In the little town of Scituate, Rhode Island, everyone has primary health coverage -- even the people who can't afford health insurance.

No, Scituate hasn't become an experiment in some single-payer scheme. People in the town banded together and figured out how to make it happen.

The people of Scituate, Rhode Island did it themselves.

No, we don’t give away health insurance – that’s too darn expensive. Instead, we make sure everyone who lives here has primary care (which only costs $25 a month). By coupling together grants, and a little money from the town, and doing bake sales and walk-a-thons, something called the Scituate Health Alliance decided, 10 years ago that we could fix the health care system ourselves – or, more accurately, build one from scratch — by providing primary care medical for everyone in town who doesn’t have insurance. (We also do flu shots for anyone in town who wants one and organize prenatal classes for anyone who is pregnant.)

While the effort isn't without taxpayer support (read, grants and money from the town), it does show how a community can come together to provide a service.

I've argued that much of what's messed up about health care has more to do with government screwing up the system than any  free market problems, with the idea that the real health care reform is to get government out of the way, not add more government.

If you want a free market, companies need to compete, not collude.  That's one important aspect of anti-trust law.

I had no idea until tonight that insurance companies enjoyed an anti-trust exemption. 

That explains a lot.

Genesee Community College will conduct the annual fall Nursing Job Fair from noon to 3 p.m. on Oct. 1 in the Forum at the Batavia Campus.

This is the first academic year that two nursing classes will be graduating from Genesee, one in December 2009 and the second in May 2010.

More than 20 local and regional health care companies will be available to answer questions, accept resumes and distribute material relating to their company's nursing employment and continued educational opportunities.

Job seeking participants are encouraged to come dressed to impress with resumes in hand. This year's participants include:

Adecco Medical & Science
Catholic Health System
Eastern Niagara Hospital
Erie County Home
Erie County Medical Center Corp. - SNF
Finger Lakes DDSO
Genesee County Nursing Home
Kaleida Health, Buffalo General Hospital Lifetime Care
Medical Staffing Network, Inc.
Med-Scribe, Inc.
NYS Office of Mental Health
Roberts Wesleyan College
Samaritan Medical Center
Sibley Nursing Personnel Services
Strong Memorial Hospital
The College at Brockport (SUNY)
The Village of Orleans
Thompson Health
United Memorial Medical Center University of Rochester School of Nursing
V.A. WNY Healthcare System
WNY Rural Area Health Education Center
Wyoming County Community Health System

Nursing is an area in which jobs are currently growing, unlike other areas of the workforce. On March 6, the Bureau of Labor Statistics reported that the healthcare sector is continuing to grow, despite steep job losses in nearly all major industries. Hospitals, long-term care facilities and other ambulatory care establishments added 27,000 new jobs in February 2009, a month when 681,000 jobs were eliminated nationwide.

"The fall job fair is an opportune time for our December graduates," said Kathy Palumbo, R.N., director of nursing at Genesee. "This is often a desirable group of graduates because hospitals and other institutions may need to fill positions in the spring and most programs graduate in May or June only."

The job fair is free and open to the public. For a full list of participants, directions and additional details, please visit www.genesee.edu/ctc <http://www.genesee.edu/ctc>  or contact John McGowan at 585-343-0055 ext. 6383.

Billionaires for Wealthcare is a grassroots network of health insurance CEOs, industry lobbyists, talk-show hosts, and others profiting off of our broken health care system.

We are not a political, religious or even particularly well-organized group. We're simple folk, thrilled profiteers pouring out of our corner offices to dance on the grave of "Change."

We'll do whatever it takes to ensure another decade where your pain is our gain. After all, when it comes to healthcare, if we ain't broke, why fix it?

Check out the video on their site.

http://www.billionairesforwealthcare.com/

"We can't afford to wait" vigils  are organized nationwide just days before members of Congress return to Washington, to make sure they know that an overwhelming majority of voters are counting on them to act quickly to pass health care reform.

The vigils will put a human face on the urgent need for bold health care reform with a real public health insurance option. We'll deliver an unmistakable message to the media and members of Congress: We can't afford to wait: Public Option NOW!

7:30pm, Wednesday, Sept. 2.

Corner of Central & Walden Av. (Old Valero Station)
Lancaster, NY 14086

Not only has Republican Assembly member Greg Ball (who's running for Congress against Democrat John Hall in NY-19) been getting government-paid, single-payer health care for most of his adult life via the Air Force and now the State Assembly, he also fondly recalls how the Kennedy family paid for his health care when he was a child.  (NYDems Dispatch )

Isn't it amazing how children and health care can cross the lines of party politics?

