the highest-income 0.1 percent of households, which earn more than $3 million annually, would receive tax cuts averaging about $198,000 per year.
“A portion of these tax cuts — about $10 billion per year — would come at the direct expense of the Medicare Trust Fund, since the additional Medicare tax the ACA instituted for couples with earnings over $250,000 flows to the fund,” the Center of Budget and Policy Priority study reads.
Pharmaceutical companies would pay $2.8 billion less in taxes each year, according to the study, while millions of seniors would pay billions more for prescription drugs due to the gap in Medicare’s prescription drug benefit if the ACA is repealed.
“The ACA has left Alabama better equipped to fight COVID-19 and rebuild our economy after the recession,” Hyden said. “And those benefits would be even greater if Alabama would adopt Medicaid expansion.
“Striking down the ACA would harm the Alabamians who have suffered the most during the pandemic and the recession. It would deprive our state of the opportunity to save lives and strengthen our health care system by expanding Medicaid,” Hyden continued. “And it would shower huge tax cuts on rich people while making life harder for everyone else. Alabama officials should stop seeking to undermine the ACA and start investing in a healthier future for our entire state.”