US healthcare

Subterms

    More stories

    • 138 Shares169 Views

      in US Politics

      Kaiser Permanente strike off after deal between unions and healthcare giant

      by

      Kaiser Permanente strike off after deal between unions and healthcare giant32,000 employees, most in California, threatened walkoutDeal ‘protects patients, safe staffing and fair wages’ An alliance of unions representing 50,000 Kaiser Permanente workers in California, Oregon and six other states called off strike set for Monday, after reaching a tentative labor deal with the healthcare network.The Alliance of Health Care Unions and Kaiser Permanente jointly announced the agreement, staving off a potentially crippling strike in which 32,000 employees, most of them in southern California, threatened to walk off the job to protest understaffing and wage cuts for new hires.Additional members of the alliance, comprised of 21 local unions, authorized a one-day “sympathy strike” on 18 November.Agreement on the four-year contract includes annual wage increases, while maintaining health benefits for employees, and new staffing language to continue to protect employees and patients, the statement said.“This agreement will mean patients will continue to receive the best care and Alliance members will have the best jobs,” said Hal Ruddick, executive director of the alliance.“This contract protects our patients, provides safe staffing, and guarantees fair wages and benefits for every Alliance member.”Christian Meisner, chief human resources officer at Kaiser Permanente, said the agreement “underscores our unwavering commitment to our employees by maintaining industry-leading wages and benefits”.Bargaining continues with the local units representing Kaiser pharmacists in Northern California and the Pacific north west, as well as a group of engineers.“We hope to reach agreements very soon,” Kaiser spokesman Steve Shivinsky said.The alliance said it has more than 35,000 member employees in California; 6,300 in Oregon and Washington; 2,100 in Colorado; 2,300 in Maryland, Washington, DC and northern Virginia; 3,000 in Georgia; and 1,900 in Hawaii.TopicsUS unionsUS healthcareUS politicsnewsReuse this content More

