[AMV] President Trump #268

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Op dinsdag 21 februari 2017 09:06 schreef Ulx het volgende:

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Bovendien: Electrische treinen? Je kunt natuurlijk veel beter stoomlocomotieven inzetten, zodat de mijnwerkers weer werk krijgen!

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Op dinsdag 21 februari 2017 11:29 schreef Puddington het volgende:
Is de val van Milo Yiannapoulos (een fervent Trump-aahanger) hier te bediscussiëren of moet dat in een ander topic?

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Op dinsdag 21 februari 2017 11:07 schreef PippenScottie het volgende:

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Dat doet er niet toe. In de titel van het filmpje staat dat McCain gearresteerd moet worden. En het staat op youtube, niet de MSM, dus het moet wel waar zijn.

Open je ogen, sheeple!!!

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Op dinsdag 21 februari 2017 11:07 schreef Ulx het volgende:

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Omdat er geen blasfemie wetten zijn in de VS en McCain het waagde TrumpGod, geprezen zij Zijn Naam, te bekritiseren. Dan moet het dus wel verraad zijn.

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Op dinsdag 21 februari 2017 11:16 schreef xpompompomx het volgende:
Schiet het eigenlijk al op met de vervanging van de ACA?

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How Mike Pence used Obamacare to halt Indiana's HIV outbreak
Two years later, the vice president is helping lead the Republican effort to dismantle the program.

When then-Gov. Mike Pence faced the worst public health crisis to hit Indiana in decades, he turned to Obamacare — a program he vilified and voted against.

In 2015, as a rash of HIV infections spread through rural southern Indiana, state health officials parachuted into Scott County and enrolled scores of people into Obamacare's expanded Medicaid program so they could get medical care and substance abuse treatment. Many were addicted to opioids and had contracted HIV by sharing dirty needles.

Two years later, Pence is helping to lead the Republican effort to dismantle the program that helped him halt the deadly outbreak in an impoverished swathe of Indiana.

"These are good salt-of-the-earth folks who got caught up in a disaster. Not funding this would be like removing sandbags during a flood,” said Blake Johnson, who helps people in Scott County enroll in health coverage on behalf of Covering Kids & Families of Indiana, a nonprofit patient group.

On the campaign trail, Donald Trump had been among several GOP presidential candidates who talked about the plight of Americans addicted to opioids. “I would dramatically expand access to treatment slots and end Medicaid policies that obstruct inpatient treatment,” Trump said last fall, three weeks before his election. He also talked about dismantling Obamacare and turning Medicaid into a block grant program — an approach that caps federal support and could force states to cut benefits or eligibility.

Pence was one of the GOP governors who had agreed to expand Medicaid under Obamacare, albeit with certain conservative tweaks. He signed his state’s Medicaid expansion known as the Healthy Indiana Plan 2.0 in 2015 — the same year as the HIV outbreak.

Some Pence critics have said his strong anti-abortion stance, which led Indiana to close several Planned Parenthood clinics including one in Scott County, may have worsened the outbreak by making HIV testing less accessible.

His health department relied heavily on the program to respond to the HIV crisis in southern Indiana. Officials set up a “one-stop-shop,” next to a free needle exchange, in the tiny, impoverished town of Austin, and offered hot meals, HIV screenings, vaccinations and assistance to help people enroll in insurance — many for the first time — through HIP 2.0.

Within a month, about 168 people were approved for the program, according to figures provided by the Indiana Family and Social Services Administration. About 2,280 people in the Scott County are currently enrolled, many of whom are now getting substance abuse treatment.

“A lack of health insurance was one of the first barriers to testing and treatment identified in Scott County,” said Jeni O’Malley, a spokesperson for the Indiana State Department of Health. “HIP 2.0 helped address that gap and opened doors to medical care and treatment that have been life-changing for people living with HIV and hepatitis C.”

Health insurance is pivotal for HIV patients, since their condition is chronic and requires consistent treatment and medication. And since the outbreak in Scott County was fueled by people contracting the infection by sharing needles, many were in need of robust substance abuse treatment services that are also covered through HIP 2.0.

The Affordable Care Act provided money to fully fund expanded Medicaid through 2016, but the share of the government’s tab dips gradually to 90 percent by 2020. Under the law, eligibility was expanded to people earning up to 138 percent of the federal poverty level, or about $16,400 for an individual, and was no longer limited to pregnant women, children, or the disabled.

