AUSTIN, Texas – Revelada el jueves, la más reciente propuesta del Senado de los EE.UU. para revisar los seguros de salud podría ser votada la próxima semana, y los defensores de los consumidores y de los tejanos mayores dicen que sigue teniendo partes que podrían provocar que se dispare el costo de las primas y poner a muchos residentes de asilos en riesgo de perder los fondos para su atención.

Los defensores de los tejanos en edad avanzada advierten que si el Senado de los EE.UU. aprueba el nuevo plan de atención a la salud revelado el jueves, podría ser un desastre tanto financiero como sanitario para los tejanos mayores.

La AARP predice que la iniciativa, que podría ser votada ya en la semana próxima, subiría las primas anuales de salud para la gente de 50 a 64 años en 20 mil dólares, cinco veces la tarifa regular. También reduce Medicaid, del que dependen más de la mitad de los tejanos que residen en asilos.

El Director de la AARP en Texas, Bob Jackson, piensa que los Republicanos del Senado están haciendo las preguntas equivocadas en su intento de “arreglar el cuidado de la salud”.

“Lo primero que debes hacer es tener un sentido firme de “¿La ley actual causa la subida de esos costos o, francamente, los costos de la atención de la salud hizo que subieran? Porque hay una gran diferencia. ¿Creamos el problema, o el sistema de atención a la salud sólo se está poniendo más y más caro?”

Los líderes republicanos actualizaron el plan para enfrentar las preocupaciones de algunos senadores, pero no todas. El mayor cambio permitiría a los aseguradores vender las pólizas llamadas “bare-bones”, puros huesos, que no satisfacen los requisitos básicos de cobertura del Affordable Care Act.

La Oficina del Presupuesto del Congreso está lista para publicar el lunes su informe sobre la propuesta.

Jackson dice que la A-A-R-P y otros grupos están acudiendo directamente al Senador “senior” de Texas John Cornyn, pidiéndole que se asegure de que el plan de salud ayuda a los tejanos – o que vote “no” si no es así.

“Sí sólo tomas decisiones sobre la atención a la salud, considerando cómo tendrá alguien una ganancia, ya empezaste en el lugar equivocado. Necesitas empezar donde dice “¿Cómo podemos tener más eficientemente la mejor atención para todos?”

Jackson dice que otras preocupaciones sobre la propuesta de salud incluyen reactivar la prohibición sobre condiciones preexistentes. Los líderes del GOP necesitan 50 votos para aprobar un plan, pero hasta el jueves al menos media docena de senadores todavía expresaron objeciones a algunas de sus partes.

El borrador de la nueva iniciativa, en: www.budget.senate.gov/imo/media/doc/BetterCareJuly13.2017.pdf.


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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.