    • 150 Shares169 Views

      in US Politics

      Republicans slam Biden vaccine rule for businesses as health groups defend it

      by

      US newsRepublicans slam Biden vaccine rule for businesses as health groups defend itDivided reaction to mandate requiring that large companies either vaccinate staff or administer tests mirrors vaccine rollout in US Eric BergerMon 8 Nov 2021 05.00 ESTLast modified on Mon 8 Nov 2021 12.07 ESTBiden administration plans to get US companies with 100 or more workers to vaccinate their staff or bring in regular tests have been welcomed by public health groups but slammed by Republicans and trade groups, who claim government overreach with negative economic consequences.Federal court temporarily blocks Biden’s vaccine mandate for larger businessesRead moreSuch divided reaction to the rules announced last week mirrors much of America’s problematic vaccine rollout, where social and political headwinds have seen vaccination take-up slow down worryingly. US vaccination rates are some of the lowest in industrialized countries where the vaccine is readily available.Subject at least to a temporary stay issued by a circuit court in New Orleans on Saturday, the new rule from the Occupational Safety and Health Administration (Osha) will take effect on 4 January.It requires that large companies either ensure employees have been vaccinated or regularly administer Covid-19 tests and require masks at work for those who refuse to get the shot.The rule will affect an estimated 84 million workers.The Centers for Medicare & Medicaid Services also issued a rule requiring healthcare workers to be vaccinated by the same deadline, with no option for weekly testing rather than vaccination. That will affect 76,000 providers and more than 17 million workers.The administration also extended a deadline for federal contractors to comply with the same sort of rule – vaccination without the testing option – from 8 December to 4 January.“Too many people remain unvaccinated for us to get out of this pandemic for good,” Joe Biden said in a statement.But the rules sparked new backlash from Republican lawmakers and conservative groups who described the measures as unconstitutional. Republican governors or attorneys general in 15 states plan to file lawsuits against the mandate, according to the Associated Press.“This rule is garbage,” South Carolina’s attorney general, Alan Wilson, a Republican, said, according to the AP. “It’s unconstitutional and we will fight it.”Celebrating the Saturday ruling in Louisiana, the state attorney general, Jeff Landry, said: “The president will not impose medical procedures on the American people without the checks and balances afforded by the constitution.”While courts have largely declined to block state and local vaccine mandates, the federal government “has more constraints on it than state and local governments do when it comes to public health and vaccination”, said Lindsay Wiley, a public health law professor at American University.On whether the Osha rule could be overturned, Wiley said: “It’s difficult to predict, in part because the environment has become so politicized.”Plaintiffs could also seek to file lawsuits in circuits with conservative judges appointed by Donald Trump, Wiley said.Lawrence Gostin, a global health law expert at Georgetown Law, tweeted earlier this week that “Biden is on rock-solid legal ground. He’s acting to protect the US workforce and will get us all back to normal sooner.”But groups such as the National Retail Federation (NRF), the country’s largest retail trade group, condemned the Osha rule because they said it places an unreasonable burden on businesses during the holiday season, which for many ventures is the busiest time of the year.The NRF is requesting an extension of the deadlines, though Edwin Egee, a vice-president of the group, did not provide a preferred date.“NRF members have for months taken extraordinary efforts to distribute the vaccine, to incentivize the vaccine. We have been, and will continue to be, very much in favor of the vaccine and its efficacy,” Egee said.Republicans have also warned that the vaccine requirements could cause employees to quit. If faced with a mandate, 11% of the unvaccinated said they would be most likely to get the vaccine and 46% said they would opt for weekly testing, according to an October survey from the Kaiser Family Foundation (KFF). More than a third of unvaccinated workers said they would quit if their employer required them to get a vaccine or get tested weekly. But that amounts to just 5% of all adults in the US.“When we are looking at the bigger picture amongst all adults … it’s a pretty small share of the population,” said Lunna Lopes, senior survey analyst for KFF.There is evidence that workers often opt to get vaccinated rather than lose their jobs. For example, Houston Methodist hospital required 25,000 workers to get a vaccine by 7 June, the Conversation, a non-profit news organization, reported. Before the mandate, about 15% of employees were unvaccinated. By mid-June, that had dropped to 3%.David Michaels, a former Osha chief now a professor of public health at George Washington University, argued the new rules would help businesses who wanted to institute requirements but were constrained by state and local rules or feared litigation.“This actually allows employers to do what they want to do and blame the federal government,” said Michaels, who has advised the Health Action Alliance, a coalition of corporations such as Starbucks and Amazon and non-profits such as the CDC Foundation and the Ad Council aimed at promoting Covid-19 vaccination and prevention.The rules will make the workplaces safer, Michaels said.“The retail industry should give a gift to the American people and start to be supportive of vaccination requirements,” Michaels said. “That’s the only way that we will save lives and return to normalcy. It’s outrageous to ask for an exception to a public health measure.”TopicsUS newsVaccines and immunisationCoronavirusBiden administrationUS politicsUS healthcareUS domestic policynewsReuse this content More

