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Showing posts with label Government Shutdown. Show all posts
Showing posts with label Government Shutdown. Show all posts

Tuesday, November 5, 2013

Calling America: Hello? Hello? Hello? Hello?

Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

SINGAPORE — HAVING lived and worked abroad for many years, I’m sensitive to the changing ways that foreigners look at America. Over the years, I’ve seen an America that was respected, hated, feared and loved. But traveling around China and Singapore last week, I was confronted repeatedly with an attitude toward America that I’ve never heard before: “What’s up with you guys?”
Whether we were feared or loved, America was always the outsized standard by which all others were compared. What we built and what we dreamt were, to many, the definition of the future. Well, today, to many people, we look like the definition of a drunken driver — like a lifelong mentor who has gone on a binge and is no longer predictable. And, as for defining the future, the country that showed the world how to pull together to put a man on the moon and defeat Nazism and Communism, today broadcasts a politics dominated by three phrases: “You can’t do that,” “It’s off the table” and “The president didn’t know.” A Singaporean official who has been going to America for decades expressed shock to me at being in Washington during the government shutdown and how old and emotionally depressed the city felt.
“Few Americans are aware of how much America has lost in this recent episode of bringing the American economy to the edge of a cliff,” said Kishore Mahbubani, the dean of the Lee Kuan Yew...
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Friday, October 25, 2013

mHealth: A Potential Player for Workers' Compensation

Delivery of workers' compensation medical care is one of the most costly items on the landscape  of the social, remedial program. A recent article in the AMA Journal raises doubts that the delivery of medical care  utilizing electronic mobile technology will be an advantageous solution to spiraling costs.

"mHealth technologies have the potential to change every aspect of the health care environment and to do so while delivering better outcomes and substantially lowering costs. For consumers, mHealth offers the promise of improved convenience, more active engagement in their care, and greater personalization. For clinicians, mHealth could lead to reduced demands on their time and permit them to instead refocus on the art of medicine. Much remains to be done to drive this transformation. Most critically needed is real-world clinical trial evidence to provide a roadmap for implementation that confirms its benefits to consumers, clinicians, and payers alike."

Click here to read the entire article appearing in the AMA Journal

Thursday, October 24, 2013

CDC - NIOSH Science Blog – Conducting Responder Health Research and Biomonitoring During and Following Disasters

Today's post was shared by Safe Healthy Workers and comes from blogs.cdc.gov


When responding to a disaster, emergency workers may face unique health risks from exposures to hazardous chemical and environmental contaminants in forms and circumstances often not seen in other occupations. While the paramount needs to be addressed in a disaster are the protection of people in the disaster zone and the safety and health of the responders, disasters often provide the opportunity to conduct research on potential short- and long-term health effects among responders.

Knowledge gained from such research will improve the ability of safety and health professionals, administrators, and coordinators to safeguard responders as immediate rescue, recovery, and clean-up activities proceed. As well, it will improve our procedures for safeguarding responders in future emergencies. While this can provide a unique opportunity, the disaster environment presents many challenges for research while response is proceeding.

These limitations include the following:
  • response activities are the first priority,
  • researchers or research institutions may have limited access to incident leadership who can approve of research activities,
  • engaging emergency response personnel is difficult in research activities not immediately pertinent to the response,
  • marshaling necessary resources quickly will be difficult, and
  • timely...
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Friday, October 18, 2013

The Many Ways the Government Shutdown Hurt Public Health and the Environment

Today's post was shared by RWJF PublicHealth and comes from switchboard.nrdc.org


Political extremists pushed our nation to the brink out of sheer obstinance. Speaker Boehner could have ended this days ago by simply letting the full House vote on reopening the government. Instead, he declared himself a willing hostage to the radical wing of his party.

The reopening of the government and avoiding default are obviously good news. But the deal that allowed it to happen should be a signal to the environmental community to gird for the battles ahead.
The deal puts off the big fights for just a couple of months. House Republicans had a long list of anti-environmental provisions they threatened to add to the debt limit before the Affordable Care Act became their single-minded focus, and they could be part of the brinksmanship next time around....
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Tuesday, October 15, 2013

What a Government Default Will Do To Workers' Compensation

With only hours left, and the politicians in Washington DC still unsettled about how to resolve a US credit default, the focus turns to the impact on workers' compensation programs throughout the country.

