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1. Tell Canada to "Show Up" for Health



From October 19-21, 2011, over 100 Member States of the United Nations will be formally participating in the World Conference on Social Determinants of Health, in Rio de Janeiro, Brazil. Among the delegates will be numerous heads of state and, at last count, over 60 Ministers of Health and other senior Government Ministers from around the world -- including Ministers from other G8 countries.

The Government of Canada is currently refusing to send its Minister of Health and/or other senior Cabinet Ministers to this key global meeting. The absence of Canada's Prime Minister and other federal Ministers from this world conference will send a dangerous message that neither the health of Canadians nor global cooperation to improve health in other countries are priorities for the Government of Canada.

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OCT 21 UPDATE: On October 20, Canada's Minister of Health was asked, in the House of Commons, why she decided not to participate in the global meeting. See video for question and response (English translation of questions provided below).



TRANSLATION OF QUESTION: "Mr. Speaker, this week 118 countries are meeting in Brazil to develop a plan of action on the social determinants of health. However, this government (Canada) is not attending. In Canada, 20% of health care spending is attributable to preventable social causes of illness such as inadequate housing and poverty. The World Health Organization recognizes that social inequities result in inequities in health.The costs are astronomical. Can the Minister of Health explain why she is not at this important international meeting."

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2. Save Redbridge Art Psychotherapy Services for people with Mental Health Challenges

THE North East London NHS Foundation Trust (NELFT) have chosen to cut the 'Redbridge Art Psychotherapy Services' with no consultation from Service Users, Foundation Trust Members, or wider stakeholders. This runs contrary to their promises to involve service users in the commissioning and organisation of services.

The Outer North East London PCT (ONEL) commissions the North East London NHS Foundation Trust to provide mental health services for the LB of Redbridge populus.

In order that ONEL can apparently balance their finances they requested NELFT to submit to submit "efficiences" of 1.5% on top of pre-exisiting committments in service reductions / savings.

Without ANY consultation with Service Users, Foundation Trust members, Staff or Elected Representatives - NELFT submitted Art Psychotherapy Services for decommissioning. The lack of consultation runs contrary to NELFTs own trust policies and the coalition governments of "no health without mental health".

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3. Improve health and health care in Nunavut

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in Nunavut and across Canada.

Short video about Canada's Community Health Centres

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4. Improve health and health care in Yukon

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in the Yukon and across Canada.

Short video about Canada's Community Health Centres

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5. Improve health and health care in New Brunswick

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in New Brunswick and across Canada.

Short video about Canada's Community Health Centres

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6. Improve health and health care in Nova Scotia

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in Nova Scotia and across Canada.

Short video about Canada's Community Health Centres

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7. Improve health and health care in British Columbia

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in British Columbia and across Canada.

Short video about Canada's Community Health Centres

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8. Improve health and health care in Alberta

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in Alberta and across Canada.

Short video about Canada's Community Health Centres

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9. Improve health and health care in Northwest Territories

In 2014, during the term of the next Government of the Northwest Territories, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in the NWT and across Canada.

Short video about Canada's Community Health Centres

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10. Improve health and health care in Saskatchewan

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in Saskatchewan and across Canada.

Short video about Canada's Community Health Centres

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11. Improve health and health care in Newfoundland and Labrador

In 2014, the current 2004 Health Accord -- the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments -- will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in Newfoundland and Labrador, and across Canada.

Short video about Canada's Community Health Centres

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12. Improve health and health care for Prince Edward Islanders

In 2014, the current 2004 Health Accord -- the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments -- will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord must be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres on PEI and across Canada.

Short video about Canada's Community Health Centres

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13. Improve health and health care for Manitobans

In 2014, the current 2004 Health Accord – the deal that sets funding and healthcare service delivery agreements between the federal, provincial and territorial governments – will expire and must be renegotiated. This is a unique opportunity to improve health and health care for all Canadians.

The renewed 2014 Health Accord needs to be a joint initiative between all provincial, territorial and federal governments and must include key provisions in order to improve the accessibility, equity, comprehensiveness and sustainability of our health system. Among these provisions is the need for action on primary health care across Canada, including increased access to Community Health Centres in Manitoba and across Canada.

