Showing posts with label Challenges. Show all posts
Showing posts with label Challenges. Show all posts

Thursday, August 15, 2013

Obamacare: 3 Years In, It Faces Steep Challenges

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President Obama signs the health care bill into law at the White House on March 23, 2010. (Photo: Charles Dharapak, AP)

Saturday, June 1, 2013

Hospitals, states face challenges under new health regime-Moody's

March 14 (Reuters) - Cuts in federal funds for hospitals serving low-income patients, which are set to begin later this year under the new U.S. healthcare law, will create budget challenges for both hospitals and states, Moody's Investors Service said on Thursday.

The ratings agency said it expects the cuts to federal disproportionate share hospital (DSH) payments to rise to $17 billion annually by 2019 after scheduled reductions begin on Oct. 1.

DSH adjustment payments provide additional help to hospitals that serve large numbers of low-income patients.

The DSH payments will be reduced as part of an expansion of the Medicaid health insurance program for the poor under the Patient Protection and Affordable Care Act, more commonly known as "Obamacare." As the program expands, those payments will be reduced by half.

States that choose to opt out of Medicaid expansion but have a high number of uninsured residents will feel the greatest budget impact, Moody's said, as they could face both political and economic pressure to make up for the federal funds.

The rating agency also said "large, urban safety net hospitals that typically treat large populations of Medicaid and uninsured patients are most at risk from the DSH phase-out."

Among the states with the highest uninsured rates and who are undecided, but leaning towards opting out of the Medicare expansion are Texas, Georgia, Idaho, Louisiana, North and South Carolina and Wyoming.

The law calls for DSH payments to be restored in 2022, but Moody's said that current Congressional budget battles put in doubt any return to full funding.

(Reporting by Caryn Trokie and Ed Krudy; Editing by Chizu Nomiyama)

((Caryn.Trokie@thomsonreuters.com)(+1-646-223-6318)(Reuters

Messaging: caryn.trokie.reuters.com@reuters.net))

Keywords: MUNICIPALS/HEALTHCARE


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Thursday, May 23, 2013

Obamacare: 3 Years In, It Faces Steep Challenges

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President Obama signs the health care bill into law at the White House on March 23, 2010. (Photo: Charles Dharapak, AP)

Wednesday, May 22, 2013

Dad Challenges Retro Gender Roles By Hacking ‘Donkey Kong’

Mike Mika might be the world’s best feminist dad.

When his 3-year-old daughter discovered that the girl character in Donkey Kong, Pauline, could only sit distressed and wait for a male character to help her, Mika decided to do something about it. So, The Verge reports, he hacked the popular game to make Pauline a functional character, and the male character, Mario, became the damsel (or, lord?) in distress:

Thankfully Mika happens to be a competent developer, and after a few late-night hours spent hacking the NES version of Nintendo’s classic, he accomplished the role reversal his daughter had wished for. Mario was now under Donkey Kong’s control, and Pauline was tasked with rescuing the plumber in distress. Following the successful endeavor, Mika shared some details of how he swapped the characters on a YouTube page demonstrating the hack. “I’ve redrawn Mario’s frames and I swapped the palettes in the ROM,” he wrote. “I replaced the M at the top with a P for Pauline.”

Mika uploaded this video on YouTube to demonstrate how it worked:

Technological hacks for thinking about and subverting gender barriers are gaining in popularity. Another father recently did a gender swap for the game Zelda. And a recent invention, a Google Chrome browser extension called “Jailbreak The Patriarchy,” swaps the gender pronouns on websites to show how gender dynamics affect our views of the world.


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Sunday, March 3, 2013

Iran reset: Challenges for next four years

By Former Rep. Patrick Kennedy (D-R.I.) - 01/29/13 02:30 PM ET

During WWII, Winston Churchill famously opined that, “You can always count on the Americans to do the right thing---after they’ve tried everything else!” Today, those very words aptly describe U.S. policy towards Iran.

While engagement has only emboldened Tehran, and sanctions have proven to be insufficient, military action risks Armageddon. As the president begins his second term, he should be convinced that “everything else” has already been tried; it is now time to do “the right thing,” when it comes to Iran policy.
Last October’s, albeit belated, administration decision to remove the principal Iranian opposition movement, the Mujahedin-e Khalq (MEK), from an unjustified State Department blacklist -- was clearly the first step in the right direction.