    • 138 Shares189 Views

      in US Politics

      Setback for Biden as Democrats delay vote on sweeping investment plan

      by

      US politicsSetback for Biden as Democrats delay vote on sweeping investment planModerates want more details before reconciliation bill advancesPelosi signals she has votes to pass bipartisan infrastructure bill Lauren Gambino in Washington and Adam Gabbatt in New YorkFri 5 Nov 2021 16.43 EDTFirst published on Fri 5 Nov 2021 09.27 EDTDemocrats on Friday once again postponed a vote on the centerpiece of Joe Biden’s economic vision, after lobbying by the president and House leaders failed to persuade a small group of moderates to support the spending package without delay.Despite the setback, the House Speaker, Nancy Pelosi, said she planned to plow ahead on the bipartisan infrastructure bill, another key pillar of the president’s legislative agenda, indicating she had the votes to overcome resistance from progressives who want to pass it in tandem with the social policy and climate mitigation spending package.“We had hoped to be able to bring both bills to the floor today,” Pelosi said at an impromptu news conference on Friday, after a day of frenzied negotiations appeared unlikely to break an impasse over Biden’s agenda.But Pelosi insisted the House was on the cusp of breakthrough that would not only send the infrastructure bill to Biden’s desk, notching a much-needed victory, but would move the party a “major step” closer to approving the social policy package.“We’re in the best place ever, today, to be able to go forward,” she said.A plan to advance both Biden’s social and environmental spending package and a smaller bipartisan public works measure was upended amid pushback from moderates demanding an official accounting of the spending bill.As tensions escalated, Pelosi proposed a new strategy, announcing in a letter to Democrats that the House would hold two votes on Friday: one on the infrastructure measure and a procedural vote related to the spending package.But that plan was thrown into jeopardy by progressives, who had for months said they would not vote for the infrastructure bill without a simultaneous vote on the spending package. That position derailed two previous attempts to advance the infrastructure bill first.The scrambled timeline deflated hopes of giving Biden a much-needed legislative accomplishment after months of false starts and electoral setbacks this week.Biden and party leaders have worked furiously to reach a consensus on the spending bill, which seeks to combat the climate crisis while reforming healthcare, education and immigration, all paid for by raising taxes on the wealthiest Americans and on corporations. With razor-thin majorities, they need the support of every Democratic senator and nearly every House Democrat.Centrist lawmakers want to see an independent cost analysis from the non-partisan Congressional Budget Office before voting on the $1.85tn package – which could take several days or even weeks.In a statement, Washington congresswoman Pramila Jayapal, chair of the Congressional Progressive Caucus, signaled that her members had not softened their position on advancing the bills together.“If our six colleagues still want to wait for a CBO score, we would agree to give them that time – after which point we can vote on both bills together,” she said.Biden urges ‘every House member’ to support agenda ‘right now’ as crucial vote nears – liveRead moreNegotiations have seen the initial Biden spending proposal nearly halved from $3.5tn, with many provisions pared back or dropped entirely.Touting a strong monthly jobs report on Friday, Biden implored House Democrats to “vote yes on both these bills right now”, arguing both pieces of legislation were critical to economic recovery.“Passing these bills will say clearly to the American people, ‘We hear your voices, we’re going to invest in your hopes,” Biden said.After his remarks, the president said he was returning to the Oval Office to “make some calls” to lawmakers.Pelosi worked furiously on Thursday to pave the way for a vote before lawmakers leave Washington for a week-long recess, whipping members on the House floor and keeping them late into the night in an effort to shore up support for legislation which runs to more than 2,000 pages.Democrats suffered a series of stinging electoral setbacks this week, including losing the governorship of Virginia and being run to the wire in New Jersey.Major legislative victories will, leaders hope, help regain momentum and improve electoral prospects ahead of next year’s midterm elections.With unified Republican opposition, House Democrats can lose no more than three votes. If passed, the spending bill will go to the 50-50 Senate, where it will face new challenges. Two centrist Democrats, Joe Manchin and Kyrsten Sinema, have already thwarted many proposals and are expected to have further objections.House passage of the $1.2tn infrastructure bill to upgrade roads, bridges, waterways and broadband, which has already passed the Senate with the support of 19 Republicans, would send the measure to the president’s desk.The $1.85tn spending package would provide large numbers of Americans with assistance to pay for healthcare, raising children and caring for elderly people at home. There would be lower prescription drug costs and a new hearing aid benefit for older Americans, and the package would provide some $555bn in tax breaks encouraging cleaner energy and electric vehicles, the largest US commitment to tackling climate change.House Democrats have added other key provisions, including a new paid family leave program and work permits for immigrants.Much of the cost would be covered with higher taxes on those earning more than $400,000 a year and a 5% surtax on those making more than $10m. Large corporations would face a new 15% minimum tax.
      The Associated Press contributed reporting
      TopicsUS politicsDemocratsJoe BidenHouse of RepresentativesUS healthcareUS CongressNancy PelosinewsReuse this content More

    • 150 Shares199 Views

      in US Politics

      Nine percent of New York City workers still unvaccinated after Friday deadline

      by

      New YorkNine percent of New York City workers still unvaccinated after Friday deadline
      Last-minute rush of jabs boost vaccination rate to 91%
      Fox News host gets death threats for vaccinations plea
      Victoria Bekiempis in New YorkSun 31 Oct 2021 13.02 EDTFirst published on Sun 31 Oct 2021 08.30 EDTNine percent of New York City’s municipal workforce remains unvaccinated following a Friday deadline to demonstrate proof of receiving at least Covid shot, officials said.‘They broke my heart’: sculptor laments Central Park Covid monument removalRead moreHowever, the percentage of city workers with at least one dose rose considerably as the deadline loomed.Opposition to vaccine mandates fueled by rightwing politicians and media figures led to protests in New York this week. But on Saturday night, authorities said 91% of city workers had received at least one dose, up from 83% on Friday and 76% on Thursday.Workers who did not abide by the requirement were still due to be placed on unpaid leave from Monday, potentially spurring staffing shortages in the police, fire, emergency medical services and sanitation departments.The New York police department vaccination rate stood at 84%, officials said. Asked about the plan for dealing with a potential staff shortfall, an NYPD spokesman said in an email: “We will be prepared for any changes in personnel due to the mandate.”City data indicated that 78% of fire department workers, and 79% of sanitation department workers, had received at least one dose as of Saturday.Those agencies also said they were preparing for staffing shortfalls.Fire officials said they were prepared to close up to 20% of fire companies and see 20% fewer ambulances in operation.The department planned to change schedules, cancel vacations and seek out non-fire department EMS providers.The fire commissioner, Daniel Nigro, slammed some firefighters who took paid sick leave in advance of the vaccine deadline.“The department has not closed any firehouses,” Nigro said. “Irresponsible bogus sick leave by some of our members is creating a danger for New Yorkers and their fellow firefighters. They need to return to work or risk the consequences of their actions.”The New York City mayor, Bill de Blasio, recently said the sanitation department would implement 12-hour shifts rather than the normal eight-hour shifts, and start working on Sundays so garbage did not accumulate amid staffing shortages.The Associated Press contributed to this report.TopicsNew YorkCoronavirusVaccines and immunisationInfectious diseasesUS healthcareUS politicsnewsReuse this content More

