Copyright

(c) 2010-2024 Jon L Gelman, All Rights Reserved.

Wednesday, December 4, 2013

December 3rd is International Day of Persons with Disabilities

Around the world, people with disabilities face physical, social, economic and attitudinal barriers that exclude them from participating fully and effectively as equal members of society. December 3rd is International Day of Persons with Disabilities. This year's theme is "break barriers, open doors: for an inclusive society for all." The commemoration of this year's International Day of Persons with Disabilities provides an opportunity to further raise awareness of disability and accessibility as a cross cutting development issue. It will also further the global efforts to promote accessibility, remove all types of barriers, and to realize the full and equal participation of people with disabilities in society and shape the future of development for all.1

A CDC Initiative: Including People with Disabilities

At CDC, we operate on the principle that people with disabilities are best served by Public Health when they are included in mainstream public health activities. To that end, inclusion might require appropriate accommodations to reduce or eliminate barriers that limit the participation of people with disabilities in health activities. When children and adults with disabilities receive needed programs, services and health care across their lifespan, they can reach their full potential, have an improved quality of life, and experience independence.
In 2010, CDC Director Dr. Thomas Frieden established an initiative to serve the health needs of people with a disability in the United States. CDC's Disability and Health Work Group was established in 2010 for centers and offices within the agency. The disability inclusion initiative has increased awareness and fostered activities focused on integrating disability into CDC's mainstream public health activities.

Objectives

People with disabilities need public health programs and healthcare services for the same reasons anyone does—to be well, active, and a part of the community. CDC works to include people with disabilities by
  • improving health monitoring of people of all ages with disabilities to identify disparities in health between people with and without disabilities;
  • including disability status indicators in key CDC monitoring programs;
  • conducting public health research to understand the health risks experienced by people with disabilities;
  • encouraging participation of people with disabilities in program activities conducted or supported by CDC;
  • developing and disseminating accessible health communications and messages to people with sensory (e.g., blindness, deafness) or cognitive (e.g., intellectual disability) limitations.

Disability Resources at CDC

Being healthy means the same thing for all of us—staying well so we can lead full, active lives. Having the tools and information to make healthy choices and knowing how to prevent illness is key to being well, with or without a disability.
Visit these resources to learn more:
As we commemorate International Day of Persons with Disabilities, we ask you to join us in being a part of the global disability movement to change attitudes and approaches to disability to promote the equity and full inclusion of people with disabilities in society and across public health activities.

Resources

References

  1. International Day of Persons with Disabilities, 3 December 2013. United Nations Enable. Available at http://www.un.org/disabilities/default.asp?id=1607External Web Site Icon. Accessed October 21 2013

Tuesday, December 3, 2013

The Workers' Compensation Nuclear Option: Detroit officially enters bankruptcy

The "nuclear option" for a workers' compensation claim is a public entity bankruptcy and Detroit got the Court's approval to go forward with the legal maneuver. Over the course of the last 3 decades, bankruptcy has become a common practice to shield private corporations from product liability claims. Asbestos claims have seen dozen of companies use this legal tactic to reduce payment to less that 5% on the dollar. As corporations struggle for life in this changing economy, workers are now experiencing the effects of bankruptcy ruling to reduce their benefits and break the promise made in 1911 for an efficient and cost effective benefit program. Today’s post is shared from deseretnews.com

Detroit is finally officially bankrupt, a federal bankruptcy judge certified on Tuesday.

"It is indeed a momentous day," U.S. bankruptcy judge Steven Rhodes said at the end of a 90-minute summary of his ruling, USA Today reported. "We have here a judicial finding that this once-proud city cannot pay its debts. At the same time, it has an opportunity for a fresh start. I hope that everybody associated with the city will recognize that opportunity."

Rhodes surprised some observers by saying he would support the city in shaving pension expenses, a key bone of contention. The ruling on pensions has significant implications for others cities elsewhere. In California, for example, cities such as San Bernardino could seize the precedent, the Sacramento Bee suggested.

"But one...
[Click here to see the rest of this post]

Are Smokers Really the ACA’s Biggest Losers?

Smoking is a major pre-existing condition in workers' compensation claims and it is also a multiplier for medical conditions that result in malignancies. Penalizing smokers through the ACA (Affordable Care Act) will also have an effect on workers' compensation claims. Today's post was shared by The Health Care Blog and comes from thehealthcareblog.com



Facing thousands in extra insurance costs, smokers appear to be the Affordable Care Act’s (ACA) biggest losers.  Employers are allowed charge smokers up to 50% more for their medical coverage than nonsmokers , starting in 2014.
On November 25, Fox News put it best:  “Obamacare Policies Slam Smokers,” , noting that “smokers are the only group with a pre-existing condition that Obamacare penalizes.”   THCB itself has headlined:  Smokers Face Tough New Rules under Obamacare.
And these headlines are absolutely accurate —  meaning that, with the possible exception of the e-cigarette, ACA is the best thing that has happened to employed smokers ever.
Here is how we arrive at this conclusion.  The data is mixed on whether smokers incur much higher healthcare costs or just slightly higher healthcare costs during their working ages than non-smokers do.  None of the data shows that their costs are lower, but let’s say there is no impact on health spending.
Nonetheless, the following is incontrovertible:  smokers take smoking breaks.
Remarkably, there are no laws specifically governing smoking breaks, and like most other quantifiable human resources issues, no one has quantified them.   But we all observe these breaks, and about a fifth of us participate in them.  They reduce productivity.  By definition, if you are outside smoking, you are not inside...
[Click here to see the rest of this post]