Pence put a conservative spin on the program by requiring enrollees to make monthly contributions — $1 a month for many. But people with HIV and chronic substance abuse disorders are exempt from such contributions and also qualify for enhanced benefits such as vision, dental and nonemergency transportation. The plan covers outpatient services and case management programs that are essential for people with chronic conditions like HIV.

Now, health care providers and patient advocates are nervously watching the Obamacare repeal debate play out in Washington, worried about what might happen if HIP funding goes away and the law’s coverage of mental health services is weakened.

“We are currently in a panic about what’s going to happen,” said Jaymes Young, a medical case manager for The Damien Center, the largest AIDS service organization in the state.

A recent analysis by the nonpartisan Kaiser Family Foundation found that coverage for people with HIV increased significantly as a result of the law's Medicaid expansion.

Another study published in Health Affairs found that fewer uninsured HIV patients were hospitalized in states that had expanded Medicaid. In fact, between 2012 and the middle of 2014, the percentage of hospitalizations among uninsured HIV patients dropped from 13.7 percent to 5.5 percent since more people had coverage. Meanwhile, in states that didn't expand Medicaid, the percentage of hospitalizations for uninsured HIV patients rose from 14.5 percent to 15.7 percent.

Researchers also found that HIV patients without health insurance were nearly 40 percent more likely to die during their hospital stay, compared to those with health insurance.

To be sure, HIV-positive patients in Indiana may get coverage through other sources, including traditional Medicaid, insurance funded through the Ryan White HIV/AIDS program and commercial coverage on the exchanges. But HIP 2.0 was particularly important for this population because it provides substance abuse and mental health treatment that includes case management and even non-emergency transportation to get people to doctors’ appointments and therapy sessions.

Pence, a longtime Obamacare foe who voted against its 2010 passage as a lawmaker, has assured people in his state that HIP 2.0 will remain even if the law is repealed, portraying it as an innovative state program that he suggests is unconnected to Obamacare.

In an op-ed published in the Indianapolis Star last year before he was tapped to be vice president, Pence said, “HIP will exist after the ACA.” though he conceded the program would be altered.

“Of course, when Obamacare is repealed, there will need to be a transition period...allowing a new administration in Washington the ability to reform Medicaid and provide states even more flexibility to innovate and strengthen programs like HIP 2.0,” Pence wrote.

The Trump administration and Republicans on Capitol Hill support making Medicaid a block grant program that would provide a set amount of funding to every state based on its number of enrollees. While federal spending would be capped, states would have more flexibility about how to spend the money.

roviders and caregivers in Indiana worry the switch will harm patients.

“Hopefully the ACA stays,” said Young of The Damien Center. “It was complicated and imperfect but now we’re used to it. More changes will do damage to our clients.

Even Republican state lawmakers are concerned about change.

“We've made great strides serving a very vulnerable, high-risk population with HIP 2.0,” said state Rep. Ed Clere, who chaired the House health committee around the time of the HIV outbreak.

Clere added that he is open to block granting, but "it shouldn't limit access, It has to be for the right reasons. It can’t just be about saving the federal government money."

The threat of Obamacare repeal comes even as Indiana officials are asking the Trump administration to tweak its own Medicaid expansion program. The updated waiver proposal vastly expands substance abuse treatment coverage to anyone in Medicaid and includes inpatient, as well as outpatient, treatment for substance abuse.

“The expanded access we seek through this waiver extension will prove critical” Pence’s successor, Republican Gov. Eric Holcomb, wrote in a letter to the Trump administration.

The waiver application, which was largely crafted by Seema Verma, Trump’s pick to lead CMS, is expected to be approved. However, if the ACA is repealed, the program’s future is unclear.

“It’s been a miracle for Indiana,” said Susan Jo Thomas, the executive director at Covering Kids and Families of Indiana. “I don’t want to talk or think about the consequences of losing it. It’s terrifying.”

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In Response to Trump, a Dutch Minister Launches ‘She Decides’
President Trump last month signed an executive order barring American aid to international organizations that discuss abortion as a family-planning option with clients. American law already forbids the use of taxpayer money to fund the procedure itself. (New York Times).

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Op dinsdag 21 februari 2017 11:34 schreef PippenScottie het volgende:

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Mag wel, denk ik.
Milo en Trump zouden samen spreken op een CPac conferentie. Een audiofragment van Milo waarin hij relaties tussen jonge en oudere homo's een goede zaak vindt duikt op.

