Partnership and participation improves the chances of success and sustainability
resulting in better policy development and promote effective social capital
structures if Governor Herbert is successful in leading democratic partnerships.
The process requires participatory democracy, equity between partners and power
structures, and restructuring power relations to engaging the community
effectively. Partnerships face considerable challenges empowering disadvantaged
communities and improving their health and may unintentionally ensure continuity
of insecurity and dependence for community-led initiatives by forcing
communities, individuals, and health care systems to compete with each other for
vital resources. •Public sector organizations compete for funds
and must balance competing interest, such as focusing on economic factors
perhaps to the exclusion of the more difficult issues of health inequalities and
social exclusions to insure access to health care.•Potential
conflicts between national policy and state or local priorities/issues advancing
Utah as a state that is out of step with federal humanitarian concerns. •Democratic governmental structural limitation to be agile, quick and
flexible in responses to issues.•Social capital concepts of trust,
reciprocity and respect may be absent due to power structures when partnering
with the state.
andyjaggy - how is it her fault that she has cancer? I know that if I get cancer
even though I have done my best not to get this terrible disease that it is
because I know that there are certain cancers that are hereditary in my family.
So therefore it is NOT this person's fault for getting it. There are a
number of cancers in my family that I could have inherited. If I should get
diagnosed with one I guess it would be my fault that I have it because I was
Sorry CHS 85. Your sarcasm just went over my head. And I agree with your post
in every particular.
The Health was written by an extreme leftest private organization funded wholly
or in part by socialist billionaire George Soros,It was given to
certain democrats to introduce to congress,that is why Pelosi said
we must pass it first to find out what is in it (in obedience to her leftest
masters),even the democrats didn't know.To suggest
republicans had any part in it is just nonsensical rubbish.And in
related news,Today, an official from the Obama administration just
admitted (in so many words) there will be a need for "death panels" to
control costs.this healthcare bill, in so many ways, was created and
passed so corruptedly, and it will destroys freedom and will destroy this
country financially.All that Obama is doing will, by current
accounts will cost this country in excess of 20 trillion dollars, in known
future costs.And SHAME on the left in trying to inject the religion
(and SO WRONGLY is their understanding of scripture) into this discussion,
aren't you the ones saying the church and state should be separate, or just
hate religion in first place, or say religion should and must be private and
not public policy?
If by some miracle Romney is elected President this year, it seems like he would
rather have the states do their own affordable health care plans. Rather than
rely on a "wait and see" policy, why not look at the MassACT plan that
Romney approved in part, and see if there is something there that Utah could
replicate, and do it now? I would much rather have health care reform in state
legislation of less than 100 pages than the 2,700 pages of the ACA.There is a site which displays the MassACT legislation with the parts vetoed
by the governor and overturned by the legislature clearly marked. Since
comments with links may not be posted here, you will have to find it yourself if
you wish to see it. Pertinent information is that it is from the MA legislature
Session Laws of 2006, Chapter 58.
The comments written here are so disjointed, it is impossible to agree or
disagree with any of them! **** Obamacare was not written by
"the democrats and republicans". It was written by SOME democrats who
locked out republicans and other democrats. Why did we let them get away with
breaking the law that way?**** It is true that both sides make the
process difficult. It is supposed to be that way, to prevent one side from
taking over (see above remark). Otherwise, you have what we now have: one man
who is forcing his secret plans on everyone. If Obama wins, you will see just
what that means!**** Why must people always think in extremes? It is
possible, you know, to reform health care without the insanity of Obamacare!
Obama has succeeded in convincing half of America that HE is the Savior of us
all, while portraying Romney as the devil. I don't know if Romney can fix
everything, but he can fix some things, and prevent Obama from his plan of
subduing America and making us a second rate country to satisfy his arrogant
view of what should be, and punish white men like me for the past.
The ironic thing is that with the cancer diagnosis she falls into the
"uninsurable" category. Falling into the "uninsurable" category
qualifies her for HIPUtah, which cannot deny her, and will take her no matter
what. The premiums for HIPUtah are no higher than for healthy people her same
age, and depending on her income, will even discount her premiums based on
income.The ACA is going to fail to cover people, and will cost tax
payers a lot more money than the CBO claims. Just look at the Medicare Drug
program, and all other health insurance programs the Feds administer. Also,
think of it this way, if the Government can lose $60 billion/yr, 2 times the
loss that private insurance companies lose combined, while insuring half as many
people, what will happen when they add more people to their insurance rolls?To those who think that a government program is taking care of your
neighbor, you are wrong. You are not helping your neighbor, you are paying
Caeser to console your conscience.