Short video about Canada's Community Health Centres

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14. Rescue the Ngerengere River

Rescue Ngerengere River

Geographical location of Ngerengere River. The source of Ngerengere River is Uluguru Mountains in Morogoro. The river passes in more than 20 villages in Morogoro and Pwani regions.

The River is the major water source to thousands of people, Cattle, Wild animals etc. The situation at Ngerengere River is worse, due to human activities.
The nature has been deteriorated due to excessive tree cutting, illegal charcoal trading, farming along the river banks, mining into the river, illegal fishing by using poison, Water source pollution, poaching etc.

The Mission is to create new jobs and reduce poverty rates into the communities through introduction of sustainable projects such as – Eco tourism by establishing eco camp sites, introduce beekeeping, gardening, poultry establishment, Fish farming establishment, sustainable grazing, Sustainable charcoal production, tree nurseries establishment, etc.
Vision is to secure alternative means of income, to improve the life standard and eradicate poverty among the communities around the River.

The vision is to retain the nature of River and change negative altitude about environment among the people to improve the wellbeing.

Other measures are:-
 Create awareness into the communities on the importance of sustainable use of natural resources around them.
 Build capacity in the communities around
 Identify and formulate new sustainable means of income.
 Identify the most affected river locations
 Identify local hunters (poachers).
 Establish environmental clubs.
 Establish local hunters clubs.
 Establish training program.
 Create new jobs through conservation.

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15. Create a Community Health Centre for Markham and Richmond Hill

The diverse communities of Markham and Richmond Hill urgently need access to the integrated model of community-based health care offered by Ontario's Community Health Centres (CHCs).

CHCs are the only primary health care services in Ontario that bring together family physicians, nurses and other health professionals under a single roof to provide team-based care, combined with a wide range of other health promotion and community development services. This comprehensive approach is exactly what is required in Markham and Richmond Hill where there are so many different populations with complex needs -- especially the thousands of newcomers to Canada whose health is often at risk because of factors beyond their control.

Inter-professional health teams providing services from a new Community Health Centre based in Markham would respond to the individual health issues faced by members of these communities. The CHC would also create programs and services that address the wider range of non-medical factors -- the "social determinants of health" -- that are negatively impacting community wellbeing. All of these services would be culturally-appropriate and carefully tailored to respond to the diverse needs of the many different communities living in Markham and Richmond Hill. Other benefits of the new Community Health Centre will include:

* Increasing access to primary health care for those who do not currently have a primary care provider;

* Empowering patients to take charge of their own health through health education, health promotion and disease prevention programs;

* Reducing visits to local hospital Emergency Rooms and reducing costly and avoidable hospital admissions by providing timely access to preventive health care;

In other parts of the GTA, residents are already benefiting from Community Health Centres that deliver integrated and seamless health and social services to a wide range of populations with complex needs. People living in Markham and Richmond Hill, with similar complex needs, deserve access to the same integrated, high-quality services.

For more information read our short background document.

Learn more about Ontario's Community Health Centres at www.ontariochc.ca

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16. Expand Access to Community Health Centres Now!



Join the call for a health care solution!

Ontario’s Community Health Centres (CHCs) and Aboriginal Health Access Centres (AHACs) -- similar health centres that are focused on health and health care for Aboriginal community members -- are among the greatest success stories of our provincial health system.

CHCs and AHACs are the only primary health care model that combines team-based primary care delivered by physicians, nurses, dietitians, counselors and other providers, with health promotion and community development services.

They are also unique because they focus on the "social determinants of health", acting as leaders in tackling the root causes of illness, and working to keep individuals, families and communities healthy in the first place.

Unfortunately, only 4 percent of Ontarians currently have access to a Community Health Centre or an Aboriginal Health Access Centre. An expansion of access to CHCs and AHACs in Ontario will mean accessible, high-quality, preventive health care for more Ontarians. It will also result in healthier communities and a more effective and sustainable provincial health system for all Ontarians!

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17. All Americans Deserve Health Care

America is the only well developed country in the world without health care for all of its people. If affordable health care was offered to all Americans, not only would health industries benefit by more business, but more money would be going into the economy.