    • 113 Shares159 Views

      in US Politics

      How the US vaccine effort derailed | First Thing

      by

      First ThingUS newsFirst Thing: How the US vaccine effort derailedWe shouldn’t be surprised by low vaccine rates, health researchers say. Plus the 21 biggest style tribes of 2021 Nicola SlawsonMon 27 Sep 2021 06.45 EDTLast modified on Mon 27 Sep 2021 07.37 EDTSince the first coronavirus vaccines were approved, the US bought enough to inoculate the entire population, and even potentially embark on a round of booster shots, but health professionals have found an essential element to a successful vaccination campaign has been lacking: trust.That low confidence has garnered the US an unenviable distinction – in mid-September it became the least vaccinated member of the world’s seven most populous and wealthy democracies, or G7, which includes Britain, Canada, France, Germany, Italy and Japan.Now, a surge of the Delta Covid-19 variant has killed more than 2,000 Americans a day on average and has taken the US death toll past the symbolic milestone of 675,000 deaths: the estimated number of Americans who died in the 1918 influenza pandemic.The US’s flagging vaccine uptake has flummoxed national health authorities, but researchers say we shouldn’t be surprised.
      How many people are not getting vaccinated? Strategies to promote the vaccine have failed to encourage more than 900,000 Americans a day to get vaccinated in recent weeks.
      What is behind the low uptake? Researchers say it is the predictable outcome of a campaign subject to entrenched social forces that have diminished American health and life expectancy since the 1980s.
      Haiti deportations justified because of Covid, Biden’s homeland secretary saysThe US homeland security secretary, Alejandro Mayorkas, on Sunday defended the Biden administration’s decision to send thousands of Haitians to a home country they fled because of natural disasters and political turmoil.Mayorkas told NBC’s Meet the Press the removals were justified because of the coronavirus pandemic, a point disputed by advocates and public health experts.“The Centers for Disease Control [and Prevention, or CDC] has a Title 42 authority that we exercise to protect the migrants themselves, to protect the local communities, our personnel and the American public,” Mayorkas said. “The pandemic is not behind us. Title 42 is a public health policy, not an immigration policy.”
      Since Donald Trump’s administration implemented Title 42 in March 2020, advocates and dozens of public health experts have called for its end.
      Under Title 42, people who attempt to cross the border are returned to Mexico or deported to their home countries without an opportunity to test asylum claims.
      In January, Joe Biden stopped the rule from applying to children. Despite that, at least 22 babies and children were deported to Haiti in February.
      Liz Cheney mocks Trump over bizarre insultThe Wyoming Republican Liz Cheney has responded to a bizarre insult from Donald Trump by tweeting a picture of George W Bush with the caption: “I like Republican presidents who win re-election.”Bush beat John Kerry for re-election in 2004. Cheney’s father, Dick Cheney, was vice-president to Bush.Liz Cheney’s tweet was a response to an image released by Trump on Thursday. Under the heading “ICYMI: Must-See Photo”, a Trump-affiliated political action committee sent out a Photoshopped image that spliced Cheney Sr and George W Bush.Trump displayed the image at a rally in Georgia on Saturday but he could not tweet it himself because he remains barred from the platform for inciting the deadly assault on the US Capitol on 6 January.
      Why did Trump use the image? Cheney voted to impeach Trump over his role in the 6 January riot at the US Capitol. She was one of only 10 House Republicans to do so.
      Why is he attacking her now? Cheney is up for re-election and the former president wants to unseat her with a candidate who supports him.
      Five Palestinians shot dead in gun battles with Israeli troops in West BankFive Palestinians have been killed after gun battles erupted when Israeli troops conducted a series of raids against suspected Hamas militants across the occupied West Bank.The fighting on Sunday was the deadliest violence between Israeli forces and Palestinian militants in the West Bank in several weeks. Two Israeli soldiers were seriously wounded.There has been increased fighting in the region in recent months, with tensions fueled by Israeli settlement construction, heightened militant activity in the northern West Bank and the aftermath of a war between Israel and Hamas militants in the Gaza Strip in May.The Israeli military said it had been tracking the Hamas militants for several weeks and the raids were launched in response to immediate threats.
