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Nurse Practitioners Want to Help Patients, but Stifling Rules Stand in the Way

in Economic Liberty, Healthcare, Liberator Online, News You Can Use by Alice Salles Comments are off

Nurse Practitioners Want to Help Patients, but Stifling Rules Stand in the Way

This article was featured in our weekly newsletter, the Liberator Online. To receive it in your inbox, sign up here.

The fight to serve Americans freely, offering low income patients the option of having access to affordable care, has been an important battle for nurses in certain states.

According to, nurse practitioners in Pennsylvania are beginning to question the straining and oftentimes useless requirements they must meet in order to help their patients.

MedicIn many states, nurses with advanced degrees and special certifications are allowed to perform several functions primarily performed by physicians. While giving these nurse practitioners the freedom to help patients without access to expensive health insurance is important, many states limit their effectiveness by forcing nurses to seek the approval from doctors before being able to help patients in need.

To the thousands of patients who benefit from having access to nurse practitioners, the process may seem confusing. But they are not alone, healthcare providers also share their frustration.

To nurse Jerry Driscoll, a nurse practitioner running Primary Homecare, doctors “are signing paperwork on patients they’ve never seen,” making their job extremely difficult. After all, nurses like Driscoll “can order their insulin, but not their shoes” he said.

In an interview with, Driscoll explained that issuing prescriptions or even ordering medical devices such a simple walker or orthopedic shoes is impossible for nurse practitioners in Pennsylvania, forcing organizations such as Primary Homecare to spend thousands of dollars yearly to maintain collaborative agreements with local physicians.

If Primary Homecare didn’t have to spend $25,000 a year due to the state’s laws, Driscoll explained, he would be able to give his patients much better care. Some of the pieces of equipment Driscoll’s company would be able to afford if laws were different include mobile imaging equipment and other technologies used for blood tests. On top of that, not having to spend so much on agreements with physicians could also lower the cost of care to patients, making access to direct healthcare much more affordable.

Last year, lawmakers in the state sought to put an end to this problem by introducing legislation that would have ended the mandatory collaborative agreements between physicians and nurse practitioners.

While the last attempt had failed in the previous session, the bills introduced in the State House and Senate last year are currently languishing in legislative committees. If at least one passes, Pennsylvania would be the 22nd state to allow “full practice” models, giving nurse practitioners the freedom to practice more broadly but still within the scope of their training.

But before nurses are able to obtain the freedom they require to better care for their patients, they must fight the crony capitalists at the Pennsylvania Medical Society, who are opposing the bills currently under review.

According to the medical association, physician oversight of nurse practitioners is essential. The idea that the arrangement between physicians and nurse practitioners is just a formality is far from the truth, said Karen Rizzo, the president of the Pennsylvania Medical Society.

But according to recent studies, the notion that patients get better care from nurse practitioners in contact with physicians is nothing but a myth.

Nurse practitioners, the five studies conclude, improve patient outcomes while also reducing healthcare costs by as much as 29 percent. One of the studies has also suggested that patients who have access to nurse practitioners have lower hospital admission rates.

As Pennsylvania struggles with 155 areas in which patients have little to no access to adequate health care, loosening nurse practitioner’s requirements could help to give more patients access to quality care at a lower price.

What are lawmakers waiting for?​

Will Republicans Allow an Obamacare Bailout?

in Healthcare, Liberator Online, News You Can Use, Personal Liberty by Jackson Jones Comments are off

Will Republicans Allow an Obamacare Bailout?

This article was featured in our weekly newsletter, the Liberator Online. To receive it in your inbox, sign up here.

One of the few bright spots in the government-funding bill passed last December was the inclusion of a provision that barred the Obama administration from using taxpayer dollars to bailout a little-known Obamacare program. Known as “risk corridors,” the program receives contributions from health insurance companies that make money from plans sold on the exchanges required by the law and redistributes it to those that experience losses.

Health Care

Congressional Republicans had targeted the program for repeal. In November 2013, Sen. Marco Rubio, R-Fla., introduced legislation, the Obamacare Bailout Prevention Act, to do just that. “The American people are sick of Washington picking winners and losers, especially since the chosen losers often end up being taxpayers who foot the bills for Washington’s mistakes,” Rubio said at the time. “Washington’s bailout culture must end, and eliminating Obamacare’s blank check for a bailout of insurance companies is a common sense step to protect taxpayers when Obamacare fails.”