Americans deserve health care. Without health care, and the growing cost of it, there is an expanding federal deficit.

With health care for everyone, more money would be going back into the economy. Americans deserve health care.

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18. Better Budget Priorities for Massachusetts

Governor Patrick and the Massachusetts Legislature are advancing a budget plan that will cause deep and permanent injury to people and the environment. Their excuse is that there is simply not enough money. But the cause of the budget shortfall is their insistence on preserving waste and unjustified tax giveaways that they have awarded to well-connected interests over the years.

Among the urgently needed measures that they refuse to consider are:

• ending $1.0 billion in ineffective tax giveaways to corporations
• adding $1.2 billion in revenues by making the wealthy pay their fair share
• achieving $1.5 billion in savings through single payer health care

This totals $3.7 billion in savings - more than enough to close the entire $1.9b budget gap!

The Democratic Party holds the governor's office and over 80% of the seats in the Massachusetts Legislature so its vital to let the Democratic leadership know that they will be held accountable for the warped priorities in the current budget.

THOUSANDS OF PEOPLE HAVE ALREADY STOOD UP
TO CALL FOR A FAIR, COMPASSIONATE BUDGET


Please add your voice by signing the Better Budget petition.

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19. Demand Bournemouth Council Defend the NHS

Since the government announced its proposals to reform the NHS, pressure has been growing from all directions calling on them to think again and drop the Health and Social Care Bill. Health professionals, Unions, service users, charities and the public have all expressed deep concerns.

These include the estimated £3 billion it would cost to implement the changes which would effectively privatise almost 1 million NHS staff in England by 2014. Over £80 billion of tax payer’s money will be handed over to GP consortiums and a commissioning board who will be able to introduce major changes without any real public scrutiny or accountability.

Clinical services will be opened up to 'any willing provider' opening the door to cowboy private companies, smashing down quality of care and lead to the NHS being subject to EU competition laws. Foundation Trusts will be free to make as much money as they like from private medicine allowing them to concentrate on more wealthy patients from home and abroad while NHS budgets are squeezed. The expansion of private providers will inevitably bankrupt and close many local NHS services and hospitals. GPs will not really be in charge but will be under the thumb of a remote commissioning board and will not have a say over which providers will be included on the new national register.

The Bill does not protect against conflict of interests between those commissioning and the private providers meaning decisions could end up being based on profit rather than the needs of the patient. Hospital referrals will require the rubber stamping of 'management referral' teams often run by private companies seeking to cut spending.

Due to widespread opposition to the Bill, the government has recently announced a 2 month break in the Bill to "pause and engage". Please sign this petition calling on the Council to support the wishes of the vast majority of the population and contact the local MPs demanding that the Bill is dropped.

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20. Demand Poole Council Defend the NHS

Since the government announced its proposals to reform the NHS, pressure has been growing from all directions calling on them to think again and drop the Health and Social Care Bill. Health professionals, Unions, service users, charities and the public have all expressed deep concerns.

These include the estimated £3 billion it would cost to implement the changes which would effectively privatise almost 1 million NHS staff in England by 2014. Over £80 billion of tax payer’s money will be handed over to GP consortiums and a commissioning board who will be able to introduce major changes without any real public scrutiny or accountability. Clinical services will be opened up to 'any willing provider' opening the door to cowboy private companies, smashing down quality of care and lead to the NHS being subject to EU competition laws.

Foundation Trusts will be free to make as much money as they like from private medicine allowing them to concentrate on more wealthy patients from home and abroad while NHS budgets are squeezed. The expansion of private providers will inevitably bankrupt and close many local NHS services and hospitals. GPs will not really be in charge but will be under the thumb of a remote commissioning board and will not have a say over which providers will be included on the new national register. The Bill does not protect against conflict of interests between those commissioning and the private providers meaning decisions could end up being based on profit rather than the needs of the patient.

Hospital referrals will require the rubber stamping of 'management referral' teams often run by private companies seeking to cut spending. Due to widespread opposition to the Bill, the government has recently announced a 2 month break in the Bill to "pause and engage". Please sign this petition calling on the Council to support the wishes of the vast majority of the population and contact the local MPs demanding that the Bill is dropped.