      Why were there raids? Israel’s prime minister, Naftali Bennett, said the militants were preparing to carry out attacks “in real time”.
      What has the the Palestinian Authority said? It condemned the killings and said the Israeli government was “fully and directly responsible for this bloody morning”.
      Were those killed militants? Hamas confirmed four of the dead, including three killed in Biddu, were members of the Islamic militant group.
      In other news …
      The Alaska department of fish and game has alerted residents to a pack of otters that have attacked dogs, children and adults near creeks, rivers and lakes in Anchorage. Authorities said the otters would be tested for rabies, which could explain their aggression.
      China will reduce the number of abortions performed for “non-medical purposes”, the country’s cabinet has said, in the latest apparent attempt to reverse its declining birthrate, which fell from 1.6 live births per woman in 2016 to 1.3 in 2020.
      Vital UN climate talks, billed as one of the last chances to stave off climate breakdown, will not produce the breakthrough needed to fulfill the aspiration of the Paris agreement, key players in the talks have conceded.
      Staff attrition, high demand for appointments and enraged human clients are straining vet practices across the US. The array of overlapping circumstances has created a cascade of problems powerful enough to threaten the entire delicate ecosystem of veterinary care.
      Stat of the day: Male life expectancy declines in US by 2.2 years because of CovidData from most of 29 countries analysed by scientists – spanning most of Europe, the US and Chile – recorded reductions in life expectancy last year and at a scale that wiped out years of progress. The biggest declines in life expectancy were among males in the US, with a decline of 2.2 years relative to 2019 levels, followed by Lithuanian males (1.7 years). Dr José Manuel Aburto, a co-lead author of the study, said the scale of the life expectancy losses was stark across most of those countries studied, with 22 of them experiencing larger losses than half a year in 2020.Don’t miss this: My father was brutally killed by the Taliban. The US ignored his pleas for helpIn 1992, Muska Najibullah’s father, a former Afghan president, appealed to the US to help Afghanistan become a bulwark against the spread of Islamic fundamentalism. He said: “If fundamentalism comes to Afghanistan, war will continue for many more years. Afghanistan will turn into a centre of world smuggling for narcotic drugs. Afghanistan will be turned into a centre for terrorism.” His warnings were ignored. This is the first time Muska has shared her personal story and she says she is doing so because what is happening to her country now is distressingly similar to what happened then.Children likely to experience more climate disasters than their grandparents, research showsPeople born today will experience many times more extreme heatwaves and other climate disasters over their lifetimes than their grandparents, research has shown. The study is the first to assess the contrasting experience of climate extremes by different age groups and starkly highlights the intergenerational injustice posed by the climate crisis. The analysis shows a child born in 2020 will endure an average of 30 extreme heatwaves in their lifetime, even if countries fulfill their current pledges to cut future carbon emissions. That is seven times more heatwaves than someone born in 1960.Want more environmental stories delivered to your inbox? Sign up to our Green Light newsletter to get the good, bad and essential news on the climate every weekLast thing: the 21 biggest style tribes of 2021 and what they say about the worldOnce upon a time, fashion subcultures were simple: you could see skaters, ravers and goths all milling around shopping malls. But now the style tribes have moved online, and are more likely to be dressing up for TikTok and Instagram than the shops. There has also been a bigger change: a splintering and multiplying, with fantasy and dress-up coming to the fore. It used to be easy to recognise a punk, for example, but now there are forestpunks, icepunks and even lunarpunks. If all this has your head spinning, let us cut through the confusion.Sign upSign up for the US morning briefingFirst Thing is delivered to thousands of inboxes every weekday. If you’re not already signed up, subscribe now.Get in touchIf you have any questions or comments about any of our newsletters please email newsletters@theguardian.comTopicsUS newsFirst ThingUS healthcareUS politicsnewsReuse this content More