The sad truth is that although this law has many great benefits, like helping
this woman and others, there are some scary pieces in this law that will
inevitably hurt the economy. For example, the requirement for all
businesses to purchase health care for full time employees will leave many
companies losing nearly all profit. Also many companies will be forced to
downsize, or cut employee hours. This will kill the jobs that businesses have
created. My hope is that the Healthcare law is reformed (where needs
be) not simply repealed. But as it stands now, it's going to hurt the
And the LORD said unto Cain, Where is Abel thy brother? And he said, I know not:
Am I my brother's keeper?Genesis 4:9Now the full number
of those who believed were of one heart and soul, and no one said that any of
the things that belonged to him was his own, but they had everything in common.
And with great power the apostles were giving their testimony to the
resurrection of the Lord Jesus, and great grace was upon them all. There was not
a needy person among them, for as many as were owners of lands or houses sold
them and brought the proceeds of what was sold and laid it at the apostles'
feet, and it was distributed to each as any had need. (Acts 4:32-37 ESV)Yes, Cain you are your brother's keeper.
Another interesting item mentioned by Dr. Marty Makary was that corruption in
Greece's healthcare system has been a significant factor in their economic
decline. Actually, corruption in general has been a big part of Greece's
If Obamacare gets set in stone, the Federal Government will eventually become
the only Insurance payer. That will be disastrous! Forget that we won't
be able to afford it; it will destroy our economy. Socialized medicine is NOT
the answer. I know a Canadian citizen who almost died, waiting to get into the
Doctor!! I had Uterine Cancer in 2008--what scares me is the Death Panels. If
they think you are too old or you won't survive your condition, you
WON'T get treatment!! This is already happening in other countries with
Socialized medicine!! We can improve things without Socialized medicine! In
response to Sego Lily - the Law of Consecration is NOT Socialism!! In the last
few General Conferences, many speakers have spoke out against Entitlements (that
is Socialism)!! The Law of Consecration will be a small group with one heart
and one mind centered on Jesus! Socialism is evil because it takes our agency
away! That was the most important difference between Satan's plan and the
plan of Jesus Christ!! The White House and Congress will NOT be under
Obamacare! That is telling right there! Our Republic and Constitution was God
inspired! It is not SOCIALISM!!
The great thing about this country is that we can build stealth destroyers for
the Navy at the cost of several hundred billion dollars, to stay ahead of the
rest of the world, but when we want to catch up to the rest of the civilized
world and provide healthcare for US citizens, half of the population and
politicians are opposed to it. Never mind that fact that there hasn't been
a pivotal naval battle for 60+ years. Head scratcher.
It's her own fault for getting cancer, tell her to take some personal
responsibility for her life. Sarcasm implied.
We need to repeal Romney, I mean Obamacare and make it much more difficult and
more expensive for people to get treatment. That way for-profit health insurers
can keep making huge profits on death and dying. Same for for-profit hospitals.
Profits trump life.
@Mike in Cedar CityI was being sarcastic based on a comment made the
by the Republican Presidential candidate. I am a HUGE supporter of
the ACA, although I don't think it went far enough. How we treat the most
vulnerable among us reflects on our society as a whole. As Americans and
Utahns, we should be ashamed of the situation these folks find themselves in.
Until an individual can get past the lower rungs of Maslow's
Hierarchy of Needs, they will never be able to reach their potential and as a
society, we will be lesser for it. There are those of us who truly need help
and to shun them because of their disabilities is horrible.
The only way that health insurance companies can cover everyone is if everyone
participates. This is the whole point of the National Health Care Act. This
is not a socialistic system. Insurance companies and doctors will still have
the right to set their prices and chose how to best serve their patients.
Citizens who cannot afford premiums will have options, some of them subsidized
by tax payers, to make sure that everyone has coverage. Whether we realize it or
not, we are paying for the health care of the uninsured now through increased
hospital, doctor and health care costs which could be viewed as a form of hidden
tax. The reason for making the change is that if everyone has access to health
care through out their life, they will be more productive, avoid expensive (at
your and my expense) emergency care expenses, and the overall outcome will be a
healthier, happier and more productive society. Let's do this.