Opeens vinden conservatieve republikeinen Milo niet meer zo cool.

https://www.theguardian.c(...)ia-cpac-online-video

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Op dinsdag 21 februari 2017 11:38 schreef Monolith het volgende:

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Stoere woorden zijn een stuk makkelijker dan concrete daden. Ome Mike maakte in Indiana ook gretig gebruik van de mogelijkheden van de ACA bijvoorbeeld:

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bron

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Op dinsdag 21 februari 2017 11:48 schreef Puddington het volgende:

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Homo's uitschelden: prima!
Transgenders belachelijk maken: oké!
Vrouwen schofferen: waarom niet?
Zwarten en Moslims uitschelden: ga door!
(Witte) jongetjes molesteren: NOU WACHT EENS EVEN

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Op dinsdag 21 februari 2017 11:52 schreef Ludachrist het volgende:

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Volgens mij had hij aangekondigd deze week weer een heleboel dingen te gaan doen, dus wellicht dat hij er nu echt aan gaat beginnen. Volgens zijn contract met de Amerikaanse stemmer wordt Obamacare binnen 100 dagen opgerold, dus op een gegeven moment moet hij er wel werk van gaan maken. Tussendoor nog even een plan van 1 triljoen dollar laten goedkeuren voor de infrastructuur en de belastingen hervormen ook trouwens. Hij heeft tot 29 april, dus een beetje snelheid is nu wel geboden, zelfs voor de finely tuned machine die het Witte Huis tot nu toe blijkt te zijn.

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Op dinsdag 21 februari 2017 08:51 schreef Ulx het volgende:
http://www.nydailynews.co(...)it-article-1.2977298
Flynn kreeg dus wèl geld uit Rusland.

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Op dinsdag 21 februari 2017 11:43 schreef Nibb-it het volgende:
Een interview met Ploumen naar aanleiding van haar nieuwe ngo.

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Op dinsdag 21 februari 2017 12:03 schreef bluemoon23 het volgende:

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Ja, in 2015.
Was het toen al bekend dat hij NSA zou worden ?

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Op dinsdag 21 februari 2017 11:48 schreef Puddington het volgende:

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Homo's uitschelden: prima!
Transgenders belachelijk maken: oké!
Vrouwen schofferen: waarom niet?
Zwarten en Moslims uitschelden: ga door!
(Witte) jongetjes molesteren: NOU WACHT EENS EVEN

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Op dinsdag 21 februari 2017 12:36 schreef Hexagon het volgende:
Ach Trump heeft tijdens zijn campagne natuurlijk iedereen die hem wilde helpen met open armen ontvangen en was vermoedelijk niet zo kritisch over hun antecedenten.

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Op dinsdag 21 februari 2017 13:00 schreef Ulx het volgende:

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Bron

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Op maandag 20 februari 2017 20:06 schreef Nintex het volgende:

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Dat maakt niet zoveel uit. De regering van China/Rusland etc. blijft stevig in het zadel, omdat de media continu propaganda uitzend. Als het hele land aan de buis gekluisterd is om naar de volgende brainfart van Donald J. Trump te luisteren verliezen ze hun macht en controle over de media. Dan is er ook nog het risico dat hij tussen het geblaat door ineens iets roept dat juist heel negatief is voor Rusland. Zoals "We'll blow that ship right out of the water, I'd be very popular"

En tot slot... als de VS geen gevaar meer is, waar wijzen ze dan met de boze vinger naartoe om de eigen economische problemen te verklaren?

Ga je nog roepen, zoals Erdogan en Putin, dat er een conspiracy tegen je is van buitenlandse mogendheden (VS.. kuch kuch) als je daarmee toegeeft dat Trump je probeert af te zetten?

"Ja ik ben supreme leader, maar die dikke casino baas die ruzie zoekt op Twitter met CNN is een bedreiging voor mijn positie"

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Op dinsdag 21 februari 2017 09:06 schreef Ulx het volgende:

Bovendien: Electrische treinen? Je kunt natuurlijk veel beter stoomlocomotieven inzetten, zodat de mijnwerkers weer werk krijgen!

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Op dinsdag 21 februari 2017 08:54 schreef Ulx het volgende:
We're gonna have so much big beautiful infrastructure. Right? Believe, It's gonna be bigly yuge beautiful!

SPOILER

Om spoilers te kunnen lezen moet je zijn ingelogd. Je moet je daarvoor eerst gratis Registreren. Ook kun je spoilers niet lezen als je een ban hebt.

http://www.sfgate.com/bay(...)back-to-10941880.php

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