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21. A response to the public health white paper

We welcome the Coalition Government’s strategy for public health, Healthy Lives, Healthy People. We particularly welcome the attention paid to taking a life course approach to public health, the focus on social determinants of health inequalities, and the linkages made between health, wellbeing and mental health.

The idea that local communities have a key role to play in determining the agenda for and ways of promoting public health is in line with the argument we have consistently made that local knowledge needs to be at the heart of policy development and practice.

Our response to the public health strategy is based on this general agreement with the Government’s overall vision for public health. However, as organisations working with racialised groups, with an in-depth understanding of the problems and potentials of these groups, we feel that there needs to be far more clarity about several key concepts, assumptions and proposals within the White Paper.

Our response, firstly, engages with some of these key concepts: health inequalities, individual responsibility and behaviours, local leadership and the idea of localism. Secondly, we examine the contribution of the voluntary sector organisations working with minority ethnic communities and the factors affecting their engagement with ‘the big society’.

We then make some recommendations on the specific proposals within the White Paper.

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22. Make Nutrition & Fitness Related Program Costs a Tax Deduction

Currently health care costs make up the majority of the budget. Recently statistics say that 43% of these costs are avoidable. We believe that the number 1 reason is because Government continues to put their money into paying this ever rising bill instead of providing programs and education necessary for people to learn how to become healthy!

The age group 20-39 is currently the most in active in history. Child obesity has tripled in the past 20 years. The life expectancy of our children is not as long as our own, again another first! This only stops if government gives the people the tools!

Private medical plans cover certain costs however they limit this coverage to an amount that does not give the long term support that some people need. Also they do not cover many programs that will offer that support and education.

Government should offer a tax credit or deduction to approved programs so more Canadians can access quality help and education!

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23. Support HB1111- Collaborative Drug Therapy Management

Collaborative drug therapy management (CDTM) enables patients to receive optimal care by means of a team-based approach. Physicians and pharmacists can work together to ensure patients are meeting therapeutic goals. Currently, CDTM is allowed in hospitals and long-term care settings.

Indiana is one of only 6 states that limits CDTM to hospital-based sites. HB1111 would expand CDTM to all physician clinics under a physician-directed protocol. This would allow pharmacists to further assist physicians in managing chronic disease states, which allows physicians more time to focus on other patients. This provides patients with increased accessed to care. There is a public need for HB1111.

According to the Indiana State Department of Health, 31% of Hoosiers had hypertension in 2009, 40% had high cholesterol in 2009, and the prevalence of diabetes increased by 12% from 2005 to 2009. Show your support and impact health care in Indiana!

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24. Save Adult Day Health Care (ADHC)

The California Association for Adult Day Services...

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25. Congenital Heart Defects (CHD) Media Awareness

This petition is dedicated to the memory of every adult or child who lost their life to Congenital Heart Defects (CHD).

1 out of 85 babies in the United States of America are born with CHD. **Correction by Dr. Diana Bernshausen of Euless, TX**

Every 15 minutes one of those children pass away from CHD.

1/2 of all CHD babies do not make it to their 1st birthday!!

Congenital Heart Defects are present at birth, and can involve malformations of the heart, valves, arteries, and any other part of the heart/lung area. Congential Heart Defects are not usually discovered until the child shows physical signs or it's too late.

Most pregnant woman are not even told about CHD by their doctors.

This petition was started so that someone in the United States Media would take note and help some of these families and survivors start telling their stories.

Whether it be in television interviews, pubishing or book deals, movies about CHD, or newspaper articles the people of the United States of America have a right to know about the most deadly defect in their country!!

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26. Oppose the Methadone Accountability Package

Recently a package of legislation was introduced in the state senate, called the Methadone Accountability Package. These bills and a resolution include S.B. 1293, S.B. 1294 - the Methadone Addiction Prevention and Treatment Act, S.B. 1376, S.B. 1377, S.B. 1378, S.B. 1382, S.B. 1383, and S.R. 348.