Expanding on the problems besieging compensation programs following the US Government Shutdown, things are going to get much worse and very quickly. Social Security will stop paying benefits, its contractors and medical providers. Closing down those contributions will literally suffocate transactional information concerning integration of Medicare Secondary Payer Act benefits and reimbursement. Calculating offsets and reverse offsets will become an impossibility. Insurance companies in reverse offset states will be required to fund more dollars into the system as application flow into the state systems to modify prior awards still being paid.

Employers dependent upon government payments, including funding and contracts, will be unable to pay workers and insurance company premiums. Cascading financial distress will implode the economy and unemployment will become rampant.

Additional burdens will be placed upon injured workers who even already are struggling to make ends meet and obtain medical treatment with absolutely no Federal safety net in place to catch them. Injured workers with pending claims will be unable to seek medical and pharmaceutical benefits from collaterally funded programs.

Federal dollars actually fund over 70% on state rehabilitation programs. These programs will quickly dry up, and the those injured workers who are seeking placement in a new job through rehabilitation will be locked out of the states.

Workplaces will continue to be unregulated as OSHA (The Occupational Health Administration) will be unable to financially fund enforcement programs, new safety programs and even review comments for pending regulations, ie. The Smart Act.

Investigations requirement Federal records, including prior military records, will become increasingly difficult to secure. Stalling this process will delay completed workers' compensation medical records, expert evaluation opinions and the adjudication of workers' compensation claims.

Quite a mess! Not a pleasant prospect to look forward to, as the clock keeps clicking down

Sunday, October 13, 2013

Social Security raise to be among lowest in years

Social Security payments are tightly kinked to workers' compensation disability payments. When there are increases in benefits, some "reverse offset" states are liberal in passing along the adjustments to injured workers'. The State of New Jersey does NOT pass along the benefit increase and the workers' compensation insurance company does NOT increase the disability award payment to the injured workers. Today's post is shared from the dallasnews.org.

For the second straight year, millions of Social Security recipients, disabled veterans and federal retirees can expect historically small increases in their benefits come January.

Preliminary figures suggest a benefit increase of roughly 1.5 percent, which would be among the smallest since automatic increases were adopted in 1975, according to an analysis by The Associated Press.


Next year's raise will be small because consumer prices, as measured by the government, haven't gone up much in the past year.

The exact size of the cost-of-living adjustment, or COLA, won't be known until the Labor Department releases the inflation report for September. That was supposed to happen Wednesday, but the report was delayed indefinitely because of the partial government shutdown.

The COLA is usually announced in October to give Social Security and other benefit programs time to adjust January payments. The Social Security Administration has given no indication that raises would be delayed because of the shutdown, but advocates for...
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Saturday, October 12, 2013

The startling rise of disability in America

The increase in disability claims in the US is reported in today's post shared from npr.org

In the past three decades, the number of Americans who are on disability has skyrocketed. The rise has come even as medical advances have allowed many more people to remain on the job, and new laws have banned workplace discrimination against the disabled. Every month, 14 million people now get a disability check from the government.

The federal government spends more money each year on cash payments for disabled former workers than it spends on food stamps and welfare combined. Yet people relying on disability payments are often overlooked in discussions of the social safety net. The vast majority of people on federal disability do not work.

Yet because they are not technically part of the labor force, they are not counted among the unemployed.

In other words, people on disability don't show up in any of the places we usually look to see how the economy is doing. But the story of these programs -- who goes on them, and why, and what happens after that -- is, to a large extent, the story of the U.S. economy. It's the story not only of an aging workforce, but also of a hidden, increasingly expensive safety net.

For the past six months, I've been reporting on the growth of federal disability programs. I've been trying to understand what disability means for American workers, and, more broadly, what it means for poor people in America nearly 20 years...
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Friday, October 11, 2013

Safety Agency Cites Owners in Texas Plant in Explosion

Todays's post shared from the NYTimes.com

The federal Occupational Safety and Health Administration has cited the owners of a fertilizer plant in West, Tex., that blew up in April, killing 15 people, with 24 “serious violations,” Senator Barbara Boxer, of California, said on Thursday. But the agency has not announced the action because its public affairs staff has been furloughed by the government shutdown, Ms. Boxer said.

Democrat
The violations included unsafe handling and storage of explosive and flammable chemicals, missing labels on storage tanks, failing to pressure-test hoses, bad or missing valves, and failing to have an emergency response plan. The agency also said that some workers were not trained for their jobs.

OSHA, which also proposed a fine of $118,300, decided to issue the citations now, during the government shutdown, to avoid a statute of limitations problem, Ms. Boxer said. She said that while the fine was disproportionately small, considering the deaths, injuries and widespread damage, other federal agencies were also investigating the explosion. Some of those investigations have been delayed by the shutdown, however.

