Health Care | St. Louis Public Radio

Health Care

This article first appeared in the St. Louis Beacon: Sandra Garrett knew something had gone wrong inside her body a decade ago when her left hand became limp, falling from her chin and sliding down her chest. She later found a lump on her left breast and “had no idea how long it had been there.”

(via Flickr/Adam Procter)

This story will be updated. Corrected at 12:30 p.m. to reflect when the vote was taken.

Employees of the University of Missouri system will now be able to include their same-sex partner on their medical, dental and retirement plans.

The system's Board of Curators approved the benefit changes yesterday, the conclusion of an effort that began in 2011.  A couple would have to be living together for at least a year in order to be eligible.

This article first appeared in the St. Louis Beacon: St. Louis and St. Louis County started a promising pilot program last year to extend medical care to more of their working poor. Called Gateway to Better Health, the program offered the uninsured the chance to trade costly emergency room health care for a better-coordinated system that links people to medical providers at health centers.

This article first appeared in the St. Louis Beacon: In correctional health care, life’s lessons are taught with a two by four.

More often than not, my patients are damaged people. And for many, their criminal accusations or convictions are the least of their problems. Many battle addiction to substances both legal and illegal. Many are mentally ill. Some are developmentally delayed. Almost all of the women, and many of the men, have experienced abuse — sexually, physically, and/or emotionally — at the hands of parents, children and other loved ones. Perfection is not an option for them; better is good enough.

This article first appeared in the St. Louis Beacon: Missouri Gov. Jay Nixon has sent a letter today to like-minded groups that support the expansion of the state’s Medicaid program, saying that he plans to continue efforts “to bring the dollars Missourians send to Washington back to strengthen Medicaid in Missouri…”

Shermane Winters-Wofford
Robert Joiner | St. Louis Beacon | 2013

This article first appeared in the St. Louis Beacon: Turkey, ham, and veggie sandwiches on whole wheat bread from Subway, along with bananas, apples and oranges, probably are not part of a typical meal after worship service at Central Baptist Church in midtown.

Following Sunday’s service, however, many from the congregation gathered in the church’s annex across the street and munched on the nutritious sandwiches and fruit. They later listened to an expert talk about the value of healthy eating and exercise in order to prevent stroke.

(via Flickr/Tax Credits)

For the first time, the federal government has released the prices that hospitals charge for the 100 most common inpatient procedures.

The prices for a given procedure can vary by tens of thousands of dollars.

When it comes to health care, the biggest of the big data are all about Medicare.

So, it's kind of a BIG deal when the government releases what individual hospitals charge Medicare — and what they actually get paid — for the most common diagnoses and treatments.

In a first, the Centers for Medicare and Medicaid Services made those figures from more than 3,000 hospitals public Wednesday.

(via Wikimedia Commons/Bluelion)

Updated 10:15 a.m. March 27 to note that one building of the old Jewish Hospital complex will remain.

A planned expansion of the Barnes-Jewish medical complex could be underway later this year, now that the city has given its initial approval.

The Preservation Board last night gave BJC HealthCare the go-ahead to demolish four buildings at the corner of Kingshighway and Forest Park. They'll be replaced by nearly one million new square feet of medical space, including an addition to Children's Hospital.

Bill Greenblatt / UPI

Gov. Pat Quinn says he is taking steps to ensure Illinois has the workforce it needs to fill thousands of new health care jobs.

Quinn says the jobs will be created as Illinois implements the Affordable Care Act, which will expand health care coverage to hundreds of thousands of people.

In a press release Saturday the governor says he's directed Illinois Department of Public Health Director Dr. LaMar Hasbrouck to lead a Health Care Workforce Workgroup. The group will assess and plan for the jobs needed to serve a growing and increasingly aging and diverse population.

(National Cancer Institute/Dr. Lance Liotta Laboratory)

When the US Centers for Disease Control and Prevention released its most recent data on sexually transmitted infections, the numbers once again showed bad news for St. Louis.

Chlamydia cases in the region climbed by almost 6 percent between 2010 and 2011. Gonorrhea was up 17 percent. That’s nothing new, especially in the city itself, which is consistently among the top five of infections per capita.

How do rates get so high in the first place? And how do you get them down after years above average?

