The HIV/AIDS Atlas found that 80 percent of U.S. cases are clustered in 20 percent of counties...
A random sampling of the 20 percent of counties with the highest HIV rates include: Marin and San Francisco counties, Calif; Miami-Dade county, Fla; Bronx, Queens and New York (Manhattan) counties, New York City; Richland (Columbia), S.C.; Orleans (New Orleans), La; Butts, Clayton and Dekalb counties (Atlanta), Ga; New Haven and Hartford counties, Conn; Multnomah (Portland) Ore; and Denver (Denver) Colo.
Monday, June 22, 2009
Wrap It Up, People!
I realize it's been a busy news day, but I would hope news this important is picked up by the local media SOON.
Friday, May 15, 2009
Stacy Head's Emails: An Analysis
Garland Robinette is put off, and rightfully so, by the public's focus on a few distasteful emails to the detriment of the bigger problems facing the City. Still, Stacy Head's ongoing issues with how she approaches things and people are relevant to how well she is performing in the very important job of councilwoman. So, I really can't help but weigh in on what the T-P published today. I often agree with what Ms. Head tries to accomplish on the Council, but her presentation sucks.
My analysis of her electronic communications:
Does she ever talk TO people or just about them?
She comes across as a spoiled bully. She wants things the way SHE wants them, and more and more it seems like being confrontational is the only way she knows how to accomplish anything.
My analysis of her electronic communications:
"Pisses me off 100 percent of the time. I have been shopping carefully, looking at the per serving cost of all items. This chick in front of me is buying pre made croissant and egg, canned soups, solft driinks, pre made beef pattie (who eats that???), pre made RICE KRISPYs!!! Precut sweet potatos (didn't know those existed) and is payong with a food stamp card. I am voting for the freak mccain and his trash bag vp. I am sick of it."
- First of all, this rant was written 6 days post-Gustav. Citizens evacuated via public transportation were still trying to get home, electricity was still lacking in a good number of areas, curfew was still in effect. She was stressed out I'm sure, but THIS set her off? And at the same time most public officials were trying to extend emergency food stamp benefits to practically everyone?
- Ms. Head assumes the food stamp user is not cost conscious. Does she know the woman's monthly food budget or how much money she had on her food stamp card?
- Apparently, food stamp users should be forced to buy the cheapest food in the store while simultaneously meeting Ms. Head's personal culinary standards of no pre-packaged foods.
- It seems Ms. Head would compromise her political philosophy in a second to either end food stamps or make food stamp recipients cook everything from scratch. (I guess I missed this particular pledge of the McCain-Palin platform.)
- Why is she so angry about this?
Does she ever talk TO people or just about them?
She comes across as a spoiled bully. She wants things the way SHE wants them, and more and more it seems like being confrontational is the only way she knows how to accomplish anything.
Tuesday, April 21, 2009
Sunday, April 19, 2009
Spin, Lie, or Fraud?
With Jindal's administration continuing to distort reality and turn truth on its head to convince us to support its misplaced priorities, the latest directives from the governor's office can be aptly described by all of the words in the above title. Their latest attempt to convince us that closing N.O. Adolescent Hospital (NOAH) does not amount to a reduction in services took the form of an editorial yesterday in the Times-Picayune written by DHH Secretary Alan Levine.
It is one of the most dishonest opinion pieces I have ever read.
Levine tries to convince us that because the state spent millions expanding community health care services in N.O. that there is no longer as much of a need for inpatient psychiatric hospitalization (which strikes me as a point DHH wouldn't have to keep pushing if they really felt they were not REDUCING services in the N.O. area -- but that's just my crazy, bizarre opinion). True, assertive mental health services were expanded last year under Nicola's Law, according to this T-P article which also points out that there are little data to support the supposition that such services reduce the need for psychiatric hospitalization.
Such services are partly granted through various "waivers" which provide services like home health care aides who help families care for developmentally delayed individuals and those with severe behavioral and emotional problems. Something Levine conspicuously failed to mention, as he touted the hundreds of children and adults now served by last year's increase in mental health funding, is that there are many more on the waiting lists for these services. One family in our clinic has been waiting 5 years for their waiver (a VERY common wait time), yet DHH is cutting the meager funding for the waivers they provide (see page 14 of linked-to document) while simultaneously rejecting stimulus money to save healthcare from budget cuts. Another thing he left out, when saying "fewer than 15% of the referrals from the mental health Emergency Room at University Hospital are referred to NOAH," was the number of referrals that actually refers to. Also, that percentage has probably plummeted since the state already quietly closed an adult psychiatric unit housed at NOAH 2 months ago.
