Affordable Care Act Archives » Lynda Waddington

01Apr 2019 by Lynda Waddington

Why state leaders needed to step back from work requirements

Gazette Column

State work requirements for Medicaid recipients appear to be scuttled, at least for this year. That’s a good thing because research and experience show the numbers don’t add up for participants or for taxpayers. The bill passed by the Iowa Senate, Senate File 538, required the Department of Human Services to petition the federal government for permission to implement Medicaid requirements beyond those already in place at the federal level. Those new stipulations centered on work requirements. Specifically, “able-bodied” recipients would need to work or volunteer a minimum of 20 hours each week, and government officials would need to make larger investments in software and staffing in order to track the changes with the increased veracity required by the bill. Sticks of chalk sit around a partially completed drawing of the…

04Feb 2018 by Lynda Waddington

Layperson standard for emergency care is under attack

Gazette Column

Hundreds of Americans who recently sought treatment in emergency rooms have had insurance claims denied, leaving them owing thousands of dollars in medical bills. Is this the next health care battle in Iowa? Those with denied claims live in Missouri, Georgia and Kentucky and are insured by Indianapolis-based insurance giant Anthem. In Iowa, the company operates as Amerigroup, which provides Medicaid managed care. A letter, sent last year, spells out Anthem’s new emergency room policy in bold, blue text: “Save the ER for emergencies — Or you’ll be responsible for the cost.” Those with denied claims believe the insurance company is making decisions based on medical diagnosis instead of problems that led to emergency care. A 27-year-old Kentucky woman, for instance, sought care for what she believed to be potentially lethal…

23Jul 2017 by Lynda Waddington

Health care failure is bipartisan

Gazette Column

“Think of it as a starter house,” former U.S. Sen. Tom Harkin said in 2010 of the newly minted (and already dented) Affordable Care Act. His meaning, if it isn’t clear, was that the ACA, or Obamacare, never was intended to be stagnant. It was what the Democratic majority had the political will to pass, a product of compromise and, therefore, fell short of many party members’ aspirations. Flip the partisan majority, fast forward to 2017, and the similarities are obvious. In the weeks ahead we’ll learn if Republicans have the political will to compromise. Perhaps more important, if the goal is to stabilize health care, we’ll discover if Democrats can better stomach massive renovations or full demolition. And, yes, those are the remaining options. Harkin’s starter home, too cheaply…

11Apr 2016 by Lynda Waddington

Recovery slow for Congolese immigrants

Gazette Column

Caring for dead, injured depleting community's resources They had only been in the United States for a few weeks when an encounter with a patch of ice in the early morning hours of Feb. 4 changed everything. Nancy Lusemo, Serge Baketela and Mirielle Mbambi were three of nine people carpooling in a minivan and on their way to work in Tama when the vehicle lost control on the ice. They survived, which should make them the “lucky” ones, but the moniker smacks of indecency. Three were transported to area hospitals and released relatively quickly. Three others — Michka Kebeya, Platini Namputu and Dickson Mandiki — died in the four-vehicle crash. Kebeya was Lusemo’s husband. The couple and their five-year-old son had only been in Iowa about two months. All of…

04Apr 2016 by Lynda Waddington

SCOTUS short one justice shortchanges Iowans

Gazette Column

It’s been said that leaving the U.S. Supreme Court with only eight members isn’t a big deal, that it won’t really affect Iowans. But it already has. The most discussed SCOTUS deadlock thus far came Tuesday, when an evenly divided court couldn’t find consensus in Friedrichs v. California. The case was expected to end or significantly alter the ability of public-sector unions to collect fees from unaffiliated workers — a process well known by Iowans as “fair share” — but the eight-member court instead handed a victory to organized labor. The case was part of a multiyear initiative by several conservative groups hoping to weaken the unions that represent teachers, law enforcement officers and other public-sector workers. And, based on oral arguments in January, it should have been a conservative…

14Feb 2016 by Lynda Waddington

Pair health insurance with access

Gazette Column

More of Iowa’s kids have health insurance. Now we need a more robust system that allows them to use it. A report released Thursday by the Robert Wood Johnson Foundation says between 2013 and 2014, about 13,000 more Iowa youngsters received health insurance, mainly through their eligibility for public insurance plans like Hawk-i or Medicaid. Increased adult access to Medicaid programs came via millions in funding from the Affordable Care Act. Researchers believe that as adults discovered new Medicaid options for themselves, youngsters were also signed up for coverage. In this report, Iowa claims the fifth lowest uninsured rate for children (3.2 percent) — a significant move in the right direction from it’s earlier placement of 13th in the nation (5 percent). Many state residents and health care advocates worked…