Nurses Picket Outside SLU Hospital

Mar 11, 2013
Chris McDaniel, St. Louis Public Radio

Close to 100 nurses from Saint Louis University Hospital and Des Peres Hospital picketed in the cold outside of SLU Hospital on Monday morning, saying they are required to do too much with too little staffing and insufficient equipment.

Marchelle Bettis is an RN on the trauma unit, and works with critical victims of stabbings, shootings and accidents. She says it's hard for her and her coworkers to do their jobs appropriately with the current staffing.

(via Flickr/Jennifer Boriss)

A new report says Missouri's Medicaid costs could rise by 6.6 percent over 10 years if the state fully implements the federal health care law.

But the report also says almost half of that increase will occur even if Missouri does not expand Medicaid eligibility for adults.

The report by the Kaiser Family Foundation and Urban Institute says Missouri can expect to spend an additional $1.2 billion from 2013 to 2022 as more people join the Medicaid rolls because of the federal health care law.

(via Missouri Foundation for Health)

A recently released report shows there is a disparity in health care among lesbian, gay, bisexual and transgender Missourians.  The study by the Missouri Foundation for Health shows LGBT individuals have less access to health care and tend to be less healthy than the general population.

Rosmary via Flickr

Host Don Marsh talks with Dr. David Ansell about his proposal to reform healthcare by fixing Medicare and providing it to all Americans.  Dr. Ansell is the Senior Vice President for Clinical Affairs and Chief Medical Officer at Rush University Medical Center in Chicago.  He is also the author of “County: Life, Death and Politics at Chicago’s Public Hospital." 

Physicians for a National Health Program in St. Louis are sponsoring talks by Dr. Ansell:

(St. Louis Public Radio)

Missouri Lt. Governor Peter Kinder has lost another round in his battle against President Obama’s federal health care law.

The 8th U.S. Circuit Court of Appeals ruled Thursday that the Republican Lt. Governor has no legal standing to file suit because the Affordable Care Act poses no immediate threat to Kinder’s legally protected interests.  He filed suit two years ago as an individual, not in his official capacity as Lt. Governor.  The three-judge panel’s ruling did not address the constitutionality of the federal health care law, most of which was upheld last year in a 5-4 ruling by the U-S Supreme Court.

(via Flickr/brains the head)

A federal judge in St. Louis has dismissed a lawsuit challenging the contraception mandate of the federal health care law.

The lawsuit filed on behalf of Frank O'Brien and his company, O'Brien Industrial Holdings LLC of St. Louis, was one of nearly three dozen cases nationally challenging the constitutionality of regulations in the health care law. Among other things, O'Brien, a devout Catholic, claimed the requirement to pay for birth control infringes on his religious beliefs.

(Via Flickr/Rosemary)

Illinois has chosen a Blue Cross Blue Shield small group policy as the benchmark plan for essential health benefits in the state, another milestone in implementing President Barack Obama's health care law.

Friday's decision comes from Gov. Pat Quinn's health care council. It will determine the cost of future premiums and how broad coverage will be for many patients. Policies sold in Illinois must match the actuarial value of the benchmark plan.

(Veronique LaCapra/St. Louis Public Radio)

When the US Supreme Court upheld the federal health care law in June, it ruled that states couldn’t be penalized for failing to expand their Medicaid programs.

After the ruling, Missouri was one of a number of states that seemed ready to opt out of Medicaid expansion. Many in the Republican-led state legislature say expanding insurance coverage for low-income Missourians would cost too much.

But as St. Louis Public Radio’s Véronique LaCapra reports, without Medicaid expansion, Missouri’s working poor could be among those paying the biggest price.

(via Flickr/hlkljgk)

Updated 4:15 p.m. Thursday: Carnahan will not appeal Judge Green's new language, saying Attorney General Chris Koster refused a request for further legal action, and the Secretary of  State's office is not in a position to appeal on its own.  A full version of today's developments can be found here.

Our original story:

The language used in a ballot initiative approved by Missouri Secretary of State Robin Carnahan (D) has been tossed out by a Cole County judge.

Proposition E centers on the conditions for creating a health care exchange in Missouri; the language authorized by Carnahan read in part whether the law should “deny individuals, families and small businesses the ability to access affordable health care.”  Lt. Governor Peter Kinder (R) called the language used by the Secretary of State unbelievably biased.

