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Thursday, December 30, 2010

Obama wins Round health care

Democrats succeeded in the U.S. House of Representatives to pass the draft law on health care, where a difference of nine votes is expected to send the law - after its approval in the Senate - to President Barack Obama, who considered voting for the project "a step in the right direction."

To approve the new amendments to the draft reform of the health care program through the adoption of the Council a copy of items of the reforms.

In the first reaction to the passing of the project, praised the House of Representatives President Obama voting in favor of his own reform of the health care system or health insurance, acknowledging that the vote was not an easy job, but "a step in the right direction."

Details of the law
Under the new bill should buy every U.S. citizen health insurance under penalty of fine in case of refusal, that is the allocation of funds to support families that do not exceed the annual income of 88 thousand dollars.

The bill provides that the significant expansion in the work of Foundation Health Insurance Government "Medicare" with further adjustments to the work of other insurance companies, the most important to prevent these companies from a ceiling fixed to the value of insurance, and prevent it from depriving citizens to obtain the advantage of insurance because of his medical conditions precedent , or cancel the insurance policy in case of injury insurance card holder with the disease.

Among the other advantages provided by the bill raising the age of health care for children listed on the card, parents health to 26 years, providing health care for citizens, patients are not holders of insurance card until the year 2014 that is when the application of the Act extending the area of insurance coverage to larger segments of American society.

In the case of the adoption of both projects ( amendments and the main items in the body ), this will lead to a series of changes related to what is known as the "exchange insurance" by the year 2014 when the right to entrepreneurs and small businesses subscribe to the same category for the benefits of health insurance.
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Health reform reduces the deficit in America

Seeks President Barack Obama to unite the Democrats to support the health care plan, which are voted on by the House of Representatives on Sunday, which is estimated to cost nearly a trillion dollars over ten years.

The reform of the health care system on the top domestic priorities for Obama, which seeks the same time to pass a plan to reform the financial system.

In the event pass the plan in its current form, it will include about 35 million Americans of middle-class and poor were not covered by health insurance.

According to the reform of the economy
Obama was expected Friday to pass the House of Representatives of the project by at least 216 votes during the vote is scheduled on Sunday, despite the reluctance of some Democrats as well as the opposition Republicans.

The Republicans argue that this reform will exacerbate the budget deficit which currently stands at almost $ 1.5 trillion, and is expected to reach nine trillion in nearly two decades.

And just days before the vote, a number of Democrats are still opposed or expressed reservations on the text adopted by the Senate earlier time, and waiting for deployment of the final figures for the Congressional Budget Office before determining their position.

Democratic Party has succeeded Friday in persuading five of its members reluctant to vote on the package
Health reforms ever since the sixties of the last century, which it regards as Obama and his supporters are vital to the economy.
It is assumed that the plan helps to reduce the Federal budget deficit by $ 130 billion over the next decade, according to estimates by the Congressional Budget Office.

It is estimated that the plan itself may reduce the U.S. budget deficit by $ 1.2 trillion between 2020 and 2029.

According to estimates by the Congress, too, will the total cost of the latest version of the health care plan 940 billion dollars the same duration.

Obama believes that the proposed plan, which is supposed to transmit to the Senate for the introduction of Corrections them later, will put an end to the unacceptable practices of insurance companies of America.

It is also assumed that the new plan will lead to the application of a new insurance system starting in 2014.

Financial reform
The day before the vote on the health care plan, Obama called for the Senate to pass a bill for financial reform.

The project includes the establishment of an agency or an independent regulator to protect consumers from the risks of banking institutions on Wall Street financial crisis that triggered the fall of 2008.

The president described in his weekly radio and the Internet draft financial reform as essential.

"We urge Senators who support these reforms must have the toughness, and resist the pressure, clinging to the status quo, and to stand on the side of the voter and the country."

Obama defended his bill in this regard made by Democratic Senator Christopher Dodd, is scheduled to be discussed by the Commission on Monday to the Senate banking activities.

And impose reforms before the tight control on the sale of financial derivatives, one of the most complex financial transactions, and involve high risks are considered among the main causes of the financial crisis.
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Obama to Congress: Health Insurance adopted

Intensified U.S. President Barack Obama, and the support of Democratic leaders, his efforts to win the largest number of votes in the battle to approve the draft law on health care.

Obama said that the insurance will cover ordinary families that are in need of such kind of services.

Obama said, "Do not do it for me, but do; for those people who are suffering." The estimated cost of the project to 940 billion dollars over ten years.

The House of Representatives decided to vote on the project and impose new regulations on the practices of insurance companies, as well as to contain more than thirty million people not covered by health insurance.

It is known that the issue of support for the project top priority of America the Interior, and led to a split in the country during more than a year during which prevailed in the case of debate severe.