One of my favorite blogs about rural issues, the Daily Yonder, carries this:

What promised to be a consensus-building search for solutions for American’s unsustainable fragmented health problems has turned into a debacle. Make no mistake about it, this is the fault of the President — no one else.  I say this as a supporter of President Obama. I’m a lifelong Democrat. I voted for Barack Obama with enthusiasm and I still have his bumper sticker on my car and pickup truck.

And

I can tell you that his first mistake was to discount the good advice he was getting from rural Senators on both sides of the aisle. Obama is an urban president and he’s been looking to the coasts for direction. He should be looking more to the Plains.

Read the whole thing.  It's a disappointing and disturbing assessment. If the president really screwed the pooch on health care, it will cast a pall on the next three years of his presidency. That's not good for the country, whether you like the president or not or are a localist or a nationalist or not.

From the very non partisan Batavia Daily News.

Fact Check: Does health care bill have 'death panel'?

Q: Then what's all the fuss about?

A: A provision in the House bill written by Rep. Earl Blumenauer, D-Ore., would allow Medicare to pay doctors for voluntary counseling sessions that address end-of-life issues. The conversations between doctor and patient would include living wills, making a close relative or a trusted friend your health care proxy, learning about hospice as an option for the terminally ill, and information about pain medications for people suffering chronic discomfort.

The sessions would be covered every five years, more frequently if someone is gravely ill.

Q: Is anything required?

Monsignor Charles Fahey, 76, a Catholic priest who is chairman of the board of the National Council on Aging, a nonprofit service and advocacy group, says no.

"We have to make decisions that are deliberative about our health care at every moment," Fahey said. "What I have said is that if I cannot say another prayer, if I cannot give or get another hug, and if I cannot have another martini -- then let me go."

Q: Does the bill advocate assisted suicide?

A: No. It would block funds for counseling that presents suicide or assisted suicide as an option.

Q: Who supports the provision?

A: The American Medical Association, the National Hospice and Palliative Care Organization and Consumers Union are among the groups supporting the provision. AARP, the seniors' lobby, is taking out print advertisements this week that label as false the claim that the legislation will empower the government to take over life-and-death decisions from individuals.

Q: Should the federal government be getting involved with living wills and end-of-life questions -- decisions that are highly personal and really difficult?

A: It already is.

The government requires hospitals to ask adult patients if they have a living will, or "advance directive." If the patient doesn't have one, and wants one, the hospital has to provide assistance. The mandate on hospitals was instituted during a Republican administration, in 1992, under President George H.W. Bush.

Q: How does a living will work, and how is it different from a health care proxy?

A: A living will -- also called an advance directive -- spells out a patient's wishes if he or she becomes incapacitated. Often people say they don't want to be kept alive on breathing machines if their condition is terminal and irreversible.

A health care proxy empowers another person to make medical decisions should the patient become incapacitated.

There's also a power-of-attorney, which authorizes another person to make financial decisions for someone who is incapacitated.

Such legal documents have become standard estate-planning tools in the last twenty years.

Q: Would the health overhaul legislation change the way people now deal with making end-of-life decisions?

A: It very well could.

Supporters of the provision say the main consequence would be to formally bring doctors into a discussion that now takes place mainly among family members and lawyers.

"When you execute a legal document with your lawyer, it ends up in your files and in the lawyer's files," said John Rother, a senior policy and strategy adviser for AARP. "Unless the doctor is part of this discussion, it's unlikely that your wishes will be respected. The doctor will be the one involved in any decisions."

The American Medical Association says involving doctors is simple common sense.

"There has been a lot of misinformation about the advance care planning provisions in the bill," AMA President Dr. James Rohack said in a statement. "It's plain, old-fashioned medical care."

Q: So why are some people upset?

Some social conservatives say stronger language is needed to protect seniors from being pressured into signing away their rights to medical treatment in a moment of depression or despair.

The National Right to Life Committee opposes the provision as written.

"I'm not aware of 'death panels' in the bill," said David O'Steen, executive director of the group. "I'm not aware of anything that says you will be hauled before a government bureaucrat. But we are concerned ... it doesn't take a lot to push a vulnerable person -- perhaps unwittingly -- to give up their right to life-sustaining treatment."