Lobbyists for insurance companies worried about congressional action against the program, which, according to the administration’s propaganda, is supposed to be deficit-neutral. Without the program, insurers’ lobbyists said, premiums would rise and drive consumers away from the exchanges, possibly leading to a dreaded “death spiral.” While the bill didn’t see any action in the Senate, Rubio reintroduced it in January at the beginning of the new Congress.

The language prohibiting the use of taxpayer funds for the risk corridors program that was included in the government-funding bill applied only to fiscal year 2015. It would have to be inserted into the bill for fiscal year 2016 for it to continue to apply. This is where it gets interesting. Insurers have filed more in claims than money that’s available in the program.

“On October 1, 2015, the Centers for Medicare and Medicaid Services announced the total of collections and payouts under the risk corridor premium stabilization program for 2014. CMS announced that insurers have submitted $2.87 billion in risk corridor claims for 2014. Insurers only owe, however, $362 million in risk corridor contributions,” Health Affairs reported in October. “Thus payments in 2015 for 2014 will be paid out at 12.6 percent of claims, assuming full collections of contributions owed.”

In other words, the risk corridors program faces a more than a $2.5 billion shortfall. The only way to fill the gap is to transfer funds – i.e., taxpayer money – to cover the payments owed to insurers.

The House of Representatives is in the midst of working on the government-funding bill for fiscal year 2016. The current funding agreement expires on Friday, though lawmakers will likely pass an extension to give themselves more time to hammer out a framework. But without a specific language prohibiting the administration from using taxpayer money to make the risk corridors payments, taxpayers could be on the hook for what is, ostensibly, a $2.5 billion Obamacare bailout.

Kentucky ObamaCare Cooperative Will Close

in Economic Liberty, Healthcare, Liberator Online, News You Can Use by Jackson Jones Comments are off

Kentucky ObamaCare Cooperative Will Close

This article was featured in our weekly newsletter, the Liberator Online. To receive it in your inbox, sign up here.

Kentucky’s health insurance cooperative will close by the end of the year, leaving approximately 51,000 looking for coverage from other insurers that offer plans on the state’s insurance exchange. The Kentucky Health Cooperative is the latest of its kind to close down due to financial difficulties.

Health Care

Nonprofit insurance cooperatives are an integral part of the Affordable Care Act, or “Obamacare.” But this type of health insurance provider has hit significant snags. According to a recent report from the Department of Health and Human Services Office of the Inspector General, 21 of the 23 cooperatives created under the 2010 health insurance reform law are losing money and 13 aren’t meeting enrollment projections.

The report revealed that 21 cooperatives have lost $382 million combined. The Kentucky Health Cooperative ran the largest deficit, losing more than $50 million. Cooperatives were meant to compete on the exchanges with private health insurance. They were a compromise when leftists in Congress were unable to get the so-called “public option,” or single-payer, included in the Affordable Care Act.

The Kentucky Health Cooperative decided to shutter after finding out that it would receive a smaller than expected payout from the Affordable Care Act’s “risk corridors” program, according to The Hill. This program provides health insurers with payouts to cover some of the losses they incur for plans available on the exchange.

“It is with sadness that we announce this decision,” Kentucky Health Cooperative Interim CEO Glenn Jennings said in a release. “This very difficult choice was made after much deliberation. If there were a way to avoid it and simultaneously do right by the members, providers and all others that we serve, we would do so.”

“In plainest language, things have come up short of where they need to be,” he added.

Senate Majority Leader Mitch McConnell, R-Ky., reacted to the news by noting that the closure of his home state’s cooperative is a sign of deeper problems with the Affordable Care Act.

“Barely a week goes by that we don’t see another harmful consequence of this poorly conceived, badly executed law,” McConnell said on Friday. “Despite repeated Obama administration bailout attempts, this is the latest in a string of broken promises with real consequences for the people of Kentucky who may now be losing the health insurance they had and liked twice within the past three years because of Obamacare’s failures.”

Five cooperatives have closed, including Kentucky’s. Others include New York’s Health Republican Insurance and the joint venture for Iowa and Nebraska, CoOpportunity.

Video: Coffeecare —The Affordable Coffee Act

in Healthcare, Liberator Online by James W. Harris Comments are off

You know how you buy a cup of coffee. You just go into the store, ask for what you want, and pay. End of story.

But… What if we had to buy our coffee like the government is now forcing us to buy health insurance? What if, like Obamacare, we had… Coffeecare?

This scathing and very funny animated video by RealityAlwaysWins show us. The result is a lot of laughs and a thorough indictment of the bitter brew that is Obamacare. All in just three and a half short and funny minutes.

Share it online with friends. It will open their eyes and let them smell… the Coffeecare.