And Republicans united in opposition to the draft law, which divided public opinion on it, while frequented a lot of moderate Democrats in support of the controversial project.

He said the Republican minority leader John Boehner in the House of Representatives, told reporters, "The American people do not wish to have any hand in this."

"If anyone thinks that the American people will forget this vote, Liar."

Boehner hopes to translate the popular anger to electoral gains by the time midterm elections for Congress in November next.

The vote will take place today is not the final step in the long saga, where the House of Representatives will vote on legislation approved by the Senate in December last year.

Obama has finally made an appeal before the vote on the health care bill on Saturday on Capitol Hill (Capitol) to garner support from Democratic lawmakers for the project.
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Law of the American health-care project

Of the financial cost of health care project the new U.S. for more than nine billion dollars, with reference to
That the vote held on 21 March 2010 on the draft law came on the first two belong to the major items approved by the Senate and therefore there is no longer any obstacle to the signing by President Barack Obama.

The second edition of the vote on the amendments were received on the draft law, which must be approved by the Senate and if approved, the amendments give the President the opportunity to sign the bill into law, otherwise the process will revert back to the House of Representatives.

Under the draft resolution to conduct reforms in the health insurance market to prevent insurance companies from excluding people with prior medical conditions or cancellation of random insurance cards to persons who are injured - after access to insurance services - disease, costing the company that provides insurance service huge amounts of money.

Benefits and conditions
The bill provides that the application of the principle of exchange of insurance, which will allow small businesses and individuals not covered by health insurance scheme that provided by companies or government institutions for their employees, have access to health insurance benefits provided to achieve the beneficiaries of this feature is the minimum necessary requirements.

The project includes a provision for the children to benefit from health insurance card family until the age of twenty-sixth contrary to what was in effect in the former regime.

The law provides that it is obligatory for every U.S. citizen on the card under penalty of a fine of up to 2.5% of the income to be applied to this item by the year 2016.
The law imposes a fine of thousand dollars for each employee (full-time) on the company or the employer does not provide that service health insurance, and that for companies with more than fifty staff members.

Government support
The other hand, the bill provides service subsidies to help the families - that do not exceed the annual income of 88 thousand dollars - to pay fees to buy insurance card with the mention of the subsequent amendments to provide government support to other segments in a later period.

From this standpoint will be providing health insurance program, both governmental "Medicare and Medicaid" for each person shall receive an income equivalent to a rate of 133% of the poverty line by ten thousand dollars per capita and 22 thousand and fifty dollars for families consisting of four persons.

Separated by a special paragraph of the draft resolution relating to the modifications on the incomes of health insurance and a copy included in the amendments that were submitted to the Senate for ratification in the coming days.

Fees and taxes
This imposes a special part of the tax bill cut by 40% on health insurance plans with high cost of starting from the year 2018 instead of 2013 as scheduled before the first edition of the amendment.

The launch of this plan, health insurance schemes at a cost of ten thousand and two hundred dollars per capita, and 27 thousand five hundred dollars per family, with the lifting of the ceiling for similar insurance plans, including women and older employees and retirees or working in hazardous areas.
In the context of parallel, draft law would impose a tax increase on the salary income - taxable at all - to provide the resources necessary to support the government health insurance, known as "Medicare" on the elderly and people with special needs from 1.44% to 2.5% for individuals whose income is the annual more than two hundred thousand dollars and for a couple working together, which exceeds their income threshold to $ 250 thousand annually.

High-income
The amendments include the imposition of the tax of 3.8% on investment income to high-income groups, and collect fees on manufacturers of medical devices, insurance companies, pharmaceutical companies, that is the collection of these fees in a subsequent period.

It is expected to freeze the draft resolution - after the adoption of the amendments in the Senate - payments of health insurance companies that provide medical care for cardholders, "Medicare," the government in 2011, and that is the devaluation of the support provided to these companies as of 2012.

The Law would gradually bridge the gap insurance for insurance medical for the beneficiaries of the health care program Medicare by the year 2020, to obtain citizens eligible to take advantage of this item on the difference of insurance to recover the equivalent of $ 250 of the value of prescription drug during the current year to be lifted ratio to 50% of the value of the prescription the next year.
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Early Word: Health Insurance, Jon Stewart and Election Battles

Health insurance- Sewell Chan expects appulse four bordered vessel heads of the Fed's ability to accept the decisions of the central bank to act again to increase the health insurance budget vote until the close of the year to reach the federal commission for the adjacent market.

Health insurance company in a Hunt of Washington, two Democratic senators to back - David Obi and Christopher Dodd c - complaining of the growing hostility in Congress.

Health Insurance Bill Carter and Brian Stelter health insurance through the metaphor the role of Representative John Stewart in the emotional strife bill 9 / 11 bloom at the ballsy access to the advancement of Murrow and Walter Cronkite and Edward.