Ms. Boxer is chairwoman of the Senate’s Environment and Public Works Committee, which does not oversee OSHA but does oversee another agency with jurisdiction at the Texas plant, the Environmental Protection Agency.

Ms. Boxer said that despite the shutdown, news of the enforcement action should be disseminated to...
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Thursday, October 10, 2013

ABA president, others express concern over shutdown’s effects on judiciary

Today's post was shared by Legal Newsline and comes from legalnewsline.com

Silkenat

American Bar Association President James Silkenat is calling on members of Congress to send a budget to the President.

Silkenat, a partner in the New York office of Sullivan & Worcester, took office in August.

In a statement last week, Silkenat called the government shutdown, which began Oct. 1, a “historic failure that imperils justice.”

“The political brinksmanship that brought our government to a standstill reflects the same intransigence and unwillingness to compromise that imposed sequestration on our national government and hardships on many who contract with, work for or receive certain nonentitlement benefits from the federal government,” he said.

“Federal courts already face staff reductions and programmatic cuts that threaten public safety. The failure to reach accord on a continuing resolution to fund the government has also scuttled both chambers attempts to add extra funding to pay for indigent defense representation.”

He added, “Congress has practically abdicated its constitutional responsibility to provide a budget for the government. It is time to end the scorched earth tactics and send a budget to the President.”
Silkenat, who argues that citizens’ access to justice will increasingly be in jeopardy, testified on Capitol Hill Tuesday about the effects of the shutdown on the judiciary.
He, along with other lawyers and former judges, told members of the...
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Government Shutdown: Day 10 - Safety Gets a Furlough

The government shutdown is entering its 10 day and there are major concerns surfacing about the lack
of safety enforcement in the workplace. OSHA has closed down its workplace inspection program and now the implementation of new safety programs OSHA planned to initiate will be delayed.

Wednesday, October 9, 2013

Government Shutdown: Day 9 - Government shutdown hitting veterans, military families hard

Workers' Compensation systems are generally integrated with Federal benefit systems, either/or for medical treatment or indemnity payments. Military disabilities are usually considered pre-existing disabilities in calculation of award estimates. Without a fully functioning VA benefit system, veterans are unable to obtain the complete benefits that they are entitled to received. Today's post is shared from cbs.org.

The government shutdown, now in its ninth day, has impacted government services and the Americans who rely on them to varying degrees. This week, members of Congress are wincing at the toll their dysfunction is taking on services for veterans and military families.
If the shutdown doesn't end soon, the Veterans Affairs (VA) Department won't be able to ensure that checks go out on Nov. 1 for 5.18 million beneficiaries, Veterans Affairs Secretary Eric Shinseki told House Veterans' Affairs Committee. That amounts to $6.25 billion in payments that VA beneficiaries are expecting.
Already the VA has furloughed more than 7,800 employees, Shinseki, half of whom are veterans. While the VA has in the last six months made progress on reducing its disability claims backlog, the shutdown has reversed that progress, with the number of backlogged claims increasing by 2,000 since Oct. 1.
"We've lost ground we fought hard to take," said Shinseki, who at multiple points in his testimony to Congress used military analogies to explain the challenges his department is facing.
The Republican-led House last week passed a bill to exempt the VA from the shutdown, but the Democratic-led Senate has rejected the House's piecemeal approach to restoring federal funding. Additionally, Rep. Jeff Miller, R-Fla., noted in Wednesday's hearing that the House back in June approved a VA funding bill.
Shinseki, however, noted that restoring funding for just the VA won't necessarily help clear...
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Government Shutdown: Day 8 - Injured Workers Are Being Held for Ransom

Now entering its 8th day, the Federal Government shutdown continues and injured workers and their families are suffering as hostages.

The Federal programs that adjudicate injured workers claims are closed. The State programs are beginning to feel the impact of the that lack of information flow from the collateral medical lien resolution process so resolution of claims are now stalled.

New Federal programs enacted under The SMART Act, to expedite the lien resolution programs have been halted in the public comment phases, and may face further delay in implementation and regulatory amendment.

The funding process for NIH grants to prevent and treat occupational disease and illnesses, as well as data collection and reporting, have been slowed if not stopped in their tracks.

While polls released today blame the GOP for the problem, no resolution is in sight. In fact the Federal debt ceiling argument may just put the US over the fiscal cliff, train-wrecking the economy, and fragile trending improvements in the US economy, including the job market and workers' compensation premium flow so essential to maintain financial liquidity.

