NC Senate Republicans float Medicaid expansion bill

By Rose Hoban and Rachel Crumpler

It finally happened.

In a move that many health care advocates have been pushing for years, the state Senate introduced a bill on Wednesday that would expand the state’s Medicaid program to some half million-plus low-income North Carolinians.

Until this point, Medicaid has been reserved mostly for children from low-income families along with a small number of parents in those families, poor seniors and people with disabilities. Since 2012, the possibility to sweep in many low-income workers has been on the table as a result of the Affordable Care Act, but Republican leaders in the state senate have been staunch opponents. 

Now, after years of saying no, powerful Republicans in the state Senate are saying yes.

“Why now? Why this? First, we need coverage in North Carolina for the working poor,” said state Senate leader Phil Berger (R-Eden), who admitted during a press conference Wednesday that he has likely been the most outspoken person in the state about his opposition to Medicaid expansion.

“Second, there is no fiscal risk to the state budget moving forward with this proposal,” Berger added, noting that the bill includes pay-fors that would have hospitals largely on the hook to pay the 10 percent of the costs for the expansion population not covered by an enhanced federal payment. There’s also a federal incentive that would total some $1.5 billion in extra funds that would flow to North Carolina over a two-year period.

Finally, he argued that since the state has moved Medicaid from being a state-run fee-for-service program to one managed by commercial insurance companies, the program has been “reformed and transformed.” 

“Medicaid expansion has now evolved to a point that it is good state fiscal policy,” Berger continued. “But again, I cannot emphasize this enough: Expanding Medicaid needs to happen with additional reforms.”

Those reforms could make the bill to be titled Expanding Access to Healthcare in North Carolina a hard pill for many to swallow. One aspect of the bill would set up a work requirement for the new beneficiaries, something that’s been repeatedly struck down in other states by federal judges. 

What really might jeopardize passage of the bill is that it contains provisions that already are raising hackles in some powerful health care lobbies, including those that advocate for the state’s physicians and hospitals. 

Resistance from doctors

One reform proposed in the 33-page bill would make it possible for advanced practice nurses such as nurse practitioners, nurse midwives and certified registered nurse anesthetists (CRNAs) to practice without having a contract with a physician for their supervision.

Physician and nursing groups have been divided over the so-called SAVE Act for years, with medical providers — led by the North Carolina Medical Society — usually being able to stop the nurses from having more leeway in their practices. At a Senate Health Care Committee hearing held after the press conference, several Democratic lawmakers also expressed reservations over this part of the bill. 

Chip Baggett, head of the

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We moms and dads are grinding our teeth so significantly these days that dentists have seen. Why? | Sophie Brickman

Dreams about your tooth slipping out, among the the most horrifying and common we have, likely indicate a anxiety of losing command or energy in a given circumstance – at minimum in accordance to Carl Jung and generations of dream interpreters. I’m not sure if this indicates that introducing teeth to one’s domestic can be viewed as a indicator of resilience and order, but it is anything I’ve been telling myself, even so apocryphally, in the wee hours of the morning when I’m rocking my miserable, teething newborn to slumber in a dark area, or plying my kindergartner with several chewy implements to scratch the itch of her 6-12 months-old molars coming via.

“Mama, look, I can see a little nub there,” she suggests at tub time, opening her mouth comically broad and tilting her head at the mirror, her young sister helpfully shining a smaller flashlight up her nostril.

These times, our household’s dental progress curve mirrors that of a blue chip inventory, constant and continuous, and our collective oral fixation is paramount. For some motive, my two older daughters by no means went via standard teething pains – the lower-quality fevers, the fussiness, the have to have for cowboy bib accent clothes that soak up drool and rework our young children into miniature Buffalo Costs. But the baby is undertaking almost everything textbook, which has despatched me on-line, and to my health care provider, searching for cures: frozen fruit in very little mesh bags, tingly gels, rubber toys with knobbly bits. He prefers to double fist – a rubber banana in a person hand, a Martian with protruding ears in the other – and chews with the exact desperation as Jared Leto in Requiem for a Dream, awaiting his next deal with.

“Look, a TOOF!” my pre-schooler shouts triumphantly, as just about every new a single pokes by way of the baby’s gums.

As my young children are attaining tooth, heading via a ceremony of passage that symbolically, and pretty much, offers them independence, I am dropping mine – or at the really least winnowing them down. Nightly, I clench or grind, often waking from a misplaced-tooth aspiration, most likely spurred on by my horrendous pre-bed practice of scrolling through my newsfeed and emotion utterly powerless, and the constant, condition-shifting anxiousness that has develop into the norm for pandemic-period dad and mom.

Grinding and clenching, I realized, has been connected to dropped-tooth goals – those people who grind are far more probably to have them, suggesting that your unconscious incorporates dental discomfort into your goals, and not always the reverse, that grinding is a symbolic manifestation of stress. My grinding and clenching fluctuates according to my normal tension degree. I was both equally alarmed and comforted to master that numerous of my mates also go through from bruxism, or the problem of gnashing, clenching or grinding your enamel, possibly while awake or asleep.

