U.S. Health Care Continues to Have The Worst Outcomes

It shouldn’t be a revelation to anyone who has used the U.S. health care non-system that we have the worst health outcomes of any high-income nation. The health care statistics about the U.S. delivery of health care are alarming, but that has been the case for many decades and the situation shows no sign of changing anytime soon.

If we cut to the chase, the reason that we spend more per person on health care, that we have the lowest life expectancy at birth, that we have the highest death rates for avoidable or treatable conditions and that we have the highest maternal and infant mortality rate among high-incomes countries is because of the profit motive.


icymi: Commentary of Mine in the VT Legislative Record

Although I have since discontinued engaging in activism and advocacy (save for continuing to focus on access to public restrooms and related matters for a few more months or so), in case you missed it and it is of interest, I just stumbled upon this commentary of mine that is in the legislative record concerning attitudes regarding people living houseless (i.e., unhoused aka homeless), fyi:


Medicaid & Health Resource Info–Drop-in Hours

In Dec. 2022, Congress voted to eliminate the extra federal funding and requirement that states keep people on Medicaid. Vermont will be starting Medicaid redeterminations on April 1. According to the Urban Institute’s projections, up to 29,000 Vermont Medicaid recipients could be affected.

The Vermont Workers’ Center is hosting an informational session in the Meeting Room at the Brooks Memorial Library in Brattleboro on Feb. 8 between 2 p.m. and 4 p.m.


Brattleboro and VT COVID-19 Regional Dashboard Summary – February 2023

Here’s the February 2023 dashboard summary. We continue semi-regular COVID-19 dashboard numbers from the Vermont Department of Health, and MA and NH counties that surround Brattleboro, as long as they continue providing them.  Scroll down the new comments for the latest.

Vermont and MA have very limited looks at what are going on these days, with weekly snapshots. NH attempts daily updates but doesn’t always give new totals, and didn’t update at all at the end of January.


Hospital At Home A Flawed Model

There has been a movement over the past few years to energize the concept of providing some degree of hospital level care at home. Medicare has been modifying its rules to pay for projects that move in this direction and some policymakers are touting this concept as a welcome addition to the health care system.

The Hospital at Home program is quite simply a bad idea. Why would we want to beef up the hospital system of care when it is clear that we should be putting the majority of our health care dollars into prevention, not into patching things up after they go bad?

Hospital care should be the care of last resort. When things break and diseases take hold hospitals do a good job of fixing things. But hospital type care should not be a model for how a health care system moves forward into the future.


Healthcare Resource Info Hours

In Dec. 2022, Congress voted to eliminate the extra federal funding and requirement that states keep people on Medicaid. States will be able to start Medicaid redeterminations on April 1. According to the Urban Institute’s projections, up to 29,000 Vermont Medicaid recipients could be affected.

The Vermont Workers’ Center is hosting two drop-in informational sessions in the Community Room at the Brooks Memorial Library in Brattleboro. The sessions will be on Jan. 25 and Feb. 8, between 2 p.m. and 4 p.m. Members of the public are welcome to stop in to find out whether they will be affected, what their rights are in this process, and how to be sure that they aren’t cut off for bureaucratic reasons. People who are not on Medicaid and have questions about health care access are also welcome, as there will be other health care resources available. For more information, email windham@workerscenter.org.


The Politics of Insulin

A reasonable person might think that if a disease affects the lives of 38 million Americans, or 11 percent of the population, that measures would be in place to make life a little more bearable for them. Don’t hold your breath. Diabetes is a difficult disease to manage under the best of circumstances, but when people with the disease don’t have enough political power their needs take a back seat to the profits of the pharmaceutical industry.

This is not a revelation. What I am mostly talking about is the obscenely high price of insulin. People with Type I diabetes require daily insulin and they make up five to ten percent of all diabetics. About 30% of type 2 diabetics require insulin.

About eight million Americans rely on insulin to stay alive. Not a critical mass for politicians to get worked up enough, especially when you consider that lower income people and people of color represent a higher number of insulin-dependent diabetics.


My Good Friend Mark Is Looking For An Apartment

I have a friend, who wishes to rent an apartment in Windham County. His name is Mark Laurence. I have known him for about 5 or 6 years. Through a VA program, Mark’s rent can be up to $1,000 per month. He currently lives and rents in Massachusetts.


I think that Mark’s good character makes him a desirable tenant. He is guided by an internal compass, so that he can be counted on to meet his obligations. In fact, Mark goes beyond his obligations. When he visits me and Donna, he cannot stop himself from noticing something that needs to be fixed, and insists on taking care of it. He is skilled, and has a knack for knowing exactly what needs to be done. (He even fixed a clothes dryer for us which we thought needed to be junked, and now works perfectly) At his present residence, Mark has made repairs at no charge to his landlady.