It is a tragedy that American workers, and the century old workers' compensation system, are being held hostage in this political battle. Immediate action is necessary before the system implodes and can't be put back together again.


Monday, October 7, 2013

Is Workers' Compensation Just a Promise That Can't Be Kept?

Over a century ago, Labor and Industry made a promise to each other called Workers' Compensation. It was summary, remedial, inexpensive administrative process that provided benefits to injured workers through a social insurance program for work-related accidents and diseases. The shifting of wealth in the US has now made the workers' compensation program a target for reform and elmination. Today's post is shared from the opinion pages of the NYTimes.com.

As bad as things in Washington are — the federal government shutdown since Tuesday, the slim but real potential for a debt default, a political system that seems increasingly ungovernable — they are going to get much worse, for the United States and other advanced economies, in the years ahead.

From the end of World War II to the brief interlude of prosperity after the cold war, politicians could console themselves with the thought that rapid economic growth would eventually rescue them from short-term fiscal transgressions.

The miracle of rising living standards encouraged rich countries increasingly to live beyond their means, happy in the belief that healthy returns on their real estate and investment portfolios would let them pay off debts, educate their children and pay for their medical care and retirement. This was, it seemed, the postwar generations’ collective destiny.

But the numbers no longer add up. Even before the Great Recession, rich countries were seeing their tax revenues weaken,...
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Saturday, October 5, 2013

Now the Government Shutdown Is Stopping Blood Drives

Today's post was shared by Mother Jones and comes from www.motherjones.com

blood donation

Here's how the government shutdown may literally be killing people: by causing blood shortages.

For all the scorn heaped on government employees, some people forget that the faceless bureaucrats who populate Washington are often, in fact, a bunch of do-gooders—people who genuinely believe in the notion of public service. As such, they contribute to the public good in a lot of ways that are taken for granted, like their immense contribution to local blood banks. Thirty-eight percent of the population is eligible to give blood, but only 5 percent actually does so. A lot of that 5 percent apparently works for the federal government. Thanks to the shutdown, in just two days, four federal agency blood drives scheduled by one DC-area health care system have been canceled. The regional Red Cross has had to cancel six others in the Washington region.

Inova Blood Donor Services projects that the cancelations will result in its projected loss of 300 donations that would have helped 900 patients in DC, Maryland, and Virginia. Inova's donated blood collections supply 24 hospitals, which bank much of the blood for inevitable disasters or, say, terrorist attacks. The Red Cross is suffering from similar disruptions, projecting the loss of 229 donations, each of which could potentially save up to three lives. A single major trauma event can easily deplete a hospital's entire blood store. The longer the shutdown goes on, the...
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Friday, October 4, 2013

Federal Shutdown: Is Workers' Compensation Ready for Tropical Storm Karen?

With a Federal Government in a shutdown, will the State Workers' Compensation system be ready for a natural disaster? The public announcements indicate that FEMA will have to ramp up, but will other Federal agencies be ready and reactivated in time? Workers' Compensation will be stressed with emergency responders who become ill and injured as a result of hurricane related activities. One year almost to the Superstorm Hurricane Sandy and recovery efforts are still continuing. Time will tell.......

State emergency management officials on the U.S. Gulf Coast have been assured that the recent shutdown of the federal government will not affect the Federal Emergency Management Administration's response to Tropical Storm Karen.The storm is expected to come ashore late Saturday or early Sunday on the Gulf Coast. A hurricane watch has been issued from southern Louisiana to the western Florida Panhandle.
A hurricane watch means that winds exceeding 74 miles per hour (119 kilometers per hour) are possible within 36 hours. Although Karen could strengthen into a hurricane as it approaches the Gulf Coast, forecasters aren't certain that it will maintain that strength until it makes landfall.
Meanwhile, emergency management agencies in the area are conferring with FEMA officials as they prepare for the storm.
A call to FEMA's External Affairs office in Atlanta was answered by a recording saying that its staff had been furloughed because of the federal government shutdown. Calls to FEMA offices in the Gulf Coast region were answered by staffers not authorized to speak on the record. But state emergency management officials said they are talking to FEMA personnel and the  federal agency is preparing to respond to the storm.
"Our director locally has been in touch with FEMA, and he's received every assurance that FEMA will support us," said Mike Steele, communications director for the Louisiana Governor's Office of Homeland Security and Emergency Preparedness in Baton Rouge.
...
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