Layperson standard for emergency care is under attack

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…
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Theology as advocacy on death row

Theology as advocacy on death row

Gazette Column
Intersections luncheon features former Wartburg professor A former Wartburg College professor returns to the Hawkeye State this week to tell the story of a friend and theology scholar who was put to death by the state of Georgia in September 2015. And she has some questions. Jennifer M. McBride was board of regents chair in ethics, assistant professor of religion and director of peace and justice studies at Wartburg, a college of the Evangelical Lutheran Church of America in Waverly. She now is associate dean of doctor of ministry programs and continuing education, and assistant professor of theology and ethics at McCormick Theological Seminary in Chicago. McBride first met Kelly Gissendaner — at the time, the only woman on Georgia’s death row — while directing a theology certificate program for the Atlanta…
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Interior department’s draft plan splits Iowa

Interior department’s draft plan splits Iowa

Gazette Column
Most of state grouped with land along Mississippi River Reorganization plans within the U.S. Department of the Interior call for the creation of 13 regions not limited by state boundaries. Like many states, Iowa is divided — eastern and central portions of the Hawkeye State grouped with lands along the Mississippi River, and western Iowa aligned with Nebraska, the Dakotas and pieces of other states. The plan, which department officials say isn’t finalized, was rolled out to senior Interior executives this month at a leadership summit titled “Planning for the next 100 years.” In a video published to the Interior’s YouTube channel, Secretary Ryan Zinke said his plan moves “decision-making authority to the front-line superintendents and managers so right actions can be quickly made without excessive paperwork or burdensome administrative requirements.” Gritty…
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1992 Iowa and the rebirth of feminism

1992 Iowa and the rebirth of feminism

Gazette Column
Some may view it as a setback, but I think renewed interest in the word feminism is women (and men) finally deciding for themselves. Each year, the Merriam-Webster Dictionary selects one word that received increased attention and interest throughout the year, naming it as the “Word of the Year.” Not surprisingly, given the current state of our union, the word for 2017 is “feminism.” The word was one of the top lookups throughout the year, increasing by 70 percent from 2016. “The general rise in lookups tells us that many people are interested in this word; specific spikes give us insight into some of the reasons why,” Merriam-Webster explains on its website. It began with the Women’s March last January, and continues amid allegations of sexual harassment and assault. That has…
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This year of uppity women

This year of uppity women

Gazette Column
Survivors of sexual harassment and assault didn’t need a magazine cover story to justify or validate ongoing cultural shifts. Blunt and comprehensive cover stories are for the naysayers, “witch hunt” proclaimers, perpetrators and apologists who mistakenly believe this movement toward a more equal society is either overblown or will soon run its course. “This is just the start. I’ve been saying from the beginning it’s not a moment, it’s a movement. Now the work really begins,” Tarana Burke, mother of the #MeToo movement, told Time magazine. The publication named as its persons of the year “The Silence Breakers” — those who could no longer stomach merely whispering about serial perpetrators of sexual harassment and assault. These women and the millions more they represent don’t need a cover story to understand the depth and…
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Newtown was nearly five years ago

Newtown was nearly five years ago

Gazette Column
At times, the juxtaposition of information makes it all the more poignant. In December five years ago I wasn’t employed by The Gazette, but by another local company that had a large on-site corporate cafeteria, complete with large screen televisions. I was sitting in that cafeteria as co-workers put the finishing touches on an upcoming holiday celebration. Each year the company invited employees to bring their children into the facility, where Santa presented each one with a personalized gift. That day, the children’s gifts had all been wrapped and tagged and a final count was underway. One worker read the children’s’ names from a list while others searched out the gift and, once found, placed it in a different pile. The name was checked off the list to ensure no…
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Fort Madison prison advocates pray for public reprieve

Fort Madison prison advocates pray for public reprieve

Featured, Gazette Column
1839 prison could be breakout attraction, economic draw Driving by the original Iowa State Penitentiary in Fort Madison, I always wondered if the offenders housed within were tormented by happy sounds emanating from the miniature golf and ice cream stand located just outside its sandstone walls. This past weekend, I found out. Nothing from the outside penetrates the razor wire and thick rocks that jut several feet skyward, surrounding the buildings and yard. A blessing? A curse? I honestly can’t say. The facility, established nearly a decade before Iowa became a state, has been effectively shuttered since Aug. 1, 2015, when more than 500 offenders were bused to the state’s new Iowa State Penitentiary, built a little more than a mile away on a site that once housed a prison…
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Concert Across America remembers victims of gun violence

Concert Across America remembers victims of gun violence

Gazette Column
A national coalition of gun violence prevention artists, activists and organizations are coming together for a second annual Concert Across America. Iowa voices will rise up as part of organized events Sunday, but readers can sing out now. Last year, more than 5,200 artists performed at 350 events across 43 states to call for universal background checks and stronger laws in every state to reduce gun violence. As I write this column, more than 180 concerts across 40 states had been announced for 2017 — including the Iowa communities of Cedar Rapids, Dubuque and Clinton. The events are planned for Sept. 24 because Congress designated the day for remembering murder victims. For this year’s series of events, national organizers hope individuals and groups from coast-to-coast also will take part in a world…
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Parenting a freethinker made easier

Parenting a freethinker made easier

Gazette Column
Two decades ago, as our family reeled from a full-term stillbirth, I grappled with ways to help our then 6-year-old daughter work through the grief of losing an infant brother. I searched for resources to offer reassurance and comfort, but there were scant few on the topic of death. And none I could find on stillbirth. So, we muddled forward with our own words. Was I saying the right things? Were there “right things” to be said? About a decade later, when a different daughter’s best friend died unexpectedly, I was given a book, “Parenting Beyond Belief,” edited by Dale McGowan. Suddenly I had a compass to help guide my child through grief, and advice on many other thorny topics. McGowan later co-authored a practical, companion book and, this past year,…
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Donald Trump puts the ‘bully’ in bully pulpit

Donald Trump puts the ‘bully’ in bully pulpit

Gazette Column
The Trump administration has rescinded Obama-era guidance for public schools that promoted use of bathrooms based on student gender identity. In a joint letter, officials within the justice and education departments rejected the previous administration’s position that non-discrimination laws require schools to allow transgender students to use bathrooms of their choice. Under Title IX, schools that receive federal funding are not allowed to discriminate against students on the basis of sex. Obama justice and education departments, as well as numerous civil rights watchdogs, said long-standing Title IX protections encompassed gender identity. [caption id="attachment_497" align="alignleft" width="300"] A sign protesting a recent North Carolina law restricting transgender bathroom access is seen in the bathroom stalls at the 21C Museum Hotel in Durham, North Carolina May 3, 2016. (Jonathan Drake/Reuters)[/caption] And while the…
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