Medicare Seeks To Curb Spending On Post-Hospital Care

Long term care is a huge part of medical care benefits. What Medicare ultimately does will control workers' compensation costs. Today's post was shared by Kaiser Health News and comes from www.kaiserhealthnews.org

After years of trying to clamp down on hospital spending, the federal government wants to get control over what Medicare spends on nursing homes, home health services and other medical care typically provided to patients after they have left the hospital.
Researchers have discovered huge discrepancies in how much is spent on these services in different areas around the country. In Connecticut, Medicare beneficiaries are more than twice as likely to end up in a nursing home as they are in Arizona. Medicare spends $8,800 on each Louisiana patient getting home health care, $5,000 more than it spends on the average New Jersey senior. In Chicago, one out of four Medicare beneficiaries receives additional services after leaving the hospital—three times the rate in Phoenix.
Medicare per capita spending on these services, collectively known as post-acute or post-hospital care, has grown at 5 percent a year or faster in 34 of the nation’s 50 most populous hospital markets in recent years, according to an analysis health care economist Chapin White conducted for Kaiser Health News.
Last year $62 billion — one out of every six dollars Medicare spent in the traditional fee-for-service program — went to nursing and therapy for patients in rehabilitation facilities, nursing homes, long-term care hospitals and in their own homes, according to a congressional advisory panel.  
Most of them got those services after coming out of the hospital. Some of these...
[Click here to see the rest of this post]

Better Pay Now

The movement for an increase in the minimum wage is growing. An increase in wages will have a direct impact on workers' compensation as wages determine rates of compensation benefits.Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

’Tis the season to be jolly — or, at any rate, to spend a lot of time in shopping malls. It is also, traditionally, a time to reflect on the plight of those less fortunate than oneself — for example, the person on the other side of that cash register.
The last few decades have been tough for many American workers, but especially hard on those employed in retail trade — a category that includes both the sales clerks at your local Walmart and the staff at your local McDonald’s. Despite the lingering effects of the financial crisis, America is a much richer country than it was 40 years ago. But the inflation-adjusted wages of nonsupervisory workers in retail trade — who weren’t particularly well paid to begin with — have fallen almost 30 percent since 1973.
So can anything be done to help these workers, many of whom depend on food stamps — if they can get them — to feed their families, and who depend on Medicaid — again, if they can get it — to provide essential health care? Yes. We can preserve and expand food stamps, not slash the program the way Republicans want. We can make health reform work, despite right-wing efforts to undermine the program.
And we can raise the minimum wage.
First, a few facts. Although the national minimum wage was raised a few years ago, it’s still very low by historical standards, having consistently lagged behind both inflation and average wage levels. Who gets...
[Click here to see the rest of this post]

Wage Strikes Planned at Fast-Food Outlets

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

Seeking to increase pressure on McDonald’s, Wendy’s and other fast-food restaurants, organizers of a movement demanding a $15-an-hour wage for fast-food workers say they will sponsor one-day strikes in 100 cities on Thursday and protest activities in 100 additional cities.
As the movement struggles to find pressure points in its quest for substantially higher wages for workers, organizers said strikes were planned for the first time in cities like Charleston, S.C.; Providence, R.I.; and Pittsburgh.
The protests have expanded greatly since November 2012, when 200 fast-food workers engaged in a one-day strike at more than 20 restaurants in New York City, the first such walkout in the history of the nation’s fast-food industry.
“There’s been pretty huge growth in one year,” said Kendall Fells, one of the movement’s main organizers. “People understand that a one-day strike is not going to get them there. They understand that this needs to continue to grow.”
The movement, which includes the groups Fast Food Forward and Fight for 15, is part of a growing union-backed effort by low-paid workers — including many Walmart workers and workers for federal contractors — that seeks to focus attention on what the groups say are inadequate wages.
The fast-food effort is backed by the Service Employees International Union and is also demanding that restaurants allow workers to unionize without the threat of...
[Click here to see the rest of this post]

If the minimum wage tracked inflation, it would be $4.07 per hour.

Today's post was shared by Steven Greenhouse and comes from online.wsj.com

Speaking at the White House on June 25, Vice President Joe Biden claimed that a higher federal minimum wage was practical and long overdue. "Just pay me [for] minimum wage what you paid folks in 1968," Mr. Biden said, echoing the argument numerous labor unions, left-wing think tanks and activist groups have made.
The logic goes something like this: Had the minimum wage tracked inflation since 1968, it would today be over $10 an hour, so Congress should seek to bring it up to at least that amount. There are two problems with this logic. First, it is inconsistent with other Labor Department inflation data. And second, it presumes that entry-level employees can't get a raise unless the government gives them one.
The federal minimum wage was first set in 1938 at 25 cents an hour. Had it tracked the cost of living since, it would today be $4.07 an hour, based on Labor Department data and the Bureau of Labor Statistics' inflation calculator. This is the only logically consistent "historic" value of the minimum wage, and it's 44% less than the current amount of $7.25.
Advocates of a higher minimum wage arbitrarily selected 1968 as the historical reference point. It's no wonder: That's when federal minimum wage hit its inflation-adjusted high point.
How about picking other arbitrary years to track the minimum wage and inflation? If you used 1948 instead of 1968, the minimum wage's inflation-adjusted value would only be $3.81 an hour. If you chose 1988, the adjusted minimum wage would...
[Click here to see the rest of this post]