But back to the issue at hand: NOAH. Secretary Levine's reasoning that NOAH can be safely "moved" (DHH's euphemism) because there are more outpatient services now defies not only logic but also common sense for the same reason that having a primary physician in no way means one will never need hospitalization. Family physicians can no more treat heart attacks, strokes, and traumatic brain injury in their offices than can mental health providers treat psychiatric emergencies on comfortable office couches.
Levine insists: "Our proposal does not reduce the number of mental health beds." He forgot to add in New Orleans at the end of that sentence because when you add those 3 words to this new DHH mantra, it translates into: There will be ZERO publicly funded inpatient psychiatric hospital beds for children and adolescents by the time we get through screwing New Orleans, who by the way did not vote for Gov. Jindal...not that our decisions have anything to do with that fact. If you're a master of subtlety and reading between the lines, you might have picked up the slightly different meaning those 3 little words add.
Yup, I can spin with the best of 'em!
As for fraud, I am sad to say that Secretary Levine has intentionally tried to deceive us when he said: "less than 35 percent of the children treated at NOAH are even from New Orleans." There really is no excuse for trying to slide this piece of misleading info into the mix when just a few weeks ago Arnie Fielkow and Shelly Midura exposed DHH Deputy Secretary Sybil Richard for attempting the same act of deceipt at a city council Subcommittee on Mental Health meeting on March 27. Yes, 35% come from Orleans Parish, followed by another 40% or so from Jefferson Parish. I'm willing to bet the ones that also come from St. Bernard, Plaquemines, St. Charles, St. John the Baptist, Terrebonne, and Lafourche also would not appreciate an even longer drive than they already have to see their hospitalized children.
Honestly, I do not know why the state is putting the entire southshore in such dire straits. I'd ask them, but I doubt they'd tell me the truth anyway.
It is one of the most dishonest opinion pieces I have ever read.
Levine tries to convince us that because the state spent millions expanding community health care services in N.O. that there is no longer as much of a need for inpatient psychiatric hospitalization (which strikes me as a point DHH wouldn't have to keep pushing if they really felt they were not REDUCING services in the N.O. area -- but that's just my crazy, bizarre opinion). True, assertive mental health services were expanded last year under Nicola's Law, according to this T-P article which also points out that there are little data to support the supposition that such services reduce the need for psychiatric hospitalization.
Such services are partly granted through various "waivers" which provide services like home health care aides who help families care for developmentally delayed individuals and those with severe behavioral and emotional problems. Something Levine conspicuously failed to mention, as he touted the hundreds of children and adults now served by last year's increase in mental health funding, is that there are many more on the waiting lists for these services. One family in our clinic has been waiting 5 years for their waiver (a VERY common wait time), yet DHH is cutting the meager funding for the waivers they provide (see page 14 of linked-to document) while simultaneously rejecting stimulus money to save healthcare from budget cuts. Another thing he left out, when saying "fewer than 15% of the referrals from the mental health Emergency Room at University Hospital are referred to NOAH," was the number of referrals that actually refers to. Also, that percentage has probably plummeted since the state already quietly closed an adult psychiatric unit housed at NOAH 2 months ago.
But back to the issue at hand: NOAH. Secretary Levine's reasoning that NOAH can be safely "moved" (DHH's euphemism) because there are more outpatient services now defies not only logic but also common sense for the same reason that having a primary physician in no way means one will never need hospitalization. Family physicians can no more treat heart attacks, strokes, and traumatic brain injury in their offices than can mental health providers treat psychiatric emergencies on comfortable office couches.
Levine insists: "Our proposal does not reduce the number of mental health beds." He forgot to add in New Orleans at the end of that sentence because when you add those 3 words to this new DHH mantra, it translates into: There will be ZERO publicly funded inpatient psychiatric hospital beds for children and adolescents by the time we get through screwing New Orleans, who by the way did not vote for Gov. Jindal...not that our decisions have anything to do with that fact. If you're a master of subtlety and reading between the lines, you might have picked up the slightly different meaning those 3 little words add.
Yup, I can spin with the best of 'em!
As for fraud, I am sad to say that Secretary Levine has intentionally tried to deceive us when he said: "less than 35 percent of the children treated at NOAH are even from New Orleans." There really is no excuse for trying to slide this piece of misleading info into the mix when just a few weeks ago Arnie Fielkow and Shelly Midura exposed DHH Deputy Secretary Sybil Richard for attempting the same act of deceipt at a city council Subcommittee on Mental Health meeting on March 27. Yes, 35% come from Orleans Parish, followed by another 40% or so from Jefferson Parish. I'm willing to bet the ones that also come from St. Bernard, Plaquemines, St. Charles, St. John the Baptist, Terrebonne, and Lafourche also would not appreciate an even longer drive than they already have to see their hospitalized children.
Honestly, I do not know why the state is putting the entire southshore in such dire straits. I'd ask them, but I doubt they'd tell me the truth anyway.
Subscribe to:
Posts (Atom)