ANN ARBOR, Mich. -- Michigan protesters are joining those in more than two dozen states this week to fight efforts to shutter some Veterans Administration hospitals.

The VA Commission on Care soon will release a report suggesting major changes to the VA health system, including privatizing some services.

As a leader in mental-health care, prosthetics and rehabilitation, the VA is best equipped to address the unique health-care needs of veterans, said J. David Cox, national president of the American Federation of Government Employees. He said it's a fully integrated health-care system.

"It's a system that deals with homelessness and veterans, works with veterans who end up with issues concerning law enforcement," he said. " VA health care is important, and we cannot privatize it or the men and women that serve this country will certainly be the losers."

There's been controversy regarding long wait times and inaccurate record-keeping at the VA in recent years. Supporters of privatization argue it will improve the quality and timeliness of care, but opponents claim the opposite.

The Commission on Care included 15 appointees tasked with developing ways to improve health services for veterans over the next 20 years. Cox said it's troubling that no veterans' organizations -- such as the American Legion, Vietnam Veterans or Disabled Veterans of America -- were involved.

"These service organizations know veterans' needs," he said. "There was no employee involvement. How do you do anything without reaching down to the front line of the employees that actually do the work, to get their input on how to improve an organization?"

Not only is the VA a leading health-care institution for education and research, Cox said, but it's also a backup in a national health-care emergency. He said VA workers are on the ground, responding to such incidents as the shooting massacre in Orlando, Fla.

"Mental-health care providers from the VA had over 800 interactions of providing mental-health care to victims, also victims' families," he said. "So, the VA is an extremely important health-care system for everyone in this country, not just veterans."

According to the Department of Veterans Affairs, veterans make about 86,000 outpatient visits each year to VA health facilities, with more than 150,000 visits in Michigan in 2014.

Today's rally is to begin at 11 a.m. at the VA Ann Arbor Healthcare System.


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After more than 50 years of use, some Michigan lawmakers say naloxone may not be the best choice in an overdose situation.

Naloxone is sometimes called the "Lazarus drug" because of its powerful ability to seemingly resurrect people after a drug overdose.

Sen. Kevin Hertel, D-St. Clair Shores, and some of his colleagues have introduced a bill which would open the door for what they say are more costly, but more powerful, antidotes.

"Given the prevalence of fentanyl in our communities, and how much stronger some of these drugs that we're now seeing are, we believe -- and in talking with others -- that there should be other tools to respond to an overdose," Hertel explained. "To make sure we're doing everything we can to save somebody's life."

Not everyone is on board with the proposed legislation, Senate Bill 542. Opponents argued the more expensive naloxone alternatives are not necessary, and using them would only increase profits for the pharmaceutical industry.

Jonathan Stoltman, director of the Opioid Policy Institute in Grand Rapids, said while the naloxone alternatives do help in overdose situations, they can also cause nasty side effects.

"The newer approaches, they put people into more severe withdrawal," Stoltman pointed out. "That's a pretty profound negative side effect. The one approach is very inexpensive and works great; the other approach is far more expensive and has this strong negative side effect."

Sponsors of the bill say they're hoping to give Michigan residents a chance to chime in on the issue in a public hearing sometime in June. Michigan saw more than 3,000 opioid overdose deaths in 2021.


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New Mexico saw record enrollment numbers for the Affordable Care Act this year and is now setting its sights on lowering out-of-pocket costs - those not reimbursed by insurance. More than 56,000 New Mexicans are enrolled in a medical health insurance plan on the state exchange - an increase of 12,000 people overall.

Colin Baillio, deputy superintendent with the state's Office of Insurance, said the state has boosted its outreach and made efforts to improve the overall consumer experience.

"We saw a 40% year-over-year increase, and New Mexico saw the biggest percentage increase during the open-enrollment period among all of the state-based marketplaces," he explained

Part of the enrollment increase is due to what's called the "unwinding" - a federal directive that required all states to redetermine Medicaid eligibility following a three-year pause on checks during the COVID pandemic. He said by using expanded tools made available by the federal and state government, 8% of New Mexico's population is now uninsured - down from 23% in 2010.

Following approval by lawmakers in the 2024 legislative session, the New Mexico governor signed seven health care-related bills into law - one of which requires annual reporting of prescription drug pricing. Baililo said the Affordable Care Act built the foundation that has allowed the state to pursue additional affordability initiatives.

"I'm really glad to see that there's so much interest in the next step of health reform, really leaning into these out-of-pocket cost issues and making it easier for people to afford to stay covered and see their doctors," he continued.

Two years ago, the state also passed a one-of-a-kind law that did away with behavioral health co-pays for people in certain insurance plans.

New York's medical aid-in-dying bill is gaining further support. The Medical Society of the State of New York is supporting the bill. New York's bill allows terminally ill people with only six months to live to use this option, with safeguards requiring two physicians' approval.

The bill's Assembly sponsor Amy Paulin, D-Westchester, said despite the growing support, other hurdles lie ahead.

"Now we have what I believe, if it came to the floor, a majority. There's still a hesitation on the part of leadership. You know, we need members to assure leadership that they no longer have reservations," she said.

Other newly resolved concerns center on making sure insurance companies and doctors who don't support this aren't held liable. She's optimistic the bill will pass after nine years in the Legislature. New York would be the 11th state along with Washington, D.C. to have medical aid in dying legislation.

Corinne Carey, senior New York campaign director with Compassion and Choices finds the pandemic drew a vivid picture of a person's end-of-life experience. There were images of people dying on ventilators, apart from loved ones, and unable to communicate. She said people began thinking about a "good death."

"And, what is a good death is being surrounded by loved ones, having some measure of control, experiencing the touch of your loved ones, and being the one in the driver's seat," she explained.

Now people have different options for end-of-life care, each of which presents various challenges. Polls show medical aid in dying has garnered considerable support since being introduced in 2015. A 2022 Compassion and Choices poll finds 57% of nurses support medical aid in dying professionally, although fewer support it personally.