Poppy tweets about healthcare 2020 … where are we headed?
The results of the 2018 mid-term elections solidified Health Care as an important topic. The recent federal judge ruling that the ACA is unconstitutional set the stage for its continued importance.
The ACA is still in place until 2019 when the mandate to have insurance goes away thanks to the 2017 Tax Bill. Appeals have begun. The Supreme Court will become involved. Health Care will continue to be of importance through the 2020 Presidential Election and beyond.
Even though “Build The Wall” and the government shutdown have taken center stage, we must not forget the importance which health care holds moving forward. DO WE NEED A WALL FROM A HEALTHCARE PERSPECTIVE?
I will discuss healthcare primarily but over the next few minutes we will divert to the current hot topic of debate-Build A Wall (no-I am not going to address the statement that Mexico will pay for it).
First a few facts about the wall. (4) (5) (6)
-No border walls based on prototypes have been built or funded by Congress
The U.S. Mexico Border is 1,954 miles
Trump’s proposed wall=1,000 miles
-Spending bills for the 2017 and 2018 fiscal years included funding for the Department of Homeland Security to replace old barriers with new barriers
There are 654 miles of a variety of barriers
-Congress has approved 124 miles of new and replacement barriers, using designs already in place, according to the Department of Homeland Security
Of the approved barriers, 40 miles of replacement barriers have been built or started
Officials expect to break ground on an additional 61 miles in 2019
In February 2019, construction will begin on 14 miles of new barriers, which would be the first extension of the current barriers
“We funded the initial down payment of $1.6 billion,” Trump said.
For a better prospective on the border, I would invite you to go to THIS LINK
Now lets look at the healthcare claims.
Trump accused Democrats of wanting “Open Borders for anyone to come in” to the U.S. “This brings large-scale crime and disease,” he tweeted. Is this true?
- In a Lancet article (1):
“There is no evidence to show that migrants are spreading disease,” said Dr. Paul Spiegel, who directs the Center for Humanitarian Health at Johns Hopkins School of Public Health.
- United States Centers for Disease Control and Prevention (CDC) has guidelines for medical examination of newly arrived refugees. And they don’t indicate a prescription for a wall. (2)
-An assessment for completion of primary immunizations and immunity to vaccine-preventable diseases should be undertaken
-Immigrants from areas with higher prevalence of tuberculosis (TB) should undergo screening for active and latent TB infection (LTBI)
-Immigrants from countries where the prevalence of hepatitis B infection is ≥2 percent and their children (irrespective of country of birth) should undergo routine screening, regardless of vaccination status in country of origin
-Sexually transmitted disease (STD) assessment includes a thorough medical history, physical examination, and laboratory testing
-Guidelines for management of intestinal parasites among refugees overseas and/or after arrival
-General screening includes blood count and assessment for lead exposure, micronutrient deficiency, mental health, and screening for chronic diseases including malignancy, hypertension, and hypercholesterolemia.
- There appears to be a greater risk to health from the native-American born parental thrust not to get their children vaccinated. (3)
-About 78 percent of public-school students in Clark County, Washington have completed their vaccinations
-The county has one of the worst vaccinations rates in the state
-Twenty-two cases of measles have been reported in Clark County since Jan. 1, 2019
-The outbreak has particularly affected religious and private schools in Clark County
-Of the 22 cases, 17 have been in children 1-10 years old
– Of those diagnosed, 19 people were not vaccinated
I will be back with more.