This is a quote from our President speaking on those who attempt to expose the realities of the healthcare plan.

“There is a lot of disinformation about health insurance reform out there, spanning from control of personal finances to end-of-life care. These rumors often travel just below the surface via chain e-mails or through casual conversation. Since we can’t keep track of all of them here at the White House, we’re asking for your help. If you get an e-mail or see something on the web about health insurance reform that seems fishy, send it to flag@whitehouse.gov.”

What exactly is the White House going to do with the information they gather on these e-mailers and website creators?  This is not about clarification of the facts, this is about building a database of dissenters.  This should put to rest all the talk about former presidential abuses of power.  This president has overreached his authority more in 6 months, than any other president in history.  Mr. President, members of both houses, please stop the rhetoric and give the American people the transparency promised during the campaign.

Here are a few items brought to my attention by Neal Boortz about the democrat health care proposal.

- Congressional Budget Office Director Douglas Elmendorf said "The health care overhauls released to date would increase, not reduce, the burgeoning long-term health costs facing the government,"

Don't believe me? Here's the link.

-"According to that assessment [from the CBO], enacting the proposal would result in a net increase in federal budget deficits of about $1.0 trillion over the 2010-2019 period."

Don't believe me? Here's the link.

From the VA Healthcare System:

Beginning Monday, March 2, 2009, VA Western New York Healthcare System’s Jamestown community based out-patient clinic will be moving to a new location; 610 3rd Street.  The clinic, under a new contract with Sterling Medical Corporation will be serving Veterans only at this location.  Hours are Monday through Friday from 8:00 a.m. until 4:30 p.m. with free parking. Veterans have had the opportunity to get VA health care in Jamestown since 1995, the first of seven community based outpatient clinics under VA Western New York Healthcare System.

Primary care, behavioral health services and on-site laboratory services will continue to be available at the new site.  In addition, nutritional counseling, social work, and urgent care services will be available with prescriptions to be mailed directly to Veterans’ homes.  “We want Veterans to stay healthy and encourage them to receive VA care available in Chautauqua county.  It is an opportunity to be a provider of choice for almost 2,000 Veterans in Jamestown last year and we look forward to serving more,“ said Dr. Bradford Mersereau, Primary Care Service Chief.

To enroll in VA health care call 1-888-823-9656 and to make an appointment at the Jamestown clinic, call 716-338-1511 after February 23. 

Last year VA Western New York Healthcare System provided care to more than 40,000 veterans at medical centers in Buffalo and Batavia as well as community-based outpatient clinics in Niagara Falls, Lockport, Lackawanna, Dunkirk, Jamestown, Olean, and Warsaw.

From the Batavia VA Medical Center:

Veterans in Dunkirk and surrounding areas can learn about their VA health care and other veterans benefits at an event being held at the VA clinic in Dunkirk, 166 East Fourth Street, Saturday, January 24 from 10am to 1pm. Staff and veterans benefits counselors will assist veterans with eligibility for VA health care, and other state and federal benefits that veterans may have coming to them that often go unused. Benefits have recently been extended for veterans returning from combat that includes five years of free medical care for most conditions from the Department of Veterans Affairs.  The five year window is also open to activated Reservists and members of the National Guard, if they served in a theater of combat operations after November 11, 1998 and were discharged under other than dishonorable conditions. The five year limit has no effect upon veterans with medical conditions related to their military service. Veterans may apply at any time after their discharge from the military, even decades later for medical care for service-connected health problems.

Representatives from the VA Dunkirk Clinic, NY State Division of Veterans Affairs, Chautauqua County Veterans Service Office and VA Western New York Healthcare System will be available to answer questions. Photo identification cards will be provided to eligible veterans.  Bring discharge papers and financial records for accurate benefits counseling.  For more information, you may contact the VA clinic in Dunkirk at 203-6474.

From December 15^th-30^th, communities across the country will be holding meetings to discuss local ideas for improving health care policy.  December 17^th at 7PM at the Batavia City Centre (in the community meeting room) Genesee County will get its chance to be part of the effort.  Those who attend will be part of a group that will come up with a set of reccomendations which will be turned into a position paper.  That position paper, like the others being submitted nation-wide, will be reviewed by the Obama-Biden transition team and will help shape national health care policy in the next administration.

The event is free and all in the community are welcome to attend and share their ideas, stories and thoughts.  This is our chance to make a difference on a pressing national issue.

Check out www.change.gov or contact me at djones14020@gmail.com for more information.