Gordon Hayward Talks About Art & the Gardener at Next Stage Arts on 1/29 at 4pm

Gordon Hayward will give an illustrated talk for just over an hour on the design elements shared by the painter and garden designer. This talk comes out of Hayward’s 2008 book Art and the Gardener (Gibbs Smith). Admission is by donation, and all proceeds will directly benefit Next Stage Arts and Sandglass Theater. Tickets may be purchased at nextstagearts.org or at the box office on the day of the event.

Juxtaposing an image on the large screen of a fine painting (Van Gogh, Monet, Magritte, Derain, Renoir, Klimt, Rousseau….) next to a garden image, Hayward will explore a variety of elements of composition: straight lines vs. curved lines in paintings as well as paths and planted beds; the itinerary of the eye; positive and negative space (as in the positive space of planted beds and the negative space of adjacent lawn); color, light and shadow, the role of background, placing easels to paint as being akin to placing garden chairs to sit.


A Weak Effort At Medicare Dental Coverage

It may be a case where we should be thankful that there is at least a recognition that the mouth needs insurance coverage as much as the rest of the body. According to a recent article in Health Affairs, “Medicare Parts A and B will begin coverage of dental treatment to eliminate oral infection prior to solid organ transplant and select cardiac procedures in 2023, and prior to head and neck cancer treatment in 2024. CMS will also generate an annual review process for coverage of other medically necessary dental treatment.”

This is extremely narrow coverage that will not affect a lot of people but it is a start. In 2019 and 2021 the U.S. House passed a Medicare dental benefit bill but the U.S. Senate did not adopt it. The Build Back Better Act originally included Medicare dental coverage but that was removed because of lobbying by the American Dental Association.


Prescription Drug Access Seminar

Richard Davis RN, long-time health care advocate, will be offering an information seminar for Windham County residents who are looking to find out the best way to buy prescription medications at the lowest price.

With the closing of Hotel Pharmacy and Brattleboro Pharmacy people are facing confusing and difficult choices finding out how to continue getting their prescriptions filled.

This seminar is for people who do not have insurance for medications. If you have Medicare D or are enrolled in a prescription drug insurance program this seminar is not for you.


Medicare Threat Is Escalating

Seniors continue to flock to enroll in Medicare Advantage plans. Most don’t know that they are helping to convert the program into just another private insurance plan. The insurance companies have been able to lure people in with low cost or no premiums and enticements that seem to good to be true.

There is a reason that the insurance industry advertising blitz has been so pervasive and relentless this year. Insurance companies are reaping higher profits from Medicare Advantage and, even though there is a high level of fraud and abuse, the companies committing these crimes simply pay fines and make it part of “just doing business”.

The Physicians for a National Health Program (PNHP) has been one of the few activist organizations working hard to educate the public about the threat to Medicare and to provide factual information about what is going on. They have launched a new effort to get the word out and I am extracting some of the more important points.


Brattleboro Charter Amendment Hearing – Protections for Residential Tenants

The Brattleboro Selectboard will hold two public hearings to discuss a Charter Amendment. The first public hearing will be held on Friday, February 3, 2023 at 6:15pm in the Selectboard Meeting Room at the Municipal Center (230 Main Street) and the second public hearing will be held during a scheduled Selectboard meeting on Tuesday, February 7, 2023 at 6:15pm in the Selectboard meeting room.


Brattleboro Dog and Wolf-Hybrid Licenses Available

Brattleboro dog and wolf-hybrid licenses are available for the 2023 licensing period.  Vermont dogs and wolf-hybrids 6 months of age and older must be licensed on or before April 1. 

Renewal licenses may be obtained in person at the Town Clerk’s office, by using the drop box in the Municipal Center parking lot, through the mail or online at www.brattleboro.org.   Dogs being licensed in Brattleboro for the first time will need a current rabies certificate and application form which is available on the website or at the Town Clerk’s office. 


Brattleboro and VT COVID-19 Regional Dashboard Summary – January 2023

Here’s the January 2023 dashboard summary. We continue semi-regular COVID-19 dashboard numbers from the Vermont Department of Health, and MA and NH counties that surround Brattleboro, as long as they continue providing them.  Scroll down the new comments for the latest.

Vermont and MA have very limited looks at what are going on these days, with weekly snapshots. NH attempts daily updates but doesn’t always give new totals. We continue to try…. : )


Guilford Park Project Embraces 60-day Race to Raise $20,000 for 2:1 Match

“On Your Mark, Set, Go!” According to the Guilford Park committee, the “starter pistol” has been fired for a 60-day race to raise $20,000 more dollars for the construction of the Guilford Community Park. The committee has been working for over a year on plans to build a park behind the Guilford Store, alongside the Guilford Community Church, in the center of Guilford’s Algiers Village. The park they envision is complete with a green spaces, a pavilion, a walking labyrinth, children’s play area with a slide and swings, a basketball half-court, net and fire pit.

If community members and businesses donate $20,000 by February 28, the park can qualify for a matching $40,000 Vermont Community Development grant, “Better Places Program” which will allow the park committee to have everything on their wish list, explained Dunham Rowley, one of the organizers.