Word: medicaid
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...part of an unprecedented program called "San Francisco Health Access Plan," which Newsom hammered out with labor, business, and city leaders. More than 82,000 San Franciscans who lack health insurance and do not qualify for Medicare or Medicaid stand to benefit. The majority are employed adults (children already have access to subsidized care); others are unemployed, self-employed, homeless, or have pre-existing conditions like diabetes, AIDS or cancer; some are even undocumented (yes: illegal) workers. Starting in early 2007, every uninsured San Franciscan can seek comprehensive primary care at the city's public and private clinics and hospitals...
...Rosa was a Medicaid mother of three with a painful wrist. In her early twenties, with no husband, on child-support, she was a typical patient from "the neighborhood". Rosa was pretty saucy though; she let you know she didn't like waiting, she was snappy during her interview, she made sure I wrote her out prescriptions for all the medication I recommended, even the over-the-counter ones. This way they would all be paid-for. She spoke no English, and she even poked fun at my clinic Spanish. I made a note of it in her chart...
...have her wrist fixed. The lady behind door number two would get it for free. There were no "doctor's bills" in these prices; the residents are salaried by the hospital, I work the clinic for free and operated on clinic patients gratis. The hospital did, however, accept Medicaid payments. Rosa was now employed - no longer Medicaid eligible - and she had paid $45 for the clinic visit that day. And because she wasn't in any health plan that could strong arm down the hospital bill - they got about $800 for the half-hour use of the 'local room' from...
...beneath the surface of Jeb's solid approval ratings lies another consideration. For all the acclaim he gets in conservative circles, there are still questions as to whether his record in Florida - which in reality has been a cycle of sunshine and tropical depressions, from pioneering accomplishments like Medicaid reform to embarrassing debacles like the Terri Schiavo spectacle - could survive the brutal scrutiny of a White House campaign...
...Aside from his education reforms - which have put more corrective pressure on failing schools, introduced merit bonus pay for teachers and sparked a steady rise in Florida students' reading and math scores - Jeb gets strong marks for his plan to move most of the state's Medicaid patients to private managed care, which has been controversial but is regarded as a potential national model. He has also earned praise for diversifying Florida's economy away from low-wage tourism and agriculture...