Health insurance went down the United Nations plan to eliminate the United States Government in the backyard of an atom in the autumn of this year, the region will be bottomward Shwe and a new body - - piles of Soviet-era trucks that adumbrated - the theoreticians of the Gulf Coast gang. - Casting of Republicans who are at the center bottomward their government-sponsored affairs instead of bloom to grow, and the bourgeoisie Assembly burden of addressing party activists and tea and Democrats, and Hill reports.

Health insurance and add Hill to hunt for the presidency of Republican National Committee advanced coal open, as both approaches by acclamation on January 20.

Above the National Council for Transport Safety wants to Enlarge authorization aerodynamics of the dangers that nonfiction account of accidents and Wall Street Journal - Health Insurance
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Tuesday, December 28, 2010

Home Health Care Program

The definition of home health care program:
Is to provide health care in home visits to a special category of patients who suffer from chronic illnesses may extend for years in order to ensure that they are not a setback, either because of lack of attendance to treatment or non-attendance at periodic tests related to treatment, because of the absence of follow up on a treatment plan specific to the patient or not ability to bring the patient to the hospital in case of any symptoms of sick or abnormal, and his team of home care follow-up treatment plan for patients through regular visits with attention to any symptoms of disease appear on the patient or reminding people of the patient are recorded and reported immediately to take appropriate action, and convenience to those patients and their families have grown up the idea of providing home health care.
The objectives of the home care program:
Home care program is working to achieve four complementary levels include the individual patient and his family and public service institutions and finally the society in which the patient lives are as follows
Clarification of these goals:
First: the goals for the patient:
1. Preserve the status and stability improvements reached by the patient during medical treatment to control the factors of being relapse and recurrence of entry to the hospital.
2. Reduce the number of setbacks during the early prediction of relapse and to intervene before they occur.
3. Continuity of work for the return the patient to normal life through programs of social rehabilitation.
4. Ensure the continuity of the patient taking the treatment, and avoid or reduce the side effects of treatments.
5. Ensure a better life for the patient and protect it from abuse.
6. Work to reduce the patient's need to rely on others.
7. Help the patient after arrival to the improvement and stability on the exercise of social responsibilities and life naturally has the maximum possible.
8. Provide dates close to patients in need of medical attention to the Board of outpatient clinics.
9. Reduce the growing needs of the patient to hypnosis and the need to review the emergency.
10. Rehabilitation of the affected patient's disease as a result of the deterioration of cognitive functions and operational skills and self-psychological, social, and to improve the patient's ability to return to the practice of normal life as much as possible and assist in reducing dependence on others.
11. Supply voltage for patients to take blood samples at home and analyzed in the hospital and inform them of the results of the analysis by telephone.
II: Objectives for the patient's family:
1. Support the participation of the family to bear the burden of the patient.
2. The presence of interference and fast service in new situations with the patient rather than the review of ambulances and clinics.
3. Training the patient to the people of some simple nursing tasks needed by patients in their homes.
4. Family education.
5. Strengthen the confidence of the family the patient.
Third: targets for public service institutions in the community:
1. Reduce the need for the patient to hypnosis in the hospital.
2. Reduce the need to review the patient emergency.
3. Reduce the need for the Red Crescent.
IV: Goals for the community:
1 - Participating in ensuring a better life for the community.
2 - address the phenomenon of begging to seek treatment and the consequent.
* Beneficiaries of the service:
1. Chronic patients who are repeatedly entering the hospital as a result of the neglect of follow-up treatment is not available to them the supervision and follow-up family occasion.
2. Patients committed to non-treatment of certain conditions, which exposes them to relapse.
3. Patients with a long stay in the hospital and prefer to exit with their families in a regular periodic follow-up to specific treatment as seen by the physician.
4. Patients who are unable to communicate with the hospital as a result of social problems and financial ... Etc..

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Health Care Professionals Knowledge on Home Health Care

Ministry of Health provides medical services to all patients in all age groups and is of such services in curative and preventive services and rehabilitation of
hospitals and primary health care centers, health centers, specialized centers such as rehabilitation and physiotherapy and more.
Can provide treatment service during the periods of time, as the case, including also cases
Chronic conditions that can not be cured and the need for therapy and nursing care.
The mental illness is considered one of the most common diseases in the community and have a large impact on individuals and their families, as well as on society.
Since many of these patients can live among his family and his normal life if the situation
A comprehensive treatment program and received the necessary support from family and society.
As well as the high rate of survival of some chronic patients in hospitals who do not need only
Some medical services limited, which may lead to book a bed could benefit from another patient or a state of emergency and in spite of the expansion in health projects, and currently have started this problem affects all countries in the world without exception. So it must be expanded to provide medical services to patients and keep pace with needs and requirements of patients and to provide service in the whereabouts and the development of home health care program.
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