Delisting MEK signals to Tehran that the U.S. intends to reset policy by finally factoring in the Iranian people and the organized resistance movement committed to replacing the mullahs with a democratic, secular, nuclear-free republic. Secretary Hillary Clinton’s courageous decision presented a watershed opportunity to change Iran from within. Moving forward, the Obama Administration should now reach out to the MEK as part of a calibrated effort to ratchet up pressure against the clerical regime in Tehran, while exploring the possibilities within the Iranian opposition as the people step up their opposition to Iranian rulers.

As a Pentagon-funded report by the Federal Research Division of the Library of Congress noted in December, Tehran “considers the Mojahedin-e-Khalq to be the organization that most threatens the Islamic Republic of Iran.”

It is a measure of MEK’s influence and power that the mullahs consider the movement an existential threat and have vowed to annihilate its members at all costs. Epitomizing the best impulses of the Arab Spring, and embracing values all Americans cherish, MEK has proven itself to be a democratic ally worthy of our recognition as a player when it comes to the future of Iran.

MEK has provided the West with invaluable intelligence about Iran’s nuclear secrets: the uranium enrichment facility at Natanz and the heavy water facility in Arak (2002): the key nuclear research and development facility in Lavizan-Shian (2003); the Fordow underground enrichment facility near the holy city of Qom (2005); and other significant sites over the following years directly involved with nuclear weaponization.

For 15 years, the mullahs invoked the MEK’s FTO designation to shamefully justify extreme human rights violations of countless Iranian citizens. Similarly, at Tehran’s urging, the unwarranted designation was used by the Iraqi government to justify the murder and oppression of 3,400 Iranian dissidents, members of MEK, at Camp Ashraf and the reluctant relocation into prison-like conditions at Camp Liberty, near Baghdad.

Today, with prices rising and the value of the rial plunging, the Iranian economy is in shambles. The ruling clerical elite are increasingly fragmented and rapacious internal dissent makes the moment right for regime change. Despite dire risks, at every opportunity Iranians, particularly the young people, have taken to the streets to defy the mullahs’ tyranny and decry their lack of freedom.

This time, our government must actively support the people of Iran. The incoming Secretary of State, John Kerry, must see to it that the United Nations designates Camp Liberty as a “refugee camp” rather than a “transit camp.” The U.S. and the UN must remedy the consequences and effects of an antiquated MEK designation, by guaranteeing the rights of the exiled dissidents, and ensuring that their new status is recognized and upheld in Iraq.
Specifically, the Iraqi government must allow members of the Iranian Resistance to sell their property at Camp Ashraf without further obstruction, so that they can support themselves until they are safely relocated. US foreign policy interests are best served by the swift and safe resettlement of Camp Liberty residents to Europe and the U.S. This is an issue that many Iranian-Americans with relatives at Camp Liberty care deeply about.

Maryam Rajavi, the Resistance’s charismatic and courageous leader, has articulated a Ten-Point-Plan, which envisions an Iranian future based on a popularly elected government, separation of church and state, full equality for women and minorities, peace and friendship with all countries in the region, and a non-nuclear Iran.

How to deal with the desire of the Iranian people who are already intent on changing Iran from within is a challenge the next U.S. president will have to address if we are to deploy the most powerful weapon at our disposal to solve the Iranian nuclear threat, prevent Iran’s terrorist regime from dangerous regional domination, and most importantly to be on the right side of the history.

Kennedy represented Rhode Island’s 1st Congressional District in the U.S. House of Representatives, 1995-2011
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Friday, January 18, 2013

California Boy Scouts Chapter Challenges National Organization’s Anti-Gay Ban

Though 18-year-old Ryan Andresen had completed all of the necessary requirements for his Eagle Scout badge, but his Scoutmaster refused to sign his application for the award because he was gay in violation of the Boy Scouts of America’s (BSA) policies. Andresen and his family took his story to the media, garnering over 460,000 signatures on a Change.org petition and an honorary recognition from the California State Assembly. The Andresens circumvented the hierarchy, and now the Mt. Diablo-Silverado Council is set to challenge the national policy on Ryan’s behalf.

Bonnie Hazarabedian chaired the review board that signed off on Ryan’s application and forwarded its recommendation to national headquarters last week. She believes he deserves the award because the anti-gay policy is “something out of the Dark Ages”:

HAZARABEDIAN: I don’t think sexual orientation should enter into why a Scout is a Scout, or whether they are Eagle material. We felt without a doubt he deserved that rank.

Though the BSA has not replied to questions about his application, spokesman Deron Smith said in October that Andresen’s membership with the organization had been revoked. The Andresens are celebrating the recognition of his accomplishments, but it’s still up to the BSA to determine Ryan’s fate.


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