“I’ve been clenching so a lot I went to the dentist and I now

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Health & Wellness 2.0: At-Home Fitness & Preventative Health Take Centerstage

By Global X Research Team

The Health and Wellness theme experienced remarkable disruption in 2020. Pandemic-induced lockdowns and social distancing brought the world to a standstill, giving way to the Stay-at-Home Economy. Gyms shuttered, fitness classes ceased operations, and health-focused stores closed their doors. Forced to look elsewhere for physical activity and wellness goods, consumers embraced at-home fitness and turned to digital mediums for health and wellness-related products and services. Beyond this, infection fears and a growing body of evidence correlating overall health and disease-severity are underscoring what most already knew – that lifestyle choices meaningfully impact one’s long-term health.

In the following, we delve into the new paradigm for health and wellness in the wake of the pandemic, identifying key changes in the industry and exploring why we think the theme is an attractive long-term investment opportunity. Key focus areas include:

  • Streaming and on-demand fitness services/applications
  • At-home fitness equipment
  • Athleisure and e-commerce
  • Preventative health approaches and nutrition

At-Home Fitness Reshapes Business Models

At-home fitness equipment and classes are by no means a novel concept. Despite their long history, the COVID-19 pandemic could represent an inflection point for their place in the $828B physical activity economy.1

In 1958, the hula hoop sold over 100 million units in six months, advertised as at-home exercise equipment, and throughout the 1980s, Jane Fonda and Richard Simmons sold tens of millions of workout VHS tapes.2 As new technologies emerged – first the television, then the VHS player, and finally the internet – at-home fitness segments steadily grew. Despite this success, however, the market for health and fitness clubs reigned supreme. Global health club revenues reached $96.7B in 2019, growing 16.4% (+$13.6B) from 2016 levels, or by a 5.2% compound annual growth rate. Membership increased 14% to 184 million people over the same period.3,4 For comparison, the Global Wellness Institute reports that in 2018, at-home streaming/on-demand fitness spend totaled $5.5B across 28.8 million people.5

But as was the case across most sectors and industries, the events of 2020 inalterably reshaped the ecosystem for fitness services. The gym and health club industry came crashing down with revenues plummeting 58% and 17% of U.S. facilities permanently closing.6 Gold’s Gym, 24 Hour Fitness, and Town Sports International, the owner of New York Sports Clubs, all filed for bankruptcy.7 Yet, brick-and-mortar losses were at-home fitness’ gains. Subscriptions to digital fitness services and at-home fitness equipment soared on the back of unmet health-related consumer demand, heightened digital content delivery, and accelerated e-commerce.

2020 U.S. health and fitness app installs grew 23% year-over-year (YoY) to reach 409 million, exceeding the 3% YoY rate seen in 2019 and grossing $837M.8 Top 10 installed apps included Under Armour’s MyFitnessPal and Map My Run, Weight Watchers International’s WW app, and eponymous apps from Peloton International and Planet Fitness.9 Notably, some gyms like Planet Fitness, which rolled out digital experiences for existing and new non-brick-and-mortar members, endured closures without filing for bankruptcy. In Planet Fitness’ Q4 earnings

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UConn Professional medical Pupil Wins National Community Well being Excellence Award

A 3rd-12 months health care student, Sara Schulwolf, has won a 2022 Excellence in Community Wellbeing Award from the U.S. Community Overall health Services (USPHS) Physician Professional Advisory Committee.

USPHS works on the entrance traces of public well being. Its healthcare, health and engineering pros battle ailment, carry out analysis, and treatment for clients in underserved communities across the nation and all over the environment.

“This is fantastic information. Congratulations to Sara,” shared Dr. Bruce T. Liang, dean of UConn University of Medicine and interim UConn Health and fitness CEO.

“This award is a testomony to the education and learning presented by the College of Connecticut College of Medication and to the large caliber of your learners. We hope that this will persuade your college and college students to continue on their sturdy get the job done in public health,” stated the award letter prepared by Toya Kelley, MD, LCDR, U.S. Public Overall health Support, Location 1 Coordinator of the USPHS Excellence in Public Health Award program.

Schulwolf was nominated by Dr. Melissa Held, affiliate dean of university student affairs at the University of Medication.

“Sara has been a role product and leader at the School of Medication given that day 1 of her arrival,” states Held. “She is an energetic participant on quite a few committees and has been an advocate for vaccine training in the local community. She was a purely natural alternative for this award and we are so pretty proud of her!”

“I am extremely honored and humbled to receive this award. I was pretty touched and honored that Dr. Held assumed of me,” stated Schulwolf, 27, of West Hartford, who been given her undergraduate diploma from Amherst Faculty. “I’ve been fortunate to have experienced the opportunity to be included in a range of general public health initiatives while at UConn.”

She included: “Public well being is something that I have been passionate about for as prolonged as I’ve required to go after medication, and I am really grateful for the options and aid that I have received via UConn that have permitted me to transform my interests into motion.”

Schulwolf co-founded College students for Precise Vaccine Data (SAVI) at UConn University of Medication with classmate Timothy Mason. SAVI is an interdisciplinary college student organization focused to building COVID-19 vaccine self-assurance in the community through schooling, advocacy, and outreach.

“The group arose out of Timo and my shared observations that considerably of the vaccine hesitancy that we were observing stemmed from panic-dependent misinformation, and that oftentimes, an open up discussion with a reliable supplier could make a important distinction.”

To strike out vaccine hesitancy the SAVI system has already efficiently hosted a “Health Equity in Covid-19” panel discussion with neighborhood group leaders, a co-sponsored workshop on addressing vaccine hesitancy in mom and dad, built a school lesson prepare for use by health and fitness lecturers in center faculties in partnership with the Hartford Health Educators group (HHE), and a collaboration for gathering means about vaccine

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