This package of legislation would would limit the length of methadone therapy for addiction treatments. This act would intrude on Pennsylvanians doctor-patient relationship, by limiting the rights of doctors and patients. It would limit health care choice and would put addicts in treatment at risk of returning to illicit drug use, by forcing patients off of methadone prematurely.

The length of methadone therapy for addiction treatments should be determined by the doctor and their patient, depending on how the patient responds to the therapy. The scientific evidence that methadone remains one of the most effective ways of treating opioid addiction and dependence is overwhelming.

Doctors should be practicing medicine, not the legislature. We ask the members of the Pennsylvania state Senate Committee on Public Health & Welfare to oppose and vote against all legislation in the Methadone Accountability Package, should it come up for a vote in committee, and should it pass committee, to vote against passing the package's legislation in the General Assembly.

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27. Health Care Bill Unconstitutional

This Bill that was passed awaiting for the Executive signature..... states that people must by LAW purchase a form of Health insurance when for some may not be able to afford or just figure that there is no need for Health insurance for them. This is a wrong to the American people to take away the GOD givin' right to live by him.

This will for instance make the Amish that do not have health insurance be made to have insurance when they believe in living off the land with no luxuries.

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28. Let's sue the United States Of America

WE THE PEOPLE OF THE UNITED STATES OF AMERICA DO NOT WANT THIS HEALTH CARE REFORM.

MY HUSBAND IS A SMALL BUSINESS OWNER AND WE CANNOT AFFORD TO PAY 1200.00 A MONTH FOR INSURANCE AND 200.00 TO 300.00 A MONTH FOR POWER AND BE ABLE TO FEED OURSELVES...

SO TELL ME HOW CAN SOMEONE THAT WORKS A 7.25 DOLLAR A HOUR JOB BE ABLE TO DO THIS?

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29. Stop Obama's Health Care Reform

Obama wants to pass a Health care plan to shoot OUR taxes through the roof!!! Please Sign!!!!

The headlines are reporting that CBO scored the health reform effort as costing $940 billion over the next ten years. That isn’t correct. The $940 billion figure refers only to the coverage expansions in the legislative package. There are also many other health reform initiatives–e.g., filling the “doughnut hole” in Medicare’s prescription drug benefit and increasing funding for community health centers and prevention efforts–in the legislation. Add it all up and the ten-year cost of health reform is about $1,072 billion.

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30. Protect NY Patient Access to Affordable, Quality Care; Recognize Nurse Anesthetists

Nurse anesthesia is the oldest advanced nursing specialty. In fact, Certified Registered Nurse Anesthetists (CRNAs) have been practicing in New York for over 120 years. Existing requirements for masters level education, clinical experience, national certification examination, continuing education and re-certification have resulted in the high quality, professional standard of care exhibited by CRNAs.

Nurse anesthetists represent one of the most cost-effective, highly professional and safe health care providers in practice today. CRNAs actually administer over 27 million anesthetics each year; in all types of settings and for all categories of procedures. They are also the sole providers of anesthesia care in the majority of our nation's rural hospitals as well as in many of the state’s underserved, urban areas.

Sadly, New York remains one of a very few states in the country that does not fully recognize the practice of nurse anesthesia! Without codification of the practice, residents across the state are increasingly losing access to necessary, affordable and quality health care. In addition, highly skilled, advanced practice nurses are being denied opportunities to practice as well as struggle to obtain malpractice insurance coverage.

New York State is facing a severe shortage of health care providers, including nurses and nurse anesthetists. Rising health care costs, fewer providers in underserved areas and competition from neighboring states, have all had a profoundly negative impact on our current health care system. Nationally CRNAs make up almost half the total anesthesia workforce but they represent only one quarter of NYS's total anesthesia workforce. This means NY citizens are paying more for anesthesia services than the rest of the nation and our rural and underserved areas have access to fewer anesthesia providers.

Presently, nearly 50% of our recent New York State nurse anesthesia graduates are relocating to other states where they can practice to the full extent of their education, training and certification. New York can ill-afford to lose any more of its quality nursing population.

We need your help! Please contact your legislator and tell him or her to support S.3288/A.1727 and protect patients by preserving this vital health care profession.

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