We are talking about some of our most vulnerable. How our nation of people
treats them reflects upon our nation as a whole.
ACA was witten over the course of several months. Republicans and Democrats in
Congress worked on the plan in committees. Republicans have not crafted an
alternative plan.There was a very interesting and worthwhile
discussion on The Diane Rehm show Sept 19th with Dr. Marty Makary about
healthcare. Dr. Makary talked about the need for transparency in
healthcare--such as hospitals publishing accident/mortality rates. He talked
about the "corporatization" of hospitals leading to unnecessary
surgeries and procedures. He talked about physician "burnout" under the
system where Drs. are pressured by the corporations to perform unecessary, but
lucrative surgeries and treatments.I had a discussion with a Dr.
recently who told me he thinks Obamacare/ACA is the best we can hope for at this
point in time. He preferred single-payer. He stated although healthcare reform
might lower his compensation some, it is important that we have a system to
provide healthcare for all. Finally, recently astounded by the cost
of surgery for a family member. He was in the hospital for about 4 hrs. The
hospital billed our insurance $40,000. The insurance paid $5200 and our portion
was $625. What would the uninsured be expected to pay?
I wonder how SME and CHS 85 would feel if they or a close family member were one
of those "tragic" cases. There no real reason to wait. If Romney is
elected and the Republicans get the Senate the law will be repealed to the
detriment of all but the insurance industry. But repeal is not likely, and
there is no reason for the state to hide behind an election before it decides
whether or not it will elect to kill people.
Just go to the Emergency Room.
"We still don't know what's in those 2,700 pages of federal
legislation," Herbert said. "And those 2,700 pages are spawning and will
spawn thousands of pages of additional regulations."It's
been law for two and a half years, and you are still pulling that?!? And this
is the one that is deciding on whether or not it will expand the State's
coverage?!? Honestly, if after two and a half years you haven't read it,
or assigned someone on your staff to do so, it's on you. The thing has
been online in it's entirety for two and a half years.
I'm sure there are many stories like those of Ms. Young, they are truely
tragic. But going down a path that we simply cannot afford will hurt far more
people in the long run. Re: Well Read, yes "The federal
government is kicking in the funds to help Utah afford the medicare add on."
briefly. Then we will have a large commitment that we will be stuck with. The screams about we must do something, now!, are a smokescreen to keep
from having a thorough discussion about what needs to be done and how to best do
it. Many of the provisions of the "Affordable Care Act" (a misnomer)
still haven't been written yet. We will be better off starting over with
law that has been thoroughly discussed and has wide spread support.
Two comments - there is a medicaid program for women with breast cancer that
covers the treatment. She may have to pay a spend down each month while on it
but at least it will get her the treatment that she needs.Second
comment: How many of you are LDS? Can you honestly say that you are willing to
live the law of consecration should it become necessary in your lifetime? From
the yelling at people to people to pull up their bootstraps and get a job - I
think not. If President Monson holds a conference and says that it is time to
give up all that you have which some you will end up getting back are you going
to turn your back on the prophet and say sorry but it's the fault of the
poor that they are that way - what's mine is mine and I'm not going to
share.I walk along a street in SLC where there are several homeless
people sleeping under trees. I walked by a couple on Friday and cried because I
didn't know what I could do to help them. This shouldn't be happening
in our neighborhoods.
Amazing, is it not, that most of the bloggers here in this paper don't care
that lives are at stake? Most are not worth exchanging views with.
Herbie,Hold off on doing what's right until after the election.It's the repub thing to do.
Tell the moochers to pull themselves up by their own bootstraps and get a job.
Why should my taxes go to pay for freeloaders. The health insurance industry is
entitled to their profits and bonuses!
It's a no brainer! Gov. Herbert do what is best for the citizens of the
state of Utah. Do not opt out just because the program is a democrat backed
program. The federal government is kicking in the funds to help Utah afford the
medicare add on. Why should health insurance companies be allowed to opt out of
carrying someone who has a pre-existing condition. That is criminal! They only
want to carry the healthy individual. If one gets sick or has a pre-existing
condition the want to kick them out! That is not the Urtah way. we are a caring
state. We are better than that!!The program enacted by President
Obama is not perfect, but could have been much better IF the republicans had not
been so intent on making sure that Obama was one term president. They did not
even try to negotiate in good faith! Do not go along with the DO NOTHING
republican congress and keep Utah citizens who need health care out of the
system just to spite the president!!!