In-school health clinic opening at Roosevelt High

Aug 30, 2012
(Adam Allington/St. Louis Public Radio)

Students at Roosevelt High School in St. Louis can now access medical care through an in-school health clinic.

The clinic is operated by Mercy Hospital and received funding through $500,000 grant from Boeing.

Crystal Gale is the Principal of Roosevelt High.  She says the facility will provide basic medical services for students, as well as the children of students.

(via Flickr/Jennifer Boriss)

(Update:  Judge Daniel Green ruled in favor of Lt. Gov. Kinder and changed the ballot language initially approved by Sec. of State Carnahan...an updated version of this story can be found here.)

A Cole County judge heard arguments today in a lawsuit that claims Missouri Secretary of State Robin Carnahan (D) deliberately used misleading language in a ballot initiative regarding the creation of a health insurance exchange.

The language in question asks in part if the law should “deny individuals, families and small businesses the ability to access affordable health care.”  Attorney Jay Kanzler represents Lt. Governor Peter Kinder (R) and a group of Republican legislative leaders who filed suit.

(via Flickr/hlkljgk)

A Cole County judge heard arguments Friday on whether to issue a temporary restraining order against Missouri Secretary of State Robin Carnahan (D).

Carnahan and Republican leaders are sparring over the language used in a ballot initiative regarding health care exchanges.  Lt. Governor Peter Kinder and GOP lawmakers accuse Carnahan of using misleading language in order to influence voters to defeat the ballot question in November.  Attorney Jay Kanzler represents the plaintiffs.

“Secretary of State Carnahan's language talking about denying families and individuals access to affordable health care frankly doesn’t even come close to describing, in fact, what the ballot initiative would do,” Kanzler said.

(via Flickr/Indofunk Satish)

St. Charles County voters could face two anti-smoking ballot measures

St. Charles County voters could face not one but two ballot measures in November that would restrict smoking.

(via Flickr/Jennifer Boriss)

A Missouri judge has scheduled two hearings this month on a challenge to the ballot language of a health care measure that goes before voters in November.

The lawsuit by Republican Lt. Gov. Peter Kinder and several top GOP lawmakers contends the ballot summary is unfair and misleading. Secretary of State Robin Carnahan, a Democrat, wrote the summary.

Online court records show Cole County Circuit Judge Dan Green will hear arguments Friday and again on Aug. 28.

Tim Lloyd / St. Louis Public Radio

The idea of a health care exchange in Missouri continues to be a political sticking point between Republicans and Democrats.

Today, Governor Jay Nixon did his best to sidestep the issue.

In fact, Nixon says he hasn’t really looked at how the ballot measure is written.

As for the idea of health care exchanges in general, the governor isn’t ready to commit.

House votes to repeal health care law

Jul 11, 2012

With a vote of 244 to 185, the Republican-controlled House of Representatives just voted to repeal the Affordable Care Act, President Obama's signature domestic legislation known colloquially as "Obamacare."

Of course, the vote doesn't matter, because the measure has a very slim chance of being adopted by the Senate.

The AP reports that this is the "33rd time in 18 months that the tea party-infused GOP majority has tried to scrap, defund or scale back the law since grabbing the majority."

The AP adds:

Marshall Griffin/St. Louis Public Radio

Missouri Lt. Governor Peter Kinder (R) and GOP legislative leaders have filed a lawsuit against Secretary of State Robin Carnahan (D) over the language used in a ballot initiative regarding health care exchanges.

The language approved by Carnahan asks if the law should be amended to, “deny individuals, families, and small businesses the ability to access affordable health care plans through a state-based health benefit exchange unless authorized by statute, initiative or referendum.”  Kinder says the language skews the ballot question’s true purpose, to bar the governor from creating an exchange by executive order.

(Courtesy Missouri Foundation for Health)

A new report by the Missouri Foundation for Health estimates that about two-thirds of Missouri's more than 800,000 uninsured could get health insurance under the federal health care law  - and the county-level data suggest that rural counties will benefit the most.

The analysis uses census data to project how the number of uninsured could change in every county in Missouri under the Affordable Care Act.

File photo

House Speaker Steven Tilley says there is no need for a special session to decide whether Missouri should opt out of a Medicaid expansion.

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